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2002-678 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: P20020678 Date Issued: Thursday,February 06,2003 This is to certify that work requested to be done as shown by Permit Number P20020678 has been completed. Tax Map Number: 523400-301-008-0001-057-000-0000 Location; 440 %DIXON Rd Owner: ANN MARIE CAPUTO Applicant: ANN MARIE CAPUTO This structure may be occupied as a: By Otdet of Town Board Garage Attached TOWN OF QUEENSBURY Porch Single Family Dwelling Director of Building&Co Enfo meat TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020678 Application Number, A20020678 Tax Map No: 523400-301-008-0001-057-000-0000 Permission is hereby granted to: IND For property located at: 00(jo#1 DIXON Rd in the Town of Queefisbury,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 Queensbta Zoning 7 Ordinance. Type.of Construction Value Owner Address: FELICIA S HESS Garage-2 Cars Attached 438 DIXON Rd Single Family Dwelling 91,000.00 QUEENSBURY,NY 12804 Total Value 91,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-678 Construction of 1797 sq ft Single-Family Dwelling with 440 sq ft attached two car garage as per plot plan and specifications. $193.40 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 30,2003 (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 r� k7st 30, 2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Tow-i-�of Queensbury-Dept of Community Development,742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No. 7-00 9' No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants, spaces on this Rec. Fee Paid r application must be completed and must appear on the Reviewed]By:' -, FEE�VII E—D application form. AUG, 0 9 20C2 Applicant: Dw y I-1A P,e.i Ae:p Owner: Vj,,-j OF QJLE�4SBU9 Y Address: Address: I/az/$4 e _jqODE Phone# Phoiie# 7C13 0 a` Email Address: Email Address: Property Location: Lot Number: House Numb 484 0/ /0)-X- of. Subdivision Name: Tax Map Number: :25col- Sr-1- 6-7 d New Building: Qesidence commercial Estimated Market Value of Construction: $'?/, 00 co pec� L3 Addition: residence/ commercial If an Addition,what will use of new addition be? u Alteration: residence/ commercial U No change to exterior size: residence com'l U Other work(describe Check OccupancyInformation I"Floor 21d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ur Single family dwelling J COR el -19- I 0 Two family dwelling j a 3 -5-7 0 Townhouse ;�-/j- 7- 0 Multifamily dwelling #of units U Office U Mercantile C3 Manufacturing CI 1 car detached garage a 2 car detached garage 0 3 car detached garage C3 1 car attached garage f f W- 0 2 car attached garage eJel.0 y V0 U 3 car attached garage 0 Storage building- commercial 0 Storage building- residential 0 Otherwr. ON What is the proposed height of the structure a feet inc es Will any second-hand or ungraded lumber be used? If so,for what? /L/O Type of Heating System: electric/ oil wood /forced hot air baseboard t othet: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)q3 responsible for supervision of work as regards to building codes: ' ( - �qA-V J_J�, '�V tl Z� Name Address Phone Number Builder I D,,91-4 7 2e,w,0-- by r7 91 Fr-- 8�3 Plumber 1-6-9n V(7 ~ F-9x-5-/ Mason /= 1,3 co ce.c 03�L- 9118[r Electrician I?oh,-j-r -7 93 i7 Y3 Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be doneon the,described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/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.4s Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature: owner, wner's agent, rchitect,contractor - Building Permit ApL Plicati®n Tovm o-rQ—ueensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 - A permit must be obtained before beginning construction. Permit File No. 7—G02--(,1X No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec.Fee Paid s.,, $ _ application must be completed and must appear on the Reviewed By application form. Applicant: QV fIAIP iAea• Owner: �N/�-/�iA, e c�/a�'✓ ':;::' :.__.-_ _>;:;a1� , Address: .S J'p,_uA c( s 7 Address: © cam 6p;e-s /0 a, Y� Y /.2 tro Phone# 3 y Phone#(S>ri) Email Address: Email Address: Property Location: Lot Number: 6 / House Number S / e X'D Subdivision Name: Tax Map Number: 5 7 New Building: esidenc commercial Estimated Market Value of Construction: $ 0(9 co 0 Addition: residence/ commercial - �.... 0 Alteration: residence/ commercial If an Addition,what will use of new addition be? 0 No change to exterior size: residence/com'1 0 Other work(describe ) - � Check Occupancylnformation 150 Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet d Single family dwelling o Two family dwelling ct Townhouse 0 Multifamily dwelling #of units a Office u Mercantile 0 Manufacturing 0 1 car detached garage C& 2 car detached garage 0 3 car detached garage 0 1 car attached garage C1 2 car attached garage 0 3 car attached garage 0 Storage building- commercial o Storage building- residential - 0 Other What is the proposed height of the structure a feet inches Will any second-hand or ungraded lumber be used? If so,for what? "0 Type of Heating System: electric/ oil / gas wood /forced hot aar/ baseboard/othet•: 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: Address Phone Number Builder .-9&,,;W S•c b y Plumber st 9.1^ ��v�� 1/17 Mason J Electrician I Rg h-s-r e>? ' -7" 1-7 93 J J Y 3 Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be_done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner, Further,it is understood that I/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 construction. Signature: c���'1.a1ta / ,A� . owner, wner's agent, chitect,contractor a- � Project Name: BP# Address: O:r Ca U o;,w D,--,le& Building Pennit Submission S4&fangy d=4 -- Tvafangy dudq g Er-F Checklist AUG 0 _,I All items below must be checked either yes,no or not applicable prior to submissiop of-any buildin, permit to the Town of Queensbury Building Department. If any of the below items are lia �'the_peri_mit 19_' will not be accepted until such time as the application is deemed complete for submission. 1. Building Pen-nit Application Completed ... ... ... ... ... ... ... ... ... ... ... ... . rXyes R no F1 n/a 2. Energy Form or Checkl&te Energy Code Compliance Forms Complete.. 2yes ❑no El n/a 3. Energy Code Inspector's Report from CheckMate Program.. ... ... ... ..... [:1 yes F1 no �n/a 4. Septic application completely filled out(if applicable)... ... ... ... ... ... ... ... O'yes 1:1 no r]n/a 5. Solid Fuel Burning or Gas Appliance Form... ... ... ... ... ... ... ... ... ... ... ... .[:]yes [:]no [2rn/a 6. Electrical Inspection Form... ...... ... ... ... ... ... ... ...... ... ... ...... ... ... ... .. [-]yes r-1no, Fln/a 7. Two (2) complete sets of structural drawings... .. ... ... ... ... ... ... ... .... ... ... . (Zyes Elno Eln/a a) floor plan;b) foundation plan;c) cross sections:d) elevations; e)'window and door schedule t 8. Two(2) site plans showing location of the structure to be built.... ... ... ... [Zyes F-Ino Qn/a location of well or water lines,location of septic system or sewer line. 9. Setbacks from property lines to new structure ... ...... ... ... ... ... ... ... ..... EZyes []no E]n/a 10. Setbacks to neighboring wells and septic systems,including onsite well... . Oyes nno On/a and septic systems (if applicable) 11. Dri'vewayPern-lit... ...... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ... ... Zfyes E:]no [-]n/a Date: Staff Initial: L:\Suelieniingway\BuUding.Pemut.FORNB\Generic ChecUst.doc Application for Permit—Septic Disposal System -Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 I. OWNER INFORMATION: cr-11 ef-j rep,%,, . ........ ....................................... .................................. .............................. 5 Office Use Location of installation: (ell c6)cp'V /cc( Tax Map No. 30/,ff/` File Permit I o. Owners Name: 19"VAI .............................................................................. ............. Address: 4(.2 71F�_13 i-,D 4,y 9 -5 12--t-i--/zAl VG 0 9 2002 TOW,4 01p. 2. INSTALLER'SNA1%1E : JO//A/ UIL Y7S 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation Total Daily Flow 1980 or older x 150 gal/bdrrn = 1980- 1991 x 130 gal/bdrm = 1991—present x 110 gal/bdrm = 330 Garbage Grinder Installed yes no >C Spa or Whirlpool Installed yes no X 4.*- PARCEL INFORMATION: (circle applicable information&indicate measurements) TonograDhv — Soil Nature Ground Water Bedrock or h=ervious Material Domestic Water Su Flat .End at what depth at what depth municipal Rolling loam P-B, feet X__9'Jeet well Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is_ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For r Xew!Qonsjru$42n: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: 00<�)_gallon (min, size 1,000 gal.) Tile Field: each trench SOft Total System Length: -Mr6�ftl SeepagePit(s): number of sizeofeach. ft. by—ft- Size of Stone to be used: depth or thickness I feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number oftanks: Size of each: gallons TOTAL Capacity: gallons Note: Alarm System-and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read 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. Signature of respon person Dalte 'lONN'll cif t2ilcc�>>;t1�ut y 11131a lidix t Al3.SOItI III()N_ F'I li,'I.1I_) POND `.✓_ {/•)�Ll_ IN 1//IT F.'FI;- `•.`�! Wirt IS'ra••3 .�— mot, � / '' _.._._ ,•••' ��� 1 —.__-_r--•—_"'—' RtJl�t) __ ._ram—r— 7, SIGNATURE &•INFORMATION FOR KhSl'0r4busLr, tr Irt. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS f r VED Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwel'lirig; 0 9 2002 Multi-Family Dwellings(3 Stories or less) _ ,1 _,., Part 4*-Design by Component Performance, Commercial BuildingsH +� i�fiBJF� , Rise Residential �— ` ' ` — ' *Requires submission of worksheets APPLICANT'S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- 1af 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% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R� b. Exterior walls R C. Glazed areas R-)..,(P3 d. Exterior doors RJ,2_3c14,5_ e. Floors over unheated spaces Rrv.A. f. Edge of slab on grade(heated building) R A14 g. Basement/cellar walls (above grade) R IS h. Basement/cellar walls(below grade) R/— i. Heating/cooling-ducts-piping in unheated space R iv,9 6. Service(domestic)hot water heating device Conforms to minimum efficiency per code�_Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED A plicant's Signature Date Phone Number INSPECTOR'S REMARKS: RESEDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials.—�K_ 742 Bay Road Queensbury,New York,12804 NAME 1 PERMIT# LOCATION C ( . DATE C. d TYPE OF STRUCTURE Ep- NIA YES NO COMMENTS r 1 Chimney Height/"B"Vent/Direct Vent Location 1 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 tl 'des 3 or more risers Grade 2%away from to dation 8"clearance to sill plate Gas Valve shut-off expos d/regulator 8"above grade Gas Furnace shut-off withi 30 feet or thin line of site Oil Furnace shut-off at entr ce to fern ce area Fumace/Hot Water Heater op ating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. / Handrail exterior stairs both side re than 3 risers interior privacy/trim/doors/main/en ce 36" Floor Finish Bathroom/Kitchen watertight'' l Interior Handrails Balconie!Amding),8 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 1/4 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' e Plan/Variance required final Survey Plot Plan h 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) / / / ROBE) / \ PHI / L / CORNER OF FENCE / \ 1S ON THE LINE / \ 1 \O / 111 METAL FENCE POST \ ON THE CORNER / t / / / 112 / LANDS OF ROBERT E. & SANDRA L ORSAN L. 799 P. 166 / / / / LEGEND: • FOUND IRON MARKER O SET IRON ROD W/ TH CAP O POINT —E POWER LINE —STONE WALL — x- FENCE ONLY COPIES FROM 7HE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL OR INKED STAMP SHALL BE CONSIDERED TO BE VALID 7RUE COPIES. Unauthorized Alteration to this map is a violation of Section 7209, Subdivision 2 of the New York State Education Low. \ \ OZ - G75 444 MLLIAM J. ENSED LAND SURVEYOR NO. 49098 MAP REFERENCES. 1. MAP ENTITLED " EVERGREEN SUBDIVISION, SECTION I/l MADE BY JOHN B. VANDUSEN, L.S., DA7ED AUGUST 6, 1969, REVISED OCTOBER 25, 197J. NOVEMBER 7. 197J. & DECEMBER 18, 197J AND FILED IN THE WARREN COUNTY CLERK'S OFFICE DECEMBER 28, 197J IN DRAWER 12. FOLDER 13. 2. TAX MAP NO.3O1.O8, BLOCK 1, PARCEL 57 AND FILED AT THE WARREN COUNTY CLERKS OFFICE AS PER L. 596 P. 595. CERTIFICA TION I hereby certify to Ann Marie T. Caputo, HSBC Bank USA, it's successors and/or assigns and Old Republic National Title Insurance Company of America that this map has been prepared in accordance with the existing code of practice for Land Surveyors adopted by the New York State Assoc. of Professional Land Surveyors. 10121102 William J. Rourk LS 49098 UPDATED ON OCT08ER 21, 2002 TO SHOW FOUNDATION LOCA71ON & ADD CERTIFICATION. MAP OF SURVEY ANN-MARIE T. CAPUTO TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK SCALE:1 "=30' DATE.• AUGUST 26, 2002 W. J. ROi1RK& ASSMA TES Lkeensed Land Sbrve}wv 10264 Sarvtogo Rood, P.O. Box 1434 02-226 South pens Falls, N.Y. 128M JOB NO. W h RESIDENTIAL FILIAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement ' Dept.of Community Development Arrive am/pm Depart az qm Town of Queensbury Inspector's Initials_�• 742 Bay Road Queensbury,New Fork 12804 NAME , PERMIT LOCATION ' Ll0 DATE ( D TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/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 Gas Valve shut-off exposed/regulator 18"abov1grade Gas Furnace shut-off within 30 feet or within li 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 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/a 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 s oor Final Electrical ' . j Site Plan/Variance equir Final Survey Plot Plan < As Built Septic System layout required vex 4- Okay to issue C/C(Certif.of Comphan ) Okay to issue temp.C/O(Certif.of Occupancy)­ Okay to issue permanent C/O(Certif.of Occupancy) Office Use GENERAL INSPECTION REPORT Inspector: Read Town of Queensbury y rtiz` `i� Dept. of Community Development Request received: Meet: Building& Code Enforcement ^-�. At time: 742 Bay Road / m: DEPAj aml Nates. Q Y, NY 12804 ARRIVE amP p m _ - ueensbur c � �..... (518) 761-8256 Inspector's Initials P- �= NAME: i�A es' � PERMIT# LOCATION: ( 1 1 s.. � INSPECT ON(date): J :A -21 - 0,�, TYPE OF STRUCTURE: ` RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in\1a The contractor ible for providing prote freezing for 48 hours fole placement of the concrete. Materialsfor this f site Foundation/Wallp Reinforcement in Place Foundation/Dampproofm —\-- Backfiil Approval Plumbing Under Sla _ Plumbing Vent/Vents in Place Rough Plumbing HeatinoIn Lion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PfoperV� ,Attic Vent +/ rarntzxg StudslHeaders 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\GENERAI,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:_AR�742 Bay Road 0 Queensbutj,, NY 12804 ARRIVE amlpm: DEPART amlpm Notes: 1_ (518) 761-8256 Inspector's Initials NAME, PERMIT Z-6 7r LOCATION: bf, XOL kA INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsiblf-f�r providing protection from _eZI, 9 for 48 hours following the lacen ent of the concrete. Materials for this purpose on s to Foundation/Wallpour Reinforcement in Place_ ampproofing Backfill Approval Plumbing Und.� lab Plumbing Vent/Venhts�� 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_____j Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed OX— �il- V!: r- U, -W6C&t7 Fire Wall 2,3,4 hour Prestopping— L:\SueHemingway',Building.Codes.Iiispection.FORMS\GENER,AL INNSPE ORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: 1�z Building& Code Enforcement At time: 742 Bay Road T"� Queensbury, NY 12804 ARRIVE am/pm: DEPAR am/pm Note (518) 761-8256 Inspector's Initials NAME: Z,PERMIT# , 6' LOCATION: 1,-3k,o tj �Q 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 f this pi e on site I 10 FoundatioNallp ur Reinforcement in Plac p u e on s r P'ac Foundation/Dampproo m ' o Backfill Approval Plumbing Under S�Iab is in p,jg�mb up ,ien in lace /A jLVI t/,kvi ts U 17U-1Z, 13 Heating Rough-In Insulation Foundation Walls Interi,r R- Foundation Walls Exteri r R- Floors Walls Ceiling Puct work or piping in unheated spaces R- roper Vent c Vent C5 Mack�tud eaders Bracing/Bridging_ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Pe F e We! titration Sealed Wall 2,3,4 hour 0_ es. ini xo M 1 1. L:\SueHemingway\]3uilding.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 r Queensbury, NY 12804 ARRIVE am/pm: DEPART I'' m/pm Note. Q. (518) 761-8256 .Inspector's Initials NAME: !: `> PERMIT# 2 LOCATION: 1"�� ��, INSPECT ON(date): ® �✓ TYPE OF STRUCTURE: RECHECK N/A YES j 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 FPI, nbm* g Under Slab nbing Ven errs Placegh Plumb'ig !iv'�j F�L4 jhe- ' Hearin R ugh-In _ Insulation __ A--r i ( 1J t fi,l cu l c3i3�5 Foundation Walls Interior R- :f G Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- ent Proper f Attic Vent Tack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fij Wa112 3 4 hour j esto,fig 1 L:\,SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doe Offwe Use -GENERAL INSPECTION REPORT Inspectorr To-e-- Town of Queensbury Ready at time: Dept. of Community Development Request received.- Meet: Building& Code.Enforcement At time: 742 Bay Road Queensburj,, NY 12804 ARRIVE am/pm: DEPARTtll am/pm Notes: (518) 761-8256 Inspector's Initials NAME; PERMIT# Z LOCATION: V b-�OK INSPECT ON(date): t7j/ 3.kjo:2, 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 Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-Irk 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 awing_ vZ 3Z au t 0 C-- Jack Studs/Headers Bracing/Bridging Joist Han an Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour— Firestoppiiig----� L:\SueHemiiigway\Building.Codes.Inspect on.FORMSkGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORI Inspector: Town of Queensbury (!? Ready at time: Dept. of Community Development Request received: Meet: A Building& Code Enforcement At time: 742 Bay Road b Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm NQtiw tt �j (518) 761-8256 Inspector's Initials NAME: PERMIT LOCATION: (Q vv-0 INSPECT ON(date): TYPE OF STRUCTURE: J , 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 Pn bln e tj Yen t Place u .. e ough-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 qJack-Studs/Headers Bracing/Bridging_ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fir'6 I ur e L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc OF QUEEKSBURY - BUXI-DING A CODE ENFORCEMEN-F -7- _CO DE - Ba_y R"act Quoet-_nnt:vur,_v MY X21104 - SEP-rXC DjsP0S^U SYSTEM IMSPECYIOM N am te W-C-S L-oca ,t-f on Da -tte_ Pt-- r-rn i -t # 7 SOI1t_ TYPE: Sand Loam-Cl ay- Resul -ts o-F Par-cola-tion Tes -t- ( il" applicable ) Rate-Mjnu-te/Inch TYPE OF SYS-rEM= ABSORPTION FXEt-D: Total I 1�11 Leg Length o-F eacheachtrench-ench Dap7th o-F -tn4`nchos N� -Z z e 0-F s: *bn e zz� SEEPAGE I-rs : Numbav­ Si z -F-t x -Ft _ S tone "s-7 z 4-- PI NG: S i e Type Bid to Tank- Tank- o Dist - Box Dist ox to Fit--Id/Pi -t Open ng S'lealed ?_ - Yes o Par f-i al ILLO ION EPARA-rIONS : Fou a-t! on to Ta-nk Fou datic:)n -to Absorpt--ian F f_-te-t S L--p ration o-F Pits _Fee Con orrns as per Plo-t Plan Yes No LOC ION OFjSYS-rEM ON PROPER;iu�� Fr-on Pe, Le-f-t Side - Right Side Mid I & Middle Rear- co N-Ts SYSTEM USE APPROKED= YES rd Ar-r--f%rc--cf = % 11 D a�P at rye d Office Use GENER.A.L, INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: c^ Dept. of Community Development Request received: Meet: Building& Code Enforcement 4 At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEP RTL-am/pm Notes: r (518) 761-8256 Inspector's Initiats NAME: PERMIT# .2A Z' 6 713 LOCATION 7) INSPECT ON(date): IZ . TYPE OF STRUCTURE: c l RECHECK _ N/A YES NO COMMENTS r' " 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 FoundationlWallpour v Reinforcement in Place. Foundation/Dampproofing Backfill Approval P umbing Under Slab_ � gVAb lumbing Vent/Vents in Place ou MPlumlaing Ilea i 0Insulation 2% '`)) Foundation Walls Interior R- 6�`t/Sr�L�' 6. /U a 6/JZa1-1 %/e t./`,' Foundation Walls Exterior R- Floors R- Walls R- Q Ceiling R- —rO Duct work or piping in >> a unheated spaces R- 11&�t 5 ro er Vent Attic Vent ;earning- .. Jack Studs/Headers Bracing ridging ,, 1 Joist Hangers cv(u Jack Posts/Main Beam A x Tnfiiltrat wBarrier n.Ir eparatz n 1,2,3,hour Pe etration Sealed Fi e Wall 2,3,4 hour _ estc±pping ��____. _ ✓ `� �l 'f,/�"eU L:\SueHemingwa3 tOuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: l` �Z— . Meet: Building& Code,Enforcement /-' At time: 742 Bay Road * - Queensbury, NY 12804 ARRIVE am/pm: DEPAR l ,r am/pm Notes: (518) 761-8256 Inspector's Initials l NAME: ii,' PERMIT# LOCATION: G3 U �lJ✓l INSPECT ON(date): / -� / - - TYPE OF STRUCTURE: _ RECHECK N/A YES NOi COMMENTS t V Footings/Piers b 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/D ampproofing BBackfill 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:\SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc HS 133HS NO 1N00 'ON ONIMVHO 1 1 1 A B FOLD D X E F 2 ,o-9, 5 st 6 ( 7 ( 8 1 g I GENERAL Q ELECTRIC UNLESS OTHERWISE SPECIFIED USE THE FOLLOWING:— RE TITLE APPLIED PRACTICES SURFACES TOLERANCES ON MACHINED DIMENSIONS FRACTIONS DECIMALS ANGLES V+ + + — — — — — — — — — — — — — — — — — — — — CONT ON SHEET SH NO. FIRST MADE FOR CONT ON SHEET SH NO. .y CD 1 La. S CD CD to ti7: CD P L3... -.... N r11' a Q cD CD i 4'sc. Cif co CD Ili � tZ n I Ld t� } - �� r) � L'U I a,. F FOLD t,� E a 4�r Aiallie 4kilo 0/1 1a h DESCRIPTION OF GROUPS REVISIONS PRINTS TO 1 MADE 8Y APPROVALS DIV. OR I ISSUED 1 LOCATION CONT ON SHEET cc.Rt2•P (10-78) 4 I A ( i ',i 7 I A I C I i �>> I '1 I Q i i ni s A I 4 r I I