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2002-228 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: P20020228 Date Issued: Monday,May 16,2005 This is to certify that work requested to be done as shown by Permit Number P20020228 has been completed. Tax Map Number: 523400-301-013-0001-080-000-0000 Location: 24 MOHAWK Trl Owner: EDMUND&IRENE TOMAC Applicant: EDMUND&IRENE TOMAC This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-3 Cars Attached Single Family Dwelling Director of Building&Code Enforcement r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-.Building&Codes (518) 761-8256 BUILDING PERMIT Permit-Number: P20020228 Application Number: A20020228 Tax Map No: 523400-301-013-0001-080-000-0000 Permission is'hereby granted to: ED TOMAC For property located at: 24 MOHAWK Tr1 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: DAVID & SHELLY BUREAU Single Family Dwelling 200,000.00 8 JOHN St Garage-3 Cars Attached QUEENSBURY,NY 12804' Fireplace Total Value 200,000.00 Contractor or Builder's Name f Address Electrical Inspection Agency MOOSE CREEK- SCOTT THOMAS 555 ROUTE 418 WARRENSBURG.NY 12885 Plans &Specifications 2002-228 EDWARD TOMAC 2000 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $326.46. PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,April 16,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town o sbury b fore the expiration date.) Dated at ejo f ee�I�b y,April 16,2002 SIGNED BY dd�� for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Devel6pment,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No -a 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 By application form. Applicant: I�erns� �.�ek ,",..• G�i �r Owner: Address: Y x+ c{/g- Address: Phone# j-s1.._ Phone# 931�iJVeli Op •� 361- 4097 F?tJ9!_#?]NC,��� ,°dSBElD�y nr� OUP Property Location: Lot "UN rnber: d� 1 H use Numbers t U CCQY1 Gl'1 Subdivision N �- Tax Map Number:. . o� a""New Building: reside7/ commercial mmercial Estimated Market Value of Construction: $ ICJ©' ❑ Addition: re ence If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check OccupancyInformation I"Floor 2'd Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet rs" Single family dwelling zo 0, ❑ 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 2" 3 car attached garage V H e ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure ' _feet inches Will any second-hand or ungraded lumber be used? If so,for what? 420 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 oast .�$-C23-S9sl Plumber -5")7-YMQ 7 Mason avc�.E Electrician Declaration: please"sign below after you'have carefully read the statement: 'i'o the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,ar'e a true and complete statement of all proposed work to be done on the described premises and that all tJ provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied f with,whether specified'or noted;and that such work is authorized by the owner. Further,it is understood that we 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 cons action.- . Signature: owner,owner's agent,architect,contractor Application for Permit-Septic Disposal System _ Town of Queensbury 742 73av Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............._..........._...................... _..................__......._._..................... ..__ Office Use Location of installation: File Permit No.0-(Z>0a'��-g Tax Map No. t Fee Paid Owner's Name: irp T'bwt.*c, _..................._ ...... Address: 2. INSTALLER'S NAME : "�� 't �AiCp�,.�Gr- PHONE NO. !; Z7-a`�vt/S 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# ojR E f P v bedrooms with applicable gallons per bedroom to equal total daily flow) APR 0 zaGz Year of House: No of Bedrooms x Computation = Total Daily Flow TOWN 8� a -^ 19$0 or older x 150 gal/bdrm = "�" i �4 v. �D- 1980- 1991 x 130 gal/bdrm = �i�l—present- s,/ x 110 gal/bdrm = �✓5/C7 Garbage'Grinder Installed yes_ / no Spa or Whirlpool Installed yes 1 no 4. PARCEL INFORMATION: (circle applicable,information&indicate measurements) To h Soil Nature Ground Water Bedrock or ImRervious Material 7if�well; ter Su 1 at sa at what depth at what depth Rolling toam feet feet Steep slope clay r supply slope other ptic-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 engmeer.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: 1 Z S' gallon (min. size 1,000 gal.) Tile Field: each trench 5'�r_ft. Total System Length: Seepage Pit(s):' number of size of each: ft. by ft• Size of Stone to be used: #trhF`1't / depth or thickness feet Bed System Size: ?{: x 7 Q Alterative 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 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 ofthe 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. 2 oZ _ Signature of responsible person Date Fire Marshal's Office Town of Queensbury,74l.uay Koau,quee;isoury,it z (518)761-8205 Application for Fuel Burning Appliances & Chimney p�,,.� applicable to solid fuel &vented gas appliances Date — 1 20 Pe ttVo. 'VfV G op Application is hereby made to the Building.&eodes Office for the issuance of. *Yt WiS 3ij�1' Permit pursuant to4he New York State I ire Prevention.and Building Co& The applicant or owne`'7`- , 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 premises to perfor,n required inspections. NOTE to applicant: Rough-in-and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: /I1a t C��������vs Stove: wood coal pellet gas Fireplace.insert Address: S''r- 1Z 1" IV/ Fireplace, factory-built: wood gas w�Ztz �, c �,_._•v Y. 12d(4.}� Fireplace, masonry: wood gas Furnace: wood gas oil Phone:. 1>�_ 61-7 010 If non-masonary applicance,please provide Manufacturer Owner: F—n Name: rf?-" a Address: I -r'ltA C L,�. Model Number: Chimney Information Phone: t68• 36 (circle appropriate wards) . Masonry block brick stone :. Flue the stee size: inches Exact Address: /—b lno wk ram"•C of construction or installation Factory-Built Manufacturer name: _96 f- N (,_tea C. . Model NumberS 2,� Note: Listed By: Number: Construction/Installation must conform to NYSF"ire Prevention &Building Indicate(circle) chimney material: . Code. Consult'available Town of Queensbury Handouts regarding required inspections. Double wall / riple wall Insulated / Direct venting Chimney Liner C7XLGrz 14eX-'or 27e�p�z m t Toni of Queue�bruy, New Z''o *I� i Fire Marshal Code# $Collected $Refunded Received f om(refunded tU): address: A 173 3389 (190) Public Sc{fet A 233 2655 (230)Min r Sal _ AKN Nor DATE: White(Appl' 'ant); / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS RECEWED Compliance Methods: PART 5 - Acceptable Practice Method APR 0 5 2002 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs NI 1&2 Family Dwellings; Multi-FajIF OF QUE= ENSSURY Dwellings (3 stories or less) B 1.D1NrANQCODE 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 oco c) square feet 2 . Type of Heat - jk+611c.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: -7 0 a. Roof R 00 b. Exterior walls R 21 C. Glazed areas R d. Exterior doors R e . Floors over unheated spaces R - 1Z_ I f . Edge of slab on grade (heated building) R -- g. Basement/cellar walls (above grade) R I h. Basement/cellar walls (below grade) R - it i . Heating/cooling-ducts-piping in unheated space R j"k-i I 6 . Service (domestic) hot water heating device Conforms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Appl-d-canit' s signature Date Phone Numbe4 7 INSPECTOR' S REMARKS : Queensbury Building & Code Enforcement - Resi tia 'nal Inspection Office No. (518)761-8256 Arrive: _a p art: am/pm Date Inspection request received: Inspector's Initials: NAME. ERMIT#: LOCATION: 7—LA a7�- ti DATE: - Resi tia a part: Initials: Ritia E M DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof C mplete/Exterior Finish Complete Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum V2" Gnsurn Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety Elazing Interior Smoke Detectors: Every level: I Every Bedroom: Outside every bedroom area: _ Inter Connected: — / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door I door closer Duct work Seated properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl SRaces 18"x 24"access, I sq. ft:150 sq. ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/-Sewe0ept.Inspection Sticker Flood Plain CertificatXh, if req4ro"' Okay o issue C/C r C/0;gem2orary 4ermanent L:\PamW\Building&Codes\lnst)ection Forms\Res.Final lust).form 2.docLast Drinted 2/12/04 ow D\Land Projects\Warren\Uueensbt-ary \Uuic�l_t_t)L \awg \ I oMcI(-K,Uwy U-�/ c -:)/ uc 11;CVi10 t-11.1 t-11 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept of Community Development Arrive*-jj3Xa&prn Depart in Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York,12904 NAME -QA ac JJJ # 7- C-)7- LOCATION t 2-q —t PQ:ux DATE I V,i uz TYPE OF STRUCTURE (ZIAQ- N/A YES NO CONUVIENTS Chimney Height/B"Vent/DiTect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to N' Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation V 1 8"clearance to sill plate J. Gas Valve shut-off exposed/regulator 18"above grade�_ J. Gas Furnace shut-off within 30 feet or within line of site. J Oil Furnace shut-off at entrance to furnace area- Furnacefflot Water Heater operating Relief Valve(s)installed J. I Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/tim/doors/main entrance 36" Floor Finish BathroornMitchen watertight_ Interior Handrails Balconies&anding 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 '/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 As Built Septic System layout required Okay to issue C/C(Certif.of Compliance)_ L RBI Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy)­__L_ RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive epa in Town of Queensbury ector's 742 Bay Road Queensbury,New York 12804 NAME C 1 ---"� PERMIT# LOCATION l 7i� uI L (i DATE L t�1 TYPE OF STRUC N/A YES NO COMMENTS Chimney HeightP`B"Ventl.Direct Vent Location Fresh Air Intake 1'� Plumb Vent through roof Roof Complete Exterior Finish CompleteInterior/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 14 Gas Valve shut-off exposed/regulator 18"above grade — � ,�_� Gas Furnace shut-off within 30 feet or within line of site ���t 1 Oil Furnace shut-off at entrance to furnace area R ct--'y.�5 Furnace/Hot Water Heater operating Relief Valves)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" — C)v Coo Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more `Z i Railing across window in stairwells `r 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 room Safety glazing 18"or less from floor Final Electrical Site PlantVariance 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) �^'°- �r �j Office Use GENERAL INSPECTION REPORT Town of Queensbarfy Ready at time: Dept. of Community Development Request received: 413 Meet: Sca# .Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART �� am/pm No' (518) 761-8256 Inspector's Initialze— NAME: � flr.I ( �k �� PERMIT# eo F LOCATION: QS� INSPECT ON(date). TYPE OF STRUCTURE: RECHECK 'i�fIS C N/A YES NOt COMMENTS K �eu 4 zv_, . 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 VentlVents in Place Rough Plumbing Hearing R ugh-In^ sulati.o_n ---- fit % , . , Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- _ Walls R- Ceiling R- Duct work or piping in unheated spaces R- N;oper Vei , t .� i 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 L:\SueHemingway\Building.Codes.Inspcction,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 p a otes: t: (518) 761-8256 Inspector's Ini s NAME: p PERMITZ-QC�)z—ZZ LOCATION: -7,L4 Hc)flALOKJ� y \ 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/Wallpour Reinforcement in Place Foundation/Dampproofmg_ Backfill Approval Plumbing Under Slab_ Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation --,�Pvarrvlm, /— �, A6T Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- %q Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing_ Jack Studs/Headers Bracing/Bridgig— 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.FORrvfS\GF-NERAl,INSPECTION REPORT.doc GENERAL INSPEeTION REPORT ( 5l8 ) 761.-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Rbad Queensbury,NY 12804 Arriva a Depa5D -� Inspector',YnitNAME; PERMIT# — j %It LOCATION: DATE: - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I f 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- �f N� Ceiling R- 67- Duct work or piping in unheated spaces R- S/Proper Vent,Attic Vent Framing J, f tz�L .'"�Zx-.L Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier /Fire Separation 1,2,3,hour d Penetration Sealed /Fire Wall 2,3,4 hour I. Firestoppin 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 Notes: (518) 761-8256 Inspector's 11nitia NAMtE- PERMIT# 20 0 -,7 (,jWL,",j k- LOCATION: INSPECT ON(date): L 2-TYPE OF STRUCTURE: -FD 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 Vallpour Reinforcement in Place Foundation/Dampproofing__ Backfill,Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing v7 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 A *raining .. c> Jack Studs/Headers BracingfBridging 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:%ueHemiiigway\Building.Codes.Inspcetion.FORMS\GFNERAT,INSPECTION REPORT.doc 1 0 0 -1. 1000m0OR-0 -J, a c+ -+, m-,m (DC;.4 -J, m 0 a 0 a y P) 0. :1 -1 >-h0) :10 >30x(Dm:3 (D1 c+(Q0M c 1' ►D a tD .0 . < -4rh0 �0 '1 0. D. "i-a,+ ' Z(D > (+ X a ' C+ m ► fD 01 f� & C+ 4 cu 0 0 .. w m-h 0 11'0 (A 0 (AT „i, 0 0 0 "h 0 T 0 r V1 *1 ;u 0 0 0 0 "s X 0 N low V) �' 0 M1 m 0 � p'N � � a (A 0 -,. -I tD H rt r+ -< 0 -� t oil , a CaT 00 0 o 0 .0 � „ roZ0 ►p a p Via; .� �` Nin re m a N as 0 0 ; ;; rD 00 rD fD Vi m (MDa 0 a C+ a 0 m r c m N � 0 ejO# C 0 0 0 j (+ H M ►D 0 C+ 0 0 ' 1 , ao00 a �� -�. m .,, @oW (D a a j R 0 �n-5 b C C n(D to :3 Q -9 0 N M N '0 0 L4 'q-h V1 " @ I + � "�� ` ' Goa � � �'# o I X0 0 0 0 X 0 N V1 ,0 M I r a N :3 Q ► :3 0 0 a rt ,+ ..r 0 rh :5 V17 N 0rl `� •�G' b � � � (� � a 0 7C •,� .,.,M M ID 00, m o (D St Q 0 , oil d a ocno � a (D ti (D (A 0 N ij 0:1 r aro IN 110m z 0t Vf ,p 0 � a Zrorom � ° 0 0C+ 00 0 ' Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at tim .O� -5`3D Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART ' O am/pm Notes: (518) 761-8256 Inspector's Initial49� . NAME: PERMIT# ao LOCATION; Za INSPECT ON(date):5�JL-, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fon i Reinforcement in Pla�e The contractor is respo ible or providing protectio fro ezing for 48 hours followi placement " of the concrete. Materials for this purpose on s e Foundation/W allpour Reinforce ent in Place Found on/Dampproofing .. 111 Approval lumbing 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:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAI,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 Queensbury, NY 12804 ARRIVE a 1. P T a tp:�mNotes: (518) 761-8256 Inspector's Initi r NAME: C2 PERMIT#�T7 LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place VV The contractor is responsible for providing protection from freezing for 48 hours following the placement of thp concrete. Ma lls f6r this purpose on site V d� "Y ation/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- kA Foundation Walls Exterior R- Floors R- r-> Walls R- Ceiling R- 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:\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc Office Use GENERAL IZTSPECTION 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 " j j bam/pm Notes: (518) 761-8256 Inspector's Initials NAME: CK PERMIT# _2-.:— LOCATION: 1 � t� INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsiblO for providing protection from-fxeezing for 48 hours following the cement of the concrete. Materials for this purpose o site s 00(f— Foundation/Wallpour Reinforcement in Place Foundatian/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing VentlVents in Plac ' Rough Plumbing Heating Rough-In _ Insulation Foundation Walls Inle Foundation Walls EFloors Walls Ceiling Duct work or p ipingunheated spacesProper 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:15ueHemingway\Building.Codes.Inspection.FORNiS\GENERAL INSPECTION REPORT.doc Office Use GENEFAL INSPECTION REPORT Inspector: Office 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 am/pm Notes: (5 18) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: f INSPECT ON(date): .1/60- 0 U TYPE OF STR CTRE: FR CT RECHECK N/A YE IENO COMMENTS "Ot s/Piers M olithicPourFomi 0111 Feinforcement in Place The contractor is responsible* r providing protection from free ing for 48 hours following the plat ment of the concrete. i Materials for this purpose on site Foundation/Wallpour Reinforcement in Place z Foundation/Dampproofin 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 Firestoppin L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doe ----- ----------- Frederick E. * Jo (G49/�)7E Frederick E. * Joc- (495/430 Deed References Matthew EI15worth and Terrle Ell5worth to David Bureau and Shelly Bureau Book 1 125 Wage 25 1 Date: 12 Auqu5t 1 �)99 Note: 5ewa9e 5ytem location taken from contractgr 1n5t4llation note5, T 1 4- 'V'a ry A, �!a r�► s Map of a surv. y o lands for TO nip situ to in Town of Quefn5bury County of Warren Stake of New York Sr�,ale: I " = 30 feet Date: 23 October 2002 .5urve.y ir Map by _0,Pj,A4P A550 IATE5� Surveyors Englneer5 LAKE GEORGE, NM YORK 1 2845 RECEIVED MAY 16 2005 TOWN OF QUEENSBURY BUILDING AND CODE comPwd +- '�'rvrv+ �v✓✓G�r p"l� . ^ QU 12 1 _6_6 2 D\L.anol Project5\Warren\Queensbury\QU1a1-3_62\dwg\Tomack.dwg 03/29/02 11:20:18 AM AM EST