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2001-043 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: P20010043 Date Issued: Thursday, May 30, 2002 This is-to certify that work requested to be done as shown by Permit Number P20010043 has been completed. Tax Map Number: 523400-309-007-0001-025-000-0000 Location: 3 FELD Ave Owner: LARRY CLUTE Applicant: LARRY CLUTE This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&Code Enforcement 1 01" TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010043 Application Number: A20010043 Tax Map No: 523400-309-007-0001-025-000-0000 Permission is hereby granted to: LARRY CLUTE For property located at: 3 FELD Ave 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: LARRY CLUTE Single Family Dwelling 50,000.00 13 DAWN Dr Total Value 50,000.00 QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency CLUTE ENTERPRISES INC. COMMONWEALTH ELECTRICAL A( 13 DAWN Rd OUEENSBURY,NY 12804 PO BOX 706 HAGUE.NY Plans &Specifications 2001-043 LOTS 10 & 11 FELD AVENUE; Address: 3 Feld Avenue 864 SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPEICIFICATIONS; Area Variance No. 33-2001 Approved,May 16, 2001 $108.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,March 22,2003 (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 w f Qu sb. ; 'r ay,March 22,2002 SIGNED BY `_,� • for the Town of Queensbury. Director of Building&Code Enforcement "' ENERGY CODE APPLICATIONS (7. 001-' 01-6 lKy, = COVED ENERGY CODE COMPLIANCE APPLICATION - g05, B 0 6 2001 TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS TO t{I< OFQUEENSBURY BUILDING AND C QE-PART Ms _. Compliance 9thods : 5 - Acceptable Practice Method - a.:,. ,. . 1&2 Family Dwellings (only) ? : PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: L f--ci C L e` C� A%.l.L' PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Type of Heat - Electric Oil x Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% >S 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 \c c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces R 19 f . Edge of slab on grade (heated building) R • g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R • i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conform to minimum efficiency per code Yes No TE ERAT RE CONTROL XIMUM SETTING 140° - WILL NOT BE EXCEEDED Applican s i natur Date Phone Number 9-NSPECTOR' REMARKS : Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 BUILDING & . CODE ENFORCEMENT 1OTICE Requirements prior to issuance i 1 1 of this permit: PERMIT FILE NO. toj , i- ip A permit must be obtained before ,- /' Lc' beginning construction. No inspections PERMIT FEE PAID$ V/A.i�i' will be made until applicant has received 0 Zoning Board ll a VALID BUILDING PERMIT. A11- Area /Use applicants`spaces on this. application FEB cREA770N •FE' P i 6� MUST be completed and.the signature El Boa Action ®S 2001 REVIEWED B • of the applicant must appear cat the SPR / Subdivision t gF l plieatlon form. 7t�t B QUEENd tea, J Wing Inspector J Recreation Fee Pay MVOs AND P Applicant: \Cil,-- l Owner: ...t-�Q ' Address: \'' •.-. -,y Address: QN, ems.--..4-,\- . --1 Phone # ( )`Zci 3 - 7"7 Phone # ( ) - Property Location: ��k� 1-\JC_ Subdivision Name: Tax Map Number_ \ -1 / 9 l "a &- k1 Section Block 1 nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ S Q, 030 residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pr ary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCt EQ • 1st Floor c(o`f If ADDITION, what will use sq. t. of new addition be? : 2nd .Floor. . ., sq. ft. Other Floors sq. ft. (not unfinished cellar or basement) AC SSORY BUILDINGS: etached Garage 1, ar TOTAL FLOOR AREA: Y C`-1 SQ. FT. At ched Gara , 2 car Priva St ge Building SIZE OF NEW STRUCTURE: Commerci oraguilding . . Li FEET X 3 (o FEET Other Foundation Type: Fc�ceS ��� Will any second-hand or ungraded ' Number of Stories : . 1 lumber be used? If so, for what? (habitable space on,i'ly) 1 -7° Height (grade to ridge) : \\, feet TYPE OF HEATING SYSTEM: Number of fireplaCe's .and/or woodstove (circle all which . ..lies) to be installed:, C19 �1rtric Oil Gas / Wood Forced Hot Air b Baseboard / Other Person responsible for supervision of work as regards to building codes is : L.cc-i—i-} C_5, e • ice 3 737? Name Addresss Phone Builder: Plumber: CA . Mason: v Ce-� c3 PS 7 .-v" L. 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 pr sed work shall be complied with, whether specified or noted, and that such work is authorizee owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy•or Cer ficate of Compli e being issued, an AS BUILT PLOT PLAN by a licensed surv• ,or; drawn to ale, showing ac location of project on premises. Signature: (owner, own 's a ent, 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: 17 c- P‘U`e • it, Tax Map No. 1 t 7 / / to c,,,. t Filenri . •Owner's Name: �,��—�; �� � Fee Pa �� ® 0 2001 Address: G OF IL®IN A! D CODE 2. INSTALLER'S NAME : C:l�.� �t �� PHONE NO. —15 3 —7 a-7 7 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 a x 110 gal/bdrm = Garbage Grinder Installed yes / no X Spa or Whirlpool Installed yes_- / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Topograph,y_Soil Nature Ground Water Bedrock or Impervious Material Dom:. is Water Supply _(y(uso rn at what depth at what depth 401121e1 Ro ling 115077T feet feet well 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: 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 sire of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. _ Septic Tank: 1000 gallon (min. size 1,000 gal) Tile Field: each trench ft. Total System Length: fl. Seepage Pit(s): number of size of each: ft. by \. ft. Size of Stone to be used: II 3, / depth or thickness fret 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 &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 thegulattons with respect to this application and agree to abide by these and all requiremen of the To of Queensbury S itary Sewage Disposal Ordinance. :2-75-10 Signatu e of responsible person Date • Inspector's No. Date 19 2• 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 . i. Owner CLV l;" A.,..Aje Type.Bldg. ❑ DWG ❑Other .•_ Occupant • : Building Permit NoC.��, 1, 'i - - Job Location cf k..k N....../e City CO 4!.0�+:40s:a, z-:.i State County 4'1.)t'.7A.a' C e-eN, Twp. M/C# Swimlning Pool-New❑Old❑ Directions to Job Site +P." '-c-!`� - -, ....Z. .4.,1.4:3 N.s-,, C--c-k.rk • Application ForRough Wiring❑ Fixtures Service❑ or t. •Work-Newt], Addition]❑ Bldp ew E Old❑ Ready for Inspection APPLICANT'S /�'% I LICENSE It PERMIT M SIGNATURE J� I_ i /' t PRINT NAME / -, / COL_i r-J�..e `.---L PHONE x ADDRESS APPLICANT'S/% ,.'12"f ..k NAME OF { r, ,,'�,{w� U UTILITY OFFICE TO CITY `_3`4,142._d1_� ! /.--.i_ STATE r.,_J 4. 4 ZIP CODE t' 13-y BE NOTIFIED t SPACE BELOW FOR USE OF INSPECTORS ONLY ROUGH WIRING AMP SERVICE OUTLETS EQUIPMENT PUMP SWITCHES • HEAT OVEN PUMP RECEPTACLES SURFACE GARBAGE UNIT DISPOSAL UNIT MEDIUM BASE RANGE 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.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1-1/2 2 3 5 7-1/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE , r Inspector's Comments: DON LOVELAND Electrical Inspector P.O.BOX 706 HAGUE, NY 12836 (518)543-6724 • 1-800-562.9934 OFFICE USE ONLY WORK INSPECTED REPOR- Q o NOTIFIED TED ¢ JO FEE PAID U SERVICE DATE CON- ' Date Received: TRACTOR TOTAL $ R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: • CERTIFICATE NEEDED AGENT CASH Date Sent: ❑ YES ❑DUP ELEC. LT.CO. INSPECTOR Progress ❑ THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC. WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTOMER TOWN OF QUEENSBURY r -+ BUILDING & CODE ENFORCEMENT a 1 742 BAY ROAD QUEENSBURY NY 12804 ." '"' i, ' (518) 761-8256 ARRIVE: DEPART: INSP: 09 FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel, motel, apt. complex) DATE INSPECCTIOON REQUEST RECEIVED: NAME \c-c- LOCATION c---e.A . ',A)tee_ I� DATE d Lp.E4 S 30-0 TYPE OF STRUCT RE 111111 FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATE', RELIEF VALVES FLOORS • FOUNDATION INSULATIO _ INTERIOR STAIRS/RAIL ''GS STOCKROOM ENCLOSUR' FIRE/DEMISE WALLS/PENS • TION FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE _ EXIT_STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECT CAL SITE N/VARIANCE REQ. NAL SURVEY PLOT PLAN, IF REQ (lb OK TO ISSUE C/O OR C/C TOWN OF QUEENSBURY BUILDING _& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name C C _DAAAsz__ Location .j P \ AIULK__ D a t b e rm i t # 0 D-—OLL3 SOIL TYPE: Sand-L.am-Clay- Results of Percola! 'on Test- (if applicable) R., e inute/Inch TYPE OF SYSTEM: ABSORPTION FIELD. Total Length Length of each t -nch Depth of trenches`. Size of stone SEEPAGE PITS: Nu .er- Size - ft. x ft. Stone Oze PIPING: / Size Type Bldg. tq Tank - Tank to ist. Box Dist. Bo to Field/Pitt Openings ed? Y s No Partial LOCATION/SEPARATIONS: Foundation to Tank feet Foundation to Absorpti n . _ 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: • /(_)5 at"-/q- .4:::SQ/) 3(341N . SYSTEM USE APPROVE . YE NO Arrive Depar ea: 4/4 ilding Inspec o • _ 1 _ , I _ . _ ___. __ _ . •- . - __. 111 . flO C •,. ik 1r 19 - - r ____ _. ' t ii I"? - .._ ME _ _ I - - _---_--- -- _._ ----11-.1 _.-. `t'6 6 - ..___ _ Ti 1 _ _. .____. . , , ______ _ _ _ . _ _ , .. . i i . _ ..„::: 1-_.III_ __ _. ___. _ _.,___.._ _If:0. . .D_ _ T..w _ __ Lov _,.._„ !oo: . , ., - I I 1 ') . I 1111 - ____ - ._____ ___ __ _ _ _ ._ ____ 01 t I • _ 1 1 9 _ _ LD ill ._____. _______ _ _ ___ ___ . I t_. _ . _ . __ _ . _ _ __ __ _ - ,--,--------)---- 4--H a..,.tien--c___ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 3 U Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa ` �pm7 Town of Queensbury Inspector's Ini is !/ 742 Bay Road Queensbury,NewYork 12804 NAME e/4 �=^-! ` PERMIT 4 v/.— v L 3 • LOCATION 3 ir"a 4,-,_. _ DATE 1 TYPE OF STRUCTURE N/A YES/NO COMMENTS Chimney Heigh 'B"Vent/D ect Vent Location 1 VFresh Air Intake Plumb Vent throu. roof ,// Roof Complete t/ 7 Exterior Finish Complete / Interior/Exterior '.. • gs 30"tLdin 6" ` �� Exterior Handrails, •. 'flies, g 18 in.or more // Interior Handrails stairs •o sides 3 or more risers / Grade 2%away from fo t •.tion ,/ 8"clearance to sill plat- Gas Valve shut-off expos:. regulator 18"above grade • Gas Furnace shut-off withi 30 feet or within line of site 1/ Oil Furnace shut-off at entr. ce to furnace area +/ / Furnace/Hot Water Heater o•erating �// Relief Valve(s)installed / �/ Headroom,6 ft.6 in.on stair �f / Basement stairs,6 ft.4 in. yf/ Handrail exterior stairs both sides more than 3 risers / Interior privacy/trim/doors/main entrance 36" 177 Floor Finish >✓Bathroom/Kitchen watertight /:Interior Handrails Balconies/Landing 18 in.or more / Railing across window in stairwells Smoke Detectors: 4 every level • every bedroom V outside every bedroom ✓/'' inter connected ✓ / Bathroom fans 1,/ . Plumbing fixtures ✓ Foundation insulation ii 3 hour fire door/door closer Garage fireproofing y Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per r ssm 7zSafety glazing 18" ess in floor Final Electrical �. UZ GC-��5 S'tePlan/Variance equired ' / V�U -4 `,q — galc-? \, coal Survey Plot Plan -J / ✓As Built Septic System layout required , v6 ` 6-fTii-- Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ /7 Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY . BUILDING_ &CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name L-, PtP' P;? c.`k' Location Fat \ ) - F Date _,9j —(n-(j2 Permit # 7 001 — 3 SOIL TYPE: ,Sand Lo m-Clay- Results of Percolat\on Test- (if applicable) Rate-Minute/inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trend ti Depth of trenches t Size of stone • SEEPAGE PISS: Number-\ J Size - 4tj ft. x \itcLj ft. Stone size �t PIPING: Size Type Bldg. to Tank t) 0 Tank to Qi^ ox i�j i DiS ' o.x to Field �- ( 'i , Openings Sealed? • es N'o artial LOCATION/SEPARATIONS: Foundation to Tank VD feet Foundation to Absorption - 7 feet Separation of Pits feet Conforms as per Plot Plan Ye o 152.____ LOCATION OF SYSTEM ON PROP.RTY: (circle one) Front ar Left ig t ide Mi ddl a on dl a Rear COMMENTS: 13 eE\O P6 ?7 Ni) .- &ffeci OV_- o \37P\ LL SYSTEM USE APPROVED: YES NO Arrived• . .��, Depar AWAIT" / / AlAf/A/411 / : "iding Inspe- tr. Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: �?'� Dept. of Community Development Request received: 1�/11/O �`" Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE\.2-� /pi .'-9 'P 'T I aD am/ m otes: (518) 761-8256 Inspector's Initia s NAME: L`�� 4..uy PERMIT# Z OQ 1 —O 41 3 LOCATION: INSPECT ON(date): i/ /v 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 freezi 7g • for 48 hours following the place vent 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 iyinsulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- e \ Ceiling R- 3i] Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPA Tilt am/pm Notes: (518) 761-8256 Inspector's Initials" 3 NAME: co„ \C� PERMIT# ( — LOCATION: 3 1-6—C--12) /4UG-- INSPECT ON(date): 0/0Z----- TYPE OF STRUCTURE: RECHECK N/• YES No COMMENTS Footings/Piers r, Monolithic Pour Form Reinforcement in Place -AYI R 5 The contractor is responsible for providing protection from freezing \ Arc T.t/170 itt" for 48 hours following the placement of the concrete. 10 u e /g " FRo Co/0064°(/- s/ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place • Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plu .ing Vent/Vents in Place ' •ugh Plumbing eating Rough-Inn -,4 4(,)c Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- _ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road / &" Queensbury, NY 12804 ARRIVE am/pm: DEPART l am/pm Notes-: -f' 5 (1 (518) 761-8256 Inspector's Initials NAME: aa`X PERMIT# cgan l! 0q3 LOCATION: 3 ® P'1)-P J INSPECT ON(date): 1-1 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible 'or providing protection from fie:,ing for 48 hours following the pla ement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing l /1 Backfill Approval Oo / �/� A - , �/ 1 Plumbing Under Slab C P1 •.' g Vent/Vents in Place / *.3 d_h1P177-bin ✓ e .g gh 4 U// I' . . ►reilwa� Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Vent A • Ve}it 11— IL11411111:ig \71/ • Jack-Seaders Bracing/Bridging Joist angers - t/Jo Posts/Main Beam • of l ,avian :ala ier,. V Fire epara on ;2;3 hour Penetr tion Sealed • Fir a112,3,4 hour / s'e nig ,4 lFei' L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc • Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:l 11011 Dept. of Community Development Request received: �� Meet: Building& Code Enforcement / At time: 742 Bay Road • • Queensbuiy, NY h2804 ARRIVE am/pm: DEPART Ili'• afm/pm Notes: (518) 761-8256 Inspector's Initials .--- / /m C,C NAME: Ott.-- Can��]];; in PERMIT# vv/!D ` LOCATION: 3 7- 44 INSPECT ON(date): 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 for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour 1 I , Reinforcement in Place Foundation/D amppro ofng Bac ill Approv > I/ Plumbing Under Slab /\ Plumbing Vent/Vents in PI—ace - I Rough Plumbing \ . • Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- ` • Floors R- 1 Walls R- 1, 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:VSueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Offic Use GENERAL INSPECTION REPORT hnspector`-- Town of Queensbury Ready a time: ( �� Dept. of Community Development Request received: ��� a Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE \=\D am _ RT`- f ca m Notes: (518) 761-8256 Inspector's_nit NAME: 1/�j� PERMIT# V3 LOCATION: 1 3 PW,,7 INSPECT ON(date): • 0 — TYPE OF STRUCTURE: RECHECK ( is �l <� _ N/A YE4 S i COMMENTS • Footings7Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f r providing protection fro free2,ing for 48 hours following th pla ment _ of the concrete. Materials for this purpose on ' e • Foundation/Wallpbu( Reinforcement in Place Foundation/D amppro offing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent _ Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc I i1. I , • I 1 I I I , I ' I ; I I . I I i I , p MI C LB - a . "....111.11111M1111- ..L., ___,—......."...m.....mmom a Iffimium... 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MI • - - - _ 1111M MINIMIII 'M - EMI mminimmow.Air on im 1. immiummom.---. .ims mu NmmiummuI 01E11 _ I •1 I - 1 MAP REFERENCE: MAP OF A SURVEY MADE FOR FLOYD R. & MARGARET A. BARNES DATED: JUNE 13, 1979 BY: JOHN B. VAN DUSEN 572.5'�► 6"00 6,14, :i 1m� r 0 Z 55.G>5' AREA 7,884 sq. ft. 0.18 acres ON R N�2 s8+pp, ff 1 STORY WOOD FRAME MOUSE 19.66. 3.p / STow DRW 1 1� ` LEGEND: O IPF = IRON PIPE FOUND py" 01. BAR = IRON BAR FOUND ' co, = UTILITY POLE f = FIRE HYDRANT D*WAW*O== Steves Land Surveyors , LL C 1169 Haviland Road Queenebury, New York 12801 ALTERATRN OR ADIX1 TO A KRWT MW BLAMM A UCiDdED NEW ARE1Eir O WL N A aap cores n NO L r 49 or wr w AY MARRO um AM oleolwL a 'm[ wo NAzrcYaRs aAL auu S MMM w) RE: wuo V)X 00lRi.' *091M CAI M{ PC"= NUA M OW, *MT 11Es % MW %*$ ~A= N AOOpbMM " W r wK MEW YOIN sTAa AsooaAwaM Cra MOfm0lur. "° a'""c'a 9MAIM Nu '� A°w LAID MRNEYO" UD a6wr i" 04" " OILY W wK M80M M wwor wE Mw It MIDAOEO. An aM MN REnwr m wE wu OWAMK iOrEwRBIrAI A0B1C1 "° t°°N° N K""UN "`� wxw=VL me To M ANRO[fi a tM[ tDpIG NiwwRnL• (518) 792-8474 New York Lic. No. 50135 Map of a Survey made for ` CLUTE ENTERPRISES Town of Queensbury, Warren County, New York i L BAR O \ I 1 5/24/02 NO. I DATE hOUSE LOCATION DESCRIPTION I I I Va...4rrn. ! J—/ VVVi 1'=10' S- I &W1OP1 c m C423 DWG. NO. 01016