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2002-088 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 E F OCCUPANCY CE" IFICA"IO Permit Number: P20020088 Date-Issued: Friday,June 21,2002 This is to certify that work requested to be done as shown by Permit Number P20020088 has been completed. Tax Map Number: 523400.301-014-0002-019-000.0000 Location:. 85 MC ECHRON Ln Owner: VASILIOU MICHAEL J INC Applicant: VASILIOU MICHAEL J INC This structure may be occupied as a: w By Order of Town Board Fireplace TOWN-OF QUEENSBURY., Garage-2 Cars-Attached 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: P20020088 Application Number: A20020088 Tax Map No: 523400-301-014-0002-019-000-0000 Permission is hereby granted to: VASILIOU MICHAEL J INC For property located at: 85 MC ECHRON 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 Queensbuty Zoning Ordinance. . Type of Construction Value Owner Address: VASILIOU MICHAEL J INC Single Family Dwelling 154,825.00 23 SUNNY WEST Ln Garage-2 Cars Attached LAKE GEORGE,NY 12845-0000 Fireplace Total Value 154,825.00 Contractor or Builder's Name/ Address Electrical Inspection Agency VASILIOU MICHAEL J INC 23 SUNNY,WEST Ln LAKE GEORGE,NY 12845 Plans &Specifications 2002-088 lot 19 house#85 McEchron Lane The Grove,Phase 2 1988.7 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $290.68 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,February 12,2003 (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 To of QueeA,sbury; es ay,February 12,2002 A-11 SIGNED BY . ( I�A-- I /—I for the Town of Queensbury. .Director of Building&Co e Enforcement 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 —0v No inspection will be made until applicant has received a Fee Paid S 02 ,O-° u�� valid building permit. All applicants' spaces on this Rec. Fee Paid ( iU ; /� " application must be completed and must appear on the Reviewed By l application form. Applicant: �%/�iG',tlXIG %— , 3/�/ram/,!, �rrG; Owner: Address: ,�;�S'�tri,�y iF��, zy"s Address: Phone#(c� Phone# Property Location: Lot Number: / / House Number Subdivision Name: Tax Map Number: ems} adl New Building: esidenc /commercial Estimated Market Value of Construction: $ ❑ Addition: res ence/ commercial If an Addition.what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence 1 com'l ❑ Other work(describe ) Check Oecupaneylnformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square ❑ Single family dwelling ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ 1 car attached garage 2 car attached garage e',+ 4- 0 3 car attached garage ❑ Storage building- commercial ❑ Storage building- 1 residential ❑ Other What is the proposed height of the structure S�feet inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ oil Kg-a wood / orced ho / baseboard/other: Number of Fireplaces to be installed Number of Woodstoves to be installed t� Z�--•'"�� List below the person(s)responsible for supervision of work as regards to building codes: Name .Address Phone Number Builder 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 construction. Signature �IsL�J ` w wrier,owner's agent,architect,contractor TOWN OF NUEENS0URY Fee Paid BUILDING & CODES DEPARTMENT Permit # APPLICATION FOR: PORCHES-DECKS- "��O��D�& DOCKS & BnATHOUsE��^~�n~~w »' ��ot. cost FEB {> � ?OD� A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASEo��ER ALL OF THE FOLLOWING: / The undersigned hereby applies for a Building done in acoordance wi�b� �he descr�ption, plansnd srl=Lci,�i-&d:t4-orf-s-tubmitted-, and such special conditions as may be i a1cateu .on the permit. TWO SETS OF STRUCTURAL PLANS S1fALL BE SUBMITTED WIT14 THIS APPLICATION. Owner of Prop P.O. Address Property Location Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION oF. WORK AS REGARDS TO BUILDING CODES: Name: ddress Phone# . BUILDING SPECIFICATIONS:— Typef k � b d Porch Deck o work o e one: oro c Dock Boathouse (Circle one) Size of Structure to be built (square footage) : � � Foundation Meteri�l � Width Thickness Depth of Footing, below grade: Size of �Posts or Studs: x x Long Size of 'Floor Joists: x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following Questions: Sfzeof Posts or Studs: x x Long Roof Rafters: x Spacing Span Roof Trusses (pre-engineered spacing): Span - Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and distinctly a/ / buildings, whether existing or proposed and Indicate all set back dimensions from property lines. show location of water supply and location and configuration of septf'c disposal area. Size of Property: ft, x ft. Existing buY7dfng(s) : Size ft. u ft. Size ft. x ft. Use of Existing building(s); ----- - Proposed - -' ----' -' -'---'-~ from ,' `p^' ^, line: Front yard ft. Rear yard ft. Side yards ------ ft. and ft.------' If on corner, setback from side street: ft. DECLARATION To the best or my knowledge and belief 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 Taws pertaining to the proposed work shall be complied with, whether specified or no owner. DATE: SIGNATURE . Owner, owner's Agency, AIrthitemt^ Contractor REVIEWED ' BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE _____ Application for Permit—Septic Disposal System Town of Oueensbuury-742 Bay Road Queensbury, NY 12804 (518) 761-8256 I. OWNER INFORMATION: ..............._..............._..................---............................._._.. . .................._. Location of installation:�� ,� i�l.�'d�1 - = O s r File RePt Tax Map No. Fee Paid Owner's Name: l _............. ........ ............----......_......_..... Address: ,%�3 �dics�tt'7Yf/ S'7' '�- #Vc) 2. INSTALLER'S NAME z> PHONR-NK F3 rr ®®��. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and np albT Co 4it;( C 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 gaUbdrm = 1991 —present x 110 gallbdrm = Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) o ra h Sski ure Ground Water Bedrock or I ervious Material c Water Su 1 Flat sand 6 -e"' at what depth at what depth municipal feet we olling �`-`-2-?" feet f well;water supply if Steep slope clay �1 / � ` `%slope other � � s� from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. le ee Septic Tank: r rgallon mjn. size 1,000 gal.) l 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: ff / depth or thickness feet Bed System Size: X Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE 8c 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 of respo� able person Date Fire Marsbal's Oft ice Town ofQueensbury. 742 Ilan Road,Queensburv,Me (518) 761-820-5 Application for Fuel Burning Appliances &.Chimneys., applicable to solid fuel & vented gas appliances IV' ED Date 20 4 -Z Pet P EB 0 5 2062 AI)plicalion is hereby made,to the Building d-. Codes q/.lic-efim-the issuance qf(i Building an(I Use Permit pursuant to the New York State Code. 7be uplVicanI or owner- agrees to comply ivith all applicable lotus,Fr sANVAfteiM-, and all conditions that are part of these requirentents acid also will allow till Thsp clors to enter prendses.to pet form required inspections. NOTE to applicant: Rough-in and Final 'Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: /X/ qgZE- stove. wood coal pellet gas Fireplace insert Address: rn V Fireplace, factory-built: wood Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary'applicance, please provide Owner: rManufacturer Narne:,6�/V&Y" Address: Model Ntirnber: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address:-z"o Y1,9 Ae6l of conitraction or installation Factory-Built 107eo6 e_,W.21Aj Z,417,6 Manufacturer name: Model Number: Note: Construction 11iallation inust Listed By: W Number: confoy-in to NYS Fire Pi-evention &Building Indicate(circle) chimney material; Code.'Conjidt available Town of Queensbtay Handouts regarding required inspections. Double%vall / Triple wall 'Insulated Direct venting Chinuiey Liner Fire blarshal Code# S Collected S Re,ended LIL_ (Re�ceillefro"Dlljdedtot athh-eSS: (0 . ,417-73389 (190). Public Safest .42332655 (230)Minor Sales White(Applicant) i Green(Fire Marshal) Yellow(Bldg. Dept.) Rink&Goideiii-od.(Casliier"sDe))t.) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS 05,20 Y11 t)ffif( Zzivsao" Compliance Methods: PART 5 A cceptable Practice Meth &2 Family Dwellings (ono y) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE. BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area square feet 2 . Type of Heat Electric Oil '� Gas Other 3 . Is building mechanically cooled? Yes _ZNo 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. i�e� R b. Exterior walls R C. Glazed areas R d. Exterior doors R e. Floors 'over unheated spaces R 61) f. Edge of slab - on.- grade (heated building) R � g. Basement/cellar walls (above grade) R .119 h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R t9 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes' No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED a.ca is SnEa :,r Date Phone Number 571 INSPECTOR'S REMARKS: RESIDENTIAL FINAL INSPECTION REPORT P Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement j Dept.of Community Development Arrive am/pm depart of m Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York'12804 NAME b V PERMIT# LOCATION l DATE G1 7, TYPE OF STRUCTURE N/A YES NO CONEVIENTS Chimney Height/'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,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"a ade Gas Furnace shut-off within 30 feet or withi line o Oil Furnace shut-off'at entrance to furnace Fumace/Hot Water Heater operating Relief Valve(s)installed 714 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/Larrding 18 in.or more Railing across window in stairwells Smoke Detectors: Gle 'tp every level every bedroom outside every bedroom G� �A inter connected Bathroom fans Plumbing fixtures Foundation insulation 1/4 hour fire door/door closer Garage fnreproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"orljsl fb6m.floor Final Electrical Q Site Plan/Variance require 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) o 1 H I I H�, y a r z a � x H H H H H H h] z 0 r Ci x 0 r x z0 k 0 z y z z z > H H H 0 q C 0 ' r q 0 C H (40 ro H n , ►� a a U a g a n r M M n N z 0 H q M ro z c� m m > m m H o r r H H H �l H x P a C7 H H tz z r H a ro n n n o w c a z a a H z H z H t z 0 H H m H N r > P 0 0' 0 0 0 H 0 0 0 z k 01 ` 0 z , cn c ro ro ro > 0 0 X 0 H �s G� H (A z � u� � z ro � z 0 0 r� 0 MINIONro 0 z I� n H ro x c r z n H z ro H n n a r N rn > `0 r0 [ � x � z na zc azrx 0 0 r0 r � H � x � , nro � C� z H H t7 i0 H b 0 H ro H H �z c r n z 0 N z x z zo I to/ to H i N x 4 z 21 H WON I I w � 9 0 0 0I �C nll C� z H H038 0" > dro 0o zkr�c H Ozz r 0 o �z FIRE MARSHAL -17C:>VVtsI C:)I= 4:;ZLJF=F=f%JaE3LJF:;,`Y` (aUE=E=M,<3E3LJF;,t-V-, r4-V- 12804 FIRE MARSHAL INSPECTION REPORT REQUEST RECE IVEID PERMIT 0 _ NAME LOCATION SCHEDULE INSPECTION ON AM PMANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT S143NS EMERGENCY 1-1(3HTIN43� FIRE EXTINC3U[SHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERiC:)R FINISHES STiDRA(DE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATINC3 UNITS REQUIRED SI(3NA<3E CHIMNEY WcxDko stcwr= FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: 0 OK TO THIS DATE INSPSUP-PUS INSPECTOR rY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement VVV Dept.of Community Development Arrive_andpm Depar4VAMI'm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York*12804 NAME VA- S; I t' 0 (j PERMIT# zx�z- LOCATION L o-v- I k ck Ir tA(- DATE a TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightPT"Vent/Direet Vent Location Fresh Air hitake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or mo 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 Furnacefflot 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 Bathroom/Kitchen watertight Interior Handrails BalconiesiLanding 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 scaled Furnace in separate room protected(in garage)_ Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required. Okay to issue C/C(Certif.of Compliance Okay to issue temp.C/O(Certif,of Occupancy) )� kay to issue permanent C/O(Certif.of Occupancy)j_ I 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, AT 12804 ARRITE3Zabam D a- pIn Notes: (518) 761-8256 Inspector's InitiJL NAME: PERMIT# M LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: kJ RECHECK I 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/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 Mt;Attic Vent Framin 1 Jack Studs/Headers- Bracing/Bridgiing tz� -5N 0 1�:>b Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopp"19- L:\SueHemingway�Building.Codes.hispection.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 Queensbuiy, AT 12804 ARRIVE am/pm: DEPAR m1pm Notes: (518) 761-8256 Inspector's Initials P NAME: PERMIT# LOCATION: )C)\ UY-\ C�QrYAQ INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from f, ezing for 48 hours following the p ace nt of the concrete. 0. Materials for this purpose jons Foundation/WallpQur Reinforcement in Place �# Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place += Rough Plumbing �e ar OUV-,�;-r—j I t'ation_ Foundation ails 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.FORNIS\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 am/pm: DEPAR4, Vam/pm Notes: (518) 761-8256 Inspector's Initial NAME: PERMIT# LOCATION: INSPECT ON(date): -�` I-- ^=-� TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is rcsponsib e or from , ing t p� c he , ement 0 sit it providing protection from ing for 48 hours following the p ement of the concrete. Materials for this purpose on sit Foundation/'vVallpour_ Reinforcement in Place Foundation/Dampprooflng—A— Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P-1 ce Rough Plumbing He g Rough- Zulat'ion A- hey— f� D< Foundation WA117s Interior R- t I PL Foundation Walls Exterior R- Floors R- Ocq- 6—f"&w(- Walls R- t 1t FLA, Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridgi Joist Hangers 1119— 6 L)1: Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmg_ L:\SueHemingway\13uilding,'-odes.Inspection.FORrvfS\GENERAL INSPECTION RFPORT.doe Office Use�e qUse GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at e. Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 1280.4 ARRIVE a P7 ).,Notes: (518) 761-8256 Inspector's j1hin — NAME\L, PERMIT# o LOCATION: j2A n n)S,- LCIR-LC�sL 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 froming ollowill. for 48 hours f tho plac ent of the concrete. .1 Ite Materials for this purpose 0 site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo kg Backfill Approval Plumbing Under Slab',, Plumbing Vent/Vents in Place Rough Plumbing—_ C)0�) ;Hea,*'g kough-In I I lation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Frarmng_ VUbe \)V Jack Studs/Headers Bracing/Bridging— Joist Hangers Jack Posts/Main BeamAir Infiltration Barrier Vu LA—�v) Fire Separation 1,2,3,hour V-- CA—cy— Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ 5,17 L:\SueHemingway\Building.Codes.Inspection.FOR?vfS\GENERAL INSPECTION REPORT.doc LA Office Use GENERAL INSPECTION Inspector: c — 10 Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, IVY 12804 ARRIVE R ai m Notes: (518) 761-8256 Inspector's 11niti s NAME CA PERMIT# LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi le for providing protection from ezing for 48 hours following the daceme,t of the concrete. Materials for this purpose on site FoundationfWallpour / on let si for f rom eezing following 1 ce the a _m t )se on jte Reinforcement in Place Foundation/Dampproofing_ Backfill Approval— D Under Slab�lumbing lumbing Vent/Vents in Place le -kough Plumbing_ 0_0 Zd6b-Z,5_41 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 V'Framing Jack Studs/Headers Bracing/Bridging Joist Hangers j Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire all 2,3,4 hour Fire.,XVF' stoppi,n L:\SueHemiiigway\13uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc ILOffice 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 a m* EP T n am/ m Notes: (518) 761-8256 Inspector's Initia NAME: PERMIT# LOCATION: t Lq&2 �64YJl� --�/ INSPECT ON(date): TYPE OF STRUCTURE: C t 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 place en 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 Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro Vent,Attic Vent rams (, L- Jack Studs/Headers Bracing/Bridging' / ` z-- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,.3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 4 �• r L:\SueHemingway\Building.Codes.Inspec6on.FORMS\GENERAL E*4SPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: I-c-l", V Town of Queensbury Ready at time: A� Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road �m/ Queensbury, NY 12804 ARRIVE amlpm: DEPART - pin Notes: (518) 761-8256 Inspector's Initials NAME: V PERMIT# LOCATION:-Lo-F vvlcG f�CA r-c,,-- INSPECT ON(date): TYPE OF STRUCTURE: RECHECK L11/ NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respon ' I fro sf free 0i providing protection _ron ng for 48 hours following th plat ment of the concrete. n i Materials for this purpose on Foundation/Wallpour. Reinforcement in Place Foundation/Dampproofm 9 Backfill Approval Plumbing Under Slab Plumbing VentfVents-in+face Rough Plumbing__ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R ��U�,17� � � U�,�j � �� l [} - Moors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PrgSLVent-Attic Vent r k-,S Ids/Hoadersr-71 C,,7.+r, rid In Or,I A) Joist Hangers Jack PostsfMain Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed , aj.2,3,4 hour vuestop,i L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc -rc>vvm (::>f= CAuaa"SOUF;t"y CjUr-=r-=",-SE3UF?V)r, M-vl- IZ804 (518) 781-82-05 FIRE MARSHAL INSPECTION REPORT PIP-QUEST REP D M W "00E PERIT NAME LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A 'YES NO EXFFS AISLE WIDTHS EXIT SIGNS EMERGENCY LIC3HTINO FIRE EXTING;UiSHER.S FIRE ALARM SYSTEMA I FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES\-� STORAGE: CLEARANCE TO SPRINKLES CLEARANCE-7O HEATIN(3� Upi ITS REQUITED SIC�NA413E CHIMNEY WOOD STOVE FIREPLACE - M^SC:)t-4RY FIP,EPLACE - FACTORY BUILT �" - REMARKS: OK TO THIS DATE MSPSLIP.PUB INSPECTOR ffice Use GENERAL INSPETION REPORT ��X =i p ctor: Town o � v~ Ready at time: fQueensbut y .Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuty, NY 12804 ARRIVE D am Notes: (518) 761-8256 .Inspector's Init a NAME: Gl `� (S2� 1 11 PERMIT# LOCATION: �� ;` � � -�(` � an INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinforcement in Place The contractor is resqn�siblef�o providing protectionfor 48 hours followiof the concrete.Materials for this purpoFoundation/Wallpour — j ,. Reinforcement in PlaceCIA L'�'" FoundationCDampprooEng Backfill Approval Plumbing Under Slab Plumbing VentfVents in Plac J� Roug Plumbing He ng Rough-In ion _ _ N elation Walls Interior R- _ N Foundation Walls Exterior R- Floors R Walls R- Ceiling p g R- piping in Duct work or i unheated spaces R- PXinar Vent,Attic Vent ng Jack Studs/Headers j - 3 V\r� racin gin _ oist Hangers 6 Jack Pasts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping yU C5-1— L:\SueHemingway\Building.Codes.Inspeotion.FORMS\GENERAL.INSPECTION REPORT.doe 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 Queensbu?�; NY 12804 ARRIVE /10 am/pm: DEPART, amlpm Notes: (518) 761-8256 — Inspector's Initials NAME: cl -A IV)U-a PERMIT# LOCATION:_j -. INSPECT ON(date): TYPE OF STRUCTURE: C RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibiVforproviding protection from frfor 48 hours following the pnt of the concrete.Materials for this purpose on s Poundation/Wallpour Reinforcement in Place _ Foundation/Dampproofing Backfrll 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 p g R- Pin J2�� ma Duct work or i in t7ac.`�� , "o- CIA- nheated spaces R- ..-(--17 p Pro er Vent,Attic Vent 7� � t r� %// f' lcr�-41, '� anring j mtlGGEGtI�ti. CCI�/i Jack Studs/Headers Bracing/Bridging cJ Joist Hangers4a, GJ�t�+�N'� Jack Posts/Main Beam Air Infiltration Barrier /•Uar Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping /jl ) 11 1 / L:\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Notes: Queensbury, NY 12804 ARRIVE am1pnz: DEPARTi �/pm (518) 761-8256 Inspector's Initials ff NAME: t PERMIT# C�2 LOCATION INSPECT ON(date): TYPE OF STRUCTURE: RECHE N/A YE NO COMMENTS botin S/Pie V Monol thic ur Form Reinfa e nt in Place The contractor s res onsibl for providing protection from fit ezing for 48 hours following the pl ceme t of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/DarnpprookL—,�— 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 Firestoppig L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doe 7 � 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 March 22, 2002 Job#46143 Mr. Glenn Bruno4�7 New York State Dept. of Health 77 Mohican Street Glens Falls,NY 12801 RE: _ Lot_#19--7 Brian&_Jill_Donohue, purchasers-- Emerald Grove Subdivision- Queensbury(T) Dear Glen: This letter is to inform you that I inspected the.completed septic system for the house on Lot#19 in the Emerald Grove Subdivision on February 28,2002. The house being constructed on this lot is a 3 bedroom house with no expansion attic,no garbage grinder and no hot tub. The septic system as installed consists of a 1,000 gallon septic tank and 167 lineal feet of absorption trench. The.installation conforms with the requirements of the approved subdivision design drawings, Please call me if you have any questions or concerns. Sincerely, Thomas W.Nace,P.E. _ cc t°' Dave°Hatin, Town crfQueensbury Michael Vasiliou G a �I �o �7cnfnVlt�ar •� 70 U1 a r z t 0 (D 0 0 0� � � � �� m,J»(D @ c9 .4 -J, m c 0) 0 0) a A c 1+ r+ c+ tQ 00 c C+ »» U R1-h 0 �»{11*0 0 0 p�t H C 0 W 10 t+ 0 W 0 m V ih 0 F�1 -j X 0 0 40 TJ ,4 r- � f � �o ... 11,a o too Xr � }r� A z m ci, �, h � d @tD (D � (D rO 1 �� t 777 - Q,fi' . �f:':' •�;:.•,ram%•'. ••.•1.17E /��/^f �, p 10 �1 ' _ tea '+' U��Uz 0 "I have seen or observed, or believe I saw evidenc6 of, all objects such as houses, tells, trees, fences, etc., �. shown on this document. I also represent that I have personally rz'ieasured the distances set forth on the diagram." SIGNATURE DATE Q",Xea� GENEPUL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept. of Community Development Rate inspection request received: Building&Code Enforcement ; !� 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart L \a Inspector's Initials �J ' NAME: 1 i 1 PERMIT# LOCATION: _ DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers — � 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fo ng the placement of the concrete. Materials for this rpos on site Foundation/Wallpo r Reinforcement in Pl ce Faun on/Damppro fing ll Approval Plumbing Under Slab Plumbing Vent/Vents in Ice Rough Plumbing Heating Rough-In Insulation `f Foundation Walls Interio 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 Scaled Fire Wall 2, 3,4 hour Firestopping Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time. Dept. of Community Development Request received: a- Meet: — 4Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE A� T j a Notes: f, (518) 761-8256 poll Inspector'slnitial t' ' NAME: t / PERMIT# f LOCATION: Q �GL�G INSPECT ON(date): all . TYPE OF STRUCTURE: RECHECK N/A YES/01 COMMENTS FootingslPiers 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- �ff, 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 Bartier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\OENERAL INSPECTION REPORT.doc 880 -eoo e MAP REFERENCE: THE GROVE SUBDIVISION DATED NOVEMBER 6, 2000 LAST REVISED MARCH 3, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC McECHRON S06'38'00"W I I LANE y.• jrJSA Av RECEIVED JUiV 2 1 2002 TOWN OF QUEENSBURY BUILDING AND CODE ERTIFY THAT THIS MAP WAS PREPARED CTUAL FIELD SURVEY. 1CATION SHALL RUN ONLY TO THE PERSONS ruj% rimcm THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: BRIAN P. & JILL M. DONOHUE HOMESTEAD FUNDING CORPORATION; IT'S SUCCESSORS AND/OR FIDELITY NATIONAL TITLE , 'iANY OF NEW YORK Z s, W� MATTHEW C. DATED: JUNE 4, 2002 ai- D us A s /`.��/V- Steves Land Surveyors, LLC 169 Haviland Road Queensb ury, New York 12804 •UMAUMWMM ALTERATDN CR AWMON TO A W2DAW A UCENM LAND SiA IN Ms WAL L; A YI UMON ff 9F1'IIOM 72 % NO-OPAM % W 1K IOC V= SPATE MM" LAW •OIN.r W-M PMON TIN: ONK& a *a "%sy "M WTM AN MM& W 11E LAD RRIRV $AL SIIAL OC CONlD = TD ! VALID 1RK CCPW �UW "SMMEP'M"MMNACC DN=AN THS SURKY ws PIWTAIWD Ei ACCOImm" W1M 1ME COMM Dona aE PRACTICE FM LAND S=%V% is ADO/1!D LAID IMVEYOMi SAD Cgr*rA%= SNAL MIN M&Y 70 THE PERSON EOIt WNMI THE YplYk7f IS PREPAIMA AID 'MWW"F`*AXA'°DQAn0'W "" DN W MDIW m *a TAIL CCAlW YOVENI TALI Am= A«D Lm" w"xww LNG NON. An To THE A MU DE THE LROM N"TU1Nri• Map of a Survey made for Brian P. &Jill M. Donohue Town of Queensbury, Warren County, New York a e� J 4, 2002 DQtet 1 NE Scote4 �- S �,.,�, NO. DATE DESCRIPTION (518) 792-8474 New York lAc. No. 50135 DWG. NO. 85418-19