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2001-663 TOWN OF QUEENSBURY Road,Queensbury, 12804-5902 (518) 761-8201 742 Bay Ro ,Q urp, Community Development - Building &.Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010663 Date Issued: Friday, February 22, 2002 This is to certify that work requested to be done as shown by Permit Number P20010663 has been completed. Tax Map Number: 523400-288-020-0001-007-000-0000 Location: 4 HAWTHORNE Rd Owner: JACQUELINE JOSTEN Applicant: JACQUELINE JOSTEN This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace air! Director of Building& Code Enforcement f;< TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010663 Application Number: A20010663 Tax Map No: 523400-288-020-0001-007-000-0000 Permission is hereby granted to: JACQUELINE JOSTEN For property located at: 4 HAWTHORNE Rd 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: JACQUELINE JOSTEN Single Family Dwelling 170,000.00 116 SEVENTH St Garage-2 Cars Attached HICKSVILLE,NY 11801 Fireplace Total Value 170,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MOOSE CREEK- SCOTT THOMAS 555 ROUTE 418 - WARRENSBURG,NY 12885 Plans &Specifications BP 2001-663: Courthouse Estates, Section 1 911 Address: 4 Hawthorne Road, Lake George,NY 12845 • Construction of a single family dwelling,2 car attached garage, and fireplace as per plot plan and specifications. $288.40 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, September 26,2002 (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 To of ens ; We t i ess .y, September 26,2001 SIGNED BY . for the Town of Queensbury. Director of Building&Code Enforcement . Application.for Permit—_Sep.tic Disposal System • Towil of Qtueeltsbtuy 742 Baylload Queensbury,NY 12804 (518) 761-8256 • 1. OWNER INFORMATION: - Office Ilse _ - ' Location of installation: . lati6 / �— File Permit No. 1 • -Tax Map No. / ' / Foe Paid • Owner's Name .1Attoe[.1Nc .5"—as4-ta . Address: 0 7t f�AvNIlt!.a�-r�G. 'ikc.-. �Coar1- l�oastc r?S•FA�•*�5) - . gI oa►wt erceg ifeee. Gitr44.44 S . 6 z>~5'7s l 2, •INSTALLER'S NAME : I/..2 S/hhL4-.Z £xca. : PHONE NO, gar-676•( 3, RESIDENCE INFORMATION: (circle year of dwelling; indicate II bedroom(s) and multiply Il 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/bdrm = - '. 1980—199'1 ' . - "x 130 gal/bdrm = 1.991 —present . , x 1.10 gal/IA-in = • . Garbage Grinder Installed yes- /'no . Spa or Whirlpool Installed yes ✓/ no 4. ' PARCEL.INFORMATION: (circle applicable information& indicate measurements) • , • uw.hy___�Soi atSl_t9 . Q.tou!ld_Wator. _I3Qd!oc.k..4!::�lt►potyl9ut.�t►.19r ;11——DoPtesIic W_at.cr_Suipply ' guar, d=11* ' at ►vhat depth at ►r'/rrrl depth municipal .Rolling own , ,4:O feet ' - -fret .well • Sleep slope clay . c G - if well; water supply __%slope other _ • from any septic-system depth: .- absorption is . .II. - . _ other Percolation_Test: • (To be completed by licensed lint)fessiotal engineer or architect) Rate; .minute per Inch . 5, ' PROPOSED SYSTEM: For.New Construction: All individual sewage disposal systems must be dcslgncd by a licensed - professional engineer or architect (unless installed in a Planning Bo aid approved sulxlivision). Add 25(1 gallons to the sirs of the septic tank and leach field for each Garbage Grinder, Slut or Whitlpool Tub, • • Septic Tank: /C�)O gallon (miin.size 1;000 gal).• . Tile Field: each irench 60 fl. Total System Length: a`!D Jr. : .Seepage Pit(s): number of size of each: fl. by • ft. . ' Size of Stone to be tined:. 11 ` • / dr pdrar thickness._______Met • Bed System Size; x • .. .Alternative System: _ . length and/or size . 6, HOLDING TANK SYSTEM: (if required) ' Number of tanks: / Size of each: :' gallons_ /TOTAL Capacity: ,gallons Note: Alann 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 I36-29 of the Code of the Town of Quoonst�ury, any permit or approval 'granted which is'based upon or is grantcd.in reliance upon any material misrepresentation or failure_to make a material factor circumstance known by or on behalf of an applicant, shall be void. I have read t a regulations with respect to this application and ngroo to abide by those and all_ . .requirements of.tho Town of Queen tiry Sanitary Sewage Disposal Ordinance. . 5- Signature pi re ponaible person Date Building Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 1 Iv A permit must be obtained before beginning c iuRor�.r, f Pe ri•e f it File No. � I y;- ‹ No inspection will be made until applicant has ved=a t` ' '/aid ce-$ .. � 5 valid building permit. All applicants' spaces on this Rec. Fee Paid k application must be completed and must appear t 2 application form. reviewed B ' TOWN OF QU i (�SURY �! �UILD ---u- n r Applicant: Q }� AarKps lle eReElc wnet: - •ve(;ae ��s ). jsi4a— Address: ,.-st go„.1.+,a yrs Address:/ll„- 7,1' ,4,uksJ,itt, toy /1901 t46a.P&b.rbi. , 4 y . I2SSs" Phone# (:gig )£- 9 ri Phone# (c 7 ) g9,2- IT)67_, Property Location: Lot Number: / House Number 71 / (--nlecd4rA) Subdivision Name: ( ,14(46034 cc4a-cc Tax Map Number: New Building: residence ,'commercial Estimated Market Value of Construction: $$/�4 pc ' 1 ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation 15`Floor I 2"d Floor Other floor Total Below sIt . i_...._(Dq.ft. sq.ft. sq.ft. Square Feet 2 Single family dwelling ad00. Ji ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units • ❑ Office o Mercantile ❑ Manufacturing . o 1 car detached garage 1 -0 ❑ 2 car detached garage I • 1,--?, / ❑ 3 car detached garage ❑ 1 car attached garage �/ • 2 car attached garage /g Y o 3 car attached garage o Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure d.2 I feet O inches Will any second-hand or ungraded lumber be used? If so, for what? N p CJ' as/Type of Heating System: electric/ oil / gwood / rced hot air baseboard/other: 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: Name Address Phone Number Builder Sc.ofit 7kamM /Monsr CiagE-Ic ss.r-R+ 'kg co a®A.e,t,burly Sle -(_ 5.995 j Plumber p;pe SQC,s cy.,—S 598-38(-(-/3SZ Mason ' d�ef AerioCa Si$ -3-73 Si55- Electrician Mick ,EFi_. ,e r. S!$-3y4-1 tr6 g' 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 Uwe 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 construc 'on. Signature: �0 7 /ytiA(S owner,owner's agent,architect,contractor (P_ab v 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) 'b• Z'; 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: &AJ4 `Moos' Gi2e6K PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 2oo O square feet 2 . Type of Heat - Electric Oil v Gas Other • 3 . Is building mechanically cooled? t/ 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 3S b . Exterior walls R c . Glazed areas R A d. Exterior doors R ,moo e . Floors over unheated spaces R -a?1 f . Edge of slab on grade (heated building)• R g. Basement/cellar walls (above grade) R . h . Basement/cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated space R _ 6 . Service (domestic) hot water heating device Conforms to. minimum efficiency per code V Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applica is Signature Date Phone Number cSc.of#7i�o ,gas • _ 8-zo—o t cS/a-6a3-- 9 9Sl INSPECTOR' S REMARKS : Fire Marshal's Office Town of Qucensburv, 742 Bar Road,Queeusburv,NY (518) 761-8205 • Application for Fuel Burning Appliances 8/..Chimneys.: applicable to solid fuel & vented gas appliances Q�irs / v� i 2 Date 8 -ZQ 20 0 �, Permit No :. .' . '.- 1 V ED • .Application is hereby Horde to.the Building& Codes OfceJor the issuance of a 13 i n and 1 r • Permit pursuant to the New York State Fire Prevention and Building Code. The applicant frOur te331. 2"ul agrees to comply with all applicable laws, ordinances; regulations, and all condition t- these requirements and also will allow all inspectors.to enter premise, to pelform recut kikib�1,t . SBURY NOTE to applicant: Rough-in and Final Inspections are required. • Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: doll 7Loe+4AS/Moose ceeric Stove: wood coal pellet gas f- Fireplace insert . S Sr--Address: 08 G.)/42.,JSbOri , Fireplace, factory-built: wood aifr ____ME� yor k- J�&8�• Fireplace, masonry: ` wood gas Furnace: wood gas oil Phone: ,fj8 -6a3- 996.--/ • . If non-masonary applicance, please provide Owner:.S cave C;,o& 4a.) � Manufacturer Name: Address: //(o O"-t' Si- Model Number: Asks- 1/L'Ile . eNy /I8ot • Chimney Information Phone: j j( - 82a_I`7,6•t - (circle appropriate words) Masonry block brick stone Flue tile t4721.6 size: inches Exact Address. - et-0 ,.-7—e-- - onstr cumor installation Fa ory-Built . Manufacturer name: M44 es Model Number: 3.6 r` 9.S . Note: • Listed By:: Number: Construction/Installation Hurst conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double troll Triple wall / Insulated / . Direct venting . . Chimney Liner . i Ca,ahier'"st Dep$.rti 11c rzt—To�srrz of I Queezz�srbury-, N"ezrsr Yorhr • i . Fire Marshal Code# S Collected S Refunded . Receive( rom• . • J�L --' arlrlress: A 17$3389 (/90) Public Safety — — —. —• ---------- A 233 2655 (230)Minor Sales • Y/(./94)/ .4 C. _ �w tlL., c4. Oil. v�Nxj. . .• White( ant) 1 Green(Fire Marshal) / . Yellow(Bldg. Dept.) 1 Pink&Goldenrod.(Cashier's Dept.) :4gi TOWN OF QUEENSBURY ` i BUILDING & CODE ENFORCEMENT 0 ; t 742 BAY ROAD F QUEENSBURY NY 12804 + 61 1 (518)745-4447 ARRIVE: DEPART: INSI': f FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: { ( .)c.6--c- 1.1-9 NAME 4ci I J ! Mt r iJ LOCATION (AVYF,►.� F ,c� J DATE Z�z _ O Z PERMIT 0 71`rl1-idO3 TYPE OF STRUCTURE 6'FD LJ/ 2- cAr_ (,rye--F. . FOOTINGS FOUNDATION BACKFIILL FRAMING _ ROUGH PLUMBING _ SEPTIC _ INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE IN/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT • ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES I FURNACE/HOT WATER OPERATING / INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIG OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION -/ GARAGE FIRE PROOFING , , DOOR CLOSERS FINAL ELECTRICAL IIITE PLAN/VARIANCE REO. NAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C r fD17:1,-P plRESIDENTIAL FINAL INSPECTION REPORT IA rk..,,ak Office No.(518)761-8256 Date inspection request received: 03 g— Building&Code Enforcement (—Ask/ -("^- cl Dept.of Community Development Arrive ° , am/ m Ifepart 1J? Town of Queensbury ector's Initia s �_ 3 r,) 742 Bay Road Queensbury,Ne ork 12804 / (���� I P 0Lc'u I a �( NAME f y LOCATION L (3 -Ui44-e — - DATE TYPE OF STRUCTURE i 12ti ' NAA S NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location J. Fresh Air Intake 1./ Plumb Vent through roof \/ Roof Complete �// Exterior Finish Complete J Interior/Exterior Railings 3 "to 36" J/ Exterior Handrails,balconies,landin 18 in.or more /// ���T— ` (_ 3 Interior Handrails stairs both ides 3 more risers �/// d_. Grade 2%away from foundati$-1 1 {t-�T�% \// 8"clearance to sill plate v 1�(1 TV1k-DC*2 \.// "p\-) 6/�— ir _C_ Gas Valve shut-off exposed/re• :to, 18"above grade �// Gas Furnace shut-off within 30 fee ' within line of site ,/ Oil Furnace shut-off at entrance to 'c. •ace area ,/ ! � oc>7- l Furnace/Hot Water Heater op--.ting // Relief Valve(s)installed / Headroom,6 ft.6 in.on stairs i Basement stairs,6 ft.4 in. I, F�\�A� Handrail exterior stairs both sides more than 3 risers ,✓, Interior privacy/trim/doors/main entrant. 36" �/ Floor Finish / Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more / Railing across window in stairwells J Smoke Detectors: V/ every level V/ every bedroom / x// outside every bedroom / ‘/, inter connected I, Bathroom fans �// Plumbing fixtures ,// Foundation insulation ��/ 3/4hour fire door/door closer ! Garage fireproofing l Garage penetrations sealed i 'IFurnace in separate room protected(in garage) Light ventilation per room 111 Safety glazing 18"or less from floor ✓/ Final Electrical / 4� Site Plan/Variance required i Final Survey Plot Plan i i C--V--RN(j\- 2,k 1 3 , ,C`'1\G� As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ - J Okay to issue permanent C/O(Certif.of Occupancy) Av M P Coo rJ�j 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 1%" / Depart\ Inspector's Ianitia NAME: PERMIT# � .-� � _, (0-3 � LOCATION: r DATE : I ,�j5. . ♦• ( TYPE OF STRUCTURE: �? RECHECK N/A YES NO COMMENTS Footings/Piers_ (�— 1 Monolithic Pour Foj Reinforcement in Place The contractor is respo .ible for providing prote'tion fro freezing for 48 hours following the slacement of the concrete. Materials for this pu es se on ite Foundation/Wallpour • Reinforcement in Place Foundation/Dampproofi r g Backfill Approval Plumbing Under Slab _ Plumbing VentNen in Pl.ce I } Rough Plumbing ;( lu N Heating Rough In Insulation �, 1=�b �`�L� U � v�Q 1t"a Foundation Walls Interior - Foundation Walls Exterior - Floors R- Walls R- Ceiling R- Duct w or piping in u eated spaces R- Pro Vent, Atti ent F ming \c -i AL- Jack Studs/Headers � Bracing/Bridging 2J£74 -h Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping _____-_____, d____, N"\-. -Z -- :.' .,_,,,.,,,,1..._ __. ,,,, sui {.r_•.�" ,,,„,,,am-�,r,,,-,.,,, GENERAL INSPECTION REPORT �— ( 518 ) 761-8256 Town of Queensbury � �/am' Dept. of Community Development Date inspection request received: f J 0/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive / .•.. •m Depart m O` � Inspector's Initia s NAME: eott- ao PERMIT# f-& 3 LOCATION: � • -C--_ � DATE : j ?,jfr-ift- CAP/1.0--i TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers_ 1-1-1 Monolithic Pour Form Reinforcement in Place The contractor is re .•nsible for providing protectio ; ' •m freezing for 48 hours followi . ' placement of the concrete. Materials for this purpos, on sit Foundation/Wallpour . Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab , Plumbing Vent/Vents in Place Rough Plumbing Heatin Rough-In ,, . nsula 'on I Air %�v_. Dt U/,) oundation Walls Interior R- • Foundation Walls Exterior R- Floors Floors( '1�'- (-%L. R- "1C.) V/ Walls R- /� ,,, Ceiling R- 29 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 _' 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 V t,- 14d Depart ?1,1ral spector's NAME: ; °� PERMIT#Zcio I,=kc_v_43 LOCATION: I H(�U->'f-���.1�1 DATE : . TYPE OF STRUCTURE: �5 .17 \ Z C R AC7E RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Plac The contractor is re nsibl for providing protection from fr zing for 48 hours followi . the p acement of the concrete. Materials for this purpos on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproo d., Backfill Approval-� yPlumbing Under Slab *Plumbing VentNents in Pla e Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior - _ Floors R- Walls R- Ceiling R- . Duct work or piping in unheated spaces R- /Proper Vent,Attic Vent c Framing \ ram. Lu r Jack Studs/Headers hbe Bracing/Bridging '4''))t t 2/1 Joist Hangers Orc Jack Posts/Main Beam /� t:PC t, C_zuc.)!A 7U I*Air Infiltration Barrier Fire Separation 1,2, 3,hour yPenetration Sealed Fire Wall 2, 3,4 hour • Firestopping , ' Ct0--,1/0!3() TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 'a/ 742 Bay Road r � /a Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name _ (`rA/QXd c r � r Location Date ji-- 1 Permit #O / (p(p SOIL TYPE:- Sand-LoamFCi-ay- Results of Percolatixn Test- (if applicable) Rate-Minut /Inch TYPE OF SYSTEM: , ABSORPTION FIELD: Total L h 2- Length of each trend i Depth of trenches Size of stone J,,v 'T fl. c'Z SEEPAGE PITS: ',- Size - ft. x ft. Stone size - PIPING: Size Type Bldg. to Tank /Uch �G�7'7,v .4G�� Tank to Dist. Box �9" ?�,r3 Dist. Box to Field/Pit Openings Sealed? Yes No Partia LOCATION/SEPARATIONS: Foundation to Tank _ ' feet Foundation to Absorpti n � feet Separation of Pits -- feet Conforms as per Plot P an a No LOCATION OF SYSTEM ON PROPERT . . ,e one) Fronr - Rear - Left Side - Right Side dl Fra t - Middle Rear COMMENTS: Au_ ,/L mio k_ 116 —( ) trO L:t) SYSTEM.USE APPROVED: YES NO Arrived: Ns---'-' Departed: 1 . 0 Sj_i _.----. Building Inspector Ik16)1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road ? S Queensbury,NY 12804 Arrive am/pm Depart3 Inspector's Initials („03 NAME: PERMIT 1 LOCATION: Y DATE : () TYPE OF STRUCTURE: , RECHECK N/A YES NO COMMENTS Footings/Piers —� I 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 Foun tion/Dampproofing /��DU t N )W 6 U!¢C- kfill Approval pc- 1 N� � Plumbing Under Slab Plumbing Vent/Vents in Place p(le Cak6CT7 6,A) E 4 Rough Plumbing Heating Rough-In GC' i�(�N 0/0 �—o��j.t.1 (A). Insulation Foundation Walls Interior R- -D b 706 1 Co U C i Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct Duct work or piping in C� `�o g C K F ILL AL 2 c r unheated spaces R- Proper Proper Vent,Attic Vent g' Framing /�• �7 r DC- 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 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 l J n Inspector's Initials Li r� NAME: •—_ley S% PERMIT# LOCATION: g, OP-A%�� d e2 DATE : /6 Q O/ TYPE OF STRUCTURE: RECHECK - N/A YE O COMMENTS ootings/Piers I Monolithic Pour Form Reinforcement in Place 7 -7-41 - The contractor is respon ible for providing protection f om frc zing for 48 hours following. the pla merit of the concrete. Materials for this purpose on s' c Foundatiio�on/Wallpour Reinforcement in Place Foundation/Dmppf ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla e 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 ) p7)/). - ' 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 1 n/pm Depart • D, ni Inspector's Init. NAME:v PERMIT# O 0� 3 LOCATION: DATE : /4 TYPE OF STRUCK RECHECK N/A YES NO COMMENTS otings/Piers onolithic Pour Form Reinforcement in Place The contractor is respon ible for providing protection froi freezing for 48 hours following t placemen of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slalz_� Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exteri r R- Floors Walls Ceiling - 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 G l `77 U Cv 1 �? QVJ � �4 E 11 5° !�✓,4,2,Q�N COUNTY C N TF-2 �`, `� t1c' (!)1, 4 �3 214 A 20 C 0 iff, P T 14 0 UZ N _ 7 %9 �� 320 O �. 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SEOT/C T.4,Vr - /FSrEEL -AS PEEP cGMMECCIAL 5rp 177-51 1Fcor4ctrrE IhFc� M. PyNo2h/.44LK CONrC7Evuers - OF:+GLENS FALLS oE' EQ[IAL - 6,ISE OCINVE&S ACC M BE /NSTALLiV, /NCZEA5E NI SEp rrc TANK S /2E S y 5o'/- - - 2, CELL A E Deis/1VArr5 RAG/4/rIE5 - NON& a B4V"j* Ea NO 7 4C eoChin Cerr.000/ 3. LAuNDCy WASTE - ro 88 DiScH4zQzv /Nro t-I sewEe LINz, - ' 1GH�N• j '/"v f. i1C or on a i/'q �i1ve rfftS 5118-D/Vl510A1 tS ENr1ZELY Wlrlflh% TlNI Present rrwd -fut&I hydrwkit- %cwAr ins bV Me Amp O _ - wJ�I, T.',�h/ Jo rr/ - .��1!'�f /•�G f�,// Ar JAC Wcsfer• D�sfric� .:T6a north end � 6 " - p QucaNS 8 0& y WArEE Dlsrzicr AND wl" 8E i= MOiO o/ e" i er�d o� Greece hrooal 1Poa.L 20 r o►ve nspo�rr / - Aylie- Aon,6 , as Go% e01-j B.'e Nor. ,Qd / 8 rH D15 r mr 4rrec INS rof •f Pion/ ow- o valve: mw- can /e ti w? Me lc3gaT- 760 - 4 - - - . ,�,/�� SL AP L E D y E b/ �Pe P °>� �m II lJllfQ�%a�•� . - fA r 33 Or rNE MAJNS $ y THE DEm ope�L"',s - /p: Mif✓t�t art outlet sale of septic to n k � _ - - - M P ed ✓ i-1- -EX 7-1 NrA Vyl fa//. fTH 15 5U BDIV1510N WAS X gapRoV ET) SY 1 ,Tl�n s/ TNE. TOWN PLANNINQ 15oARD F£8. S. i964 TMtOt, `� %CCU/ OPEN/Al,N �rNGEL-v4� WA" _- - AIIIIIou✓'c roBE 9 EALEc wsrN SiTJr,Corr rrwo .� V° CDG/,pT r�/O,J.�E' flTA/'�J' - -- •, M t . 3EwAG%K MISPoSAL 5y5rE" CHEGK�.O B� A t9 ��+ � "�i . Of F 0 / ; s on A_ ( .,, (�IN C U r} I�PF Y *48 - �t # �VV G� TfI:11T 45VK! /- Ir✓ I/��Pecrio� �/%L AN .fir+�cso� nc.T/O AZ Z OT ALA N o ad Co vsr r, •t �r S - _ Of rt F: �bpd : • :. .: :.- `_ - /n fob Pi - � - QT - - _ • T#4wr rs vE NtsT 4 .,: > Yi)t STA'1'1� 1aEP�Rfi1' t` .z• �, CEO '0d J7 �! FILED TOWN Of fed L•o'kt� 4 round. /vsfer wwa not- 60011 c rle t�'rrsv� �i L✓.4 j2t-/1l CUNT Y n o c R rf/AC �' nd •, ,^ -, 4 _ e►r,aaun iered w :o ,rc'oot Ttai or- Crt�thed ./i/onG . �` i e fb /c�io' !h+erAmPzj*shI •e h y G ! .n _ 1�f Malars ; an �ovw1`ii 1D os'�' y 7►i 8" _ x / " O' . d/ 6 � 11/©v�rn her pp - u This is to certify that the prop®$@d &��h�@�®h�§ �8h ��8� $!1 7 ` • ���' tlia wtsf. It is �ro6s6/Y r��t •6o.re • . MAY � � 3 34 Pi'1 s ,� 44 `3 JELewrfig" 4.50 oN bere A w Mkt i% Ife. and sewage disposal for this re���� $li��ii�§ibn 1.A �668��R6B iF�� � . < - plans on fi i<. - .: p� kr/ I ,. , 60-re a on O- _ n the oft`io• of th@ �t&t® �®��� 8� �i����� �� � - hereby approved. 'Consent ii�h .. _ [ N f 9 Q J x��•r - A h�r��y g���r� to �1�1I ��ii� �I� e Y = � � �c.f_ i " on which thi;a endorsement appears in the o�'!'iOB o�' till 014�i14j ���� "� � ,. f��lYb/C�t/%O/� Ar�O .Q �lir�+CJr f • < WARREN ;- r.-. „'L •�� �� W*� in accordanc�a with the provisions ®! ®6AtiAA S11'� At j�iA ��It�,�Fp/' .3 �cro'�E'oo�ss f/ot�l�- /�1/ J2T. /'/ #iealih Law.,/�� - o!'a9 ff o6 ✓e eY w . D ODO TY,,/\ Fvi- •� 6 e d rQoor» f,/cai-e - /B B � { ;,ot,QCOZ A TION Tl_��Il ��.� ,,�, • � � T .r>' in di •. '� � '� : • o� Oh L'OCIr.I'C CrP✓s!. �:... .. �r.�a� �10 - t cw1C On A b•ror- t�i.oi� �2o/c ,.fur•ve� • 40'orttora foand Z OCA T�D%V RA O �' C�.��ADdl f�� TA %L /2 8 . oJ4. - _ in .%nd o f % ;r� cf� : n / mtrw/c or7d ground. wat:f' f` ire Gr-o►i�/ of /inch ire •4S ./' iI0(i' }= _: 2000 ��. t •/co% � � / - G' Licerr sect an Sur-ve ors `� J �C. T �(�N s .: . O 0 0 � � O► cv L I � � LL Ln N � — I -Z WPM ., o Q� � � c6 iLU � � D rOQ QQ (n �' -�' C\j cn w Q It rok g IX Lu w 00 Z � o 0 loll. O 1 m O OLLU ON Q m .. . . ... ...... . ..... 11111111111111111111� .11,11,11'', , --- ) S- u r-) G)A I m 1112 OU14GI)g QGnoqq - =_ ino Ln 0 0 -- -- - -- - 3 O M C) QU : 288.20 1 8