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2002-430 t { , 1 r I TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CMICATE, ER'T �F OCCUPANCY Permit Number: P20020430 Date Issued: Friday,December 20,2002, This is is tacerti that-work requested to be done as shown by Permit Number ,�P20020430 � q . has been completed. Tax Map Number; 523400-308=005-0001-053-000-0000 n �� Location: 12 BELLEWS•Cir ' Owner: LAURENNCE&ELVA DANIELS ,1 Applicant: LAURENCE&ELVA DANIELS This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-1 Cars Detached Single Family Dwelling Director of Building&Code Enforcement Z' TOWN OF QUEENSBURY L E 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020430 Application Number: A20020430 Tax Map No: 523400-308-005-0001-053-000-0000 Permission is hereby granted to: LAURENCE&ELVA DANIELS For property located at: 12 BELLEWS Cir 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: LAURENCE&ELVA DANIELS 11 BELLEWS Cir Fireplace Garage-2 Cars Detached QUEENSBURY,NY 12804 Single Family Dwelling 140,000.00 Total Value 140,000.00 Contractor or Builder's Name/Addiess Electrical Inspection Agency CTJJTF ENTERPRISES- INC. 13 DAWN RD. OUFFSNBURY_NY Plans&Specifications 2002-430: 911 Address: 12 Bellew's Circle 1580 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS,PER PLOT PLAN SPECIFICATIONS $229.66 PERMIT FEE PAID-THIS PERMIT EXPIRES: (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 Town o ne 06,2002 SIGNED BY �,Wzr for the Town-of Queensbury. Director of Building&Code Enforcement Building Permit Application Tow_n of Queensbury-=Dept of Community Development,742 Bay Road, Queensbury,NY i (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 Rde.Fee Paid application must be completed and must appear on the Reviewed B" . application form. r Applicant: _ L�.,t's-�.n_ Address. Address Phone Phone#(St�}mac�- � .'7 # Property Location: Lot Number: _ 7 House Number 1 \—Z�,e SA ,,D� Subdivision Name: Tax Map Number. New Building: residence /commercial Estimated Market Value of Construction: $ Addition: residence/ commercial If an Addition,what will use of new addition be? u Alteration: resilience/ commercial ❑ I46 chtage.to exterior size: residence/corn'! ❑ Other work(describe_ } Check GlccupancyInformatiou ls`door 2" Floor Other floor Total Below sq.it. sq.ft. sq.ft. Square Feet Single family dwelling S. n Two family dwellingt a Townhouse o Multifamily dwelling #of units_ o _Office a Mercantile_ o Manufacturing 6 1 car detached garage E,' \VI K;: LJ O 2 car detached garage O .3 car detached garage - -_ o 1 car attached garage TOWN Or-GiJp c 2 car attached garage 0 3 car attached garage ci Storage Building- commercial o Storage building= residential 1 7- 0 Other What is the proposed height of the structure _`��_ 'feet -. inches Will any second-hand or ungraded lumber be used? If so, for what? , -. _\%-j . Type of Heating System: electric/ oil gas/ oc /forced hot air/ aseboard l other: Number of F'ireolaces to be installed r ._- Number.of Woodstoves.to be installed . List below theperson(s)responsible for supervision of work as regards to building codes: � Name_ - -- Ad-dress _ Phone Number Builder - Plumber Masora. _. ___ Electrician Declaration: please sign below after you have carefully read the statement: i 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 'f the Bull de,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied withi whether s" ied or no ed,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prio a Certificate f Occupancy or Certificate of - m fiance being issued,as requested by the Zoning Adminis for or Director Building Codes,anfis.B t,& rve by a licensed surveyor;drawn to scale;showing actual locati- of all ne cons cti 9 owner,owner's agent,architect,contractor Application for Per —Septic WSP09011 SYst0l" 212im of Queenslittly 742 Day 1tvafl Queensbtiry,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ....................................................................................................................... office Use Location of installation: S -S File P6mik N-C�� Tax Map No. am© paid Owner's Name: .......... ..................................................................... cc Address 2, ME PHONE No. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate It bedrootn(i) and multiply Il Qf bedrooms w with applicable gallons per bedroom to equal total daily flow) Ypar of Houso@ No. of Bedrooms x Q9111put—ation Total Daily Flow 1980 or older 7, x 150 gnVbdnn = S c. 1980- 1.991 X 130 gal/bdrin = 1991 —p.resent . X 110gal/bdrin = Garbage Grinder Installed yes— 110 Spa or Whirlpool Installed yes— Ito lyl� 4. PARCEL INFORMATION: (circle applicable information & indicate measurentelits) W.t.Q tipply crnd at lVilfittlelid) , (if whert tlepti? lbrg To—crin Let well Steep slope clay ,atersilpply fi-oln any septic-system %5 lope other depth: absorption is other Percola,tion To.st: (Tobe completed by licensed prqfesslonal engineer or architect) Rate: n11111110 pet-Inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by 6 licensed professional engiviccr or architect (unless itistnilcd iiia pinjujilig l3o;irda)-proved sulmlivisioti). Add 250 gallons leithe size of the septic latik and leach field for each(;.jrb,,igc Grinder,Spa or WItidpool Tub. f Septic Tank: k po :> gallon (min. size 1,000 gell..) Tile Field: each trench 15(,�, Total Systeln Length: Seepage Pit(s): number of size of each: by_J?• Size of Stone to be tised. Bed System Size: X Alternative System: length and/or size HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons /.TOTAL Capacity:�8111olls Note:I 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 flote that 1mrstintit to sectiott 136-29 ordso Code orthOTOw" of Queertsbts it or approval jv granted ill ry. any p0rl!%1 r.-jilted which is based tipoul or is granted r0lialco% 101 any 111.tart'l misrept-escetitiots or r.,iltvo to iinka a material fact or ctrCutilstalice it by or on betintrarat, appiicaiit, shall be void. I have rand tj regulnti jis with respect to thi-wilokicatioll allf1 agree to abide by these and all requirern of the To it fQueciisbur��­llitary ;©wage Disposal Ordinance. sAnatuvif6f Tt�nslble person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) PART 6* - Thermal Rating Component Trade Offs 1&2 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: S I—Q4 Le PART 5- METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 1 '�7KQ square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over' 17% X, 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 19 C. Glazed areas R d. Exterior do6r' s R e. Floors over unheated spaces f. Edge of slab on grade (heated building) R g. 8ase' ment/cellar walls (above grade') R. h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R Lj, - 6 . Service (domestic) hot water heating device Co rm to. -minimum efficiency per code S Yes No TEMPERAT E CONTROL IMUM SETTING 1400 WILL NOT BE EXCEEDED EMPERAT CONTROL E CON 1!n re CTO ' S T4 ppli s n re D Phone Number 71Z, INSPECTOR' S RKS: TOWN OF QUEENSBURY Richard A.Missita IGHWAY Highway Superintendent DEPA�1t. MENT Home(518)798-5127 742 Bay Road - Queensbury,NY 12804 Michael F. Travis Deputy Highway Superintendent Office Phone: (518) 764-8211 (518)798-0413 Fax. (518) 745-4466 DRIVEWAY PERMIT azoJ_-Q30 RECEIVED DATE: MAY 2 9 2002 APPLICANT NAME: TOWN OF QUEENSOURY BUI1_D1 !:3 ANDQCQE TELEPHONE NO.: aa-77 ADDRESS TO BE INSPECTED: -a— RETURN ADDRESS: Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1: Preliminary Approval NEED: )Slight swale Level with the road Deep swale Sizei,pipe to be used(if necessary) )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by —DATE Approval by Highway Supt. Deputy Supt ,Vpoh completion,please resubmit this approved permit for a final approval. STEP 2: Final Approval Rejected DATE: Richard A. Missita,Highway Superintendent Fire Marshal's Office Town of'Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances '& Chimneys applicable to solid fuel.& vented gas appliances Date _' 20 Permit No. Application is hereby made to,the Building& Codes Office for^the issuance of Building and Use Permit pursuant to the New York State 1-ire Prevention and Building Code. The applicant or owner 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 perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: U'_v Stove: wood coal pellet gas Fireplace insert Address: 01 0 Fireplace, factory-built: wood as Fireplace, masonry: wood gas Furnace: wood gas oil Phone: If non-masonary'applicance, please provide Owner: sr Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: \? VP of construction or installation Factory-Built Manufacturer name: 75 Model Number: Note: Listed By: Number: Construction-Y Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbut), Handouts regarding required inspections. Double wall Triple wall Insulated Direct venting 'Chimney Liner WW X11-co-z-h- Fire Marshal Code# $Collected S Rcfttnded' Receivedfi-oni (refunded to): —e-- address: A 173 3389 (190) Public S(IfLay C;�4� A 233 2655 (230)Minor Sales o DATE: <; White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) Pft k 8 Goldenrod(Cashier's Dept.) Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone(518)761-8205 Fax(518) 745-443 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: 12-1 Z-6 a v Name: AM PM ANYTIME Location: C—t-"605- �kgc- 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 SYSTEJW I HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLER4 CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGHIN FOR NOT OK OK THIS DATE OK FINAL FIREPLACE FACTORY BUILT ROU INSPECTED BY FINA Co DEWCA�F�tigi/WORDILETTERS20DI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement :(r Dept.of Community Development Arrive_am/pm Depart am/;pm Town of Queensbury Inspector's Initials( 742 Bay Road Queensbury,New York,12804 NAME PERMIT# LOCATION i <!:-4 fac, DATE ZZVZA TYPE OF STRUCTURE, t N/A YES NO COMMENTS Chimney HeightfT"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 A 81,Clearance to sill plate Gas Valve shut-off exposed/regulato 8"above grade_ I Gas Furnace shut-off within 30 feet 0 n line of site. Oil Furnace shut-off at entrance to ace 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 boQL*i4es in(re than 3 risers Interior privacy/trim/doors/main entr,nce 36" Floor Finish BatbroomMitchen watertight Interior Handrails Balconiesg�,a�n�dmg 8 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Anbiiig fixtures undation insulation '/4hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) L� AJ71--- 0 K 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___ �4— Okay to issue C/C(Certif.of Compliance)__ Okay to issue temp.C/O(Cerfif.of Occupancy)_ Okay to issue permanent C/O(Certif,of Occupancy}__I_ Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 r Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit#.6 INSPECTION ON: I ?—, Name: DA/o i&&S AM PM ANYTIME Location: APPROVED N/A I 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 ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN FINAL FIREPLACE MAS9 RY ROUGHIN OK THIS DATE OK FOR CC( NOT 0 FINAL 4FIREPLACE FACTORY BUILT ROUGUJN- INSPECTED BY FINAL CO DE;7RISJfWORDILETTERS20011FIREMARSHALINSPECTIONREPORT1102200i WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761.8256 Date inspection request received: j QZ Building&Code Enforcement pm Dept.of Community Development Arrive am/pm Depart �%C Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York,12904 c� NAME ! PERM T 4 LOCATION r ' (42 DATE 124101142, � TYPE OF STRUCTURE N/A YES O COA0 EWS Chimney Height/"B"VentMirect 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 oe 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area FurnacelHot Water Heater operating Relief Valve(s)installed R 10 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/doorstmain entrance 36" Floor Finish Bathroom/Kitchen Handrails 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 fare door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per roo Safety glazing 18" frVir oc Final Electrical Site Plan/Variance uired Final Survey Plot Plan 6 b' As Built Septic System layou r ' ' ed Okay to issue C/C(Certif.of Compliance) Okay to issue temp_C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: 17-1 1 q to 2— II -P4 AM PM ANYTIME] Name: A44-Z.6 Location: 1-2- 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 ROUGH IN 6A) FINAL WOOD A4t) STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MAs NRY ROUGH IN OK THIS DATE OK FOR CO NOT OK FINAL /P(REPLACE IIJ FACTORY BUILT ROU INSPECTED BY FINAL LZ 1102 co DEWCH SjfWORD/LETTERS20OI/FIREMARSHALINSPECTIONREPORT2 YELL00iOW-OCCUPANT COPY WHITE-BUILDING DEP T Copy RT COPY I + RESIDENTIAL FINAL INSPECTION REPORT i Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart f�ain,/Pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME / U --r_ PERMIT# # LOCATION -c a , -< DATE TYPE,OF STRUCTURE N/A YES NO COMMENTS i i Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-oft'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 Bathroom/Kitchen watertight _p Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells �L Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans )Wmbing fixtures Vroundation 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 v Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) TOWN O F Q U E E N S S U RY SU i LI3 i NG � CODE ENFQRCEMEIIT 742 sAx ROAD QL3E ENSSURY NX 12604 (518) 761-8256 ARR3 VE : DEPART : 3NS1::* F'3N]�L. ]CNS�'^EO'xZOY'i REPt�RT CC?MMlERC31#.Z. ___.._ II�[TLT3 PLE I)WElG7[..3P7fC'1 (Yiat�l, motel. apt_ cvrnpltax) - pA T E 3 N S P E C T S O N R E Q EST F2 E C E 3 V E D s LOCAT 3 f3N } S • TYPE OF STRUCTURE ��� FOOT Z i`7GS BACKF i LL FRAM Z NG PLUP+SB i NG 3NSULI1T30N Pi/A. XES, NO CHIMNEY/ •• 13 VENT II15:ZGIIT PL.UMB3NG VNTlFiXTURES ROOF 3 N G HEAT 3 NG I HOT WATER _ RE L S E F VALVES FLOORS � •- FOUNI7AT=C?14 3NSULATZON 3 N T E R 3 0 R S TA S 12 5 RAIL 3 N G S S TO C K RCjOM ENCLOSURE F-3RElI?EMZSE WALLS PENETRATIJ, N FZRE DA.iVIPERS ! CE3L,3NG F3RE S'i•OPP3NG �"`ZRE DOORS CLOSERS EX32' POOR IIPLnnWARE EXZT STASRSIFtAIL,S P LATFORM I ELELTA`F©R HAND 3 C AP P E D AC C E S S �iANL33CAPPED BATHS H AN D S CA P P E D PARK=N G _ _F 3 N A L E LE CTR S CAL S 3 T E PLAN VAR 3 AN C E RE F 3 NAL SURVEY PLOT P LAN 3 F R E OK TO ZSSUE C O OR C C MAP REFERENCE: CLENDON RIDGE OWNED BY DEMETRIUS N. VAMVALIS DATED: JANUARY 9, 1974 BY: JOHN B. VAN DUSEN FCARF o) an Du s Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 518) 792-8474 New York Lic. No. 50135 N85°00'00"E 175.00' 0 / E9 Srolyf O O� O / O 0 'UNAUm0ltlgp AL7 TIZ OR ADDITION TO A SURVEY NAP BEARING A LICQISED IAND SURVEYORS SA TATE EDUCA710N wOLAnoN OF SECTION EAL 5 7,-7 SUB -DIVISION Z OF THE NEW YORK SUW.' 'pLLYC011C11100A/ tNE Olticlrw.OP TNES SURA'V SEAL ALL Be CONSIDEREDOP THE I - 5URVLrOIv' TO BE VAUO TRUE COPIES.- 'CERT,*l-TIONS MOICATED HERE dH SCMFy THAT HMS SURVEY WAS PREPARED Rt ACCORDANCE NI7H } IS THEG CODE OF PRACnCE FOR IAND SURVEYORS ADOPTED -X THE NEW YORI( STATE AS=ATON OF PROFESSONAL LAND SURVEYORS SAID CERnFICA710NS SHALL RUN ONLY TO THE PERSON EaR wHGN iHHE SURVEY IS PREPARED. AND ON HIS BEHALF TO iNE n7t> CO"PANY. 00V17tNNENTAL AGENCY AND LENDING INS17TURT*N USTED HEREON AND 10 THE A950M OF THE LENDIND 1lgTRVI10N.• .00 ;gyp y5 6T 18 23,617 sq ft 0.54 acres rk Map of a Survey made for CLUTE ENTERPRISES INC. Town of Queensbury, Warren County, New York 308.05-1-53 NO. I DA TE LEGEND: O CIRF = CAPPED IRON ROD FOUND 20 RECCIVED DEC 0 9 2002 TOWN OF OUEENSBURY • . BUI? ArNO a C_ 0_ E NE�,r� . TF 0 c u . I64ND •A'" . DESCRIPTION el NOV M 6, c�0 ,e 1"=30' S-1 %EU 1 OF 1 DANIELS C860 DWG. NO. 02175 M LID i U 0 06 0 M Septic Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: r a, PERMIT NO.: LOCATION: INSPECT ON: RECHECK: Comments and/or dia ra Soil Type: Sand Loam I Cla�y Type of Water. Municipal/Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length Length of each trench Depth of trenches ft. Size of Stone Seep ge Pits: Number Size: Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field Pit _2pening Sealed: Y/NI Partial Location/Separations Foundation to tank Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y—N /V Location of System on Property: , y Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Approved Partial Approved and needs to be re-inspected,please call the'Building&Codes Office Disapproved L:\SueHemingway1Building-Codes.inspection.FORMS\Septic Inspection Report.doc January 28,2003 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, Main Office 176 Doe Run Road of Manhelm, PA 17545 or MUNICIPAL CERTIFICATE w ELECTRICAL APPROV Y3 A 1 1V to1 ( NOW Fen Card k tf7Tlf If iilRlt irl! Pert ilolifflrrrfturrrlft,„Ifrlffrgflflrltfif�;l�l Cui lllif wnrl 111tiiitttffff/iff11T11111F1t#IFIfIi! Nt/nririfiii liilillffi�irillfllNlfrllllltirrlitiiHfit4ifliliNiiiiiillllffilifiNiffl�ifiltiiliNltrifii! i 1f Locat`}1�'yt+{; i #tit i((,�jj//� C L Li�Mj; ion t1111tfttf/l1 1 1�11ffftlifif,ftft011111littlel1ll WItit flitfltfitiit111Nfi1Fii��iiiNifliiiifiiiirfrfllif111tifi11f11NrtiliifMtirilf ttitiilulltltfifflrf cit Installation Consistin o* t r1 tW1tT l� 999A, tr�ittri fttiftf�ift It t�►Ii�rl�tt t tfaf��tii llf l llf f�t�itf11t11faetifttl1r11f .000 (�}} � �j/I t �/trtwii� litfiifli f!!it iftlf fit ltllltifftii�ifltfttAliit l/ii Iflttilltfit#Hiilttt iftliflllfiillf tlitlfttttitfNa 1r1lt1lNr�111lfft rflrTr 11rI�11t N1/1t 1tt ! t f f t l ii fii 1f11f111l rtoilette liflfif e11iifltrt111ttlrtlltlrilltrlt ltfittmm file tiflitf lttti fill letltlttiffltto too ut/iti!li111ttt1itiltilt!iHrittliitstool tllfifiii fee off tittififoft Installed �4MV4671ses,ttlil l//ifffll 11ti1fpfllrlt ttll/fltNit ifl lflil ifitti tf Lic, of i�t!tttiriallflitltiittit.,ttftttiit,it,two.y!1!i Itiil/iril The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled: - This certificate only avers the electrical equipment and installation conditions as of date, Capon the introduction of additional equipment or alterations, application shall be promptly made for inspection, Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated, the Comiphy shall have the right to revoke this certificate, Datelltfl ll iti*tfM*# Mor if If ifiltft111tfitf111i I NSPEC T irlti 109141121111 i 1 !i itli ii itlftfltifl}iiitlfiNNttitllttry Member NARA..LALL Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time 0® Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Roa �4�a Queensbury, NY 12804 ARRIVE am% m: DEPART m/ m Notpp t (518) 761-8256, Inspector's Initials NAME: �-- u PERMIT# Y LOCATION: a�c 65— 1W-1 DI.t.S i�' INSPECT ON(date): TYPE OF STRUCTURE: ? F .— -Z C , 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 Vumbing e ents in Place ��R�o ugh I'-lurnbang -- Heating Rough-In sulatio�n - oun dation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- oper Vent,Attic Vent taming J c Studs/Headers Bracing/Bridging— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour jpe tration Sealed ' e Wa112,3,4 hour it I g L:1SueHemingwaylBttiiding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: 1. Meet:_ o Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Not s (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: ��— �0'JI t3G)'S INSPECT ON(date): TYPE OF STRUCTURE: RECHECKCJ I f � .MIIr N/A YE NO COMMENTS ooP 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 P1uzi��ing Vent/' sifs)in Place _ } %Rough umbing �� �^ '� Jr% 1,0QA-1A3 ating Rou -n „ oundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro er ent,.Attic_Vent . Framin Jack Studs/Headers BracingBridging _ Joist Hangers _ Jack Posts/Main Beare Aar I ltZ�ation Bhs zer ire Separation`l.2-,,khoiu Penetration Sealed Fire Wall 2,3 hour ',Fite° ► L:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc >1 i S 4- 4+ �. T 4J r f " � i w c s 4- w I a ©it V) v� �W 4J tU C 'w r W ro F- c it IV. �cy� u1 z z U ( or- ' wWC9 � I 0 t S- 'w 4' z 01 N m w I . ci. + 4J 0 '0 a O �' +iy i. t�r�{ ,64 r- ba t/� �CL(W� ' N /ice G1 V l its !cqii H .� 1 0 Yd 'J W Z 4- 0 0) C- 0.0 'r- So- ...� Lrt � �i 4; v C i- a) W .CU II N Q )' 10i 0 0. a IOU, (a 4) c(A C4.) 0 10 44 00 (d (4 0) � 0�- roof 0w ' p +' 4- U 0 or�) 4-) 4J /W N !-� 'r +0 U C C 0a) 0 w OVA fir' N 0 4- or-, 0 off" yM� !C i + M W Q ! 0 p I�r"` 0 4-w U) �+ - of C "COC 0 � 4, 4J 4J 0 q'.) r- O 1% .P Z Q 0) R + i or M '? -0 S. 0 U 4J i w / �+ 4) ro Q W Z W0OW0atUC0-40)4e4JC ~ C (04-� s. C '0 � W +� � w E U - 04�-10CaNWlvO0- '0CV) N " � :3ar.U 'r O � CL b 0 td 0 (1'w * m 4) 0)`r-w 'r. � a r (0 'w a 0 0 0) 0 0 U, S. 'r"0 + z J 0 V) cY��4JQNU10UMMh-00 LLLLvIUW,.,.U. ZU 0 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:146. Dept. of Community Development Request received: a Meet: Building& Code Enforcement At time: . 742 Bay Road k Queensbury, NY 12804 . ARRIVE am/pm: DEPART' -�Ipm Notes: (518) 761-8256 Inspe tor's Initials ) NAME. G„ PERMIT# LOCATION: jd� l IN PECT ON(date):. l ©� 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/W allpour Reinforcement in Place Foundation/Dampproofmg <Mckfill__ App oov 1 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 BracingBridgm4 " Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmi i L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: -9 , Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road a-" Notes: 10 Queensbury, NY 12804 ARRIV, 11 a (518) 761-8256 Inspector's Initia s NAME: Rao R — 113,9 PERMIT# LOCATION: It &-Ille,&A; 6-r—GIR-11, INSPECT ON(date): 7ha- TYPE OF STRUCTURE. Sf RECHECK N/A YES, NO COMMENTS 4Footings/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 Reinfordement in Place Foundation/Dampproo ling _ 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 REPORTAOC I{AKY-t 27 20 3-7-7 6- Cj1Z,AP6 .3c sex, to ow VOL, Va I2L.(7 54. 0 q) IV '67 61 -'Zia w IF, 3." -15(A OW713 9(. 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