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2002-460 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020460 Date Issued: Monday, December 09, 2002 This is to certify that work requested to be done as shown by Permit Number P20020460 has been completed. Tax Map Number: 523400-308-005-0001-046-000-0000 Location: 53 LAUREL Ln Owner: R. MICHAEL &NANCY CHOPPA Applicant: R. MICHAEL &NANCY CHOPPA y This structure may be occupied as a: By Order of Town Board = Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building&Co a Enfo ement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020460 Application Number: A20020460 Tax Map No: 523400-308-005-0001-046-000-0000 Permission is hereby granted to: R. MICHAEL &NANCY C14OPPA For property located at: 53 LAUREL Ln 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. Twe of Construction Value Owner Address: R. MICHAEL &NANCY CHOPPA 53 LAUREL Ln Fireplace UEENSBURY,NY 12804-0000 -2 Cars Attached Q Single ingle le Family Dwelling- 140,000.00 Total Value 140,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency CIFONE CONSTRUCTION COMMONWEALTH ELECTRICAL A PO BOX 694 GUNS FALLS.NY 12801 PO BOX 706 HACTIM.NY Plans&Specifications 2002-460: Lot 14 Clendon Ridge Subdivision approved 1974 year 1650 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $255.10 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 10,2003 (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 th` o f Qu sb o y,June 10,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement i Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. No inspection will be made until applicant has received a .Fee Paid / valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear on the Reviewed B r' application form. Applicant: c►poy-VII . CC nst k . 12n', Owner: i c_Y*%.A ;- lr��•�G - � Address: �'O,,--,���)( (,2�j Address: Q7LBIE r7AL. NI_( k` li 1 Phone#Q-t )�1�,-L)"d, Phone# Property.Location: Lot N ber.44— 4_House Number / Subdivision Name• i- Tax Map Nurnber30 K -- S ^ / /--/ (p >; New Building: residence /commercial Es�ja ed Market Value of.Construction:$ O ❑ Addition: resi epee/ commercial 4 m If and;i�h !hat will use of new addition be? ❑ Alteration: residence/ commercial �' ❑ No change to exterior size: residence/com'l ❑. Other work(describe ) ®�y Check OccupancyInformation ls`Fl`oo'r`�iq 4;2n. loor6 Other floor Total Below sq.ft. `` \' q�ui4� sq.ft. Square Feet '••�:013�1' Single family dwelling f j , ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office • ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage �y ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage ' 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other 0 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 / gas/wood.(/forced hot air baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder LEON E QJQW5K QQ 11AL. RYE. W�) : GE -15 5.- 924..2 Plumber Mason Electrician 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 all new construction. f.� Signature: ' A'��~ owner,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: File Permit No.rjmc Tax Map No. Owner's Name: " s ��.` ° hSINI w,, �,� Fee Paid * .) ' Address: �G6 6 1�1 1'QX ,1 6f; VVI Q1Kre i I 2. INSTALLER'S NAME : ,\501'4 0 " QZ 10 C. PHONE NO. ( y , 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 x 110 gaUbdrm = 2 D'C) Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat` sand at what depth at what depth (&nici al Rolling loam { r feet feet we Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: y 10 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: gallon(min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: C)6 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 of Queensbury Sanitary Sewage Disposal Ordinance. Signature`pV ip"le person Date L4LENERGY CODE COMPLIANCE APPLICATION (W3 �6 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 Dwelling; Multi-Family Dwellings (3 Stories or less) Pail 4*- Design by Component Performance, Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE• 1. Gross Floor Area- ` square feet 2. Type of heat- Electric Oil Gas Other 3. Is building mechanically cooled? yes 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 , b. Exterior walls R j C. Glazed areas R d. Exterior doors R 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) RA_�__ i. Heating/cooling-ducts-piping in unheated space R m 6. Service (domestic)hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applicant's Sigat re Date Phone Number INSPECTOR'S REMARKS: Fire Marshal's Office Town ofQueensbw-,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas .appliances Date / , 20�:)a Permit No.;)( {,� i Application is hereby made to the Building& Codes Office.for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter preinises to pei form required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) ' Stove: wood coal pellet gas Name: c`y Fireplace insert__ or- � :"Fireace, factory-bulf;;s wood ' gay; Address: e b c w °� _.�-_ �._ Fireplace;,masom y: wood gas Furnace: wood gas oil Prone: If non-masonary applicance,please provide Owner• Ace .�.��;4�cd;- m '�� ,r , Manufacturer Nance: Address: Model Number: t Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address: i - ;�� ,iM of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must cots. ortn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall Insulated / Direct venting Chimney Liner Ca•�hfez-'ter Z��p�rtment—Tvis�ri `'of Q�c���n�rbury, .New-7E'arli: Fire Marshal Code ft S Collected Refunded Receiiecl fionc(refunded to): address: A 173 3389 (190) Public Safety =_ T-- A 233 2655 (230)Minor Sales White(Applicant) / Green(Fire Marsbal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) RESIDENTZFINALINSPECTION REPORT v ut— Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept. of Community Development Arrive am/pm Depart am/ Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME 0�rpq PERMIT# 2V ,((9 LOCATION DATE l / 00 rl n TYPE OF STRUCTURE - F - N/A YES NO COMMENTS Chimney HeightP'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/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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Baiconiesh coding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans VPlumbing 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 � afety glazing 18"pre oor V Final Electrical Site Plan/Variance req ired ✓ Final Survey Plot Plan ILI We 1 bZz As Built Septic System layo t req ' ed Okay to issue C/C(Cerdf.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY �I "' . BUILDING & CODE ENFORCEMENT 742 BAY ROAD V'0 QUEENSBURY NY 12804 C (518) 761-8256 U ARRIVE: DEPART: INSP: (,1� FINAL INSPECTION REPORT COMMERCIAL ------ MULTIPLE DUELLING (hotel, motel, apt. complex) DAT INSPEGInTO REQUEST R EIVED: IC TION / DATE RMIT # Al i . TYPE OF STRUCTURE FOOTINGS _BACKFILL_ FRAMING_ PL BING_ 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 RE FINAL SURVEY PLOT PLAN IF RE OK TO ISSUE C/O OR C/C MAP REFERENCE: CLENDON RIDGE SUBDIVISION DATED JANUARY 9, 1974 BY JOHN B. VAN DUSEN LAND SURVEYORS L=� RF LOT 15 Wto h O �0 / 1ts / \ � � / 1.9 Ni tN / r � / 2 S'GORAME / � NOSE W LOT 14 26,568.6 sq. ft. IPF ,2 i 30 W RECEI V ED NOV 2 6 2o02 TOWN OF QUEENSBURY BUILDING AND COpE LOT 13 Of NEi� . C. , tom' s ` Dater A L , 2002 %MAUTH M ALTERATION OR ADWTM 70 A SURVEY Scale 1'=30' a E-' NAP BEANO A LICEI ED ND LA 5MVEYM WEAL 13 A Map of a Survey made for %W-AnDN OF lXT=72A stAis-MMai 2.OF mE NEW V=STATE EDUCATION LAVE' P MLY CWNS n=TIff OROMAL OF 7M SURVEY S t/ V e S NARIfFD 1.L N!OAOINK OF liE LAND SVIYEIURS C_ =�WL,EW ,o��AwT �NE�• CIF4NE CONSTRUCTION •A1J (Z MCAM"W CAM I amm S "MAT TMS WLAIIEY 1b13 PREPARED N ACCORDANCE W7N'MIE BMW ODDC OF PRACMS FM LAD S1RVE1M ADOPTED BY Land Surveyors , LLC LAW S RW M&�"U�°`llmsATION W WALL PWM 'I� LAID SURVEYQLS.SAD mt7FlCAnaNs SHALL RUi OFA.r m THE PERSON FM IL OM THE SURVEY 6 PREPARED.AM SHEET I OF I M NIE SENMF TO Tiff 7111E COMPANY,WM MEFITAL 169 Haviland Road Queensbury, New York 12804 AD LENLIEM 1`220N ITO .AW Town of Queensbury, Warren County, New York 1 11-15-02 HOUSE LOCATION CIFONE iO ME ASSIGNEES OF 1NE UMW INSTIUSON.• (518) 792-8474 New York Lie. No. 50135 N0. DATE DESCRIPTION DWG. NO. 02061 C-664 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement `Z Dept.of Community Development Arrive am/pin Depart a pm Town of Queensbury Inspector's Initi 742 Bay Road Queensbury,New York 12804 NAME U - ( - PERMff# Va�� LOCATION -C. DATE t ?/ TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP B"Vent/Direct Vent Location Noe 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/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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans // Plumbing fixtures lw�f 4LL I�t r_ /--6 ae e-7— 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 i t 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) -' Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshals Inspection Report Request SCHEDULE Received: . `I OtfiZ Permit# Z,06 Z'yy� INSPECTION ON: Name: L AM PM ANYTIME Location: LA Z,� _ APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL _ - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING % UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD . STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN --- FINAL FIREPLACE MASONRY ROUGH IN OK THIS AZT OK FOR CO NOT OK r FINAL ]REPLACE FACTORY BUILT ROJJGtHN - - 0 INSPECTED BY FINAL\ �-z C DEWCH ISJIWORDILETTERS20011FIREMARSHALWSPECTIONREPORT11022001 WHITE-BUILDING DEP T COPY YELLOW-OCCUPANT COPY �D RESIDENTIAL FINAL INSPECTION REPORT / Office No.(518)761-8256 Date inspection request received- Building l Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME l i1--qeq PERMIT 4 )-6a-2-- I D LOCATION I I 1 , Caen . L-A,.,2 DATE oil TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" 4-1 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/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 Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. / Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMtchen watertight Interior Handrails Balconies/Lmding 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fan Plumbing fixtures s !/W'� Foundation insulation v., a � 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed g Furnace in separate room protected(in garage) ,�(k p P65/_/ 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.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY BUILDING_._A._CODE ENFORCEMENT 742 Bay Road Queensbury NY_12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name C j6 Location Date /� Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Numbe - Size - ft. x ft. Stone size PIPING: - Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Fie /Pit Openings Seale Yes No Partial LOCATION/SEPA TIONS: Foundation t Tank feet Foundation t Absorption feet Separation of Pits feet Conforms as per Plot Plan , Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: �) SYSTEM USE APPROVED: YE NO Arrived: Departed: Building Ins actor. TOWN OF QUEENSBURY BUILDING__ &._CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date 44 QZ Permit # Z Z—`(60 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM:// ABSORPTION FIELD: Total Length-," Length\of each/ Depth of� trTot s Size of sto SEEPAGE PITumber Size - . ft. Stone size PIPING: Size Type Bldg. to TaTank to DisDist. Box td%PiOpenings SeYes PartialLOCATION/SEONS,:Foundation k feet Foundation orption � feet Separation s feet Conforms as loot P1 an Yes No LOCATION OF SYSTEM\Ott PROPERTY: . (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: /*tU4L �ktC� /��� C'S W/S C ZS•aIlp SYSTEM USE APPROVED: YES Arrived: Departed: Il- Building Inspector TOWN OF QUEENSBURY . BUILDING b..CODE ENFORCEMENT 742 Bay Road Queensbury NY_12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM! INSPECTION Name , - Location -3 Date 3 ti Permit # 6 - SOIL TYPE: and oam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTIPN FIELD: Total Len .230 Length each tench Depth o trench s 2 Size of tone 9. SEEPAGE ITS: Number- Size - ft. x ft. Stone siz PIPING: Size Type Bldg. to nk Tank to 1 t. Box Dist. B o Field/Pit Opening Se led?. Yes No Partial LOCATI /SE ARATIONS: Founda ion o Tank /0 feet Founda ion o Absorption 2�6_ feet Separation f Pits _ fe� Conforms as er Plot Plan . Yes LOCATION OF YSTEM ON PROPERTY: e one) Fron - Rear - 4!23Re;)a - Right Side 1 dle Front - r COMMENTS: r SYSTEM USE APPROVED: YES Ne) Arrived: 3'W Departed: k- Buildin§ -Inspector. q cd 530 -q?tli /sup TOWN OF QUEENSBURY BUILDING__ &._CODE ENFORCEMENT 742 Bay Road I "- Queens bury NY_12804 11/11( -z (518) 761-8256 rccj SEPTIC DISPOSAL SYSTEM INSPECTION Q-S`L-10 Name Location _ �aV Date d'Z Permit #�-Z-1 0 () SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) ate-Minute nch TYPE OF SYSTEM: ABSORPTION FIELD: Total ength . Length of each tr nch Depth of trenches Size of stone SEEPAGE PITS: N b r- Size - t. x f t. Stone size PIPING: Size Type Bldg. to Ta k. Tank to Di t. Box Dist. Box to Field/Pit Openings algid?' Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits _ feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: YES NO Arrived: lid Departed: J I�- Building rnspector. Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Z Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pnz: DEPAR7U ' am/pm Notes: (518) 761-8256 Inspector's Initials NAME: �� Gl PERMIT# ' (0-0 LOCATION: 53 ! INSPECT ON(date): 10 7 0 2, Ken TYPE OF STRUCTURE: T RECHECK N/A YES NO COMME p- 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/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 BracingBridging Joist Hangers Jack Posts/Main Be n Air Infiltration Barrie Fire Separation 1,2 ,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe t� Office Use GENERAL INSPE ION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: © 3 Meet: Building& Code Enforcement At time: 742 Bay Road Queensbufy, AT 12804 ARRIVE a na D T ' yn Notes: (518) 761-8256 Inspector's Initi is NAME: �-OCL PF,RMIT# ��-�/ `l LOCATION: Lxtt I ) L.,t�e _ INSPECT ON(date): r TYPE OF STRUCTURE: r IT'\ 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 allpour Reinforcement in Place _ Foundation/Dampproofing I ackfiill Approval lumbing Under Slab _ ``��c Plumbing Vent/Vents in Place cr {u ough Plumbing Hearing Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- _ ,. [ bil > Lit-, Ceiling R- Duct work or piping in 1 { unheated spaces R- _ rLj 10 Proper Vent,Attic Vent Framing D � Jack Studs/HeadersC— Bracing/Bridging t Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour jenetration Sealed ire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FORTvIS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: bd Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART�'t am/pm Notes: . 70 (518) 761-8256 Inspector's Initials -� NAME: PERMIT# 2-002--- h_ 0 LOCATION: 53 �G�c��l lam - INSPECT ON(date): `� Z TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from 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 Iumbing4� — /l.�r¢�L L/�-�'S Hearing -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,Attie-V,ent ar�iing - --.y - Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fir Separation 1,2,3,hour P netration Sealed ire Wall 2,3 hour irestop ing 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: Z 1� Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE-am/pm: DEPART -�5 am/pm Notes: (518) 761-8256 Inspector's Initials �kz� NAME: C(Vlq PERMIT# ^ 7 LOCATION: j.,B � x,/LQ p 1­­4&4tk, INSPECT ON(date): TYPE OF STRUCTURE: > RECHECK ^ ^ N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/W allpour _ Reinforcement in Place _ Foundation/D ampproofing 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 Beain Air Infiltration Barrier Fire Separation 1,2, 3,hour Pe etration Sealed ire Wall 2,3,4 hour_ irestopping l�G C r� -<1/- 6 0C IS . L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: Name: � .4 AM PM ANYTIME Location. APPROVED N/A I YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS—NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM i FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS f CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY.. . MASONRY , ROUGHIN FINAL CHIMNEY FACTORY BUILT XROUGH IN --i>lft F,� I CNr FINAL WOOD . STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN Oa(THIS DAT OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY �( IV FINAL D V O &AI O Z L COMDEU/C HRISJIW ORDILETTERS20011F IREMARSHALINSPECTIONRE PORT11022001 YELLOW-OCCUPANT COPY WHITE--BUILDING DEPARTMENT COPY A INSPECTION n Office Use GENERAL REPORT PORT Inspector: Town of Queensbury Ready at-time' /"o w Dept. of Community Development Request received: Meet: Building& Code Enforcement LO- At time:742 Bay Road Queensbuiy, AT 12804 ARRIVE am/pm: DEPAR am/pm Notes: (518) 761-8256 Inspector's Initials ')� + - NAME: oueP� PERMIT# LOCATION: , L�" "` -e INSPECT ON(date): f (� d TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form �� r 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/D ampproo fmg 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- oper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beaun Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORbfS\GENERAL INSPECTION REPORT.doc �+�T D A g n Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuiy Ready at time: Am Dept. of Community Development Request received: J— Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AY 12804 ARRIVE—am/pin: DEPART' P- -a7n/pm Notes: (518) 761-8256 Inspector's Initials w P/ r NAME: Ae �4),� PERMIT# LOCATION: 53 �' ty— p�pc�r�INSPECT ON(date): 7 / �-��- TYPE OF STRUCTURE: �b 1. f 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. Materia r this purpose on site Foundation/W allpour Reinforcement in ace �L — Foundation/Dampproofing L S _ 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.doe 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 a p Depart ° actor's I ni NAME: 'ti'� S PERMIT# LOCATION: 4,c _ i= DATE : -jod— TYPE OF STRUCTURE: RECHECK ILY AYE NO COMMENTS 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 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 BracingBridging 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 - � 01) ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: �Y Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials NAME: PERMIT# nA LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS Footinb Monolr 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 r Foundation/D m roofing ac Plu brig'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 BracingBridging Joist Hangers Jack Posts/Main Beam_ Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppi ng /r GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: U�� Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ./'21'?'Uam/pm Depart am/pm Inspector's Initials=r-- NAME: r0--r— i U— PERMIT# —�(J LOCATION: ff 5 DATE : a Y TYPE OF STRUCTURE: �t RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing 414 for 48 hours following the placement2ff / of the concrete. Materials for this purpose on sit tion/W e oun allp— 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 BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping F1 Office Use GENERAL, INSPECTION REPORT Inspector: To-wn of Queensbatry Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE � am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# �� LOCATION: Z)-,--) Lam,/�C� Ln/ INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES O COMMENTS Footings/Piers Monolithic Pour Form �� d 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/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 L:\SueHemingway\Bttilding.Codes.Inspection.FORMS\GF,NERAI.INSPECTION REPORT.doe a 3,4-t2A+ \ Q o � u � N° ll N ba n �ti;0ti`�'��4 0^ I k ` 4j'j,"Z �s `3MCR69�ra Peen Psi H'O ,,,,,, S'$S•W N b owpw �j�. 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