2002-274 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20020274 Date Issued: Wednesday,November 13,2002
This is to certify that work requested to be done as shown by Permit Number P20020274
has been completed:
Tax Map Number: 523400-295-020-0001-030-000-0000
Location: 13 RUSH HOLLOW Ct
Owner: TRA-TOM DEVELOPMENT,INC.
Applicant: !
FARONE CONSTRUCTION . ..
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF UEENSBURY
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: P20020274 Application Number: A20020274
Tax Map No: 523400-295-020-0001-030-000-0000
Permission is hereby granted to: FAkONE CONSTRUCTION
For property located at: 13 RUSH HOLLOW Ct
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: TRA-TOM DEVELOPMENT,INC. Fireplace
804 STATE ROUTE 9 Garage-2 Cars Attached
GANSVOORT,NY 12831 Single Family Dwelling 180,000.00
Total Value 180,000.00
Contractor or'Builder's Name/ Address Electrical Inspection Agency
FARONE CONSTRUCTION NEW YORK BOARD OF FIRE UNDE]
PO BOX 804 ROUTE 9
GANSEVOORT,NY 12831
Plans &Specifications
2002-274 LOT 74 HSE#13 RUSH HOLLOW COURT
2283 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$322.36,. PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,April 25,2003
(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 Tr n/Quee b7; r ay,April 25,2002
SIGNED BY for the Town of Queensbury.Director of Building-&Co)Enforcement
Building Permit Application - 1
I,Owll of Queensb'ury-I3cpt of Cotnntilnity Development,742 Bay Road,Qiiccnsbuly,NY - e� � ' I
(518)761-8256 rQp ���
A permit moist be.obtained before beginning construction.uclioii. Permit pile No $ zd�Z
E
No* inspection will be niadc anti{ applic:lnl tins received a pee Pail :$ _." .� / �qs®
valid builditlb perinit." All al:plic sniti vpitues oil Ibis
- Rue. Fee
appllcfliic»t must be conipicic(1 aq(I ttlust`aptscar on the Rcyicwed lay-ice_
zipplication form.
Thomas Farone Owlicr: Thomas Faroizi?
nppliciint; _ --p.p.--gam g f o.u£` 9 .. ,
iAddress: - -` .$ox 13 0 4 Route 9 '�Ad(Iress:
Gansevoort, NY 12-831 ansevoor , NY 1
Phone.11 (5l 8)5.8 7 - $9 8 9 Phone 1l ( 518} .5 8 7 - 8 9 8 9
FAX - 518 58.4{-209.3 Office contact' person: Geri . Pastore
Property Location: Lot Nunihor. / FI se Nui1nber'2 1 "l
Subdivision.Niel;c: .. Indian i .ge Tax' Mail-) Number. l 0W
u lVew Building resictt n /c(ttliiucrcial 13st1n1lted Market Valtic of C onsttllutiotl $
u (�(Idillcip residence! CUnlilit 'eial Ihiut Addition,
what will. use 61'ncw Addition be'l
u - -Altciation;. residcncc/ conulioreial
qchange to czterior,size: residcncc%com'I
v }tlicr work(clescribc
( Iicch Occu �iuic Info=ui;tlioii --t`t i tu(ir-- - 2"` Irloor — <)Il�cr lloo�� lolat .
! Y. . sc Il. sq. ft. sq. It. Stiunit- [peel
lic''low i.
•
i o Single family dwelling/ O 11
o Trvo family dwelling
o Townhollse
o Multifamily dwelling
1}ti f units _
Ll Office
cl Melcanlilc _ _ --
fi a'. Mantifiictur11 140
car cle(trchetl giirage �-f
. 1.
❑ 2 car(le/ached garngc ' L
d .3 car Eleraclie(1 garngc
Cl. I tsar sittaciiccl gar. '
2 car nit"cliecl b Iragc `"!l g�
.0 3`c.lr ltilzlclicii-garage —--
u Siorllg. building-
commercial
! u Stor.lge biilldi119-
residential ----
Cl Otlicr,
Will any sccoiid-hand or ui�gradccI lumber be uscd'1 If so,for wliat'l I l V
1'y��e of!Ic�ting Systcnz; electric! ciil ga t•'woni! 1 Forced hot air/ baseboai-il/other:
- - (- �=
Number of Fireplaces to be installed _ _ Number of ll'oodwal es to be installed---
List below the pgrson(s)responsible tilr Supervision of work its regards to building codes:
N.
Addi-css Phone Number
i Buil(lcc = Thomas Farone same as above
'Pluiilhcr C' & G Plumbing 654-7477
Mason Heath Russell - 796-3033
F?lcctriciiiti Modern Electric ---�--- -� 584- 8341
1�!!jt!L111: please sign t�cklw:(Ilcr Ys'it have cgrelilIty relld tits slalcoleol:
T "
'I�o tlic�csl�f tisy kiic��ylcdg(:[lie sluten�en(s cuntaiuccl in this apptiailioti, togctl(cr with(lie plans au(I st�cciticailo;is
subnliltctl,arc a true aiici coiiipletc staicnicnt cif all proliysetl work.to be(loric oil the describecl premises and that all-
piovision�(Lrlbe.11ulldillg C(�ne,the loililig()r(lin:liicu and all other laws perlainiog Ict the proliosctl work shalt be rarnizlleel
with, \Y1iL'Ihel'tipCClI1C(I or tiote(l, and Ihal slic{! work is Ilutll��ri c(i by the awnet, l urthet, it IS till(lerSIOU<I(flat IAVC Shall ,
Occigilmcy crI.C.uUf e.ite t)f('oilil)liaiice being issued,as rcqucstc(l by the Zollifig
subunit',pt icir to ii C e rlificalc of
Adtlllnishator iir 1)ircdor of[3ud(liob and Codes,an rls/tuilt S'ruve by., licensed surveyor;drawn to scale,showing actu:ri.
1gcatloil oI th w le c'(1)11 rl!ctiol)
1. '
Sii,nalilrc — ncr w. s.
nc oral
'"• oti r' t,aicliilcct,conU"act ,
i
Application for Permit-Septic Disposal System
j a Town.of Queehsb;try 742 Bay Road Queensbtcry, NY 12804 (518) 761-8256
OVYNER INFORMATION ` _..._......_.
i • Indi dge Subdivision
4TqZcit use
Location of installation No.
: Ho
t�
Road. Name. File.Permit No..
Talc Map No;
id
Ownor'sName; Thomas Farona _....:.... 8(/IIFnF �
Fee .a
i` P,O. Box. E3.09 ; Route 9
lQRY
k Address D�
t Gansevoortf NY 12831 •
2 INSTALLER'S NAME•: '
PHONE NO..
3 RESIDENCE INFORMATION: (circle year of dwelling, indicate ##bed..,(s)and multiply# of
( = beclrootrrs with applicable gallons per bedroom to equal total daily flotiy) .
Vaar of House No oFBedrooms k Computation — Total Daily Flow
1980 or eider x l 50"I/bdrm =
I`980 199! x 130 gal/bdrm
1`99l =present :
x- 1 10 galJbdrm
Garbage Grinder IdAallod yes /-no
Spa or\?�hirlpaal In. .: yes` / no
g PARCEL;INFORMATION: (circle applicable information & indicate measurements)
Too r oil-N ure Ground'Water Bedrock or Im ervious Material Dam stic Water Su 1
{ crud at what depth q1 ►vha co h. municipal
Rolling loam feel lee! well
eel slope:. clay ' f Nell; wale r supply
_%slope other. an -from y septic,system
I depth: bsgrpiio,.'rs fJ.
! other
Percolation Tast:: (Tn be complete(I by licensed professional engineer or architect)
s Rate minttte per inch -
5 PROPOSED SYSTEM: -For New'Construction: All individual sewage disposal systems inustbe designed by'a licensed.
professional engineer or architect{sinless installed in a Planning Board approvcd subdivision), Add 25(h gallons to the size
of l septic lank and leach field for each Garbage Grinder,Spa or,Whirlpool Tub:
'Septic•Tank:! 5 gallon (min. size I,000 gaI�
.Tile Field each trench:_SXS1 , 'Total System Length: � :_ft.: }
Seepage Pits} number of_�� ' size of each: -fl, by
E . .. .
Size;of Steno to be used: !l _ I depth or thickness T—feel I'
Bed System Size: z 1
Alternative System: length and/or size
6 HOLDIlyti TANK SYSTEM: (if required)
i .
' Number of tanks: / Size of each:_T gallons !TOTAL'Capacity: gallons . '
# Note Alarm System and associated electrical Work must be inspected.by a Town approved
i 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
1.pf Queensbdry, any permit or approval granted which is based upon or is granted in '
I 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 lave read the regulatioris with respect to this application and agree to abide by those and all
reclutrements of the Town of Queensbury Sanitary SeVyage Disposal Ordinance.
r
,N,4 51grl tyre of respap b!e �ersol} Dpte ;
j
Fire.Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & ChimneRec
applicable to solid fuel &vented gas.appliances VPI-
; . 'I
APR
Date ,20 j Q _ Permit No.
B ixP Q y% U Application is hereby made to the Building&Codes Office for the issuance of a Bur �� ��F Y
Permit pursuant to'the New York State Fire Prevention and Building Coda The applicant or owne��
agrees to comply with all applicable laws, ordinances,regulations, and all conditions that arc-part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name:: �e j /C e Stove: wood coal pellet gas
Fireplace insert
Address: S-D(I � j Fireplace, factory-built: wood
Fireplace,-.masonry: wood gas
Furnace: wood gas oil
Phone:
?. If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: : Model Number:
Chimney Information
a Phone: (circle appropriate words)
i ?� Masonry block brick , stone
i
Flue tile steel - size: inches
Exact Addre
o truct on r'nstaUadon Factory-Built
Manufacturer name:
{
- Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections: Double wall 1 Triple wall / Insulate / Direct venting
1: Chimney Liner
IC �srl:� z-'ter��,p�r�meszt--Tci�ru of Queensr�iux�, ATe�sr 7Por
Fire Marshal Code# S Collected $Refunded eceived from(refunded to):
address:
A 173 3389 (190) Public Safety
C )5_
A 233 2655 (230) inor S les
DATE: - � /1♦ *2
dt�np�t+2a— IOWw VWltri OIL �c�sy,�d
White(Applicant) / Green(Fire Marshal) / Yellow(BIdg.Dept) / Pink&Goldenrod(Cashier's Dept.)
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-5 18=745-4400 Fax -518-792-8511
January 28,200')
Job#461')8
Mr. Glenn Bruso
New'York State Dept. of Health
77 Mohican Street
Glen's Falls,NY 12801 '-
RE: ',. ' Indian Ridge Subdivision- Queensbury(T)
Lot# 74 Septic System
Dear Glenn:,
This letter is to inform you that I inspected the completed septic system for the house on Lot#74
in the Indian Ridge Subdivision on July"l 5, 2002.
The septic system as installed was for a four bedroom house and consisted of a 1,250 gallon
septic tank and 220 lineal feet of absorption trench constructed with stone and perforated pipe.
The system conforms with the requirements-of the approved subdivision design drawings.
Please call me if you have any questions or concerns.
Sj cerely,
Thomas W. Nace, P.E.
cc: ' DaTFv--eL4HIatiriw Town of Oue_nsbur�—yl,
Tom Farone
,
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RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement w
Dept.of Community Development Arrive O�epart ` 3�
Town of Queensbury Inspector's Ini s
742 Bay Road
Queensbury,New York 12804
NAME 4L4-6yt.�--
LOCATION ja iisEj 13 DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/'"Vent/Direct Vent Location '
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
BathroomMtchen 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 room
Safety glazing 18"or less from floo4X r"
Final Electrical \✓)
Site PlanJVariance required SG�/� �
Final Survey Plot Plan J
As Built Septic System layout required 11 0 07
Okay to issue C/C(Certif.of Compliance) C//6
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy}
(a V ���
-
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: l 7
Building&Code Enforcement
Dept of Community Development Arriv;-�L ' P ar a
Town of Queensbury tole S
742 Bay Road
Queensbury,New York'12804
NAME (e1Ld-Y--0— P # ZJ-0 2-7
LOCATION I L'S k WU(0 t"J DATE i (Z Z—
TYPE OF STRUCTURE -FD I U /
N/A YES NO COAQvENTS 41
Chimney HeightPT"Vent/Direct Vent Location 747
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 ./I
Grade 2%away from foundation 1j/
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
Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operatmg v//
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/ftim/doorstmain entrance 36"
Floor Finish
BathrooniMitchen 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 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(Cerff.of Occupancy)L_
) A
C11V
MIDDLE DEPARTMENT INSPECTION AGtNCY, INC.
WId.t1ha that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
owner: F A C 0 M: Date: 11 0 5/2�1 0
Occupant: SAME Location: T) F`'-`,R F-,' 1. 1\1 LOT
NIC11 URY 111!Y
Occupancy:
Applicant:F I miii:rq n�I F I c,t I-i
11(-)h a l"I k
Alp).&is , NY 12,008
L
NO.
--------------
--------- -
Equipment:
2 0 C) I'll P S P,J, j, Ccjtlj.prri(.nni,.- 4/0 :: i,,j j.t, s 1/0 Recept-acles.,
. 42 F i x t t j i-ezs- I G;*j r h� D:i.S P 0, 8 1 D-i s h wa s 1) 1 Drye)- 2
20 Aillip Ra- P t,a c%] e V ,'n t. Fa ii-- 7 S i i)o k 0,,a4 t, c,t r
This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy
above and the installation' inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or own
inspection. No warranty is.expressed or implied as to the mechanical safety, effi- of the property indicated above,this certificate shall be immediately nul
ciency or fitness of I'he equipment for any particular purpose, This certificate shall In the event that this certificate becomes invalid based upon the above
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitt',
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection a
any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.
Office Use
GENERA., INSPECTION REPORT Inspector:
-kin
Ready at tim
Town of Queensbuty
Dept. of Community Development Request received. N62— Meet:
.Building& Code Enforcement At time:
742.Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPART . �a n/pm Notes
(518) 761-8256 Inspector's Initials � �
NAME: !" PERMIT#
LOCATION: l e tt..s k C-�� 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
or 48 hours following the placement
of the concrete. 1
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproo fimg
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/Bridgimg
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\Buiiding.Codes.Inspection.FORMSIGF,NERAT,INSPECTION REPORT.doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept of Community Development Request received: 2- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensburj; NY 12804 ARRIVE ,MK' am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION: lot) INSPECT ON(date):
TYPE OF STRUCTURE: -b
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/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing__
Heating Rough-In
AInsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R- V"
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig-
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 REPORTAOC
Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE
Received: Permit# 0 INSPECTION ON:
Name: klmzo PC— AM PM ANYTIME
Location: Ru-.,K Ko cut
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
-MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGHIN
FINAL
CHIMNEY
FACTORY BUILT GH IN
Pf�k(__ef V FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGHIN
FINAL
FIREPLACE
/MASONRY ROUGHIN K CTHIS DATE/ OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT /ROUGH,IN' INSPECTED BY
FINAL
COMDEV/CHRISJIWOP.D/LETTERS20011FIREMARSHALINSPECTIONREPORT1102200i
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: d-? Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT# ZO(Y2— ^ 2,7
LOCATION: k P-01 I 6W(TdA WINSPECT 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/Dampproofing_
Backfill Approval
Plum ing Under Slab
ri URWjefrts in Place -OLT
,ug lum6mg—
jn
Insnlati0
Foundation Walls Interior R
Foundation Walls Exterior R- A)A L(10 �
Floors R-
Walls R-
Ceiling R-
Duct work or piping in R6VtVC_
unheated spaces R-
Proper Vent,Attic Vent
Ang
ramiaMS&
r Wacy_—T R, 7-
WJ 178 tfds/Headers V' VU(I-- A
Bracing/Brid&g
Joist Hangers
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1
GENERAL IIMSPECTION REPORT
( 518 ) 761.-8256
Town of Queensbury
Dept.of Community Development Rate inspection request received.
Building&Code Enforcement /
742 Bay Road
Queensbury,N`I' 12804 Arrive am/pm Depart- a
Inspector's Initials
NAME: PERMIT it j ?
LOCATION: 13 1- DATE : 3 IY
TYPE OF STRUCTURE: kU
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/Dampproofing
ac 11 Approva
Plumbing Un er ab
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
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbuty Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time: An
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm:. DEPARTT amlpm Notes:
(518) 761-8256 Inspector's Initials
NAME: PERMIT#
LOCATION:J3 A,6 /-110 1/01-o INSPECT ON(date): X;eq t2 6"W.
TYPE OF STRUCTURE:
RECHECK
YEI N/A NO COMMENTS
L ,
'Footings/Piers
Monolithic Pour Form I A
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgmig-
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\13tiilding.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 amIpm: DEPART Oaml pm Notes:
_
(518) 761-8256 Inspector's Initials
NAME: rAgo tt)C-- PERMIT# -Z-7�1
LOCATION: INSPECT ON(date): &A?
J
f
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
/00tings/Piers
Monolithic Pour Form FaEg—lo-G
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 �&(5AP,
Foundation/Dampproofm
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\GF,NERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT ' Inspector:
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: 41a� Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART t am1pm Notes:
(518) 761-8256 Inspector's Initials
NAME: �� �� PERMIT# C:>rJU,)" d-7
LOCATI =1 ". t a//'d'ZXe(---1NSPECT ON(date): jU
t
TYPE OF STRUCTURE: C')F �
RECHECK
N/A i YE O COMMENTS
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
Backixll 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:1SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION I2EPORT.doc
INDIAN RIDGE PUD
PHASE ONE
DATED JANUARY 26, 2000
REVISED APRIL 3, 2000
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
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I HEREBY CER7IFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM 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: RICHARD L & CHERYL WINSLOW
BANKNORTH, N.A.,
IT'S SUCCESSORS AND/OR ASSIGNS
CHICAGO TITLE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. SIEVES, LLS NYS 50135
DATED: OCTOBER 30, 2002
D
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Stever
Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12804
,'518) 792-8474 New York Lie. No. 50135
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Map of a Survey made for
Richard L. & Cheryl Winslow
Town of Queensbury, Warren County, New York
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1'=30'
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Winslow
NO. 1 DATE DESCRIPTION DWG. NO. IR-74