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2002-009 r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761.8201 Community Development-Building&Codes (518)761.8256 r ATE " OCCUPANCY UIXI 1FRial Pemit Number: P20020009 Date Issued: Tuesday, September 03,2002 This is to certify that work requested to be done as shown by Permit Number P20020009 has been completed, Tax Map Number; 523400-290-000-0001-063-000-0000' Location: 24-.BROOKFIELD Run Owner, LAWRENCE BROWN Applicant: LAWRENCE BROWN This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF UEENSBURY Garage 3 Cars Attached 14' Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020009 Application Number: A20020009 Tax Map No: 523400-290-000-0001-063-000-0000 Permission is hereby granted to: LAWRENCE BROWN For property located at: 24 BROOKFIELD Run 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: LAVIRENCE BROWN Single Family Dwelling 250,000.00 5 HIDDEN HILLS Dr Garage-3 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 250,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency SCHERMERHORN CONSTRUCTION CO' 15 BIRDIE Dr OUEENSBURY.NY 12804 Plans &Specifications 2002-009 LOT 24 BROOKFIELD RUN HSE#24 4019 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $559.08 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,January 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 the T! of en bury;, T ursday,January 10,2002 SIGNED BY for the Town of Queensbury. A-_ode Enforcement Director of Building 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_')M. C) 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 application form. Reviewed By: Applicant: �o,z4--,-J,:Owner: Address: Address: A/Y 1290el- R FE Phone#(5-12-)2� C6 Phone# — jAN 0 a062 Property Location: Lot Number: 2--4 / House Number TOWN OF QUEENSBURY Subdivision Name: X-oe>k< Tax Map Number.:-RU=IL.D=11.��-1-J�)aQ-�OD—E siq , — New Building: residence commercial Estimated Market Value'of Construction: $ 2- r .�D E3 Addition: (;re;s.ien.e t commercial If an Addition,what will use of new addition be? u Alteration: residence t commercial L3 No change to exterior size: residence f com'l C2 Other work(describe Cheek OccupancyInformation I"Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling J -7o_Z 2-11-7 0 Two family dwelling U Townhouse U Multifamily dwelling #of units U Office 0 Mercantile U Manufacturing C3 1 car detached garage U 2 car detached garage C3 3 car detached garage 0 1 car attached garage U 2 car attached garage * 3 car attached garage Q Storage building- commercial U Storage building- residential U Other What is the proposed height of the structure 5 feet inches Will any second-hand or ungraded lumber be used? If so,for what? Ak, Type of Heating System: electric/ oil / gas t wood /Korced hot air baseboard baseboard other: Number of Fireplaces to be installed Number of Woodstoves to-be installed (D List below the person(s)responsible for supervisionof work as regards to building codes: Name Address Phone Number Builder cl,-t--,, -7�--Z,Y'-0 6 -7--1- Plumber ! �, 74r2-3CO-7 Mason --,62,4/&-, 2_�8- M-i-7— 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. Signature: owner,owner's agent,architect,contractor Application for Permit —Septic Disposal System Ybuw cif Qtteensbwy 742 Bay Road Queensbury, NJ' 12804 (518) 761-8256 1. OWNER INFORMATION: ................... ...................................................................... Office Use Location of installation: Z© �'S`ja-wu in File Permit No-ooa Tax Map No. Owner's Name: Fee Paid .............. ........................ Address: r T= Q f 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle near of dwelling,, indicate It bedrooyyy(v)and multiply // q/' bedrooms with applicable gallons per bedrooin to equal total dailyfloit,) Year of House: No. of Bedrooms x Co1pputation. = Total Daily Flow 1980 or older x 150 gaUbdrin = 1980- 1991 X 130 gal/bdrin = 1991 -present x I 10 gal/bdrin = -1y-0 Garbage Grinder Installed yes_ I no -?,c Spa or Whirlpool Installed yes no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) To oiaraD iv Soil Nature Ground Water Bedrock or hu ervious Material Potizestio Water Supply at - W11,at depth at what depth 1711fi cipal Rolling fiMm feet ivell Steep slope clay if well; water supply —%slope other from any septic-system depth: absorption Is i j other Percolation Test: (7obeconrlpletedby licensed pi-(,�fe.v.yional engineer orarchitect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a planning Board'approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: /ZS-O gallon (min. size ],000 gal.) Tile Field: each trench Sr-7 ft. Total System Length: Z Seepage Pit(s): number of_____ size oj*each: by_ft. Size of Stone to be used: / depth or thickness feet Bed System Size: X Alternative System: length andlor 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 6o 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 belialf 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 9ueensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Onto Fire'Marsfill's Ot t.ice, TOW11 Of Q Llee list)u ry, 742 Bay Ro,,t(1,Qlleellsbia-Y,AY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys.. applicable to solid fuel & vented gas appliances Date 20 Pertnit No. Application is hereb'y made to the Building Cqides Qf - issuancen-the issuance qj'a Huil(jij7(,eilla'U,%-e P<?'-"'itP"1-Sl'ant to the Neil, York Slate Fite Pi-ei',entio' fi afiJBIji/dilig agrees to comply with all applicable laivs, ordinance , iv-9111,"tioll.s, andah'c-oliditions that at-epai-i these 1-8clilil-enzents and also ivill(11101"all inspectors to enter pi-eljlise:� to pee form required inspections. NOTE to applicant: Rough-In and Final Inspections are required. Appfican.t Information FlIel Burning Appliance Informatio-ii (circle appropriate words) )tame: tsr, Goa ► a�v, 4,v'o,. Stove: wood coal 1,,ellej gas Fireplace insert Address: I e"It Fireplace, factory-built: woo d crs ell.)I#� 2 CO Fireplace, masonry: Wood gas T Furnace: wood gas oil Phone: —7 -1 K—06 7 If non-masonary applicance, please provide Owner: Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate Nvords) Masonry block bi-ick stone Flue time &Ceel> -size: ill ell es Exiact Address: .4/ 0 4� .6t,!"0A-41 VRIV4 ofcollstruction oi-histalla it Factory-Built Manufacturer name:',, 14S�C?h c.' Model Number: ]Vote: Listed By., V 4.. Nurnber: Consti-iietion lb2stallation must _ —co"fol-in to NYS Fire P7-evention &Building g Indicate (circle) chininey material: Cocle. Consult available Town of Queensbiti-11 Handouts regarding i-eqllh-ed inspectiolls. Double it-all I Triple ivall / Insulated / Direct re Clihnnev Liner Fire iWarshal Code# S Collected S Rt, Recoived fi-(),11 (rq1jjj,fiinded ided to'). �)vh .4 17-3 3389 (190) Public Safe{i- .4 233 2655 (230) Uinor Sales V White(Applicant) i Green(Fire Marshal) Yellm(BW-. Dept.) 11 Pink Goldenrod(Cashier's Dept.) ENERGY CODE 'COMPLIANCE APPLICATION(�. TOWN OF QUEENSBuRy,, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method 1&2 Family Dwellings -(only) • PART 6 - Thermal Rating - Component Trade offs 1&2 Fdrally -Dwellings; Multi-Family Dwellings (3 stories or less) PART 4 Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICAINTIS RAM: PROPERTY LOCATION: Ll 41 2- 'jr�oo j )?U PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: Gross Floor Ares square feet 2 . T-v-De of Heat - Electric — Oil 1 Gas >C Othe- 3 . Iis building meclaanidaliv cooled? Yes No 4 . Percentage ofarea ofwin-dows and doors Over 17% Under 17% 5 . -R-V.A- .LUES FOR INSUT.J ITTON GIVEN BELOW jNf-jST CORRESPO-'-,TD. TO R-VALUES AS - ON PLANS SUBMITTED: a . Roof R b . Exterior walls R. 167 c . Glazed areas R 2-,5- d . Exterior doors R. VA e . Floors overunheated spaces R -4dcTe of slab on grade (heated building) R BaseT.uent/cellar walls (above grade) R Jo h . Basement/cellar walls (below grade) R pd _ Heating/L� cooling.-duc -piping in. ur-2--leated space R L I_ts 6 . Service (domestic) hot water heat.-ing device CO.formsto mir.1-4.-Lium e--. -, -,c.Lency per code Yes No TE3,41PERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Signatu:-e Date Pho.r-e Nu.,-Lber 1-3 -7 'IY— 06 '7# !NSP_=-_-_%CR' S REM-ARKS: V (0 4-) 0 4J 0 v , > 4- 4- 4- to 1 -C 't + a v -4J �- " u W r 4. to IL m a'0 N� 0 C C ro v v u UE U. ro W "r rr "r. r UI 0. r"6"L Z a W w ix 0 1 41 "r - +" v? a) N D W Wh r ro +-) 4j h C z �- 0 -P`0 ., Q w a Q to � � 0 fo 0 ' 0) E + v 0.Y 0 U)r-z 4- ,0 ' W o 000 _.I r-Z ++ S» V1 r M C 0 -P CL W v 'r" l�. so? v7 I 0 O -P v z 4- 0 v c�- � ro A .r, �"" J G C 1 $ C a WcU 1Lv v * I I ' 'q a 0 y r M U C v ++ + r 00 � Va a o a - W ro a) C +J 0 0A. P -P 0 � � 44 D d +� q � ro� v S. 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G O ! 2' z 0 'r Z > C4 iv 3 q 4 U� C2 0 arn LT\ In p L MqRM - Q� C) 1A .4 CO 76 RESIDENTIAL FINAL INSPECTION REPORT }, Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement �7 Dept, of Community Development Arrive � Dep Town of Queensbury Inspec ortort s In2 s 742 Bay Road Queensbury,New York'12804 NAME c J )9--1 # -2©©Z LOCATION - F� e&) DATE ?2 TYPE OF STRUCTURE bw T a NIA 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 FurnacelHot 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 Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in g ge) 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 QUEEKSBURY BUILDING A CODE ENFORCEMENT a Quc-_c-_nnb,ur-y MY X0004 SEP-TIC DISPOSAL SYS-TEN INSPEC-TION Name Locat:1c:)n _Z2_7 Date C>0 —C> SOIL -TYPE: ay- ReSUItS Of Pey-Colation Teas-t- ( if!" applicable- ) Rate-minut Inch -TYPE OF SYS-TEMZ ABSORPTION FIELD - Total Length " " Length o-f each V-ench Dep h of tr-en 9, Size o-F stone�PU- 4-- SEEP E PITS - Number— size ft . x _Ft Stone z PIPXMG : S -1 Type Bldg - -ta, Tank- Z Tank- -to D ' st - Box -7-4. f, 0, Di s-t - ox o F1L-_1d,/P ' -of Openin s S al *-_- d ?_ Yes No par-tial t-OCA-VX /S ARAYXONI��: � Founda-ti on Tank -Feet Foundation t Absar-ption -Fae-t 1 cm of its Se-P a r-a it ; -Feet Con-ForTns as per Plot Plan Tes> "o LOCA-TXOM OF SYSTEM ON PROPER-T ( ci Y-cl Fr-on t - Rea' - Le-F ider Right, Side Middle, Fr-ont, - Middle Rea. i- COMMENTS : SYSTEM' USE APPROVED = YES No Ar-1r1%-*-_c1= D i_-p a irlt_-4ed 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 0!2- 742 Bay Road Queensbury,New York 12804 ,, 1 NAME C E MOO&) PERMIT# 2�� -00°\ LOCATION q 8 ROC) —i E=—LD U DATE —7,—oZ TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney Height/"B"VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 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/Bot 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/him/doors/main entrance 36" Floor Finish Batbroom/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 Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per roam Safety glazing 18"or less from floor mal Electrical rte P1anlVariance 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) MAP REFERENCE: PHASE II BROOKFIELD ESTATES DATED DECEMBER 7, 1987 H LAST REVISED JUNE 7, 1988 BY VAN DUSEN & STEVES LAND SURVEYORS an D us Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 128 '518) 792-8474 New York Lie. No. 50135 LOT 25 �..� O 0 NO3'24'10"E 223.77' 0G \ ti 02�0��0 ti M 300.00' SO5'21 50"W 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7200, SUB --DIVISION 7, OF THE NEW Y= STATE EDUCATION LAW' 'ONLY COPIES FROM THE ORIGINAL OF WRS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEW. SHALL BE CONSIDERED TO BE VAUD TRUE COPIES' 'CE"nCAnONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE PATH THE FROSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORN STATE ASSOCIATION OF PROFESSIONAL LAID SURVEYORS SAID CERTIFICATFONS SHALL RUN ONLY TO THE PERSON FOR VINOM THE SURVEY LS PREPARED, AND ON HIS BEHALF- TO THE TITLE CCLPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUHION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.' LOT 24 2.27 acres w o oM LOT 22 � v 00 Cn Map of a Survey made for LAWRENCE B. BROWN Town of Queensbury, Warren County, New York Of NEW y ° °� 0 c.,�p��� y N • • , L4N0 � NO. I DATE I DESCRIPTION 1 "=50' S-1 SHWT 1 OF I BROWN DWG. NO. 86671-24 Irv► RESIDENTIAL FINAL.INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 8 a� Building&Code Enforcement Dept.of Community Development Arrive am/ epart p Town of Queensbury ctor's Initi s 742 Bay Road Queensbury,Npw York 12804 NAME ��W.�r�a�- PERMIT#G9 LOCATION 2 q VA,,641t 1. DATE ' '20 TYPE OF STRUCTURE N/A YES NO CO &cJ Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete tenor xtenor Railings 30"to 36" or bndrails,balconies,Ianding 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 t.4 in. Handrail exterior stairs both sides more than 3 risers Z� Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMtehen watertight Interior Handrails Balconies/Landing 18 in.or mo Railing across window in stairwells Smoke Detectors: every level 140 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 IS"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 Fire Marshal's Office 742 Bay Rand Queensbury, NY 12804 Phone (518) 761.8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON:_ 3 d Name: r AM + ANYTIME Location: G ------ APPROVED N/A YES NO OMMENTS 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 ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD . STOVE ROUGHIN FI L VENTED GAS APPLIANCE ROU4 IN FINAL FIREPLACE / MASONRY ROUGH IN OK THI DA E F NOT OK FINAL FIREPLACE all FACTORY BUILT ROUGH IN l - IN Egly FINAL COMDEVICHRISJ/WORDILETCERS2001/FIRIEMARS LINSPEC`rIONREPO 11 22001 LLaW-OCCUPANT COPY WHITE--BUILDING DEPARTMENT COPY Y TOWN OF QUEEKSBURY BUIL-DING 7-A CODE EMPORCEMEN-F 42 Ba_y Rcpa4 Quetc--nsb,uir_y MY M2804 SEP-UIC DISPOSAE SYSTEM IN EC-rION Name Date # SOIL -TYPE: Sand- Loam-Cl a_y- Rasul -ts of Per-col a-tion -res-t- ( 1 -F applicable ) Ra-te-Minu-te/ lnch -TYPE OF SYSTEM= ABSORPTION FIEL-D : -To-tal Length Length oF each -ty-encht Depth of" -tv-enches Size o-F s tone SEEPAGE PI-rS : Numbe-s - Size - -F-t - x -F-t Stone size PIPING= Si ` Type BI dg - to Tank W % _y Tank -tt--) Dis-t . Box Dist - Box to Field/Pi EE!d Openings Seal ? S No - Partial I-OC-A-T11 ON,/SEPARA-TI OK� - - T --- Founda-tion -to Tank feet -Foun6a-tion to Absoi-p -tion -Feet Separ-a -tion of - Pits -Faot-- Con-ForTns as per- Plo-t Plan -- Ybs-> I-OCA-VX0H OF -SYS-TEM ON PROP If . one ) F r-o - Rear- - LeF-t Side - Right Side I t-- F r-on -t - Middl- e- Roar- COP94EN-rS SYSI-EM - USE APPROVED= YESES - No A r-v--1 vr*--cl z I ge7NN D C--pa 7-1--C--a -- �� W � �W o fO N � fU N l0 N Q W SU N E Z O U y U N to O T d 5 O G� L O O ti C7Lu O 7 (o {\ N uJ0 W G u 2� C`J U LL �9 cc. rn N 0 � NI 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, T 12804 ARRrVE9'.LF EP ) q @m Notes: (518) 761-8256 Inspector's Ini *d NAME: E- PERMIT# ZpC)7� LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NJ 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/WaRpour 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 �WaIls loors R- Pc) R P Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent ov Framing_ Jack Studs/1-leaders Bracing/Bridgmig- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier -j'g Separation 1'2, r I a nSeale& FI cUall 3,4 our g ppin L:\SucHeiningway\Bttilding.Codes.Inspection.FORMS\GFNERAI,INSPECTION REPORT.doc Office Use G"E'"NERAL INSPECTION REPORT Inspector: Rea D -90 Read Town of Queensbury at ti=33" Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road C Queensbury, AT 12804 ARRIVE �Oa n otes: 5-1 (518) 761-8256 Inspector's Initia NAME: f-)AeVM FAY wn (�m PERMIT# OC LOCATION: 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 placemen of the concrete. Materials for this purpose on site — Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Roup,PIumbing Hea * Rough- ulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- -14 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 GENERAL INSPECTIONREPORT ( 518 ) 761-8256 Town of Queensbury Dept of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Eioa -Depart a Inspector's Initials Iit a-ls NAME: PERMIT# * "~ 3 —— LOCKE 1 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 s to Foundation/Wallpour� Reinforcement in Place Foundatio n/D amppro OkE Baciffill Approval umbing Under Slab Plumbing VentfVents.in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- —x-7 Ceiling R- Duct work or piping in unheated spaces R- oper Vent,Attic Vent -3\ FramingA/ Jack Studs/Headers Bracing/Bridging <z< Joist Hangerk_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed P&Wall 2,3,4 hour U/I,n,estopping lo, Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request re- ved: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 E ARRIV -'-OD Notes:EP (518) 761-8256 Inspector's Initi' NAME: r PERMIT# LOCATION: INSPECT ON(date): 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/Wallpour Reinforcement in Place Foundation/Danipproofing Backfill Approval Plumbing Under Slab Plumb' Vents in Place _qkhPlumbin!T 9ugF n ug - Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro Attic Vent Studs/Headers �acSt Z Bracing/Bridging. avz Joist Hangers- Jack Posts/Main Beam L/ C> Air Infiltration Barrier Fire Separation 1,2,3,hour f V,-Z—P�T Penetration Sealed Fire Wall 2,3,4 hour eFir—e—st o—pp—ing--',, L:\SueHemingway\Building.Codes.Inspection.FORMS\GF.NERAI,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept, of Community Development Request rece—ived: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE V, aml T ZL n vNotes: (518) 761-8256 Inspector's Initi NAME: PERMIT LOCATION: A INSPECT ON(date): TYPE OF STRUCTURE: RECHECK Footings/Piers NO COMMENTS Monolithic Pour Form oz Reinforcement in Place The contractor 1 po ible for ac n.s e Ispo ible for I I j providing protection fro freezing I I for 48 hours following th placement of the concrete. Materials for this purpose on 'tete Foundation/Wallpour Reinforcement in Place Foundation/Damppro k ofing Backfill Approval V Plumbing Under Slab Plumbing Vent/Vents in Place RougkPlumbing HeA Rough-In 10ulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- OF—A 1—A t�5G Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridgi ing_ Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping LASueHemingway\BuiIding.Codes.InspectionYORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT (518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road r Queensbury,NY 12844 Arrive am/pm Depart � prn Inspector's Initial NAME: I 1 L1Yf Y� PERMIT# a), / LOCATION: 4 7 i 1`INDATE TYPE OF STRUC — RECHECK _ N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Fo Reinforcement in lace �- The contractor s responsiNe for providing prote tion from f zing for 48 hours fol wing the acement of the concrete. Materials for this pu se o site Foundation/Wallpour Reinforcement in Pla Foun tion/Damppro g 11=App oval = 1 L� Plumbing Undl lab Plumbing VentlVents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exterio R- Floors R Walls R1 Ceiling R Duct work or piping in unheated spaces R� Proper Vent,Attic Vent S Framing Jack Studs/Headers # BracingBridging i Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 'GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive��amie) Depart`N al Inspector's I 4i NAME: PERMIT# 2 0 Doq Doq LOCATION: 7. L'I Zoif-r--i e j f7- DATE : 0 L? t. TYPE OF STRUCTURE: RECHECK N/A.YE NO COMMENTS 470otings/Piers V I I Monolithic Pour Form *Reinforcement in Place:or is The contractor s re nsi e for nsi e for:providing protection om f zing e for 48 hours followi the pl cement of the concrete. it Materials for this purpo fee on sit Foundation/Wallpour_ Reinforcement in Place FoundationA[)ampproofliAnt Backfill Approval Plumbing Und-erS1ab--:::2 Plumbing Vent[Vents in Pla Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R\ Foundation Walls Exterior Floors R- Walls R- Ceiling R- Duct work or pipingmi 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 ' w. ._. _ _ _ '�.� � y *� � 1�/ � .C t /• Inspector's No. Date 20 COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. (Consulting and Fire Inspection Services) (incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia) Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described below.On demand, applicant agrees to pay for inspection service in accord with schedule of charges. PLEASE PRINT Owner...... ....... .........:......:. ;...: . ............. Type Bldg. E1 DWG 0 Other, - .: Occupant ....._. Building Permit NO. st JobLocation ... .........::.......... ... ......... ...., City......... .............., .. State ..........,.......... County . ......., ...............Twp......................:..........,...:..M/C#..................:....................... Swimming Pool--New D Old CD Directions to Job Site ................................ ......... ......... ..........: ....... Application For Rough Wiring❑ Fixtures❑ Service M or ____................... ....... ................ ........_..................:,..,.,,. Work-New El Additional 0 Bldg.-New Old Ready for Inspection .......................... .. ............... r, APPLICANT S SIGNATURE - LICENSE# PERMIT# PLEASE - PRINT NAME _ PHONE# APPLICANT•S - NAME OF ADDRESS UTILITY OFFICE TO CITY STATE ZIP CODE aENOTIFtEO ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY OUTLETS AMP MENCE EQUIPPMENT PUMP SWITCHES HEAT OVEN PUMP RECEPTACLES SURFACE GARBAGE UNIT DISPOSAL UNIT MEDIUM BASE RANGE DISHWASHER FIXTURES MOGUL BASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP, RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER FRAC.H.P. QUARTZ FIXTURES' VENT FANS MOTORS:H R 1/20 1112 1/16 1/8 1 116 1 114 71 314 1 1 11-1/21 2 1 3 1 5 17-1/2 1q 15 20 1 25 1 30 1 40 50 1 75 100 MARK NUMBER OF EACH SIZE Inspector's Comments: OFFICE USE ONLY WORK INSPECTED REPOR- � o NOTIFIED TEO ¢ o FEE PAID CU SERVICE DATE CON- TOTAL $ Date Received: TRACTOR R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: CERTIFICATE NEEDED AGENT I CASH Date Sent: OYES ODUP ELEC. LT CO. INSPECTOR Progress ❑ THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S..INC. WHITE/OFFICE PINKIINSPECTOR YELLOW/OFFICER GOLD/CUSTOMER LLj 0 00 L� 1,23 E- \ '06 I.D &LLI . co Z,",',, t ::� cl Ll oc� LL ©tee 0 I CN