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2001-551 TOWN OF QUEENSBURY u en NY 12804-5902 (518) 761-8201 if � 742 Bay Road, Q e sbury, Community Development = Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010551 Date Issued: Tuesday, December 11, 2001 This is to certify that work requested to be done as shown by Permit Number P20010551 has been completed. Tax Map Number: 523400-295-020-0001-027-000-0000 Location: 4 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 Garage - 2 Cars Attached Fireplace 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: P20010551 Application Number: A20010551 Tax Map No: 523400-295-020-0001-027-000-0000 Permission is hereby granted to: TRA-TOM DEVELOPMENT, INC. - II For property located at: 4 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 1. 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. Single Family Dwelling 148,750.00 804 STATE ROUTE 9 Garage-2 Cars Attached GANSVOORT,NY 12831 Fireplace Total Value 148,750.00 Contractor or Builder's Name/ Address Electrical Inspection Agency FARONE CONSTRUCTION NEW YORK BOARD OF FIRE UNDEI PO BOX 804 ROUTE 9 GANSEVOORT,NY 12831 Plans & Specifications 2001-551; Lot 50 House No. 4 Rush Hollow Court Indian Ridge Subdivision, Phase One 1,932 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $280.84 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,August 02,2002 (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 ensb ; hu e a, l st 02,2001 SIGNED BY i `i for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 13ay Road, QuccnsbuOY , l (518) 761-8256 W/ A permit must be obtained before beginning construction. Permit File No. • LEC PB � >♦l 15 No inspection will be made until applicant has received a fee Paid $ _ tl`r e t vl valid building permit. All applicants' spaces on this Rec. IFcc Paid $ application must be completed and must appear on the Reviewed By: -r W oe 0 400/ application form. OF QUEF �UIt,Dltv0 USBUR�P Thomas Farone Thomas Faronec��" a�D®�.4COp� Applicant: ---- Owner: Box 8II4 , Roof- 9 • Address: • Box 8- 4 , Route 9 Address: Gansevoort, NY 12831 —Gansevoort, NY =31 Phone# (518)587 - 8989 Phone# ( 518) 587 - 8989 FAX: 518 584-2093 Office contact person: Geri Pa ore i Il Property Location: Lot Number: S 0/ House Number 4i Subdivision Name: Indian Ridge Tax Map Numbcr:j..q5, tom= • New Building: 421Wcommercial Estimated Market Value of Construction: $ Lk/ .� S u Addition: residence 1 commercial If an Addition, what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l u Other work(describe _) Check Oceupancylnforntalitpt I moor 2"' Moor Other Boor 'Dotal Below sq. ft. sq. I'I. sq. ft. Square heel Ingle family dwelling GI32 s 612JD S7_1 ❑ Two family dwelling (/ o Townhouse • ❑ Multifamily dwelling If of units ❑ Office o Mercantile —_— ❑ Manufacturing ❑ I car detached garage ❑ 2 car detached garage ❑ 3 car detached garage ❑ I car attached garage 2 car attached garage --- (� ❑ 3 car attached garage u Storage building commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber c used? if so, for what?-- 11"SO • Type of I lcating System: electric/ oil / gas wood / forced hot air/ baseboard/other: Number of Fireplaces to be installed I Number of II'oodstoves to be installed List below the person(s) responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Thomas Farone same as above Plumber C & G Plumbing 654-7477 Mason Heath Russell 796-3033 Electrician Modern Electric 584— 8341 Declaration: please sign below alter you have caretiilly read the statement: To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted,arc 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 he complied with,whether specified or noted, and that such work is authorized by the owner. Further, it is understood that 1/we shall submit, prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of I3uilding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new construction Signature: -'4 Ca� �v\ owner,owner's agent, architect,contractor / 1 Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Indian Ridge Subdivision --- - - - --- —_ Office Use Location of installation:Lot No House o. Tax Ma No. Road Name: / V I • e Permit No. P ; Fee Paid Pit Owner's Name: Thomas Farone Address: P.O. Box 804 , Route 9 ✓U , ' Gansevoo t, NY 1 831 7OIN C 2 0 ?Oo �� 2. INSTALLER'S NAME � �� (�U PHON� ®�QVFF /N,G AND NSSUR� 3. RESIDENCE INFORMATION:. (circle year of dwelling, indicate#bedroom(s) and multiply# o CDDE 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/bdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = LVD • Garbage Grinder Installed yes / no 0 Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) tot aptly of ure Ground Water Bedrock or Impervious Material Domestic Water Supply and at wkaf depth at what depth municipal Ro ing to `, 7feet \�,1((c feet 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 New Construction: 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: i/C)gallon(min. size 1,000 gal) Tile Field: each trench �1(9 ft. Total System Length: ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: \‘\ 1).- gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. V 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. I gna ure of esponsible person D e Fire Marshal's Office 'Town of Queensburv, 742 BaRta ktamsburv, NY vED L . Application for Fuel Burnin Application liances & ChimnAys: applicable to solid fuel 's .ci,i-rI rlj• es L 2 0 2001 ,- • Date ?p O / JUL 2 Q �EEN�EtJ .� 20Qpermit /lLDI(yr Ar��r,�,•.,L Application is hereby Houle to the Building_TOWN r > c��j(�� Frqd�d�?,�lJ�.rjrrcrrrc•c oJ'a /3uildirrg urrd U.scPermit pursuant to the New York State Fire Preverriiorr m K:akE %Ire applicant or owner agrees to comply with all applicable laws, ordinance., regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Wir NOTE to applicant: Rough-in and Final 'Inspections are required. • Applicant Iyfbrmation Fuel Burning Appliance Information i 1 (circle appropriate words) • Name: AIVr• Stove: wood coal pellet gas • V r� I Fireplace insert Address:V 0t,J' /�2� Fireplace, factory-built: wood gas Fireplace, masonry: wood gas 0 , 0Furnace: wood gas oil Phone: D . If non-masonary applicance, please provide Owner: Manufacturer Name: tAe 1�pv n .. Address: Model Number: 1/0 / iJ� `(. a` ,� �� ij VV/- f ChimneyInformationV ivrIti Phone: '�� ' circle ap propriate ppropriate words) i Masonry block brick stone / �� -� Flue tile steel size: inches Exact Address: p�-D / : of construct' t or 'nstallat' r Factory-Built Manufacturer Hat e/ Model Numb : Note: • Listed By: Number. Construction/Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: • • Code. Consult available Town of Queensbwy • Handouts regarding required inspections. Double wall ! Triple wall / Insulated / hirect renti • Chimney Liner j Czaasc tier'rer X1Pelpartment—Tosrsrz: o1PQueea,tabur,r, N-eusr•-Xeorljc Fire Marshal Code# SCollected S Rcfirndcd aidedtot: C�e.Ao F.Z. l ✓ p� � address:1173 3389 (190) Public Safety — — -• ----"--- • a 233 2655 (230)Minor Sales . • V • '•� U r..a uye- /Own. 6 644 02 'L er.Tl, White(Applicant) i Green(Fire Marshal) t Yellow(Bldg. Dept.) Pink&Goldenrod.(Cashier's Dept.) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT L VMRAMHHAb4NWRIASNO DATE INSPECTION REQUEST RECEIVED: NAME (��(/1 .Q _.l LOCATION p _a 6 /I°// cj DATE f Q I/''' 0I PERMIT }k 0 f"- _):5> TYPE OF STRUCTURE FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION INTERIOR STAIRS/RAILIN S 1 STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRAT ON FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE LAN/VARIANCE REO. INAL SURVEY PLOT PLAN IF RE• OK TO ISSUE C/O OR C/C Iilk RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart m Town of Queensbury Inspector's Initi 742 Bay Road Queensbury,New York•12804 NAME fika PERMIT# 0 1 r • �C 5 LOCATION `[- cej/A Pot 1 u`vJ (T , DATE TYPE OF STRUCTURE N/A YES NO COMMENTS L • Chimney Height/ B"Vent/Direct Vent Location ' ' /�� ff )d > �L(P Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 31' . 6" Exterior Handrails,balcon' s,I. ding 18 in.or more Interior Handrails stairs bath sid 3 or more risers Grade 2%away from fo a dation� 8"clearance to sill plate Gas Valve shut-off expo ed/re lator 18"above grade Gas Furnace shut-off wi ,in 30 fee or within line of site Oil Furnace shut-off at en''ance to, ace area Furnace/Hot Water Heat- '\\operaf g Relief Valve(s)installed Headroom,6 ft.6 in.on sta s Basement stairs,6 ft.4 . Handrail exterior stairs both ides more than 3 risers Interior privacy/trim/doors/m entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/L.A ding 18 in.or more Railing across window in stairw lls Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans I, Plumbing fixtures TIV A) 'OK 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 floo' Final Electrical Site Plan/Variance required -Final Survey Plot Plan A16-L e2 APONOUA- 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) ('L ,k f( 4/A-L--- �!e0► RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ON Building&Code Enforcement it i_ Dept.of Community Development Arrive am/pm Depart/ 1 ai Town of Queensbury Inspector's Initials \J;3° 742 Bay Road Queensbury,New York 12804 I 4, 11� l NAME Y ff PER �J 1 I LOCATION S�ILSI� 1 ), ( .X) DATE �$I b i TYPE OF S CTURE N/A Yk EyNO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake /� Plumb Vent through roof 1//f Roof Complete i Exterior Finish Complete \ Interior/Exterior Railings 31"to 36'. Exterior Handrails,balco es,landing 18 in.or more Interior Handrails stairs bo sides 3 or more risers Grade 2%away from four. tion \ // 8"clearance to sill plate \ Gas Valve shut-off expose. egulator 18 above grade Gas Furnace shut-off within 31 feet or wi a in line of site / Oil Furnace shut-off at entrant,• to furnace. ea ✓ Furnace/Hot Water Heater op. :ting Z Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Z:,.- . . Handrail exterior stair bo • :'.e•more than 3 risers ✓Interior privacy/trim/doors/main • trance 36" / Floora Finishm +/V � Bathroom/Kitchen watertight Interior Handrails Balconies/Lan.'.g 18 in.or more Railing across window in stairwell iQ�V OUC Ft)t c— P/}- e Smoke Detectors: _ _ ^ every level every bedroom outside every bedroom ✓/// inter connected +/ Bathroom fans ✓ � 9 Plumbing fixtures rVLL ./► 4( le41 L- 1k✓+rt .�e5 Foundation insulation / -LL /ty� 3/4 hour fire door/door closer ✓ Garage fireproofmg i/ �C� b /j , Garage penetrations sealed /'�17 '� r C 5C"t�':' Furnace in separate room prote ted(in garage) i/ Light ventilation per room Safety glazing 18"or Jess om IIoor / ) ;�� Final Electrical NNIJ(/ li 7 D( V 1)60,b0 lVe 4 00 i �1CJ�� Site Plan/Variance required Sz-t l L 4-y /4) 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) 1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY ROAD t QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: IJ�J FINAL INSPECTION REPORT CAL L NG DATE INSPEC T _EQQU�EST RECEIVED: NAME F j VY ) LOCATION If4k --k) C DATE 1, S J1]Vv 1 PERMIT # C7 55 / TYPE OF STRUCTURE S F19 FOOTINGS _BACKFILL FRAMING PLUMBING_ INSULATION N/A YES NO CHIMNEY "B" VENT HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH i .. HEATING HOT WATER ■., RELIEF VALVES111111 V FLOORS FOUNDATION INSULATION NOW- di INTERIOR STAIRS RAILINGS STOCKROOM ENCLOSURE FIRE/DEMISE WALLS PENETRATION FIRE DAMPERS 11111 CEILING FIRE STOPPING FIRE DOORS CLOSERS j-- EXIT DOOR HARDWARE I-- EXIT STAIRS/RAILS PLATFORM ELEVATOR HANDICAPPED ACCESS �-- HANDICAPPED BATHS HANDICAPPED PARKING .-S FINAL ELECTRICAL SITE P ,N VARIANCE REI. AL SURVEY PLOT PLAN, IF REQ /1 OK TO ISSUE C 0 OR C C PLTO, wry - GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ` f Queensbury, NY 12804 Arrive am/pm Depart' bll p Inspector's Initials \ NAME: Z 6 PERMIT# LOCATION: f-Z.USG* \-ko (a , DATE : 1 6 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi. c providing protection fro frecrint for 48 hours following tl c placemc of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi n Backfill Approval Plumbing Under Slab P�m ing VenllVents in `lace Iylurrrbing . . lL 4 Heating Rough-1n Insulation Foundation Walls Inter or R- Foundation Walls Extc 'or R- Floors R- Walls R- Cei l i ng - Duct work or piping in unheated spaces - Proper Vent, Attic Vent _ Framing-- _— Jack Studs/Headers _ Bracing/Bridging Joist Hangers • Jack Posts/Main Beam ) Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed F' e Wall 2 3, 4 hour irestopping I p r I GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury II Dept.of Community Development Date inspection request received: 1 Building&Code Enforcement 742 Bay Road �i` 0) Queensbury,NY 12804 Arrive am/pm Depart rn/gm / Inspector's Initials b'( (/ NAME: C�� PERMIT# 0 -55 LOCATION:5 DATE : - C) / TYPE OF STRU TURE: S RECHECK N/A YES NO COMMENTS Footings/Piers ,1 I I Monolithic Pour Form Reinforcement in Place The contractor is responsi'le for providing protection from'reezing for 48 hours following the slaceme t of the concrete. Materials for this purpose on •'te Foundation/Wallpour Reinforcement in'lace Foundation/Dampprbofa.n_ Backfill Approval Plumbing Under Slab __ _'1 robing Vent/Vents iAi Place }I ,. 'ough Phim )C�� bii°g` a '--g 4_ AlA.yr r-S Zow---PC(---Ce- / 1 '5 1 Hear ng ough-n ' � • tion ra •, 9 oundatiori allsr nterior R- Foundation Walls Exterior R- Floors R- Walls R- ,\ r. Ceiling R- Duct work or piping in unheated spaces R- �� per Vent,Attic Vent "' ra in < -. •t(7,•••-• — lJack Stads/H egieCeX(1 OC Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Pen tration Sealed F eWa112,3,4hr n ,irest�.»r��n r /��g �UGUc�6 , /4,47" 1 �4- 4 tOkR__C- -) E ./4- _ 1 i illul 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 10 3 d-t)/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart m Inspector's Initials /NAME: r/_D 6'1 _. -14 ERM It (�[IT - S LOCATION. / -(S/ 0,...r DATE : t6 a-y / TYPE OF STRUCTURE: < i RECHECK G N/A YES NO COMMENTS Footings/Piers I--r- I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the places ent of the concrete. ' Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval 1 Plumbing Under.SSlab 1"u bi7Mi t/Uents in Place (� �� ou i Plumbing ( �i /rL-�— /Jh 1L f Lf-`r�'S �' Z rue fH�tIFIRg ou Y=In, �� g Insulation Foundation Walls Interior R- Foundation Walls Exterio R- Floors - Walls - Ceiling -Duct work or piping in 4.0.5 t L (1*r sk 1D i L• _ rol> �' 6/Roc- unheated spaces R- t�U�i i e Attic Vent Z laming- `-:1 V t ac Studs/Headers Bracing/Bridging Joist Hangers ✓ ArJack Posts/Main Beams flparaionarri 2 e3r hour Pe etration Sealed ire Wall 2 3 4 hour / - ` /� I r Fires'...'t i ,3 6 irk66 ( ie6-.- 1¢T V B-Veit r emit ! 0 VLF Loom.< ® 1 )U - tiA.04-4-6 l,J 6kg 1 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12864 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name `(k.o t-,- Location4 ' Ruir� Yoc_L6 w C'�• Date ' J 6 I Permit # O( - 53 SOIL TYP : Sand Loam-Clay- Results of Percola on Test- (if applicable) Ra e-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal, en th,Z Length of each tre ch ; Depth of trenches_ ?a Size of stone --- F SMIlli SEEPAGE PITS: Numb Size - ft. ; ft. Stone size PIPING: ' Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pii . Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: Foundation to Tank feet • Foundation to Absorpti+n _ feet . Separation of Pits feet Conforms as per Plot Pl .n -- Yes No LOCATION OF SYSTEM ON PRIPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: co e, ro4A j� V . CC &-Lti( 6 d 5 cc- i SYSTEM.USE APPROVED: • YES NO Arrived: Departed: 25 _ 27) 2A . Building Insp ctor i ()1/1 ' TOWN OF QUEENSBURY '-- BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION 7 Name C^ _ Location G( . t) ) )1cü Date Permit # D t`SS / SOIL TYPE Sand Loam-Clay- Results of Percol .tion Test- (if applicable) 'ate Minute/Inch TYPE OF SYSTEM: ABSORPTION FIEL►: Tot.l Length o _ Length of each t ench l.. - Depth of trench`e Size of stone Cal' 1 SEEPAGE PITS: Numb-r- Size - ft ft. Stone size • PIPING: S .Ze Type Bldg. to Tank �jfi'c ') Tank to Dist. Box uI0 Dist. Box to Field/P Openings Sealed? No Partial LOCATION/SEPARATION Foundation to Tank l_feet Foundation to Absorption . feet . . Separation of Pits eet Conforms as per Plot P1 a es No LOCATION OF SYSTEM ON P PERT : (circle n Front - Re - Left Side - Right Side Middle F nt - Middle Rear COMMENTS: eX/ - L/O — Ci2J JOS k C(r--(,- cog_ to Gi-t ck SYSTEM.USE APPROVED: YES DNO Arrived: Departed: -67j C-Jre ----- Building Inspector 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 Depart Inspector's Initials NAME: ft:roc- PERMIT# - 5- C LOCATION: sJ 44k '1,oc t..p( CT DATE: _ 1745 d I TYPE OF STRUC RECHECK _ N/A YES-NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo sible for providing protection fro freezi for 48 hours following e place sent of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in P ace Bundation/Damp• oofi, ackflll Approval Plumbing Under Slab Plumbing Vent/Vents in P1.•- Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio i 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 Tnfiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT 3'13 . ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive - Depart -Z. Inspector's Initi NAME: PERMIT# S LOCATION• TE : G J TYPE OF STRUC RECHECK N/A YES 2(O COMMENTS ootings/Piers '( / I Monolithic Pour Form Reinforcement in Pla The contractor is r.spon '.le for providing protecti'n from eezing for 48 hours folio •ng the ilacement of the concrete. Materials for this pu I se on •ite Foundation/Wallpour Reinforcement in Plac Foundation/Dampproo.i Backfill Appro a Plumbing Under Plumbing Vent/Vents in P :ce 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 I� Proper Vent, Attic Vent Framing 1 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 ' s y41�� c� .,/:o^ cv r- cam. W• �y�-� ��i c�*'^c�, `\' :�,V.I,V�1g4 s `�`,-;�ek/A�`SS,c1. :n 0.7VO%:`: ::%:: - (>> MIDDLE DEPARTMENT INSPECTION AGENCY INC. << 64 $,xliteed that the electrical wiring to the electrical equipment listed below has been examined and is approved as << I: des?) (4" being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date `� :(�j noted below and is issued subject to the following conditions. << - K• s, Owner: Farone Builders Date: December�12 2001 (; - ('') Occupant: Same Location `� - (e:�) i ,. Lot: #50; 4 Rush-Ho11`o..w :t. (e� i '-; Queensbury, .NY I. (sj Occupancy: . Residence i CO f �� — - - � e) Applicant: 4, I (e�) ( � << J . (,a"J Immanuel Electric << :Ce>J 2 Mohawk Avenue < 0 Alplaus, NY 12008 (, ;) L J - (C;) fir: (?� No 65 -•` - _ _ —_ — . . � ' � Equipment \ ' -(ej is 22-Switches (j 48-Receptacles . g4 22-Fixtures.' <<. 200Amp.. 'Service„Equipment 4/0 (0 • 6-Smoke Detectors : . I: << CS?� 1-Dishwasher •` - ,,:- K (4 - - 1-Dryer-• . .• ez T �� .-- 2-20Amp. `Receptacles. :. - • �, G 1y� :..::..:..... :..:,.'. ..2=Vent' . Fans • . 4 - . -.:l: 'i -.. .-. i (,J , ,.. . ,- .' This'certificate applies'to the-electrical wiring to the electrical equipment listed immediately null and void: This certificate applies only to the use,occupancy and .., Oabove 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 ownership i , g; inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and:void.,:_-`(. M ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above:conditions, j ,v 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•Department ,,> I �C,) system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to`Middle i k4„; ed. to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation C(.• (4)) any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. ? "`49�,./7••,vv�i•. A '� �9i. ,v is is '�9: ,,zr ,a '�i-- 9'.'Iv-•- ,� .'-"i. Y-•;,-SQL;.;•• ;•;�;i �� G.v.�✓:��ti%��4,v��i v6`eY` v.��.�N3�e,A efY�,,,:k ow, - �x� s tiy��✓v��'�.LA S•.�.4.S44„ .,•%*,,�itskk�imit,�). i>�•, i �cc/- 55/