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2002-503 (2) TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 C ERTI F I CAT E O F 0 C C U PANCAll Permit Number. P20020503 Date Issued. Tuesday,January 21,2003 This is to certify that work requested to be done as shown by Permit Number P20020503 has been completed. Tax Map Number: 523400-295-020-0001-029-000-0000 Location: II RUSH HOLLOW Ct Owner: TRA-TOM DEVELOPMENT,INC. Applicant: TRA-TOM DEVELOPMENT,INC. This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&Code E orcement \ TOWN OF QTJEENSBiTRY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 71 ""' Community Development-Building&Codes (518) 761-8256 r BUILDING PERMIT Permit Number: P20020503 Application Number: A20020503 Tax Map No: 523400-295-020-0001-029-000-0000 Permission is hereby granted to: TRA-TOM DF,VFT.OPMFNT. TNC: For property located at: I 1 RUSK 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. Tyke of Construction Value Owner Address: TRA-TOM DEVELOPMENT,INC. $04 STATE ROUTE 9 Single Family Dwelling 198,000.00 Total Value 198,000.00 GANSVOORT,NY 12831 Contractor or Builder's Name/Address Electrical Inspection Agency NEW YORK BOARD OF FTRF ITNDF Plans&Specifications BP 2002-503 Lot 75,House No. 11 Rush Hollow Court Indian Ridge Subdivision Construction of a single-family dwelling with 2-car attached garage as per plot plan and specifications $325.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 24,2003 (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 Town of 4u ns ry; OII ,M02 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement i Building Permit Application Town of Quccosbury—Dept of Community Dcvelopn)cnt,742 Bay Road, Qucensboi NY (518)761-8256 ------------------ uist be obtained before beginning construction. Permit file No. G/ A permit n No inspection will he made until applicalt{ has 1'4`CCIYC(I a Fee Pa �� vllliti bniltliol,permit. All appticanlx' spaces on this Rcc. l�oc Pnid $_.. ilpt1t1el11to11 )11135{ be CUI)lplcle(.l anti Hold appear on 111C Reviewed By,_ application 12trm. 111homas Farone Thomas uE 9 Farone C)+viler: Applicanl: . • -- - - -- -- - goX-g0 �._..1 A(Itiress; P.b. Box $�4, Route 9 Atlthcss: seyoor j IY- 3 Gansevoort NY 1.2831 phone 11(. 518) 587 - 8989 Pholle'/1 (518)5 8 7 - 8989 - FAX: 518 584-2093 ' office contact .person: Geri Fastore Lot N Property I.ocatioll: umber: - t House Ntimbcr l 1 Sutidivision Name: Indian Ridge I'ltx Map Nlunbc►': 1 New Bililtling: residence /ctilill)larciul 15slimaled Markel Valise of Corlslr•uctioll: $ t to "A(ldilion: resilience t t�Jliuueicial if an Atitlilion, wh tt Will use tii new atitlition be'? ci . Alteration: residei)ce 1 conlalercial Ct No challge to exterior size: residence/com'1 [.l C)tllcr wtrl•k(describe ,-____ :--) Cheelt It)CC11palkeylisror'lllatloll 1'' Moan 2" bloat vtl s(l. sq.C)I IIl(sr)r tiyuare I�eel fl, rt. s(l. I'd. ii lrelo)v ` Q)+ � Single funity dwelling o Two family dwelling _ I ❑ Townhouse ca Milltifamily dwelliig Cl _Office - - o Mercantile - - o Manuftclurin �� ❑• 1 car detached garage -- - 0 2 car detached garage ----- a _3 car tlertrrher!garage a I car:lliaelled l;arage ri '2 car atlslche(l g.trage" r �J G cnr atlachctl garage -_-_ - G Sklrigc boililing - commercial o Storage building- _ resideulial -- -- -------- - -- — Cl other Will any second-hand or ungraded lumber be used`? if so, for what'! Type of I leating System: electric I oil / gas wood / forced hot air/ baseboard/olher. - Number of]'h-enlrttres to be iiistalled Number of!rood+'loves to be ItlSI111ed List below the peraon(s) respousiblc li)r supervision of work as regards to building codes: Name Address Phone Number l3uildcr Thomas Farone -- same as above Plumber C & u G Plmbing _- - �_ __� 654-7477 _ 796 Mason 584 Heath Russell -3033 I3lcctriciall Modern .Electric — —___� - 8341 I)l:cyltl'lJlylll: 11I011se 81811 below allot you 11"ve caeel%itly rend the sluleulcat: - 'I'o the best of Illy kno Wlcdgc lllr-SIatClltelllS Col)iailleel ill tlliS llpphe;tlioll, togelher Willl tlC plans anti specilicatiolls sllbllll{tell,are A VIM and Co/ll1)ICtC Stal ClllCnl()f all proposed work to be(tolle oll the described preolises Gild Illal"it provisions of*tile Ittlilding Code, the'Lolling Ordinance and till other laws periaiuing!O the proposed work that be shacolllpl c(3 with..lvilcthc r spt cilict!or noletl,all:) lluli such +vork is authorized by the Owner. I'urthel, it is ulldei'SIOOfI Thal I1iV4`shall subalil, prior to a Cerlilicate of Occupalley or Certihc;ae o1 u Con being issell.as requesletl by the l..oaing Attn)iilisiratur or 1)ii-cctor of 13uiltling awl Codes au el a liuitt.S'/n'vev by a licensed sttrveyoi--drawn)to scale..;Ii()wiilg aelllilJ location ofall ticw construction. J Signature: /j _ owner,owner's agent,arebilecl,contractor . Application for Permit— Septia Disposal System � Town of Qneensbtlry 742 Bay Road Queerrsbury, NY 12804 (518) 761-8256 1 I, OWNER INFORMATION: "Indian Ridge Subdivision .................._..................._...................... _,....,..._......._...... .......-__._.._....._ Office Use ��I'� Location of installation:Lot NO / House No. Road Name: File.Permit N . Tax Map No. L / - Fee Paid Owner's Name: 'Thomas Farone ............. ............... .............. Address. P_O. Box 804 , Route 9 E Gansevoort, NY 12831 . 2.- INSTALLER'S NAME PHONE NO- 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and mnitiply li of bedrooms with applicable gallons per bedroom to equal total dailyflo►y) Year of i-1011s 3 NO of I3edroonis x Computation = Total Daily Flow 1980 or older X . 150 gal/bdrra 1980— 1991 x 130 gal/bdrm = . 1991.,—present x 1 10 gal/bdrm f Garbage Grinder htstalled yes_ / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Toitranliv S.Oi1-?Fa tire Ground Water Bedrock or Impervious Material Dom s ater Sunaly Ilan as at what clrplh al)vhal depth mitntcipal n ing. loam; ���`jeet feet i Steep slope clay if.well; walerisupply _V0 slope other from tiny septic-system depth: absorption is other Percolation Test: (T)be completed by licensed prc fe-rrional engineer or architect) f Rate: minute per inch S, PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems mttst be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the seplic lank and leach field for each Garbage Grinder,Spa or.Whirlpool Tub. Septic Tank: A�—Clgallon (min. size 1.000 gal) Tile Field: each Irene)t Total System Length: � � fl. Seepage Pit(s): number of size of each: _fl. by ;fl. Size_of Stone to be nsed: fi ��� / depth or thickness --feel Bed System Size:. f7 t x Alternative System: ' Iq 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 Cods of the Town of Queensbtlry, 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 I have read the regulations with respect to this application and agree to abide by these and all rednirements of the Town of Queensbury Sa itary Sewage Disposal Ordinance. WOO 1 slono ure of rps"nsl'le person Date 1 � E IVED JUIN I TOWN OF Q1,5C�t'3Sf3�3���` BUILDING AN ' a$EL(REV.IIt96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING THE NEW YORK BOARD OF FIRE UNDERWRITERS ° R"FlC" "° :.IIO NO-H WRHT -HERE- :FOHa 01=F10E.USEONLY ' BUILDING PERMIT.. I' A -- DTE TEM- P M : • CITY OR VILLAGE 7-P CODE TOWN IP. COUNTY V dAS En AND NO.Oft ROAD � I POE M8 R SETwE£N WHAT TWO CROSS STREETS IS PR MISES LOCATED? SECTION BLOCK LOT OC^tIPANCS NAAiE BUILDING UPANCY gwNER'S AME AND ADDRESS MQME TELEPHONE NUMBER CU RENT SUPPLIED BY FROM THEIR OFFICE < WORK TELEPHONE NUMBER BUILDING IS NEW❑ OLO ❑ wORK IS NEW❑ ADDITIONAL[] DEFECTS REMOVED C LIST.BELOW N L E UIPMENT.WHICH YOU INSTALLED NKF1No.of Fixtures 8 MOTORS HEATERS BRANCH OFFICE Lace- Lamp Receptacles CIRCUITS ; 'g pNLY_ _ tion . . Watts A.W,G. "'CeilingP°ntlanl Bracket •No. Type Each N°' Each NO` Gauge ..INSPEeTIC►N• OUT- ) 1 SIDE I • I SUB- BASE BASE- MENT i tst FL. - 2nd FL 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE• ' I THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED.BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER' THE ADDITIONAL EQUIPMENT,AS`PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS Applicant affirms that there is not•an application for electrical CHARACTER OF WORK EXPOSED inspection pendingWith S qualified electrical inspection ❑CONCEALED p p DATE IYORK T08E STARTED DATE COMPLETED authority, for the installation listed herein. . This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. _ ❑ OVERHEAD a UNDERGROUND - OAT£INSPECTICN REQUESTED ON IOR AS NEAR AS POSSIeLcl T MUST ENTER APPLICANTS IDENTIFICATION NUMBERY 1 { AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. ' F91s.VT NAME AND ADDRESS- NAME OF APPLICANT DATE OF APPLICATION XSiGNATURE OF APPLICANT ,• ^�..r ,.n��oo 1 TELEPHONE NU -TOWNOF OUEENSBURY Richard A.Missita way Superinte HIGH-WAY' ' JIN.T HHohme(518)798-5127 ndent . VA Michael E-Travis 742 Bay Road,• Queensbury, NY 12804 -. 1. Die uty%098�0413 'Superintendent Off ice Phone: (518) 761-82 1 i Ng� � Fax: (518) 745�4466. J U N 1 7 ZGG2 DRIVEWAY PERMIT : TOWN OF QUEENSBURY 13U10-DINCA AND COQE- DATE- Thomas,587-8989 Thomas, Farone TELEPHONE NO.: No ot L . j N House No. 1 (: Road Name., ADDRESS TO BE INSPECTED: ��" RETURN ADDRESS: R;O Box 804 , 'Route 9 ansevoort; N Applicant must show enact location and width of driveway(s)to be coniiected to the highway by placing stakes at,th.e specified location. The.Stjperinten'dent of Highways of the Town of Queensbury has reviewed this application. The . following action has been taken: _ STEP ]: ( }Preliminary Approval NEED: , ( }Slight swale ( } Level with the road ( }_Deep swale Size`pipe_to be used(if necessary) (. )18" { )24" (')3 6„ Preliminary:inspection-completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved'perm it for a'final approval. NACE ENGINEERING, P.C. 169 Haviland Road, Queensbury,NY 12804 Phone-518-745-4400 Fax -518-792-8511 January 28, 2003 Job#46138 Mr. Glenn Bruso New York State Dept. of Health 77 Mahican Street Glens Falls,NY 12801 RE: Indian Ridge Subdivision- Queensbury(T) Lot# 75 Septic System Dear Glenn: This letter is to inform you that I inspected the completed septic system for the house on Lot#75 in the Indian Ridge Subdivision on July 31,2002. The septic system as installed was for a four bedroom house and, consisted of a 1,230 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. Sierely, Thomas,W. Nace, P.E. cc:. Iatm,Town-of Queersbury. Tom Farone r a _ 0 z © a MOON x w a zzo H Z a • azo� H H H z w A 0 OU > a10u H W ' � x I vy a �, H H oz Z v H a i M N z W 0 z U H H a w --... z H z 0 W � 0 a w z a U a x w z a a w Q H H w a H c� a H O A H W H x H ` H a 0 w 0 z W 4 N W a s rh E0 W H U 0 W a a 0w9a0wxx4z z I ] U z W x H �] N 0 a H N $ H H U H 9 9 a 0 0 H d W N 9 ;(n f a g W 0 A 4 U 4 4 U H a H U M ? H H Z U} 'Z H U a > A a H a U H A z Z W H d z rn W U 4 N a A A Q H 9 W w U U : w H H > H W W Wto w H z Q > W 0 a z N W W H M a W W w w U > ] a 0 : x 4 0 H a w x H Na a a w z a N z H 0 a > H 0 Z 0 0 4 a a a a 4 a w z 0 H �4 z 0 0 U H 0 0 w 0 0 0 H 4 g 4 W a 0 H W H H 0 z4 W H z H Z W N H a A A Z A A N 0 U U U a H H a Z A H w H H H H a a 0 H w G 4 , w w HQ X Z W W H H 0 z W U W w a W H H H Q Q Q 4 H a H U H a 00 H Q 0 H 4 a, 0 A H 0 H p; H H g0 4 �H 0Z x a 0 X W W a 0 Z H M H w H X X a 4 Q g H H Z 4 Q H W U a a W x �, W W H to W w U w W W a 1 x x x W 5 0 INDIAN RIDGE PUD PHASE ONE DATED JANUARY 26, 2000 REVISED APRIL 3, 2000 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC tz I HEREBY CERTIFY 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 L15TED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TOs JOHN A. MILZA, JR. AND KIMBERLY S. MILZA COUNTRYWIDE HOME LOANS. INC. IT'S SUCCESSORS AND/OR ASSIGNS CHICAGO TITLE INSURANCE COMPPNY CERTIFIED BYE— ---_-- _—---____� — MATTHEW C. STEVES. LL5 NYS 50135 DATED) JANUARY G. 2003 11�6'OL OW SIN _ M A5PIIALT DRIVE rL! 51 N55*48'27ME 114. 71 N m PORCH 2 STORY WOOD FRAME HOU5E 52 N50°21'29ME 155.11' ilit, t iJil, 1 it 174.46' W75 ...... 1el' rfi�i}; �fij j• Nt ti 46,164 sq.ft i;' 'j,i,fir;}art,}}'!'j!}'t+i11;??N M If i 1.06 acres iti i } (j j iJi �ij ti+i;t jtt j ill Co \ / /I ! ft ! i r Jj 7rj j t� t i ` �f j }I i• i t � rj J I } j ti } � ++ 1 t rf j ,` � + + f i+' i' �''j��}NO CLEAR ZONE( /I?}tf +I�t�i!}+}t++;r•i,t?i 1ij`'rt ij pit t��'tjt t ii? i }?1 ;ji tt +l,1fi t'1(I+tj},�; iJjtlti �l�r!'i, IJ , lif I! i t pp, ) $44 Cb Itllj N tlljt' cawcq-503 �I -� S t eve s L a n d Surveyor S 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lic. No. 50135 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 720Y. SUB -DIVISION 2, OF 111E NEW YORK STATE EDUCATION LAW.' "ILYG���MINA orNAL or TM� MARKR9 VA1M AN ORIGNU'L a TIt tMID SURHhE11L9 BE INDI ATE TO RE VALID TRUE COPIES' SEAL *CERTIFICATIONS SSURVEYWAS INDICATED HEREON D N CE THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE BY THE COTS OF SATE ASSOCIATION FOR LAND SURVEYORS ADOPTED LA 111E NEW ORS. STATE RTIFICTINOF PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND S IX TH TOM A5501 E IlNDING ftTITLfION Map made for JOHN A. MILZA, JR. & K I M B E R LY S. M I L Z A Town of Queensbury, Warren County, New York Date, January 0 W- , Scale 1 -30 1 S � 1 �V SHEET 1 OF 1 MILZA DWG. NO. IR-75 NO. DATE DESCRIPTION RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pin De-par7l, Town of Queensbury Inspector's Initials 742 Bay Road Queebsbury,New York,12904 NAME <— PERmrr*=—�, O—� Os NZ 3 LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS 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,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate io/1, ol Gas Valve shut-off exposed/regulator 18"above grade__ /X I 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_ x Relief Valve(s)installed s. 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 watertightL__ Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level Vol" 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)_ 4 Light ventilation per m) Z Safety glazing 18 e s a flora' Final Electrical; Site Plan/Variance Aqule4_____�� 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) j FAX NO. :Vk87930602 Jan. 21 2003 09:32AM P1 Mahone RO,8OX 707 GLENS FALLS,NEW PORK 12801 Notify-Plus Tne. 518/793.7788 FAX-SI"3-06o2 January 21, 2003 RECEIVED j E.Vry C Dr, John Mllza JAN 2 1 2003 11 Rush Hollow Court TOWN OF QUEENSBURY Queensbury, NY 12804 BUILDINGANDCQDE To whom it may concern: This letter will confirm on the fire alarm system installed at the above address has been tested and programmed for local alarm reporting. At the time of the inspection the system was found to be 100% operational. Should you have any question, please do not hesitate to contact our office. Sincerely, Edward J. B r Foreman Installations Office Use .GENERAL 'INSPECTION REPORT Inspector: Town of Queensbury Ready at time:'- flobj Dept. of Community Development Request received: ft/ 2"402-- meet., Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART amlpm Notes* (518) 761-8256 Inspector's Initials NAME: PERMIT# 2-06 2,-,6 e3 LOCATION: R LJ-S A- 144 110W INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingOiers 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,__ V�7 sulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls -t- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/BridgingJoist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation t,2,3,hour Penetration Sealed Fire Wall 2,3,4-hour Firestopping L:\SueHemiiigway\Building.Codes.Inspection,FORMS\GFNERAL 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 Notes: Queensbury, ATY 12804 ARRIVE am/pm: DEPAR In � � f�(J� (518) 761-8256 Inspector's Initials NAME: 0 Y-- PERMIT# LOCATION; UQ L"e-t 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/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- oper Vent,Attic Vent --7Z Framing Jack Studs/Headers B 7Z ,Acing/Bridging oist Hangers 1Z Jack PostsMain Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L-.\SueI-lemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Off ee Use .GENERAL INSPECTION REPORT Inspector: /Town Of Queensbury Ready at time _ Dept. of Community Development Request received: J Meet:,/36 Z- - f6 Se Building& Code Enforcement At time: 742 Bay Road NotesQueensbuq, AT 12804 ARRIVE amlpm: DEPART am/pm g. (518) 761-8256 Inspec tor's Initials NANM-. PERMIT# LOCATION: LUs INSPECT ON(date): dz= 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 Plumbing Under Slab �Iurnbing Vent/Vents in Place -7 JJR-2a-u R-MR-1 MR "ffewating Rough-Ift Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R-' Duct work or piping in . unheated spaces R- Pr pe Vent, ent,A'ic Vent , Jac Mta /Headers �Bracing/Bridging Joist Hangers- /V4it, OFF A-Ar6 6-0 Jack Posts/Main Beam 7- Mn-ier V/ Oaffie FeDp=;air—atfii7Woan1'-.,2,3,hour Penetration Sealed re Wall 2,3,4 hour i re 179--m-w-s— V.1 L:\SucHeminsway\Building.Codes.inspection.FORMS\GENERAL INSPECTION REPORT.doc r .s, `5 00 0 tD 0 0 A0 -a- �U �-+ H .�� M �� (D 0 N �, 0 A 0 0 � Or0 ,�, n � "o C 0 M (D 0 Z 0- T0 N MN O W N -0`ho M �} 3 N 0+ : b "h,N :3 Z > r+ 'cq 0' ro b(D r+(0 0 M 0 "5 0- 0. �, ," (D > � ( N .� ri (h Cn44 (n 0 0 -h 0 - + 0 0 0 *N X a N rh -, (A." YD Pj (A (D r+ t 0 T � �+ � aroa -M �rr tQ f N �h 0 0 F N pi M A. C "u1 7C CL . G Oct A0 � � � 0' 0 @ N X 'S ? r+ 0 fD " n1 p .00 oz r cm � �N4AW C m p !(AC+ to ! n x v N 0 t 0 A M W6ft 0 M M (D (Op ((D rD D 1155'48'27- 114.71- N56*2-130"E _C4 P I 0 C17 -p 1 75 46,164 sq.ft. i �OL L OV 1.06 acres JUN 1 72,002 TCJw"j 0,'-QUE-SNSSURY -BU-LD-W'-4 A'Mo C N ti 6i 6I:t,AR!ZONE i i Aids,1 Mill 74 V, ON Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbttry Ready at time: Dept. of Community Development Request received: 7 2-S Meet: Building& Code Enforcement At time: 742 Bay Road Queensbuiy, NY 12804 ARRIVE a F'A T am Notes: (518) 761-8256 Inspector's Init r NAME: �f���-' r f� 1 Q�,�, PERMIT# z: i so LOCATION:� �-- /�'�� INSPECT ON(date): 71d 6 TYPE OF STRUCTURE: ��d✓ 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/Dampproofing _ '3ackfill 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 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: of Meet: Building& Code Enforcement At time: 742 Bay Road 3 ,- Queensbury, NY 12804 ARRIVE am/pm: DEPART m/pm Notes: (518) 761-8256 .Inspector's Initials NAME: PERMIT# LOCATION: �tr &'ju INSPECT ON(date): A.7d—__7�)3 TYPE OF STRUCTURE: RECHECK Y NIA YE O COMMENTS Footings/Piers edT dlI2C Monolithic Pour Form Reinforcement in Place _Z-— 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/Bridging Joist Hangers Jack Posts/Main Beare Air Infiltration Barrier Fire Separation 1,2,3,hotir 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, AT 12804 ARRIVE am/pm: DEPART( �am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: �Oczdeo INSPECT ON(date): TYPE OF STRUCTURE: EC CK N/A ii YE NO COMMENTS V;Ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__ Heating Rough In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper 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.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depa � T-- Inspector's Initials NAME: '�!� PERMIT# �� Tea 3 LOCATION: ll ' &S DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ootings/I'ier Monolithic Pour Form Reinforcement in Place U The contractor is responsible for �� 1 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/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