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
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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
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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 -.
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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
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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:
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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
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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.