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2000-508 TOWN OF OUEENSBURY 742 Bap Road, Qveensbury, NY 12804-5902 (518) 761-8201 Community Development - wilding & Codes (518) 7614N CERTIFICATE OF OCCUPANCY it) OD� 5 3� Permit Number: P20000508 Date Issued: Thursday, November lb, 2000 This is to certify that work requested totbe done as shown by Permit Number P20000508 has been completed. 6 �.} { , is '�, � H Tax Map Number: 523400-04&000-0008-031-000=0000 Location, 61 SURREY FIELD Dr Owners THE MICHAELS GROUP LLC This structure may be occupied as a. Fireplace Garage - 2 Cars Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building & Code Enforcement C �000 TOWN OF QUEENSBUR.Y ,y 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PEI A41T R. Permit Number: P20000508 Application Number: A20000532 Tax I\Iap No: 523400-048-000-0008-031 -000-0000 Permission is hereby granted to: MICHAELS GROUP, L.L.C., THE Owner of property located at: SURREY FIELD Dr in the Town of Queensbury, to construct or place a Fireplace 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. Owner Address. MICHAELS GROUP, L.L.C., THE " 10 BLACKSMITH Dr MALTA, NY 12020 Contractor or Builder's Narne / Address Electrical Inspection Agency MICHAELS GROUP 10 BLACKSMITH Dr STE 1 MALTA. NY 12020 Type of Construction: Fireplace Value . $ Plans & Specifications 1417 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $209*00 PERMIT .FEE PAID - THIS PERMIT EXPIRES: Friday, July 26, 2002 (Ifa 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.) x Dated at the To of Qu nsb ;�ed d y, July 26, 2000 SIGNED BY far the Town of Queensbury. Director of Building & Code EN orcement Building Permit .Application Town of Queensyuly - Dcpt. of cotrtriiur,ity Develeopuent. 742 Day Road, Qiiee ii.sl)r+rv, NY 12804 17r)142.5G1 ETCBUILDING do . CODE ENFORcEAf EjV r Requirements prior to issuance �t-yy��y rApermit must be obtained before csf this permit: PER)4t17' F1LE ,NC)�`i/c _ ning construction. No inspections �y„ xbe made until applicant has received Q Zortlrtg Board Action PERMIT FEE 12AID $LID BUILDING PERMIT. A l Area I Use cants* spaces on this application RECR&ATION F PAIDT be+ completed and• the signatureptlttg Bcxzrd Acttora applicant must appear on theRL r lEf3'Ep aYSPR I Subdivision 1Otheration form, ix ,A y . � r i Rccrwttion Fee Payment : T1F Applicants. t`%CYl?_e.6 Owner Address: Address* 7 I hone // # Property betation; LLD 5 ��[ ViL ---- _------ -� 1'ax Ma ) l�lunlber Subdivision N mc:' 2 - Scctinri Block t nt NATURE OF PROPOSED WORK * ESTIMATED MARKET VALUE OF THE New Building * CONSTRUCTION : $ �,�Li600 residence j commercial Addition to Building : residence / commercial. OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence j commercial } _ Single Family Dwelling Residence / Commercial Two Family Dw }-��` r" 1N T no change to exterior size Family �wl 1 i -. ' office other work ( describe below ) Mercantile JUL, 2 4 2000 Manufacturigg - >.Vc;srRV Other GROSS AREA OF PROPOSED STRUCTURE : - lst Floor . . . . . . . . sq . ft . If ADDITION , what will, use 2nd .Floor . . . . . . . of new addition be ? : Other Floors . . . . , eq . ft . ( not unfinished cellar or basement ) ACCESSORY F3UILI7ING5 : Detached Garage 1 , 2..car TOTAL FLOOR AREA : I 17 SQ . FT . _,X • Attached Garage 1 , Private Storage Building SIZE OF NEW STRUCTURE ; Commercial Storage Building 1/0i - / FEET X Sl9� t FEET other Foundation Type : Will any second - hand or ungraded Number of Stories : 1 ""- lumber be used ? If so , for what ? ( habitable space only ) �•� Height Grade to ridge ) » I feet TYPE OF HEATING SYSTEM : Number v fireplaces and /or woo stove ( circle all which _pPlies ) to be installed : ] Electric / oil / as] / Wood Forced Hot Air / Baseboard / other Person esponsible for ervi. sion of work as regards to building code is : ,t -t r L ut� N,s A dre s 4 Phone - Builder . Plumber : .Z Mason : 1 t Electrician : 2Z L7ECZAR^i7701u • 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 Clone 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 T/we shall submit prior tB a Certif-tcatc of Occupancy'or Certificate of Compliant(: being issue(] , an AS BUILT PLOT PLAN by n licensed stun r; drawn to scale, showing actu location of project on prcrnises. Signature: ( wner, owner's agent, architect, contra or) Application for Permit -- Septic Disposal System T'usv►i qj QHeensbilly 7421iajxlle,rrdQrreenrl,arry, N7' 12804 (518) 761-822 56 1 . OWNER INFORMATION; Office Use Location of installation: { f l / 1 File Permit No. Tax Map No. 9 Owner's Name: THE Fee Paid ......- Address: �t'� CL�CV S 1 r\ram 4' �r ,CJ 2. INSTALLER'S NAME PHONE NO. 3 • RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(v) and multiply 11 of' bedrooms with applicable gallons per Bedroom to equal total dailvflosv) Year ofH use: No. of Bedrooms x Computation Total Daii Flow 1980 or older x 150 gallbdr►nn 1980 — 1991 x 130 gai/bdnn = 1991 — present x 1 10 bat/bdrrn rv- > , t � l' ---{tee-Y'^�!f• „ W. Garbage Grinder Installed yes . / no .IUL 2 Spa or Whirlpool Installed yes / no 2000 4 , PARCEL, INFORMATION: (circle applicable ilnforrnation & indicate measurements) T o Pr ti h oil Na rra urnd at r Bedrock or Innpervioug Material Domestic Water Su ! f;Ia :sertrd at what depth at what depth rrrrerxlcipnl� — �� !tolling loam fire! _feet r " Sleep slope clay iI'Ivell; starer .srrpprl,� % slope other fi'om anY septic-.system depth: _ �- alr.sr.+rf,+tiorr r.�rl7cr• Percolation Test: (I i� bc" crrrrrplelcscl by IicePrsed prrufir.s.siu►rrrl to iraeer err rrrchilec'IJ !dale; „� - - _ rrrlrrartc per inch 5 . PROPOSED SYSTEM : For New Constriction: All individual sewage disposal systems must be designed by a licensed professional cngi:ncer or arclnilect (uinlcss installed in a Phoning Board ,approved ssrbdivision). Add 250 galIn:Ys to the sire of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: gallon (min. size 1, 000 gal.) A 1 7 f ig�< rr�� Tile Field: each trench �r 1 p7, Total System Lengt]s : '+e2597 fl, Seepage Pit(s) : nrrrnber of size of'sach: f!. by fi. Size of Stone to be used: it / cleptlr or l,hickncss --_�.__ Bed System Size: x Alternative System: h lcn�;th and/or size 6. HOLDING TANK SYSTEM; (if required) Number of tanks: '�. / Size of each: _ gallons / TOTAL Capacity: gallons tVote: 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 Queonsbury, any permit or approval granted which is based upon or is granted its reliance upon any material misrepresentation or failure to snake n rnnaterial Fact or circumstance known by or ors 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 Queennsbury Sanitary Sewage Disposal Dr inance. -S4 on Fyl� I a Sig ature of responsible person Date e ssr ri i o I } ec ,ishur% . 742 B-ziN, Rw.id, t,eccisl [ir- \ lFire 1ltrsh.' + Office j ( 518 7{) t -S205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances - 1 0 Pcrmit No . "� _4pplicaliorr i.; hc'rebY rr tld,r ao the Huilefing cC C. odes 011i: cj Jr,r the i.;.sraallcc o/ (t Buildbig rrrul (J.V(' Pa vmIt lirrrsuaatr to ilie Nei v Yrn-)' .`(lute Fire Prevenlic+rr aril I31rihhr:w.= C f)dc-. 71rc ul3l�lic ttari or ot, vrc'r' Of�rcc!-s 10 c0101l3ly wilh all ulrl3ftta?31c Itrtrs, ordi lances, :t srtrl<raicr.r +, Lind (W coiie frio is Mal ave pari r1 i Ares. rt=clrrireorrerrts curd also will info„,• rdF ilrspeclovs to cErfer iar rrli.sc'-; 10I'we"furarr o egrrired iot.spee rie r.s. € NOTE to applicant - Rough-In and Fii7dl Iilspecetons are required . Applicant Information Fuel I3tirningF Appliance Information l ( circle appropriate Nvords) i 1\ame : 'r �r 31[ � �j ._ � 5,� ` toN c : Wood cool pleflet grrs f Fireplace insert Address: Fireplace, factor }„-L�esilt : r1raocl FUrnacc: wood oil Phone: If noses�-n-nisonary applicance, }Tease provide ! ti► ti'tat} Tfacturcr ' arrte: 1 Owner: Address: Model Number: _ l Chimnev Information i Prone : (c' ircie appropriate swords) rv] asonry block brickn stone — _ Flue rile eT57a size: � („,dies Exaet Address: 1(d ofcousrructron or iustall"tion Factory-Built Manufacturer name: Model Number: -Vote., Listed Bi': Number: Colrsrr•uction / Irastallotion "azrst conform to ?vYS Fire Pr•everition & Building Indicate ( circle) chimney rnaterial : Cede. Consult available Town of Qrteerrsbw-1, Handouts regar-ding regidiAed irrspectioiis. Do?fblc sirtll 711pie (roll f Irr.e'ulated ! Direcf venting C`lriorr+r<�} Liurr ? nlC�,iarE�e..�,�.z-'�B .�3�.,�ts�-fi',� .�,.-, rE -- '�"'a.s�*rr�tat .O►�P' Q►xx,�.�� 8,bzz�c-�-„ ,A7"��rr�r 3"e`v�+.7�.' � i Fire 1ltrrsl,t+l c(id # k C'ollcrr.'r ,f ti Rcylimded fle(: lvt l fi'o ? rrelrrr+rted arrJ. Cl(if h L'A s: ! 1 '= 3383 (f Jr3) Prr1 lic Safe{ f ?33 ?b.>F r23W Alinor Sales White (Applicant) G : '�,:n ( Fire Marshall Yeltovs 1 ldc ,. De'pi . ) Pink 55: Gt3ldcni-od Washier's D0131. 1 I BLDG_ PERMIT NO. 2000 - 532 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 61 Surrey Field Drive for the following uses: Single Family Dwe l lingg November 6 , 2000 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (144PROVED ( )DISAPPROVED with the fallowing conditions: cer —Lcare of 0c: cupancy to be issued upon approval of Variance # 98 - : 000 TEMPORARY CERTIFICATE OF OCCUPANCY E: lama D OeEnf ( Ufl-I1� received on November 6 , 2000 Date of Issuance Director of Bldg. & Co cement TINS TEMPORARY CER.TIFICATE OF OCCUPANCY EXPIRES 30 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. do Code Enforcement or his designee. TOWK OF QUEENSBURY BUILDING . CODE ENFORCEMENT 742 Bay 'Road Qaeensbu ry_NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name - Location q S-4e ) Date L ;2 "Tl l Permit # SOIL TYPE : Sand- Loam- Clay-_ Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIAEngtht ngth Length of eac Depth of tre _Size of ston4 _SEEPAGE PITS : r- Size - :c t - Stone size PIPING: Sizeype Bldg . to Tank Tank to Dist .Dist . Box to itOpenings Seals o a� rtaaTLOCATION/SEPS :Foundation tfeet Foundation tption feet Separation of Pits feet Conforms as petl�Pl of plan ?s No LOCATION OF SY M ON PROPERTY : ( circle one ) Front - Rear Left Side - Right Side Middle Front Middle Rear COMMENTS : SYSTEM . USE APPROY NO Arriv D ed : r B ding I sP Ctor `f )v' t FIRE 1AARS1-1AL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (SIB) 761 -6205 FIRE MARSHAL INSPECTION REPORT REQUEST_RECEIVED NAME LOCATIO PERMIT #i,ro 0,17l7 ' SCHEDULE INSPECTIO ON � — --- F AM PM t. APPROVED a NIA YES NO IXITS AISLE WIDTHS EXIT SIGNS `E EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM — FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ - CLEARANCE TO SP 1NKLERS CLEARANCE TO H TING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASO RY FACTORY BLT. ❑ UGH-iN FINAL REMARKS: ❑ OK TO THIS DATE "SPSURpm INSPECT RESIDENTIAL FINAL. INSPECTION REPORT Ofce No. (SIB) 761-8256 hate inspection request received. Building & Code Enforcement Dept, of Community Development Arrive _"✓'""" tV t Town of Queensbury s ..-- 742 Bay Road Queensbury, New York 12804 NAME ^ P f # �CN LOCATION DA l l L� TYPE OF STRUCTLSRE N/A YES NO COMMENTS Chimney HeightpWl Vent)Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior 1-landralis, balconies, landing 18 in. or ixwe — Interior Handrails stairs both sides 3 or more risers C'rrade 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 F urnaceMot Water Heater o Relief Valves) installed Headroom,o 6 ft. 6 in. on stairs '. Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more am 3 riseug ' Interior privacy/trim/dcxxshnain entrance 36" Floor Finish Bathroorn/Kitchen watertight Interior Tlandrails Salaonrin a.,d;_._„oa 18 in. e Railing across window in stairwells Smoke Detectors- every level L every bedroom outside every bedroom %L inter connected Bathroom fans Plumbing fixtures ` Foundation insulation s/4 hour fire door/door closer (sarage fireproofing Garage penetrations sealed Furnace in separate room pm (in garage) bight ventilation per roam. Safety glazing Mt or less from 400r Final Electrical She 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 perms went C/O (Certif, of Occupancy) y � M ---------------------------- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY PAGE ] 40 FULTON STREET, NEW YORK, NY 10038 ihrte NOVEMBEaR 01 . 2000 Appllcation No. on .� -J :4'tl{i ? . 11I A 11)4t) '2 } THIS CERTIFIES THAT PSHMIT ttC? 2C)U[)-11..t2.. only the electrical equipment as described bellow and introduced by the t uam the above application number is in the promises of 1111€t, M'1.0 HAW.1l S GROUP 61 5lfft€Lf' 1'7lEiC�C?:5p�-�l�[tf;EaN:if3[lF2Y , NY in the following location; Basement Ist JVL lJ 2nd FI. GAP Section Block Lot iS was examined on r:x:T{)I< NX : V . 2000 and found to be in compliance with. the National l;lectrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FWOREECEM I OTHER I AMT. I N.W. I AMT. I K.W. AMT. K.W. ArwT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REVPT. TIME CLOCKS BELL UNIT HEATERS M gLII,ODUT T DIMMERS YSTEMS AMT_ K.W. OIL H.P. GAS H.P. AMr. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WAITS 141 t SERVICE DISCONNECT "0. OF S E R V I C E METER IIU. OF OC COHD. A. W. G. A, w. G. w. W. B. AMT. AMP_ TYPE EQUIP. 1 e 2W 1 e 3W 3 R 3W 3 i 4W PER a OF CC. COND. HO. OF HIAEG OF HI•LEG NO. OF MEVIRALL OP A.TRA-L 3 1 11,10 CB 1 AX f. ? !I ) 1 1. J0 OTHER APPARATUS: POST I.Alcarp— 1, G . 'E' . C'. . 'it - 4 SW)Kk FC7ItFi'VE:It 2446 JAPE R Y Sol' o GENERAL MANAGER Per This certificate must not be altered In any manner; return to the office of the Board if Incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTM4NT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � 7) , � GENERAL IN,SPECTIQN 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 Vj- '5aam � Depart Insngctor's Imitia /PE `� NAME: }I # �✓ J 3 c7�---'' LOCATION: I]A� C> TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers 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 FoundationlWallplaur ° Reinforcement in Place Foundation/Dampproofing. Backtill Approval Plumbing Under Stab Plumbing V'entfVents in Place Rough Plum g_�_ IL jr H ough-In ^_..,. y anon 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 Frami Jack Studs/Headers Braciug/Bri joist I' ttgers Jack PoastslMam Eleain Z-- Air Infiltration Barrier b I►3 (��� E �1 c� EAf�{ Fire Separation 1, 21 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin 7 GENERAL INSFE�N REPORT ~ f \ 518 / 761 - 825J6 14 TtIWI! of Queensbury ' Dept. of Community Development Dilate inspection request received. Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart Inspector's Init' NP.NIE: 5 PERMF17 W LOCATION: DATE TYPE STR C IJRE- HE NIA YES NO OMK4ENTS FootmgslPiers 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 FoundationfWallpour, Reinforcement in Place Foundation/Dam Backtill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Piurnbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior Floors R Walls - Ceiling R- Duct work or piping unheated spa R- t, Attic t rami ack S rs raci dging Joist rs Jack Beam ♦ �t�1F iJ` rG � " Air I on Barrier Fire pFtration 1, 2, 3, hour Penetration Scaled Fire Wail 27 3, 4 hour Firestopptn 401 ) GENERAL INSPECTI©.N REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive loepart ` s 1ni NAME: 1 f G/ S PERMIT'/# •� DCATION: ATE ` L T'XPE OF STRUCTURE: , RECHECK A YES NO COMMENTS FootingslPierS 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/Walipour Reinforcement in Place Foundation/13ampprooling. Back fill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi _in ndatlon Walls Interior - Foundation Wails Exteri R- Floors R- Walls R- Ceiling R- Duct work or pi in unheated S R- Proper Vent, Vent Framin Jack Sti s Bracin __ — Joist Jackea n Air Infiltration Barrier Fire Separation 1, 22 37 hour Penetration Sealed Fire Wall 2, 37 4 hour, Firestoppin FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 WL (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME + ~-� LOCATIO - , ev. ERMIT r SCHEDULE INSPECTION ON C � PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYST HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARAN TO SPRINKLERS CLEARAN TO HEATING UNI REQUIRED SIGN E CHIMNEY �. WOOD STOVE FIREPLACE MASONRY © FACTORY BLT. ❑ ROU H-IN D FIN REMARKS: ? O THIS DATE INSPSIIP.PW INSPECTOR GENERAL INSPECTION REPORT ( 518 ) 761 --8256 Town of Queensbary -- Dept. of Commnnityevelopment - Date inspection request received; Building & Code En rcement 742 Bay Road Queenabury, N1 12 44 Arrive amiM Depart anVpm 11 Inspector's tnitiais j . NAIWIE: 1 PEIZMLT # _ LOCATION: DATE LOCATION: : p TYPE OF STR RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form. Reinforcement in Place The contractor is responsible f e providing protection froth freezi ! for 48 hours Following the p nt of the concrete, Materials for this purpose on site Foundation/Wa€lpour Reinforcement in Place Foundation/Danipproofin BackfUl Approval Plumbing Under Slab PI nts in Place u umbing Insulation Foundation Walls Interior Foundation Walls Exterior - Floors Walls Ceiling R- Duct work or pipi in unheated spa R- ent 474 rs J I G ice _. Joist gets — / r Jac slMain Beam �c �"'" ! rgjr.Y Air I ltradon Barrier, / F' Separation 1, 2. 3. hour 7i} ��� 01`/ S r r► Sf Penetration 'Sealed u.* : +'✓s� if c./ Fire Wall 2, 3, 4 hour Firestopping �"W''yr'" TOE OF 4DEE115B111'tE�T ptFOR'C W j,LDIv ?4DE 2 O {toad qu een 5!sbur ! ------ 04 SYSTEM INSPECTIQN SEPTIC DISPOSAL tame Coca,} on ermi tif ` Elate Sa �•jCl SOIL TYPE ` Test- Results Of perCOl a e. . utellnch_�-- TYPE OF SYSTE14t T t al Ltr pP,50R 'TianFIELDrenLength ofeachJ)eptt1 Uf tre tiesSizeof stoneer— SEEPAOE PI- TS: , fto Size -� _M .r-��r � Stone s3xe 1x1L��� PIPING= Tank 8ldgm to Efist . BOA pit rta a Tank Box es Di eni ngs Seat ec1T { S: a feet ti�iCRTIdX1SEPRRAa k feet Foundation to sorption -�---� feet FOundatiOn to � NO SeParati on of P is plan ��~ 5 s as P e p h till PROPERTY EOOCAT OR O'F Sy _ ____------- Side ( circle one _ L.ef t Rear 'Front ront Middle t+li ddl e S,�gT APPAOV ArrzV � Departed di g nsPet r gl r� GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Conunuaalty Development Date inspection request received: Building 1Rc Code Enfarcemerrt 742 Bay Roar! Queensbury, NY 12804 Arrive am/pm Depart q Inspector's Initials NAME; PE UVIIT # LOCATIl7N [ t S �, r-4- v 1�e t -- DATE TYPE OF STRUCTURE: RECHECK. A YES NO COMMENTS FootingS/Piers ~T�� Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from ng for 48 hours following the p ent of the concrete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place Foundation/Damppraafin -rBackfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough PI Keating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fl.00rs R- Walls R- Ceilin,g R- Duct work or piping in unheated. spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers BracinglBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin f1'7an? Jcs :o�► e�trrj GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Hay Road — Queensbury, NY 12904 Arrivef Depart �, a� inspector's �=---� NAME: ► "?e- / i c.�+ ct a I� S a PERMIT # &2v o .7 2 LOCATIOINfI'f. ,c.1 .04 DATE TYPE OF STRL7C URE: RECHECK \N/ YESjqO 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 FoundationlWallpour, Reinforcement in Place Foundation/Dampproo Bacldlll Approval Plumbing Linder Stab Plumbing VentJVcnts in Place Bough 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 Frami Jack Studs/Headers Bracing/Bridging Joist Bangers lack Posts/Main Bean Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firest+�ppin GENERAL INSPECTION IMPORT { 51 $ } 76Z - 8255 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive LOQ pm Depart Inspector's Initial ^^yy NAME: ` PERMIT f.00ATIfJ +E? DATE :: :2_a- 1 TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS LFseorcl'—gtl7r'iess i � A t �.] ��' d�.S 1�" Monolithic Pour Form. Reinforcement in Place The contractor is responsible 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 Fou.ndation/Damppruoff Bacicfill Approval Plumbing Under Stab j Plumbing VentlVents in Place I/ Rough Plumbin Heating Rough-in Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping m unheated spaces R- Proper Vent, Attic Vent Franuin Jack Studs/Headers Bracing/Bri Joist Hangers Jack PostalMain Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin i 1 TOWN OF, QUEEASBURY SMJILDING_& CONE ENFORCEMENT 742 Bay Road Queensbury NY 12804 -�F (sis) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ` Location Date it # SOIL TYPE: Sand Loa -Cl ay-- br1 Try Y' � - -- ``V Results of Percolation Test- ( if applicable ) Rate- Minute/Inch- TYPE OF SYSTEM: � ABSORPTION FIELD: Total Les ,t,h�,. � Length of each trench �' Depth of trench- _ Size of stone cr *T SEEPAGE PITS : Number- Size - fto x ft . Stone size PIPING : Siz Ype Bldg . to Tank ! Pc>'r Tank to Dist . Box Dist . Box to Field/Pit�µ __ Openings Sealed? Yes No artia LOCATION/SEPARATIONS : Foundation to Tanis •4- feet Foundation to Absorption Al feet Separation of Pits et Conforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPER { circle Front -At - 'Left Side - Right Side Middle - Middle Rear COMMENTS : �' ''L'-Q t'( 'Fi OA-,kc er SYSTEM USE APPROVED: YES NO Departed : Building Inspector Lit *:^ r IA,i 6U { c-- T�` CP S- t•� ,�v' .— ,-`,,,° ��... v �f" , o� 2 c R � R 1 saw evidence 014 beVieve R etC-s 585, `lissllS, tTeBS� have 1 resent t%%a. all t 1 also rep a MVP ,il:,M�ances s . �Aj 1p f de low ip No w RECEIVED TOWN OF QUEENS13URY BUILDING AND CODE ,r � S CO 00 %Q � 34ff 3 w It oi� r� toy + fj L ;. "I have seen or observed, or believe I saw evidence of, :all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have ' person ly measured the distances set orth o the di gram: rVA SIG ATURE DA