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2000-471 TOWN OF OUEENSBURY 742 Bap Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Permit Number: 2000471 Date Issued: Thursday, January 18, 2001 This is to certify that work requested to be done as shown by Permit Number 2000471 has been completed. Tax Map Number; 523400=044-000-0002-018-000=0000 Location: 9 REARDON Rd Owner. WILLIAM HERLIHY Applicant, HERLIHY, WILLIAM This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY 1: a; Director of Building & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury. NY 12804 County of Warren (518) 761-8256 VALUE $ 120000 Building Permit No. 2000471 TAX MAP NO . 44 . - 2 - 18 Permission is hereby granted to HERLIHY , WILLIAM Owner of property located at 9 REARDON RD in the Town of Queensbury, to construct or place a sTNGr E FANTTI X ]DWELLING at the above location to accordance to application together with plot plans and other information hereto filed and approved and m compliance with the NYS Um(brnt Building Codes and the Queensbury Zoning Ordinance. Owner's Address: 24 Fox HOLLOW LANE QUEENSBURY , NY 12804 Contractor or Builder's Name: HERLIHY . WILLIAM Contractor or Builder's Address: 24 FOX HOLLOW LANE QUEENSBURY , NY 12804 Electrical Inspection Agency: NEW YORK HOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY - DWELLING Plans and Specifications: 2700 SQ FT SINGLE. FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING $ 3 2 9PE T FEE'P�.ArD'-' 'PHIS PERMIT EXPIRES July 6 2002 (If a longer period is required, an application for an extension must be made to the Code Enforcement ©Slicer of the Town of Quecnsbury before the expiration date.) Dated at the Town of Queensbury this fi - "Day of July 2000 SIGNED BY _ 7�.-\r --k- � for the Town of Queensbury Code Enforcement Officer Building .Permit .gyp,plica*ion "awn of Queensbury - Depa. of Community Develop rent. 742 &q Road, Quee shury, NY 12804 f 761-82561 TICE ,BUILDING & CODE ENFORCEMENT ♦ i�i.l Requirements prior to issuance A permit must be obtained before of this permit: _ E201E FILE NO. {�begun mwi g construction. Para inspections FEE PAID $ 3a Will be made until applicant has received 0 �g Board ga VAidl) BUILDING PE MTr. AliArea IUse � t .P i. 77C7N FEE PAI $ applicants` spaces on this applicationMUST be cold sod the signature Pl wring Baiard Action `1 U L 0of the Meant mist a ED By*- app ' ppeartan thenSPR / Subdivision t Off }+/i+n C - Bultding rrmrroor Recreation Fee Payment ,SUILDs � 7 ,�rr Applicant". , ',;,� Owner: LA Address: — Cs tc L/Gficr„! Ir Address: Phone # (5 ) _ ? - Phone # ( } SZ Property Location: IIF` ftalr=dr.? l2ct _� Subdivision Name-, Tax Map Number _ _ 6 � Section Block * A NATURE OF PROPOSED WORI{ s ESTIMATED MARKET VALUE OF THE New Building 0 CONSTRUCTION : $ oprm"a residence / commercial Addition to Building : residence j conunercial OCCUPANCY INFORMATION : Alteration to Building * Primary Building - residence / commercial _ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing Other CROSS AREA OF PROPOSEDSTRUCTUR ='� 3 at Floor . . . . . li 5q ft . ADDITION , what will use 2nd .Frcm:r . . ..9 ' . . . - '5 ,z 5 sqo ft , of new addition be ? * Other Flcrca s , , . . , sq . ft . ( not unfinished cellar or basement ) . . - ACCESSORY BUILDINGS : Detached Garage I , 2 r� TOTAL FLOOR AREA * a�7 SQ . FT , Attached Garage ca Private . Storage Bu ng SIZE OF NEW STRUCTURE : Commercial Storage Building j T6 FEET X ' FEET Other Foundation Type : t ' „ xhc-R al jr Will any second- hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space oryly ) r �r Height ( grade to rxdge ) : feet TYPE OF HEATING SYSTEM : Number of fireplacet and/o o stove ( circle all which applies ) to be installed :_ ,r-7) Electric / oil / / Wood Forced Hot Air B7Ua­se oard j other Person responsible fo rvis ' On of work as regards to building codes is : N life Address Phone Builder : Plumber : Mason * c - 9CC Electrician : M DEC7 i R a 770N.• 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 pricer to a Certificate of Occupancy *or Certificate of Compliance being, issued, an AS BUILT PLOT PLAN by a licensed survey rawxi o scale, s wix1tee c al location of project on premises. Signature: (owner, owner's age t, arcontractor) Application for Permit - Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: _.............._. .m..m........................................................................... 0flice Use Location of installation: � '� R,r �OA 7 Tax Map No. File Permit No. � / � / �1 �? Owner's Name: ��' ................................. .... .... ..... Address: r�2 ` ©-k It s �.l C� t' JUL 0 3 2000 2, INSTALLER'S NAME tL17, 3 , RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(i) 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 gaVbdrm = 1980 — 1991 x 130 gal/bdrm = 1991 -- present x 110ga1/bdrm = 3 '�3C3 Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes 1 no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Twoo-aphy SgilNature r t r Bedrock or Impervious. Material Domestic Wger Ngppl 60�ab san at what depth at what depth municipal I�Hfng QQm -5 - -7' feet `'1F I�'`feet well Steep slope clay if well; water supply �% slope other from any septic�ystem depth: absorption is ft_ other L K Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 2. 5 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: f ?, !5+p gallon (min. size 1. 000 gal j Tile Field: each trench ) jS 4.,,{t'. Total System Length: 9 3 q � Seepage Pit(s): number of ryt size of each: ` 2 _ ft. by Size of Stone to be used: # _ ,� / depth or thickness �z feet c Bed System Size: x Alternative System: length and/or size +66 HOLDING TANK SYSTEM: (if required) Number of tanks: I 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 Queen ury Sanitary Sewage Disposal Ordinance. AD Eioor Sl nature of resAo'nslGle p son Date ENERGY CODE COMPLIANCE APPLICATION RIF TOWN OF QUEENSBURY , WARREN COUNTY 9000 HATING DEGREE DAYS JUL 0 3 Comr:) Ii ante Methods : P?RT 5 - Acceptable Practice Method '-lL ,t;;, y. '. Y 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal 'Mating -- 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 A_PPLICANT ' S NAME * PROPERTY LOCATION : (A) 11422 $ } PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE ; 1 . Gross Floor Area - / L�Z? sauare feet 2 . Type of Heat - Electric Oil Other 3 . Is building mechanidally cooled ? Yes No a . Pe;tentage of a=ea of windows and, doors Over ITS Under 17C S . R-V.A=ES FOR INSULATION GIVFN BELOW MUST CORRESPOND TO R-V.ALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R b . Exterior walls R tick co Glazed areas R 3. d . .Exterior doors R Sip ea = loors over unheated spaces R W _ _ . Edge of slab on grade {heated bil ilding ) R In g . Basement / cellar <Nal is ( above grade ) R 13 h . Basement / cellar walls ( below a=a.de ) R 13 i . Heating/ cooling-ducts -piping in unheated space R � A 6 . S e .= Ice ( domestic ) hot water .h eatir_g device Conforms to minimum e _ _ ici ency per code es No TEMPERATURE CONTROL MAXIMUM SETTING 14O 'a - WILL NOT BE EXCEEDED AnnI ^_ ign.a ` ate Pao 7qj3 Number f� EZ.E'u�.R.i{S i Fir42 71 :trs10a11 0tt'i Qtrc6e11shur4 . 742 Bnv Roud. Qt eensbtir 3- ( 518 ) 7o1 -8204 C•' Application for Fuel Burning Appliances & Chimneys 15w, i applicable to solid fuel & vented gas applia'rlces Date - ' 13 h1 e 35 0 2f3 44 a Pcrmit No.� � ! .replication Is hereb rr ide to the l3trildirtg+ cC C'(rrlcfS O7 IF4 .-j IC,;- tlrc^ i.).51ru11C4' of cr 811ji clitr,t{ card ZY'S Pq�!o uir Pursrrurtt to the New York Srure, ire Prevewitrrr and Buzlrlwg { ()dc-. ' The eipplic (ml r,+r oii•arcr } agree%- to c01111,74' With oil applicable 14 VS. oo'dillances. : �rrlrxriz,rr. ', n+,tl crfl -orr<lilirwrs that are hart r1J tltcsc t e<lrrirenrctrtti utrct also will allow call inspectors ro eol;ev to perf wtar •eeluired ijlspe(•tiota.5 . E ' NOTE to applicant Rough -in and Final Inspections are requited . i Applicant Information Fuel Burning Appliance Inforni.ation i ( circle aprirol)riate words) 1 i 4 Name: Cd I / =�n it e t r Slog tit rar+d Coalroc fled �,=ers J Fircj: lace insert 1 Address: - �- 1 u T' � Lf c�c-t_.} 4r�_I(I,, , Firel�l<tce, factor ts- iuilt : xvc�ocl ycrs Fireplace, niasonry: wood cr Furnace wood gas oil Phone : ' - y If non-masoliaiy applicarlce, please Provide f Owner: °, Manufacturer ?dame: I ' Address: _ > * Model Number: Chimney Information Phone : fCircis appropriate v ords) Masonry block b,-ick srone Flue rile steel sire: inches jExact Address: of constructi Ol it or israltation 1 r " actorv- Built ManufaCUU'eI- Hanle: Model Nuanher: Vore: Listed By: Number: Constrtrction / histallatlUlt ntttst ' cQtr orral to AtY:S Fit-e Prevention d, Bididittg .Indicate ( circle) chimney material : Code. Consulr available Town ofQueetlsbut-s' Handouts r-egat-ding requited inspections. Doubles rr11 Trtylt trrrll / lrrsulrarcct ! L7rre°c r t ctzr+uS i s C'Trirrtrt� t Lirrcr 1 ( 1 +Gamer]aeiF�r'�sDp �arXx� �x:tE — 'T'vYx vs' Qrx.�•�n �srx�te*•y, 2\ir� r3c'cnac-fir l 1 'i + .° ,1lar'slaeaI Cudt ti Collc rt rl ldcfitrrticrl Rec'e i d_ti „rrr Ir! 173 3389 (190) Public Safen 7 ?33 3655 ( 130) Illimrr .S'rtle.s White (Applicaw) Great ( Fire Marshal ) YCHOwx- ( nld"' . Dept' ) rink S Golcicnro.l (Cashier's Dept.) • •e 17 Cx:`l'i4ICArL INSPECTION SERVICE, i � C, Alain Qflice 176 Doe WAMwftWAwAIion1UlVICIPAL CERTIFICATE Road - Manheirry PA 17545 r J f Panel Board No........ ` ELECTRICAL APPROVAL, .... . Cert. I°ti6"#ttr{ Mz of Owner.... ,fr, �,,—,,_ N� s C"ut-in tfdW G !/` Card No. ... 7 ........... . .............. r. Location ... _............. ..........�..`�? Instal tion Oansistin � .. 8 oF....c3""...... �G�dr Installer! 8 ` .. � � - ....y ..... ... ... A. . ...,...... .44.I�P� • Thec .........................�.�. ......,.. .,,u. cancelled:conditions foliowin f-ic. t•Jo. . governed the issuance a ` ........ �................................... This certificate onlyi f tFrrs c`rtrfeeate, and any Certificate introduchon covers the electrical e previously issued is r of additional cq{ripment «r alterafiansrpa ent and installation Inspectors of this Company shall have application shall be roufnuclitions as of date. Upon the rules arc violated, the C the privile .e p PflY made for inspection. ��J zr F Company shall have the rif;ht to of making ins bons at an �I Date.. �e this c rc to, Y tune. and if its 'N5PEcTO ..... R ......, Member N.F,P.A„ f.A E.f. f r RESIDENTIAL FINAL INSPECTION REPORT Ofirice No. (518) 761-8256 Date inspection request received: r >"'d/d'� Building & Code Enforcement Dept. of Community Development Arrive �1G =ice�`pin � lt t Town of Queensbary toes Ini ' S 742 Bay Read Queensbury, New York 12MM NAME LOCATION , rlea DATE 1e;;,L/T/J40r0 TYPE OF STRUCTURE N/A YES NO C NTS Chimney HeightrW' Vent/Direct Vent Location Fresh Air lntake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation S" 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-of at entrance to furnace area FurnUDE:Mot Water Heater Operating Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs �' /^ ,� � HndrailBasement stairs 6 ft. 4 in. 1 , 1._� � �J Handrail exterior stairs both sides more than 3 ri Interior privacy/trim/doora/rnaw entrance 3W Floor Finish C k Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in-t more Railing across window in stairwells Smoke Detectors. every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation sl4 hour fire doorldoor closer Garagc firYMprcao Garage penetrations sealed Furnace in separate room. protected (in garage) Light ventilation per room Safety glazing l 8" or less from floor Final Electrical c� Site Plan/Variance required �Q- 1� + � C 0 V %C %A ND c] E27 v3 +l` r 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 Co ` +T- TpWN OF �UEL�tiSBUT�.Y � _ & CODE ENFOFLCBMEtix d 'DU'LLpS.NG114'Z_ 134Y RO�2sO4 QS.}ELNSBSJRy�NS'.?5� (518) x�sP = 4 pCPART YDR IAL Rispo F ` irlp�►L INSpECTI [7N REQUL'5 S R U1VKD ; '0A Tr NA141% � - • LOChTI014 PERMIT DATE STR1J 1JRE _ FSLJL1d TYPE OF 9!'�CIlT"Sol T10" -- FUcJNnn C713 StFi.A RO�GR V j xNG ___ SEWQQr)S'TOvl i; FxR1%PLAC a-__.�_.__.- y4 ELECTRICi+.L ,�-- % It ld 1J 9 NG VE r1 J�Sk �---- lK�'1 �ac ST A Ei H S Cl T 0,n°41,�'Ft, 014 5T x Cl•.�� N g ! �- arSQs_L pE Fvun a?� R CLQSz" C O -- C C tJ8 VM�k" C & tlJ � A-M GENERAL LMSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv �� Depa lector's lnit` NAME: ; PERMIT # — LOCATION: DATE : � d/^— c T YP'E OF STRUCTUR RECHECK N/A YES NO COMMENTS Footings/Piers _ � I Monolithic Pour Form Reinforcement in Ptace The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundatiott/Wallpour Reinforcement in Place Foundation/Dampprootin Backfill Appresval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing ng Rough- Illation .000 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wa.11s R- Ceiling. R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack StucWHeaders 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 Firestoppin "`�"YLeY1 . G�rr�J GENERAL REPORT ( 518 ) 761 - 8256 Town of Queensbnry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive anxVpm Depart6 Laslaectar's Initials �hOVDTn NAME: PERMIT # 00 . / LX)CATION: DATE : to TYPE OF STRUCTURE: F RECHECK - NIA YES NO COMMENTS Footings/Piers � I Monolithic Pour Form Reinforcement in Place The contractor is respo a for providing protection from ing for 48 hours following the nt of the concrete. Materials for this purpose on site Foundation!W al 1pottr Reinforcement in Place w- FoundalioxalDamlrproo •, Backfill Approval Plumbing Under Slab Plumbing VentJVents in Place Rough Plumbin Heating Rough-In Lnsula�ion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R- —...t Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framia Jack Studs/Headers l3racing/Bridging Joist bangers Jack Posts/Mam Beans Air lnfiltration Barrier Fire Separation 1, 29 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL L1VWA "TIONREPQRT ( 518 ) 761 - 8256 - Town of Queensbury q Dept. of Community Development Rabe inspection request received: Building & Code Enforcement 742 Bay Road / Queensbury, NY 12804 Arrive am/pra Depar �/// Inspec�toes Ini#leis _ NAIWfE: 40 , _ PERMIT # OP - .1/ LOCATION: g .. 1 f2 DATE TYPE OF STRUCTURE: S'FAr RECHECK N'!A. YES NO COMMENTS FoatingsfPiers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from feeezing for 48 hours following the placement Of the concrete_ Materials for this purpose on site Foundation/Wallpo�xr Reinforcement in Place FoundationlF3ampproofin Bac=11 Approval Plumbing Under Slab Plumbing Ventf Vents in P Rough Plumbi Heating Rough4n Insulation Foundation Walls Interior Foundation Walls Exterior R- _ Floors R- — Walls R- Ceiling R- Duct work or Piping in unheated spaces R- Proper Vent, Attic Vent FramiYt Jack. Studs/Headers Bracing/Bri Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1. 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 Firestoppin ! ►- - r � j GENERAL REPORT ( 518 ) 761 - 8256 Town of Queenshary Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 Bay Road � Queensbury, 1V Y 12804 Arrive antfpm Depart Inspector's Init' NAME: mis, 1 PERMIT # LOCATION: DATE : � 7 !K- TYPE OF STRUCTURE: �S � «�� I 7 _ A (iAp, RECHECK I _N`.A�YES NO COMMENTS FootingsWiers —E Monolithic Pour Form. _ Reinforcement in Place _ The contractor is responsible f r providing protection from ing for 48 hours following the ent of the concrete, Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi Heating Rough-In - Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- + Walls R If - Ceihna R- Duct work or piping in unheated spaces R- Proper vent, Attic Vent Framin Jack Studs/Headers Bracing/Bri Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour F'irestoppin a GENERAL INSPECTION REPCIRT c518r761 - 8256 Town of Queensbury Dept. of Community Development Bate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart y Inspector's Initial NAME: PERL UT I LOCATION: DATE : - c2 b TYPE OF STRUCTURE: `. RECHECK :y NIA NO w� COMMENTS Footings/Piers I Monolithic Pour Form _ t Reinforcement in Place ' The contractor is responsible for providing pion from freezing for 48 hours following the placement 'k� ` of the concrete. A 4 Materials for this purpose on site �`� ; Foundation/Wallpour Y Reinforcement in Place Foundation/1roval cx�f►n PlumBackbing .Approval Plumbing Under Slab Plum Vent/VenLs in Place Plumbing, r Heating Rough-In ' �t Insulation ' Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- , Walls R- Ceiling R- Duct work or piping in unheated spaces UF R- Vent, Attic Vent Jack Studs/Fleaders Bracing/Hrs Joist hangers Jack Posts/Main Beam Air Infiltration 13arrier Fire Separation 1, 2, 3, hour Pe lion Sealed Fi all 2, 3, 4 hour a GENERAL L1V3P� REPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay* Road Queensbury, NY 12804 Arrive3-CC am Dep Inspector S31 i NAME: PERMIT #o� LOCATION: BATE TYPE OF STRUCTURE: ,.Q RECHECK N/A YES NO COMMENTS Footings/Piers + Monolithic Pour Farm Reinforcement in Place The contractor is responsible for pm"ding protection from freezing for 48 hours following the plaoentent of the concrete. Materials For this purpose on site Foundation/Wallpour Reinforcement in Place Founelatio Backfxll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insularion Foundation Walls Interior R- Foundation Walls Exterior R- w� h Floors R- `- Walls R- Ceiling R- D uct work or piping in unheated spaces R- �µ t, Attic t tru Jack Studs/I Ieack rs Bracing/sri Joist yHy Rogers 73, hour Jack Post&fMain Air Infiltration Barr Fire Separation 1, 2 Penetration Sealed Fire Wall. 2, 37 4 hour Firestappi r if OF QUEENS ;w kITLDING A CODE W1RY 742 g, EX a+�E 7- Quee"—"r.Y pry .M04 (518) '7a1-9256 SEPTIC DrsPns,aL s ysrE14 I)WsPEcrloN Name Location erYnit SOIL TYPRes said Darr c 7 ay- ( if 4 is of Percolation lest { � f pplicab7e �RPTYPE F SySr X, ion Length Tops FIEF: Total Len ,Depth of each tY^ernch 9�h Jr Size of trenches SEEPAGE PITS. um er. Size _ Stone s 7ze `~ f t. x pxpx G t. 87d Tank . to Tank Size to Dist . Box ype Dist . ' Box e. Openings to Field i Sealed? LO n TIONISEPARATI O art . Foundation a ank Foundation to bso Separation RhsOrption feet Confoy s of pits feet -i1CAtI01� per Plot Plan 'feet ! c i re7 a SYS'T+Ey OH PRpp s No Front _ R Mr`ddle Left Side ^ ODENTS: t Middle Rear RYght Side € SYsrE4 USE APPROVED_ ArriVed_ D No Departed: 8ui ding Inspector f d _.__........--- FIRE MARSHAL ,. TOWN OF QUEENSBURY fr� S ;0 •- QUEENSB 76 r9 Y 12804 l PPEC IOlY 1REP[7RT FIRE MARSHAL INSPECTION REPORT xtion request received* REQUEST RECEIVED r NAME t am/pm Depxrt�� PERMIT #�'---�� inspector's Initials LOCATION _.���- SCHEDULE INSPECTION ON tl F _ A DA TE : =d.l.-- ,a o, 0 APPROVED NIA YES NO No C4OMW l• NTS EXITS I AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION ro PVC INTERIOR FINISHES STORAGE: CLEARANCE TO SPR LERS CLEARANCE TO HEATING UNI REQUIRED SIGNAGE CHIMNEY WOOD STOVE —. FIREPLACE ❑ MASONRY FACT Y 8LT ❑ ROUGH-IN [� FINAL OK TO THIS DATE REMARKS. IN OR 1NSPSLUP-PUB G `. GENERA, LCYSPECTIQN' REPORT ( 518 ) 761 -8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 A ve a atr -am Depart Inspector's Initial 'TT t ' NAME: 1 �~ - PERMIT # cve LOCATION: DATE : - C) TYPE OF STRU RECHECK NjO COMMENTSI_ P onolithic Pour Form V Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing under Slab Plumbing Vent/Vents in Place Rough Plumbing_, Heating Rough4n 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 Fraanin Jack Studs/Headers. BracingfBridgm Joist Har►gers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 29 3, hour Penetration Sealed Fire Wall 27 3, 4 hour Firestopping • ! / TORN OF gYIEENSBRIRY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name .C--:-dtc�cz . \rr kw rl An P1 (b% c-3 Location Date Permit # �' [) SOIL TYPE:rTlec cram-Cl ay- Resul is ofati or1 Test- ( if applicate- Mftute/ Inch TYPE OF SY ABSORPTIONy Total gbh Length of 0'ach trench ; Depth of t nches Size of sto am SEEPAGE PI Number- Size - 4 -- fto x ft . Stone size PIPING: 5 , e Type c� Bldg . to Tank �f Tank to Dist . §vx Dist . Box to Field/pm Openings Sealed?`: Y o Partial LOCATION/SEPARATI[� . . Foundation to Tank feet Foundation to Absorption feet Separation of Pits et Conforms as per P10I. P1 an es No LOCATI SYSTEM ON , PROPERTY ( circle me Front - Rea - Left Side - Right Side Middle nt - Middle Bear COMMENTS : r; f i SYSTEM USE APPROVEi1 : YES NO Arrived: Departed : Building Inspector