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2001-819 TOWN OF QUEENSBURY FA- 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010819 Date Issued: Tuesday, February 25, 2003 This is to certify that work requested to be done as shown by Permit Number P20010819 has been completed. Tax Map Number: 523400-300-016-0001-014-000-0000 Location: 174 FULLER Rd Owner: PATRICIA SORESINO Applicant: PATRICIA SORESINO This structure may be occupied as a: By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling ektrAti , 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: P20010819 Application Number: A20010819 Tax Map No: 523400-300-016-0001-014-000-0000 Permission is hereby granted to: PATRICIA SORESINO For property located at: 174 FULLER 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: PATRICIA SORESINO Single Family Dwelling 230,000.00 174 FULLER Rd Garage-2 Cars Attached QUEENSBURY,NY 12804-0000 Total Value 230,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency SOKOL BUILDERS PAUL SOKOL 798-3886 84 LAUREL Ln OUEENSBURY,NY 12804-0000 Plans &Specifications 2001-819: 174 Fuller Road per D. Hatin(address) 2588 SSQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $358.96 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 01,2002 (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 f Quee bu ; r day,November 01,2001 SIGNED BY Ardli for the Town of Queensbury. Director of Building&Co e Enforcement col_eq REcavE. ENERGY CODE COMPLIANCE APPLICATION OCT • 0 TOWN OF QUEENSBURY, WARREN COUNTY 2001 9000 HEATING DEGREE DAYS TOWN OF QUEENSBURY OL DING WE CODE Compliance Methods : PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) a,t 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: t /Mato R• 7`�A-1',2 c44 4-501zEb1 AlD 12.3-f 1 Co Q ay_ PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 2h03 square feet 2 . Type of Heat - Electric Oil Gas .2! '` 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 3� b. Exterior walls R ZOO c . Glazed areas R d. Exterior doors R 4 .0 e. Floors over unheated spaces R r f . Edge of slab on grade (heated building) R • g. Basement/cellar walls (above grade) R — h. Basement/cellar walls (below grade) R I— i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device ✓ Conforms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applicant ' s Signature Date Phone Number W.NAIL-- $U L Datk 10-2.5-01 6-5136G INSPECTOR' S REMARKS : Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. 'ermit File N /—&1 No inspection will be made until applicant 4 aE‘ ''Tee Paid Q-3.�7�0 • valid building permit. All applicants' spaces on this Rec. Fee Paid $ application must be completed and must appear(che3 0 200.. Reviewed By: application form. ' 914OL 6V 1LD ea.5 TOWN OF QUBENBkirt ' Applicant:aaspagatigAlWaig$4, f�UILPi a (M0.,10 i-pex.r ic44. 6012c.,sdwo Address: $y 4440/48,„ Address: AIL,+ist, g?/J. ( 3Y Phone#(Ate ) 713 - 7 401 Phone#( ) - Property Location: Lot Number: / House Number 1'7 l f c(' Subdivision Name: AO. Tax Map Number: , 2 3••j IV New Building: residence - commercial Estimated Market Value of Construction: $ 230 oct3 ❑ Addition: rest.ence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial O No change to exterior size: residence/com'l ❑ Other work(describe Check Occupancylnformation is`Floor 2°d Floor Other floor Total n n Below sq.ft. sq.ft. sq.ft. Square feet V Single family dwelling,- /6/1 l 0"-it 25 be- J, ❑ Two family dwelling o Townhouse o Multifamily dwelling #of units o Office o Mercantile o Manufacturing o 1 car detached garage fly 2 car detached garage 4190 o 3 car detached garage pK o 1 car attached garage 2 car attached garage 1181 j ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential o Other I What is the proposed height of the structure Z$ feet 6 inches Will any second-hand or ungraded lumber be used? If so,for what? 4/4- Type of Heating System: electric/ oil / gas/woodCiced hot air 7)baseboard/other: Number of Fireplaces to be installed 0 Number of Woodstoves to be installed 0 List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder 60140 ?)vit.D Ets 8') 1- vg.& /.do. Q► / 7 Q8^3884. Plumber PC725:g (1k,1,t.1.4) 2!b /11A411 avr 79 j- 6)t Z.4 Mason 0014p` &vie-061s Electrician G4nt7. 4. t /alni,e_. 5'5 Aim rr 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 jsubmit,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. 2 Signature: f//�tl(,(j. 4, ,(JL" Zii//440 owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: - ......_............_.._......._........_............. _ ___ Office Use • Location of installation: r ik-LI4 30- W • File Permit No. Tax Map No. )7 3 / I / ic, Fee Paid Owner's Name: kA t PST �o/ Isc Address: 7 ji J KO_ -(9.1. X, 2. INSTALLER'S NAME : 67 Kn L 2,Li)S PHONE NO. 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/bdrm = 1980— 1991 x 130 gal/bdrm 1991 -present 3. x 110 gal/bdrm = 3,?jf7 Garbage Grinder Installed yes_ / no //' Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) . Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth Cmmunicipa t'• ingloam feet feet wel if well;water supply teep slope clay _%slope other l from any septic-system depth:tQK 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 gTllons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: j 0,(y) gallon (min. size 1,000 gal.) Tile Field: each trench ft. Total System Length: ft. f / �J� /ut /� Q S�domi I , / b l Seepage Pit(s): number of Z size of each: U ft. by ft. Se �r� l 4 6�� d 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: 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. l VAIL- Y,G? — ?1)I 1 10—7 1 Signature of responsible person Date /OW TOWN OF QUEENSB RY �t 11 , BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 ( (518) 761-8256 Ci2ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDE TIA DATE INSPECTION REQUEST RECEIVED: d 4 NAME LOCATION ,I7 'HA &r R DATE U pPE c2ODl TYPE OF STRUCTURE ,/\~ FOOTINGS FOUNDATION _ BACKFILL FRAMMI.tG ROUGH PLUMBING SEPTIC --1NSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. VFINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 Ml'UNICIPAL CERTIFICATE - ELECTRICAL APPROVAL I .� Permit No. ,��Cert. O 7 3 4 9 6 Cut-in Card No ,. Owner /"6 Zt �,G pIJ 7 P.i. 6(i Location.! � � ,��� ��/`/�,��.p Instttaall/ttion Consi ting of.Q..a 9 '(TL6). 7o G^/�'`''�v `� &I,'Z,?J tayce-e Installed By P-1,U &-d Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki spections at any time, and if its rules are violated,the Company shall have the right t r ke t ifica . Date V 1.1 d " INSPECTOR.. 3r, RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: L0 e)--- Building&Code Enforcement ` ./ .garz„....„/„..". Dept.of Community Development Arrive am/pm Depat Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 �j. il,,r) NAME r 1�//)r ,e' -d _ PERMIT# / LOCATION /r7 a-eA DATE el, TYPE OF STRUCTURE `- N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location 4 ' . Fresh Air IntakePlumb 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 bo des 3 or more risers ✓ Grade 2%away from four tin 8"clearance to sill plate V Gas Valve shut-off expos 'regulator 18"above grade Gas Furnace shut-off within eet or within line of site Oil Furnace shut-off at entr ce)to furnace area • Furnace/Hot Water Heater o ting , e// Relief Valve(s)installed i// Headroom,6 ft.6 in.on sta. \ ✓/ Basement stairs,6 ft.4 in. ✓/ Handrail exteri r stairs • th sides more than 3 risers �/� Interior privacy/tr iuiT oors/main entrance 36" Floor Finish /f Bathroom/Kitchen watertight f Interior Handrails Balconies/Lan ' g 18 in.or more / ✓ Railing across window in stairwel s ./ Smoke Detectors: j� every level ✓✓/ • every bedroom ) . - outside every bedroom inter connected / —/: Bathroom fans / •‹,, Plumbing fixtures /` Foundation insulation 3/4 hour fire door/door closer Garage fireproofmg .e"/ Garage penetrations sealed T. r Furnace in separate room protected(in garage) J Light ventilation per room ✓ Safety glazing 18"or less from floor t/ fit/,i/-0 5y� 6'G6- Final Electrical Site Plan/Variance required A �j a�UG�`j Final Survey Plot Plan !/ t. 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) RESIDENTIAL 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 742 Bay Road Queensbi y,�New York 12804 NAME 4,„\Ac,,, )r�. V(-'lY�S ).FLU PERMIT# c� V)`d l c LOCATION `-1 f� DATE TYPE OF STRUCTURE \ (Lc) 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,Ianding 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade \\) Gas Furnace shut-off within 30 feet or within line of site \ Oil Furnace shut-off at entrance to furnace area �\ ) Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs C 1 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 moreC—C7k1 \�- Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour 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 Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) Ty\QQAi- Ra ) 14/R) 3 , 00,C77) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road - C� Queensbury,NY 12804 Arrive am/pm Depa Inspector's Initials NAME:SN—P� /\CD\ PERMIT# -K LOCATION: `1 \ ` DATE : TYPE OF STRUCTURE: ? � RECHECK N/A YE NO COMMENTS Footings/Piers —I I Monolithic Pour Form Reinforcement in Place \l 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/Walipour Reinforcement in Place Foundation/Dampproofing Back ill 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 tR- �Io :tnt evAL 4 ��� ��✓ 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 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, NY 12804 ARRIVE am/pm: DEPART/U am/pm Notes: (5I8) 761-8256 Inspector's Initials ,; • NAME: '76/e6/1-)1j/A)6 PERMIT# 0 I -5I q LOCATION: INSPECT ON(date): zJo TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo sible 4or providing protection fro free ing for 48 hours following tl e plac ment of the concrete. Materials for this purpose o}i site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab P1 b.ing Vent/Vents in Place Rough Plumbing , •ea . Rough-in Insulatio = Foundation Walls Interio- R- Foundation Walls Exterior R- Floors R- Walls Ceiling - Duct work or piping in / unheated spaces R- P'rope via Attic Vent 44rFraming` 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 ,....---,---:_t_ - a 5 .,... GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury ��`' Dept.of Community Development Date inspection request received: I 3 r4 `°, -' Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart - ag r.........._, Inspector's Initials �l `�( cL. c rem, �PERMIT# �� Q NAME: LOCATION: / N j C jei- � DATE : I TYPE OF STRUCTURE: e51P /fiet) RECHECK pd,) -4e 65 N/A YES NO COMMENTS Footings/Piers ^I 1 I Monolithic Pour Form \ Reinforcement in Place The contractor is respo ible fo providing protection fro:, freezi g for 48 hours following t place A ent of the concrete. Materials for this purpose o site Foundation!Wallpour Reinforcement in Place Foundation/Dampproo ng Backfill Approval Plumbing Under Slab _ Plumbing VentlVents in Place Ro gh Plumbing p eatiing:Rough;In_ POI �✓i�!C i\ 5% tf' V nsulation •U cf-LC, /� /g.9 l_ / R Foundation Walls Interio R- Foundation ��¢� UI1ill�Gc6 d� GJ Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent l . P �C �G��� �/ -Era-min .— `r Y `� (lU Li ) J //C /ll6 L ' Jelea -Stus/Hea ders c n rai _dn / �r� 7e � /G oistHa QPr `-Jack Posts/Main Beam Air Infiltration Barrier c5 /Ifd % Cc)/VCe-4tC__ Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping /9,,(4/( A. GENERAL INSPECTION REPORT =''g _ e- ( 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 ' am/pm Inspector's Initi Is NAME: 5z,ec�57 itlO PERMIT# 0 C (C LOCATION: /=Uc_C,6'i DATE : / d_— TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers ' 1-- I Monolithic Pour Form Reinforcement in Place . The contractor is re nsi e for providing protection om .eezing for 48 hours followin the p acement of the concrete. Materials for this purpos on side — Foundation/Wallpour Reinforcement in Place f Foundation/Dampproofing\ 1 Backfill Approval V Plumbing Under Slab Plumbing Vent/Vents lace Ro gh Plumbing eating Roug - t c-",ngulatioi _: ,- D L, Foundation Walls Inte .or R- Foundation Walls Exterior R- Floors R- Walls R- 1 Ceiling R- Duct work or piping in unheated spaces R- oper Vent;_Attic?Vent i / jEra rung-` Jack Studs/Headers B mgBridging oist Hangers ,/ Jack Posts/Main Beam ' Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fe Wall 2, 3,4- ur toi_ , es g /N{ �r birj l r y -. a0 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 77 Queensbury,NY 12804 Arrive am/pm Depart �m� Inspector's Initials`) NAME: U\ N (\ PERMIT# O/—S/ LOCATION: DATE : )-" I --',017i_./---- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place _ The contractor is responsibl or providing protection from fr zing for 48 hours following the pl cement of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place \ Foundation/Dampproofing Backfill Approval \ Plumbing Under Slab ,1 /a Phi o g,V'+eent�in Place A/ r r_: gh Plumbing \ Heati Rough-In �_,_� _ atfoilY a /c/ 7 -t ain Walls Interior R- ) Oe-- Foundation Walls Exterior R- Floors R- / Walls R- i- Ceiling R- Duct Duct work or piping in unheated spaces R- ProNr Vent, Attic Vent 7 0/14.0 / -% Jack Studs/Headers i l�JABracingBridging /J ��6 f c Joist Hangers jL �'�(� f� Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed hour /�I/reWall2. 4 restopping ° ��� I/ . �C� /c��GC����.I /�� C i a 1R3 TOWN OF QUEENSBURY . BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ' A. 6k Location L?Lf Date -//� Permit 0 1 " SOIL TYPE:/Sand 9. -Clay- Results of Perco ation Test- (if applicable) "ate-Mi ute/Inch TYPE OF SYSTEM: ABSORPTION FIELD Total Length Length of each t ench Depth of trenche• Size of stone SEEPAGE PIT S:. N ber- Size - "ft "x 117.ff 't. Stone siz PIPING: S 'ze )ype Bldg. to Tank " L0 rb Tank to Dist. Box T,. Dist. Box to Field Ptt�. h I Openings Sealed? Yes No Partial LOCATION/SEPARATII : • Foundation to Tank P5 feet Foundation to Absot'ption O feet Separation of Pits _ feet Conforms as per P1 t Plan es o LOCATION OF SYSTEM ON PROPER ° [...._ (circle one) Front - Rear Le ,t Sid Right Side Middle Front - ear COMMENTS: > 6&e- 45' 6 u i LT-- SYSTEM USE APPROVED: YES NO Arrived: Departed: -1,3 Building Inspector tor A 4 W main , ;N 11 N Looz* o s i30 OBA1303 low. k7 6-) rlrrl*l IF, (10 CA C> k > Nv • UJ 1\ rrl (J) C> C: C> C> 7 0 < 77- U) uj m cr CD 40 C) CD Ct) O S CD C-- 73 <D TJ m CD C- ar co CD CD '0 CD co EL CD lw C-) Cl> ID M ID tr_ Cl) 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 Departl✓� am/pm Inspector's Initials V � NAME: 47)ce, )N O PERMIT# C\— Fli I LOCATION: DATE : 1 7 \ ( O 1 TYPE OF STRUCTURE: RECHECK N/A YES O COMMENTS ootmgs/Pier •/ 1 (� _'� l Monolithic Pour Form ruar\0-6 Go9e5<6 0 / Reinforcement in Place The contractor is res•• si o e for 4 l21(, it/�k F providing protection om •-zing i- fr' for 48 hours following the p1:cement 6I`f of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi _ _ Backfill Appro al Plumbing Unde lab _ Plumbing Vent/Ven s in "lace _ Rough Plumbing Heating Rough-In Insulation _ Foundation Walls Inte or R- Foundation Walls Exte''or R- Floors R- Walls '- Ceiling '- 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 1,2, 3,hour Penetration Sealed _ Fire Wall 2, 3,4 hour Firestopping ..._.,_,_„, 211 :,, .,....,. V'�F ih� •x+ ....„..,....,,_,,,,..„ A.K...t/4/\ 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- 1 _ NAME: T e_c�1 u O� r\C� PERMIT# ) -3/9 LOCATION: '7 4 1 vi- �446 DATE : g_ _fD-O 1 TYPE OF STRUCTURE: C5 Fc RECHECK a _ N/A YES N2' COMMENTS 1, Moc tings/ iers-- --- 1 ti' I y� r/*V P nolithic Pour Form __ /tD UI p� C/��, '� -J�S Reinforcement in Place �� The contractor is responsible for 7LZ✓2 ,C �� , _ f providing protection from freezing , for 48 hours following the placement �03-r(N) 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 nheated spaces R- Pr r Vent, Attic Vent7, raming„ Jack- tudsLHeaders / ,J Bracing/Bridging Joist Hangers Jack Posts/Main Beam /7- Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping jr,-,"„t,.-7:- Er,,,f,,,:,,,,... GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: I( JP f Building& Code Enforcement 742 Bay Road ` �/�, Queensbury,NY 12804 Arrive am/pm Depart 2 m//pm Inspector's Initials , fc_ NAME: �v!`2 51 v'o PERMIT# 9 LOCATION: 1 /-1 a .�/ DATE : l / TYPE OF STRUCTURE: 5 RECHECK itan041041407:0.,.: N/A YES NO COMMENTS s/P e s- , _ I I l g Monolithic Pour Form i2 C,' -�‹,6 Li�7 LU/' -- ( 6'. Reinforcement in Place \ i The contractor is responsible fo' C e,/L-- e li'k ID6-1n /1 providing protection from eezii g for 48 hours following the,lace ent of the concrete. I Materials for this purpose on site Foundation!Wallpour7 Reinforcement in Place Foundation/Dampproofing V em 11 Plumbing Uncle?ali•- Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation l Foundation Walls Interior 4- Foundation Walls Exterior R- Floors R- Walls R- I Ceiling R- ) Duct work or piping in I unheated spaces R- J' Proper Vent, Attic Vent Framing / Jack Studs/Headers Bracing/Bridging , Joist Hangers ; Jack Posts/Main Beam Air Infiltration Barrier I Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 3- 'sNi) ... .. ,, Ilk ,. ,.. vim_- GENERAL INSPECTION REPORT T`"= `r 1 n.�a:b ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road `.2 , ' Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials3 P L'' D NAME: Y•��\RC� \ ,C1 lC.l(j PERMIT#0 I - LOCATION:.1 it-\ "1\-e,,t DATE : - - 1 TYPE OF STRUCTURE: RECHECK / , N/A YES' NO COMMENTS 0o ngsiors - , I lnolithic Pour Fo / Reinforcement in Pla `C ✓ The contractor is re ponsiblee,or providing protection from frezing for 48 hours followi 1 the placement of the concrete. Materials for this purpo•e on site Foundation/Wallpour / , Reinforcement in Place / Foundation/Dampproofin. / Badkfill pproval / / f Q :,'lumbin Under Slab / `7z 7 +t) PVZ-- ,J I L�- � Plumbing Ven k ent ifi P ace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interirr R- Foundation Walls Exterior R- Floors - Walls Ceiling R ( "'/� _ Duct work or piping in f�i,� 12 G 1�C -�i /5 unheated spaces R- Proper Vent,Attic Vent Framing rcL L -' 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_ MAP REFERENCE. - Map entitled "Map of lands conveyed to Helen dean Borbe.- by Raymond E. Bailey" 0oted March 27, 1995, lost revised July 27, 1999 Prepared by Coulter and McCormack, LLS "riled in the Warren County Clerk's Office in Plat Cabinet 8, Slide 727 mop #94 LEGEND RON ROD FCJND ,RON PI°E F JND RON ROD SET jTI_i`v DO:_E S' ENE 4AL.L BARBED WIRE FENCE ,: RHE D VV'RES `1CN �,,RMEaL` NOTES: iCIIp. ;_1rtn(!c A- f70ok 1 7 51U THIS SUPVEY WAS PREPARED W 17-i0J- THE BENEFT OF AN ABSTRAICT 0= "1''_E AND IS THEREFCRE SUBJECT TO AN`' EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOU:.0 DISCLOSE. 2` UNAUTHCRI'_EO ALTERATION C)R AUDITICN TC i MAP BEARING A LICENSED LAND SURVEYORS V CLATO" OF SECTION 7209, SUB-DNISIOv NEW PORK STAT: ' ED.JCAT!ON LAW. 3 CNLY COPES FROM "HE OR;G!NAL OF THIS S:JRJE' MARKED VVITH AN OR GINA� OF THE LAND SuPVEY"PS SEA- `;H.Abl HE CONSIDERED TO BE `VAL") TRUE -OPIES. a`, HIGHWAY BOUNDARIES SHOWN ARE .ASSJMED 25' FROFf THE CENTER OF THE EXISTING ROAD SURFACE. 5; 24"-- OF SNOW COVER AT TIME OF SURVEY_ DEED REFERENCE. - Raymond E. 9ailey to Patricia Soresino Doted December 13, 1999 Book 1150 Page 217 F.