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2002-497 TOWN OF QUE E NSB URY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20020497 Date Issued: Friday, September 24, 2004 This is to certify that work requested to be done as shown by Permit Number . P20020497 has been completed. Tax Map Number. 523400-227-018-0001-019-000-0000 Location: 8 Hickok Owner. WINTER HORTON JR Applicant WINTER HORTON JR This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY ,- Director of Building&Code Enforcement ��` TOWN OF QUEENSBURY A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f FILL COPY Community Development-Building&Codes (518) 761-8256 - BUILDING PERMIT Permit Number: P20020497 Application Number: A20020497 Tax Map No: 523400-227-018-0001-019-000-0000 Permission is hereby granted to: WINTER HORTON JR For property located at: 8 Hickok 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: WINTER HORTON JR 33411 DOSINIA Dr Single Family Dwelling • 80,000.00 Total Value 80,000.00 DANA POINT, CA 92629-0000 Contractor or Builder's Name/Address Electrical Inspection Agency DAVIS. JACK NY 12804-0000 Plans&Specifications BP 2002-497 911 Address: 8 Hickok Place Construction of a seasonal residence (no heating units) as per plot plan and specifications. AV 39-2002 ZBA approved May 15, 2002 $129.60 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 05,2003 (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 Q ry; Fr' ay, ly,I 5,2002 SIGNED BY 1, for the Town of Queensbury. Director.of Building&Code Enforcement Building PerIn it .Application � � Town of Queensbury—Dept of Community Development,742 Bay Road,Qtieens '(51.8)761-8256 7`OW,�pro- O c ��G i A permit must be obtained before beginning construction. Permit File No, No inspection will be made until applicant has received a - Fee Paid $ valid building permit. All applicants' spaces.oti this Rec. Fee Paid $ application must be completed and must appear on the , = Reviewed By: application form. Applicant: r N�P trrr�- esv� Owner: Address: Address: �• `Phone#(6p)j5!V Phone#( i.. Property Location: Lot Number: 3 t House Number --- / i`}aL- Subdivision Name:Cb�6 U, "^" PI Tax Map Number:. -r-* 14te u a ft 0� f._C,) - New Building: residence_/commercial Estimated Market-Value bf.Construction: $57K©_ 25© 4:!7 lJ! ❑ Addition: . residence/ commercial ✓' If an Addition,what will use'of new addition be? ii ❑ Alteration: residence/ commercial t ❑ No change to exterior size: residence/com'l ❑. .Other work(describe ) Check Oeeupaneylufornlation V Floor 2° Floor Other floor -Total Below sq.ft. sq.ft. sq.ft. Square Feet .;a-' Single family dwelling — p Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units o Office . ❑ Mercantile o Manufacturing ❑ 1 car detached garage /11 ❑ 2 car detached garage 1112E ❑ 3 car detached garage ❑ 1 car attached garage '❑ 2 car attached garage ❑ 3 car attached garage. f ❑ Storage building- I commercial ❑ Storage building- residential ❑ Other What:is the proposed height of.the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil 1 gas/wood. /forced hot air I baseboard/other: Aa- i Number of Fireplaces to be installed Number of Woodstoves to-be-installed List below the person(s)responsible for supervision of work as regards to building codes: j Name. Address Phone Number -- —--_-- -Builder�:_." _ _ __ -x- /9� -�c�iE'_lLt•�'��__--- --—••.-- -- -- --- -�=r '4"�.3"i�'i__._- Plumber 4A i� _tt tit Mason cyyc 6Y12.~l'fG"lG Electrician Wes,, L �, C+GS•-- "2S'c¢> 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,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of allne construction. Signature: � -7 :+�- l to weer,owner's agent,architect,contractor Application for Permit--Septic Disposal System Town Of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ...._.............................................._........................................._......._�................__......; Office Use Location of installation:. Warier- Bay ~ File Permit No. Tax-Map No. 19 1 / 3 8 Fee Paid Owner's Name: Winger D. Horton :........................_..........................................._..._........ ...._...._..........._..........._..........: Address:PO Box 1, Catskill Bay 12844 2. .INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year`:of House: No. of Bedrooms x Computation — Total Daily Flow 1980.. or older x 150 gal/bdrm = 1.980— 1991 x 130 gal/bdrm. = 1991 —present 2 x 110 gal/bdrm = Garbage Grinder Installed yes_ / no See Plans Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) } Topographv Soil Nature Ground Water Bedrock or Impervious Material Domestic WateJ SWPI Flat- __� s at w t depth at what depth municipal Rollin - - Zoa r2 feet 'Z -fe et et well•" I steep slope; clay if well; water s1 pply slope other See Plans from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch See Plans 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: boy gallon (min. size 1,000 gal.) See Plans ! Tile Field: each trench ft. Total System Length: 2 ft. �' 147— ` Seepage Pit(s): number"of size of each. ft. by ft Size of Stone to be used: # t depth or thickness feet . Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) N/A 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 ofthe 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 req,uuiirements of the Town of Queensbury n' ry Sewage Disposal Ordinance. Sig ure of esponsibl person X &ate - .y z+; ste%Vcrs -.111d .se.wajte I)ispf►s:11 t:h:►jslt•i- Al povidi x C: l /1f So ltl"1'10---N Ii'II;1 .I•) ` ,SE'PAltA'1'J0N RECIIJIIt1iN11 ON'llS •NV}ltr C/5 le-; rlJt/ �t':a••: _ ►emu s� � �� ,,� ., . Xts�.- ►_:.��. � .�� l\r+t t - t+1tY.x7Rrtwti.x. 4 7. SIGNATURE &INFORMATION FOR Rj�5YV1csx sl.n -1110111r- 1‘41t ENERGY CODE COMPLIANCE APPLICATION of TOWN OF QUEENSBURY, WARREN COUNTY A� 9000 HEATING DEGREE DAYSRECE RI ED Compliance Methods:Part 5 - Acceptable Practice Method— 1&2 Family Dwellings (only) JUN 1 7 2002 Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) TOWN OF QUEENS&UF1N Part 4*- Design by Component Performance, Commercial Buildings-Hi BUILDING AND CODS Rise Residential *Requires submission of worksheets PLI ANT'S NA PROPERTY LOCATION: Z PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- / 1 O square feet 2. Type of heat- Electric Oil Gas Other dim_ 3. Is building mechanically cooled? yes /C No 4. Percentage of area of windows and doors Over 17% ' Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3 b. Exterior walls R 15 c. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R 1� f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R j i. Heating/cooling-ducts-piping in unheated space R 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code /� Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Ap•lira-is ►i tna ref f Date Phone Number INSPECTOR'S REMARKS: Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: _ \ ��--�-- NAME: ti \� (-1 PERMIT PERMIT#: _ LOCATION: AA , c_ K-cb\C r� DATE: - -o TYPE OF STRUCTURE: \( Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. 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 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/0 [Temporary/Permanent I L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04 COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL". �f Permit No. Cert. No 80394 Cut-in Card No )J Owner /V, ` 0/0/v Location l e4eU4 alaiP ,y Installation Consisting of 2 3 S u' 1,, /Zee.O " c.4 TeS, 1D c pzf.R A-6 6'). JUJ WhCli /Anxi Installed By....X9 Xe '-/2-70.L Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued i cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon th introduction 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 it rules are violated,the Company shall have the right to r e this ifica e. Date..p'21 O INSPECTOR.... Mamba..NFPA 1AF.I . 6 i lij-) Residential Final Inspection . Office No. (518) 761-8256 Date Ins ection reques lie. ne CI i 0 Queensbury Building&Code Enforcement Arrive: p_' a 1011:r�7part: 7 a 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial.: 11` NAME: . frE: IT#: Oa9 LOCATION: 0 p,4 2BEEStTi 1. TYPE OF STRUCTURE: ' ?,UQ� Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof / Roof Complete V ' Guard 30 in. or more @ stairs, decks,patios Guard at stairwell at 34 in. or more / Guard at deck,porches 36 in. or moreii Exterior Finish Complete Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Jf!/ � � ,� /' Interior Handrails stairs 2 or more risers `1 �\ Grade away from foundation 6 in. with 10 ft. �� `� Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate ✓ Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site ' g/ 77 ' Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight I.1 Safety glazing .•/ Window in stairwells safety glazing Interior Smoke Detertors: / Every level: J / Every Be�Jroom: Outside every bedroom ea: B, Inter Connected: / Battery backup: Bathroom Fans,if no window N.L Carbon Monoxide detector / Plumbing fixtures � <� " Foundation insulation '1 Floor truss, draft stopping finished basement 1,000 sf C ::::7 3/4 Emergency egress below grade Basement stairs closed rise>4 inches hour fire door/door closer Garage fireproofing � Duct work Sealed properly i)z 77 Si Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan N...77---1, As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy) Okay to issue Permanent C/0 (Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2..oc ed./d January 28,2003 i.,..,, 9/.. �9 nm^ . . Residential Final Inspection I 'r 1 P I � . Office No. (518) 761-8256 Date Inspection�� st r eived: . Queensbury Building&Code Enforcement Arrive: `, ,_ e'er rt: 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: '► {0 ^( \ C)-(S- -Scc PE IT#:5 \ — © — y Y �� 77 LOCATION: FA c• `�� LOW DA E: it? �1,...1 TYPE OF STRUCTU . Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake I © U l�i��j�d�A 011) 3 inch Plumb Vent through roof ti\L\ O� - Roof Complete ` Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more / _ � � �� Exterior Finish Complete ,vJ 1b U Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors GJ'.,r-- Interior Handrails stairs 2 or more risers Grade away from foundation 6 in. with 10 ft. ✓/ F'�' `(- Z� L Handrail Termination at Newell Post or Wall ,,/ 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade ii — \--kv____ 6,$) Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area / � C NA..._.‘ liTtrurat/Hot Water Heater operating �Low water shut-off boiler ,.// .,/ Relief Valve(s)installed / • Interior privacy/trim/doors/main entrance 36 in. ,// Bathroom/Kitchen watertight ,// \6\ F�� (6 , Safety glazing �/ Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: / Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector .-Th Plumbing fixtures ,✓ - Foundation insulation l../ Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches '/a hour fire door/door closer Garage fireproofing Duct work Sealed properly / Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq. ft.vents 1 • Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C/0(Cert. Of Occupancy)Okay to issue Pem-ranent C/0(Cert. Of Occupancy) V L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January,28,2003 //e Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prp epart: ' am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NI NAME: /4e9A) PERMIT NO.: ` LOCATION: o [: � INSPECT ON: /'Adg o3 RECHECK: , Comments and/or diagram Soil Typ : San /Loam/Clay Type of r: Municipal/Well Water Z A-K 4•r Waterline separation distance —ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length C L,J'nl ft. Length of each trench ! 4, ft. Depth of trenches J` ft. Size of Stone Seepage Pits: Number Size: Stone Size: • Piping Si eN Type Building to tank �(' Tank to Distribution Box Distribution Box to Field/Pit w Opening Sealed: Y/N/Partial • Location/Separations Foundation to tank tft. Foundation to absorption ft. • Separation of Pits ft. Conforms as per Plot Plan N Location o ystem on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Sta s: Approved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report piff\ Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p D part: m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: LANAME: \CC\ PERMIT#: v 7 LOCATION: IS INSPECT ON: TYPE OF STRUCTURE: CJ Y . N N/A PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes • • Water Supply Piping Co per Commercial opper,CPVC,Pex One &Two Family /!'' ,, 1G isulation/Residential Check/Commercial Check W I1�C�7 I _1. Proper Vent,Attic Vent CC 1 L.1 C. R 3ef). Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly. COMMENTS: • • L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 A b'G ��� Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: (0 // Dept. of Community Development Request received: eb Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, IVY 12804 ARRIVE �- n DE' 'I z 1 Notes: (518) 761-8256 Inspector's Initials NAME: goi jOyi PERMIT# 2_062' f7 P LOCATION: F 1i/l�(,I(k pid, INSPECT ON(date): G ©79/ d2 FV 4ca TYPE OF STRUCTURE: S ea -o-rL d S F 1 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg , Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Hearing Rough-In ,'' P.sulation 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 Proper Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour P�/ `netration Sealed fire Wall 2,3,4 hour irestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc 7 a�l� �- ��O�ffice Use GENERAL INSPECTION REPORT Inspector: Ready at time:'3 :W Town of Queensbury I ('"�' Dept. of Community Development Request received: 7 - U 1 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE-j%\am EP ; Kam/1: Notes: (518) 761-8256 Inspector'slnitia i 7 :::::)---- NAME: (Ai Ai-P—‘)--- 1A cf(Z..C 6 kJ PERMIT# ZVUa_ Lic( LOCATION: Sr 1 st LU L K— vim INSPECT ON(date): ! 2 -, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form _ Reinforcement in Place CO ,. yL�\ -/ bCPtuAL IN EN l+ The contractor is responsible for j providing protection from freezing NV9 �t�, b��Dk, \ for 48 hours following the placement /� of the concrete. / Materials for this purpose on site /+ Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing / Backfill Approval "iP' lumbing Under Slab ��/ I; *Plumbing Vent/Vents in Place / Rough Plumbing Heating Rough-In / Insulation / Foundation Walls Interior R- Foundation Foundation Walls Exterior R- /J Floors R- Walls R- / Ceiling R- / Duct work or piping in ,. unheated spaces R- / Proper Vent,Attic Vent r *Framing / . Jack Studs/Headers Bracing/Bridging / Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed f Fire Wall 2,3,4 hour I Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Z^O o Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 7'- a EP 7.6-am m otes: (518) 761-8256 Inspector's Initi s • NAME: � 1 tJ t EP___ tAp(�l s) PERMIT# - �L1' LOCATION: 1k L INSPECT ON(date): 8 — l9—OZ. TYPE OF STRUCTURE: RECHECK N/A YES I NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/D amppro ofing Backfill Approval Plumbing Under Slab Plumbing VentNents 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- roper Vent,Attic Vent Framing C V.P LA NW J� Jack Studs/Headers Y � 5 \--v'S)b Bracing/Bridging Jack Hangers Jack Posts/Main Beam Air Infiltration Barrier QE Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\.SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:,.1,�, Q44� Dept. of Community Development Request received: 7 2,1 Meet: Building& Code Enforcement / At time: 742 Bay Road 7 J Queensbury, NY 12804 ARRIVE 4/ : DEP ?i A`740,► am 's m Notes: (518) 761-8256 Inspector's Initial.. / NAME: biJ,� 141297 7PERMIT# Oo,- qg 7 LOCATION: 0 4,t,z / INSPECT ON(date): �,Yiu t a/ TYPE OF STRUCTURE:- SiLii ' RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W ailpour — Reinforcement in Place Foundation/D ampproofing "AtBackfill 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: 7 V Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE qt1LC am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials T NAME: /a /" PERMIT# F�(20, LOCATION: g } ,h INSPECT ON(date): TYPE OF STRUCTURE: Slog og RECHECK N/A YES NO COMMENTS 4/(Footings/Piers Monolithic Pour Form �. Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen �J of the concrete. lopc c.71 Materials for this purpose on site Foundation/WallpourV\t/ _ 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 1�- ''7 raining -r Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 55° am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials �lr NAME: PERMIT# 0 2-'ys7 LOCATION: r� ���e. INSPECT ON(date): 7/2, TYPE OF STRUCTURE: ,5-16 RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site I Foundation/Wallpour t a r� Reinforcement in Place Foundation/D ampproofmg 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: /91f Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 'f ,a a: EPA a Notes: 518 761-8256 � � Inspector's Initials NAME: W d,fl pen_ llo /o ?✓ /PERMIT# c4oe a- LOCATION: n�l•c4o h INSPECT ON(date): e,s /2 3 TYPE OF STRUCTURE: S/V RECHECK N/A YE �IO COMMENTS Footings/Piers // Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/D ampproofmg 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 • L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc TOWN OF QUEENSBURY BUILDING CODE ENFORCEMENT -. 'i 742 BAY ROAD 4-t 4' QUEENSBURY NY 12804 (518)745-4447 n,,// ARRIVE: DEPART: INSP: el, FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECT ON REQUEST RECEIVED: NAME V,( �,f i Ali LOCATION DATE PERMIT # 2— l 1 TYPE OF STRUCTURE (2-)R7 FOOTINGS BACKFILL FRAMING PLUMBING_ INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT - PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN, IF REQ J OK TO ISSUE C/O OR C/C V c,V G. t- 01 i DEED REFERENCE: � ZONING INFORMATION: LEGEND: ISABELLA H. GRANT WR - 1A 01PF = IRON PIPE FOUND TO WATERFRONT RESIDENTIAL - 1 ACRE 0IRF = IRON ROD FOUND WINTER D. HORTON, JR. MINIMUM LOT SIZE = 1 ACRE 0IRS = IRON ROD SET/TO BE SET DATED: SEPTEMBER 19, 2001 MINIMUM LOT WIDTH = 150 ru) = UTILITY POLE' BOOK 1242 PAGE 39 MINIMUM PERCENT PERMIABLE = 65% o `9 MAXIMUM FLOOR AREA = 22% MAXIMUM BUILDING HEIGHT = 28' SETBACKS: �° E FRONT 30' - SIDE = 15" s F REAR = 25' SHORELINE = 50' i 0 ORIGINAL W ' ICE-HOUSE I v °g 42"E- 1 4.0'± N82 25.98' Q K 35.35- l - r m s o I _._----- I STORY WOOD FRAME 6 19 n I 1 HOU5f n y I AREA ' � �IJ 19,847 sq.ft. ; R) // 0.46 acres - w GE OR GE T ti��h ---� _ M 329-93' r f / STEPS ��82°53'23"W \\ �j�j►1 LLu a`" 0) .— // / CONC IRS PORCH PATIO I � � t10U5E $ �"u N 5.011± W,IN IRF(5QUARE) Z .-. J _ IRF RF IPF I 4 -� ate # A /� , s 'uNAUIII AD M SED L 1 at AVEY ro A wRYEv Scale 1'=30'^ •( VI " of A"�"7°'""°�'" ��A Map of a Survey made for j�(p NpJ1T10N OF gCT1p"7209,9UB-gM9011 2.OF 1NE P��77G4. P C NEW YQW STATE EX"T"LAV t/ v \/ ti,J m WT" rR01,1 dA OF RW 1 Or Tms w"vd 4 AIARKCD YAT"IVI ORIGINM Or TM[Wq 9URV[YORS t SEAL KWIC BE C°NOICATESII TO BE SIQ,RIIE COPIES.• S•_ 1 �'""""°"S F"AR° MANMNT'T WINTER D . HORTON, JR. Tws suRYEY WAS PgE➢ARED w ACCORDANCE NTH 711E S Land Surveyors E1v Tw COUE Of PRATE A FOR WD SURIEY ES ION& D E BY 111E NEW MS. STATE ASSOGAION Of PROMM OCT LAND SURVEYOR$,SAD CERTIFICATNINS SHALL RUN ONLY /y�� M THE PERSON FOR*M YK SIWVEII tS PREPARED, ON NIS AND SHEET OF M THE TITM COMPANY.ODYMMENTAL p����169 Haviland Road Queensbur , New York 12804 TOR-y Am LE"°'"D ft""Tip"LKTED"mom me Town of y y I 7-23-04 rlouSE t DECK LOCATION y AGE fA"GW15OrT"e1TM*449TITURON, Queensbur Warren County, York (518) 792-8474 New York Lic. No. 50135 HORTONNO. DATE DESCRIPTION DWG. NO. 02057 C654 19-1-38 i