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1999-173 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 17 19 99 c° r This is to certify that work requested to be done as shown by Permit No. q q 1 7 has been completed. • This structure may be occupied as a SINGLE FAMILY DWELLING L07 8 NOVA LANE ( {� ,O V� Location 1' '`� �Gl Owner BLACKMER, MICHAEL & BECKY • TAX MAP NO. 6 4 . -1-5 . 13 By Order Town Board` TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 125003-OWN OF QUEENSBURY No. 99173 TAX MAP NO. 64. -1-5 . 13 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to BLACKMER, MICHAEL & BECKY OWNER of property located at NOVA LANE Street,Road or Ave. in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is NOVA LANE QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name SCHERMERHORN CONSTRUCTION 3. CONTRACTOR or BUILDER'S Address 43H HUNTERBROOK LANE. QUEENSBURY, NEW YORK 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECTS HAGUE, NY . 12836 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING )Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications No. 8. Proposed Use SINGLE FAMILY DWELLING 3 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES May 19 (If a longer'period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) May 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Building a Zoning Inspector TOWN OF QUEENSBAIRY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS / Date 44- .3 — g � d 4 ,19 Permit No. APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ord'nances, regulations, and all conditions that are,part'of these requirements and also will allow all inspectors to enter premises to'performmi required inspections. Please fill out additional form if more than one appliance,and/or chimney. Applicant , , ��.� � +ter ' ;r:1 =R,�4 ., APPLIANCE (check appropriate boxes) � � a ❑ STOVE: ❑Wood ❑ Coal o Pellet o Gas Address ►�� �� Ii�,�-��; 5raok ��ar /I ❑ FIREPLACE/INSERT :t1 � Sii i'�t Zip . ' , ,E;. � � �;' 'i '. p' FIREPLAC FACTORY-BUILT: 7 ❑ Wood p' Gas Phone '` 'l 0 (9 v 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner ���, �- / . rca�' 0 FURNACE: ❑ Wood p. Gas ❑ Oil Address sl ;w4 IF NON-MASONRY APPLIANCE: --— _ Manufacturer:. _))/ /1 io 'Zip / ft. Model: Phone -2 7 3 —.i Q _ CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 0 MASONRY: 0 Block 0 Brick 0 Stone C °' XA ))1C"a ,- O/ 1 FLUE: o Tile Di Steel Size: iff inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS-FIRE PREVENTION & Manufacturer: Model: BUILDING CODE.. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBUR)(:HANDOUTS ❑ Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title '2 A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales' (� C rrr � - Fee Collected From or Refunded to: �,r /k t ��,4 c. .� .�. l D �,->i'', R �" {� APE Address: Dated: IA - , =g, ( !'$ Town Clerk or Deputy: J m . r White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.. r� .a ) i.; Application for SEPTIC DISPOSAL PERMIT Town of Queensbury -Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 LOT Location of property for installation: " /l/J i/i- .P Property Owner's Name: , o4 per/ ���z Property Owner's Mailing Address: Fj /W /2 • Z.BA /71%ifr Hillck: Installer's Name: , 1 /r rha P/, �,C,e-,27Pp- Phone # Number of bedrooms (if residential): L j Total daily flow: 4Jr0 (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope • Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [rate min. per inch J —j-otvh W4 Domestic water supply: municipal, well, other If domestic water supply is a ViFT.T, water supply from any septic absorption is feet. PROPOSED SYSTEM • Septic tanlc4 non gallon (minimum size: 1,040 gal.) . Tile field: each trench ,67 j9 feet / Total system length: a0 feet Seepage pit(s):"number of / size each: _ ft.by ft. Size of stone to be used: # / depth or thickness / feet • HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons &ham system and associated electrical work to be inspected by a certified agency.) For your protection, please rote that pursuant to Section 136-29 of the Code of the Town of Qoeensbury, any permit or approval sramed which is based upon or is granted is reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behAlf of an applicant, chili 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 San4tary Sewage Disposal Ordinance. Signature of responsible person: * �� � i�� Date: 1/7y9 cf • w/ ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 , - Acceptable Practice Method - 1&2. Family Dwellings (only) • 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: cc ` e Cepej- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - /900 square feet • • 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes si No 4 . Percentage of area of windows and doors X Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R :30 . b. Exterior walls R /9 c . Glazed areas R •Z - d. Exterior doors R e . Floors over unheated spaces R `9 f . Edge of slab on grade (heated building) R / q g. Basement/cellar walls (above grade) R j7 h. Basement/cellar walls (below grade) R !y , i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code y Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° . - WILL NOT BE EXCEEDED Applicant' Sigrure Date Phone Number INSPECTOR' S REMARKS : �suilaing 1�er�rtit Application Town of Queensbui y - Dept. c f Community ity Development, 742 Bay Road, Queens-bury, NI' 12804.1761-8256] BUILDING & . CODE ENFORCEMENT NOTICE Requirements prior to issuance A permit must be obtained before ' of this permit: PERMIT FILE NO. (1.(11--- 173 beginning construction. No inspections will be made until applicant has received E] Zoning Board Action PERMIT FEE PAID 5 a VALID BUILDING PERMIT. All Arch• /Use g-c applicants' spaces on this application RECREATION FEE PAID$ MUST be completed and.the signature 0 Planning Board Action cZ� of the applicant must appear on th© REVIEWED Ill: `)plicntion form. 7h,..4 y,„,, SPR / Subdivision /011�cr Building inspector JII /� Recreation Fee Payment /�� J Applicant: 5C-IMPv4eA kO,.ki lac�✓Icrivc.T:oA) Owner: t N`;k� iBe....elid151a-C-L-y P_ -r- ll Carp nn ' Address: L)5 4' 11 44R,.( BPao L 1-M' ' Address: 5ii) P, - 4c-\- • Phone # ( jig.)1J5 - 640 y l'holle # (51E5 ) 2® ., i J Properly !mention: Lost e klova. La,PS, ... 6/-1 / .S.--,/.3 tIulullvlaltln NIIIIWI 'c- il •C S 'I'ne Mop Nnmhor tilNllon Illnek I nil NATURE OF PROPOSED W011fl It ESTIMATED MARKET VALUE OF_IL_ New CONSTRUCTION: $ /Q 5' ooa (t.es'idence ,/ commercial 0 Addition. to:-Huilding: • residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - • residence / commercial �, Single Family Dwellin D,a ' Residence / Commercial Two Family .� It icF no change to exterior size Family D.•.el NE - — Office Other Work (describe below) Mercantile APR 2 3 1999 Manufacturing Other TOWN OF QUEENSBURY GROSS AREA OF PROPOSED STRUCTURE: / BUILDING AND CODE let Floor �So s ft 140 If ADDITION, what will use q' r of new_ addition e? : 2nd .Floor 7rjp sq. Other Floors sq. ft. G' (not unfinished cellar or basemen , ACCESSORY BUILDINGS: Detached Garage 1, 2 c. _ TOTAL FLOOR AREA: " - ' ) goo SQ. FT. X- Attached• Garage l,t Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building • Other 50 FEET X ,j y FEET Foundation Type: exile.,,��C_ Will any second-hand or ungraded Number of Stories: y lumber be usedlc, If so, for what? (habitable space only) ��(('�� Height (grade to ridge) : !S feet TYPE OF HEATING SYSTEM: Number of fireplaces Ind/or woodstove (circle all which_ a. .li s) to be installed: Electric / Oil / et /Mood =•-o ce. Hot Air Ab :aseboard / Other Person responsible for supervision of work as regards to building codes is : /1P-ClriC•Anai'.t.� ( „,. A,vGsi,r,U (��,,Q 798-06-79 Name Addresss� Phone Builder: Sc. e("Plor1S005/-rc.,C.7/-, ,J atf p • 79e -06,72( Plumber: 5/Quo - i4.i1 7y7-5(,9 • . Mason: f/ (jq( -, ,•L) -79�.-13W Electrician: 1;, _ p;,,,,yJ _ yp y-3 QoC • DECLARATION: Please sign belougfler 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 submit prior to a Certificate of Occupanc 'or Certificate of Compliance being issued,•an AS BUILT PLOT PLAN by a licensed surveyor; dr n to ssc ,sowing rctual location of project on premises. Signature: t-�L ,...,-- (owner, owner's agent, architect, contractor) TOWN OF QUEENSBURY ''e BUILDING & CODE ENFORCEMENT 742 BAY ROAD �/' ,• QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEP • . N\P: FINAL INSPECTION REPORT — RESIDENTIAL / I DATE INSPECTION REQ EST RECEIVED: qr`/2 , I NAME 'Ake_ mei-a Hi- LOCATION LOCATION _ e , k.-. 0 - DATE C' —j -49 PERMIT f / /'/ / E1 TYPE OF STRUCTURE / FOOTINGS FOUND T1ON BACKFILL FRAMING ROUGH PLUMBING SEP C INSULATI N FINAL ELECTRICAL W ODSTOVE OR FIR PLACE /A YES NO CHIMNEY HEIGHT/B ENT/HEIGHT / PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OP RAT NG INTERIOR TRIM/PRIVAC IIOORS FINISH FLOORS: BATH/KITCHEN WATE"T GHT OTHER FLOORS SW/^EPAB E / . OTHER FLOORS CARPETED STAIR CLEARANOE/RAILING' SMOKE DETECT'RS BATHROOM F NS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL 1 SITE PLAN/VARIANCE REO. \ /INAL SURVEY PLOT PLAN \\ 012 OK TO ISSUE C/O OR C/C \ ..._ : FIRE MARSHAL / 'S'r TOWN OF QUEENSBURY ;TO QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REP RT REQUEST RECEIVED PERMIT l f 1-73 NAME /6 /1-Cg lVV-ig( LOCATION /VD U4 SCHEDULE INSPECTION ON (:1 / 1-26 AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHT NG FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FPLACE-MASONRY % VFIREPLACE-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE 464); 0 ©F (26(,{ . I N I S P, PDSC— 126-PL. J uo 6J //osP _ INSPSLIP.PUB INSPECTOR i i RESIDENTIAL FINAL INSPECTION REPORT De.Office No. (518)761-8256 Date inspection request received: 4 �• �C� ` Building& Code Enforcement Dept. of Community Development Arrive\!,r( t/pm Depart 1 Town of Queensbury Inspector's . ' s 742 Bay Road Queensbury, New York 12804 NAME 1/0 C'/cm c0,,,'. PERMIT# 9 LOCATION ,./r 1/R ii i?es DATE TYPE OF STRUCTURE c!j\ N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ' Y/ ' 0 Fresh Air Intake J Plumb Vent through roof Roof Complete s4 Exterior Finish Complete V i Interior/Exterior Railings 30"to 36" ti/., Exterior Handrails,balconies,landing 18 in. or more \f/ Interior Handrails stairs both side or more risers V) Grade 2%away from foundation •✓, 8"clearance to sill plate `/' �� � � C -`R�E Gas Valve shut-off e posed/re: er 18"above grade •,/, Gas Furnace shut-off 'thin 30 : or within line of site ,/ 6"FC—V-E� Oil Furnace shut-off at ,i tran , • i ace area Furnace/Hot Water Heat o. . 'g Relief Valve(s)installed // Q Headroom,6 ft. 6 in. on stairs V T\ECEi�� E� Basement stairs,6 ft.4 in. tif n PR2 b Oq L- D ,6` EEL_ Handrail exterior stairs both .ides more than 3 risers �EI F�-�� Interior privacy/trim/doors/ ain entrance 36" / ` -1-0,LA--T,Do Floor Finish 4/ Bathroom/Kitchen waterti: J Interior Handrails Balconie•/Landing 18 in. or more Railing across window in .irwells Smoke Detectors: every level ✓/ every bedroom d ` outside every bedroom J/ inter connected Bathroom fans / Plumbing fixtures // Foundation insulation t 3/4 hour fire door/door closer J Garage fireproofing J Garage penetrations sealed ! J Furnace in separate room protected(in garage) f Light ventilation per room II Safety glazing 18"or less from floor t Final Electrical J Site Plan/Variance required l Final Survey Plot Plan J 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) FIRE MARSHAL TOWN OF QUEENSBURY #' � t ' QUEENSBURY, NY 12804 ..� (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME SAC\4.-1 F� LOCATION t O\ (._k6T_ PERMIT# —1 -73 SCHEDULE INSPECTION ON 1\o tS AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY E�l1P-Q4e,64� WOOD STOVE FIREPLACE LI MASONRY ❑FACTORY BLT. FINAL REMARKS: ❑ OK TO THIS DATE INSPSLIP.PUB INSPECT �'� .. :. . 1 .. ,�� 1 T� ,r•.�...�....�r. .arrrr':arrrrarrrrw'�' � __ _ _..-.-.,. ..-.. - 1 1 i ��l v I Or jw lu t �EpF NE'�,y Toy ' ` 4\ /IYV- j 1 4/ •- v t, I. SThs ELL vw ,. vt 14 x 3o &YAW i� _ . 00 77 i I Ef- -77 t _ I 1 ►, i rk `r •4i � a �.�r. I � '1r� _.-. __ „ 4 1 Stt , PA/ RESIDENTIAL FOAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: 67 /& g9 Building& Code Enforcement Dept. of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 � NAME4;o7..cdve r-r,e_—/ i--7-- 1-1r/3/4c.h.. PERMITC— PER ii 9 9— / l/3 LOCATION /Licr— DATE /ice /�'1 TYPE OF STRUCTURE / N/A YES NO NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake V Plumb Vent through roof ✓/ Roof Complete ✓ Exterior Finish Complete Interior/Exterior ://7- Railings 30"to 36" Exterior Handrails,balconies,lana.ig 18 in. or more Interior Handrails stairs both sides , or more 'sers Grade 2%away from foundation 7, 8"clearance to sill plate f/ Gas Valve shut-off exposed/re:i ator 18"above grade , �J Gas Furnace shut-off within 30 feet or • thin line of site Oil Furnace shut-off at entry,• o - ace area R L V 106- ,A.3- pf6 , �- - i_ Furnace/Hot Water Heater op. ating f . Relief Valve(s)installed A-\ni / -6.� Headroom,6 ft. 6 in. on s .• s Basement stairs,6 ft.4 in. L7'" . Handrail exterior stairs ho sides more than 3 risers V:,... Interior privacy/trim/door•main entrance 36" ✓l Floor Finish r Bathroom/Kitchen wat- :ght / Interior Handrails Balco(*es/Landing 18 in. or more ,/ Railing across window . stairwells 1 / Smoke Detectors: ✓� every level every bedroom /� outside every bedroom i/ inter connected i Bathroom fans Plumbing fixtures / Foundation insulation V E T" 3/4 hour fire door/door closer _ Garage fireproofing V 1 fore - A-Lc- *-o ibi I—5 Garage penetrations sealed Furnace in separate room protected(in garage) V /Light ventilation per room Safety glazing 18"o less om floor Final Electrical l 5 i t C1,64, ✓ Site Plan/Variance req • ed / 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) V COMMONWEALTH ELECTRICAL INSPECTION SERVI , N . Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APP vAu Panel Board No Cert. N2 64849 Cut-in Card No. Owner in/Ke 500-6)4-Wer-fr/2" Location.40 r NOVA Installation Consisting of 1ff/ .5r4di ).t4114 4/6) 'Re-C-61; 3 a." Pg ,tif2t fil 0-.0 4* ,.,1/i41 (1 Pi -711- S ) ID 0 /1" '5)r-r4a a%e- rj , Installed By ,/ Ad 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 makin inspections at any time, and if its rules are violated,the Company shall have the right took th. tific . Date 9' INSPECTOR —. . pin , GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: / Building& Code Enforcement 742 Bay Road U,,,v} Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials NAME: �'jl 0 C V iti,. - PERMIT# c `- 173 LOCATION: MO VA- L A tti '— DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is respo .able fo providing protection f lm freezin: for 48 hodsfollowing the placem=nt of the con e. Materials for this is- on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproo',i g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents n Place Rough Plumbing Heating Rough-In.Insulation 1% 2'"� Q . Foundation Walls Interior R- Foundation Walls Exterior R- Floors Rli - Walls R- Ceiling R- ' Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping K\_Rpc 1 IDL.\-4. GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive& rpm i epart -r inspector's Initial 1 NAME: 1 1`_ \OCI `(Y\CaCL -i PERMIT# —I 3 LOCATIO : nOG\ '\--q, DATE : " () 9 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form , _ Reinforcement in Place The contractor is •sponsibl:for providing protectio from •i g for 48 hours folio : the 'lace u ent of the concrete. Materials for this purpo : o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab P1 u '.ing Vent/Vents in Pile ' :'gh Plumbing Heating Rough-In Q�—•� , y/ V Insulation �� � Foundation Walls Interior R- ‘‘'t\` Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pr r Vent, Attic Vent t►.,Pfaming Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury �l Dept. of Community Development Date inspection request received: - l 7J Building& Code Enforcement ' 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart ' 1)am/pm Inspector's Initials NAME: c\\2\C g\C\t -\Y PERMIT# 7 LOCATION: I\J O\ C' , J (arNO DATE : / I r, -9 TYPE OF STRUCTURE: Sr�� RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for hours f wing e placement of th con . Material fo this purpo on site Foundati allpour Reinfor Founds on/Dampproofing Bac•s°1 Approval P1 8, ..ng Under Slab Plt(mbing'VentNents in Place ✓f \Rough Plumbing) 1f Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Ceiling R- VRb\/(b e- Its Cc_&kI . e Duct work or piping in unheated spaces R- Pro r Ver , Attic Vent _fi g \c) Jack Studs/Headers ✓ Bracing/Bridging / ✓ �ow-PL g[- ka7(ol MG Ado - -V7( - Rvti Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 ,:say Road Queensbury,NY 12804 Arrive am/pm Depart" am/pm Inspector's In' ials J — NAME: Ni\. 1 PERMIT# si —1 7 3 LOCATION: CAI( r 2 - DATE : -- — S TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I � I �� Monolithic Pour Form J( /, - 5 f7124_ 0/v�• 3 f-v t o-R Reinforcement in Place The contractor is responsi• • for 1)(L' 'L5 providing protection fro , fr a g for 48 hourkfollowing i e p1ce rent of the con e. Materials for this urpo f on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo': g Backfill Approval iv\D F.Plumbing Under Slab r . 2 Plumbing Vent/Ven •in Place 2 ���-�-C Rough Plumbing S i-�, �- Ti7-1,Co F-t r RA.F_Te Heating Rough-In C q 2. 0 V G k-1=✓�44,t&I A) G Insulation Foundation Wall•Interior R- Foundation vP o Uu �� Foundation Wall, Exterior R- /1UJ T&c- Ao,o i r)N1q _ P �r Floors R- �nf1-PEE 6-Ai D Roar L,& C4ic6 Walls R- Ceiling R- Duct work or piping in iA)5 ikLJ- D6(-- , S i 5 r ON C 2 FG-- i A)C unheated spaces R- P L L Pmro r VPnt, A ting � n �� P-'"12, � bUtb6- 4- (3 1,7)bNf-L 6 0 PPoqi %a2 ,t,R ,rZ Jack Stueaders / JLLI 0 Cce66-Y Bracing/Bridging/OLc1/A)&Joist Hangers / Jack Posts/Main Beam �/ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT 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 NAME: C�n PERMIT# / ! 3 LOCATION: (5\) DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers l Monolithic Pour Form Reinforcement in Place The contractor 'respo i ible for providing protect1 n frI m freezing for 48 hours folio g e pla -ment of the concrete. Materials for this purpo on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo a ng Backfill Approval Plumbing Under Slab Plumbing Vent/Ven • in Place Rough Plumbing Heating Rough-In Insulation Foundation pails Interior R- ,f Foundation ails Exterior R- 1 iu'51 c c_ r`t b r 'TlO Ai 4L_ S Floors R- Fcso U.J`aekb L,4 tt,. `3T F"L,e Walls R- Ceiling R- ('L5 W�dto g vkv,.P`o Li- kA—F rzciz Duct work or piping in Bated spaces R- Pr r Vent, Attic Vent raining lstF&.t& OA,i—Y Jack Studs/Headers '\ DB . J CK f v ro 6402 • (5'N. Bracing/Bridging ✓ 0-)6 Joist Hangers 2%i DC� I V � c r~ TO �kc c Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping No() l b e- 4LCE 5 5 O Z F GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: S / Building& Code Enforcement 742 ay Road ' Queensbury,NY 12804 Arrive am/pm Depart/6 /-1Wpm Inspector's Initials --'� NAME: a GThke PERMIT# 4_q_r73 LOCATION: ks da DATE : TYPE OF STRUCTURE: • 1 RECHECK AYES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from ing for 48 hours following the acement of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo g Thck 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 unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping / f0e) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 1 -q-c-14-M e12 Location AYauk L., Date 13 l 41 Permit # p16/ ` - 0173. SOIL TYPE: Sand-Loam-Cl . Results of Percolatio Test- (if applicable) Rate- inute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Leng Length of`each trenc' Depth of trenches-.- Size of stone SEEPAGE PITS: Numb-r- Size - ft. x ft. Stone size - PIPING: Size Type I Bldg. to Tank , SR O Tank to Dist. Box Dist. Box to Fi el V' 'i`� Openings Sealed? No Partial LOCATION/SEPARATII Foundation to Tan 30CD feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan Yes No. LOCATION OF SYSTEM.ON PROPERTY: , (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: n j�r�1 K (�"L kE4)( C).4J / . 1 A,uK k R106, - 04 -ti o 69u SYSTEM USE APPROVED: ES NO Arrived: ___r_3_ Departed: 1 Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name e)\r• \ccoo;. . ,('�� • t Location Lt- DateqVL i t # 9ok— 1 73 SOIL TYPE: Sand Loam Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ) ABSORPTION FIELD: To Length Length of each tre h ; Depth of trenches V Size of:. stone SEEPAGE .PITS: Nu . Size - ft ft. Stone siz- PIPING: _ Size Type Bldg. to Tank Tank to Dist. B q _ `'<1 - _ v Dist. Box to Fi 1d/ • ti 44 Openings Sealed. Yes ' No Parti LOCATION/SEPA TION : Foundation to ank 30 feet Foundation to bsorption feet Separation of Pits _ feet Conforms as pe Plot Plan - No LOCATION OF SYSTEM ON PROPERT . e one) Fron - Rear - Left Side - Right Side fiddle Front - Middle Rear COMMENTS: sri�,R--T 1$9_c___ L. ElZbi - -6 4-2 6. `it, `r4,)K ' 0o-r- (Tc i fiu57A-e_L-,C> SYSTEM USE APPROVED: YES NO Arrived: Departed: dGifi-- Building Inspector ef.5„0 GENERAL INSPECTION REPORT Town of Queensbury. Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12894 Arrive am/pm Deparle' Inspector's Initials NAME: & L tik, PERMIT# L - 5 LOCATION: Mit/A- C4/. \ DA1 E : 6 1 C. . TYPE OF STRUCTURE: ` RECHECK ! N/A YES NO COMMENTS Footings/Piers \ Monolithic Pour Form Reinforcement in Place 1 The contractor is responsible for \\ providing protection from freezing for 48 hours following the placement \\ , of a concrete. terials for this purpose on site Zoundation/Wallpour \ I Reinforcement in Place 9-. \ Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 1 Rough Plumbing I Heating Rough-In t Insulation 1 Foundation Walls Interior R- t Foundation Walls Exterior R- t Floors R • - Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury eensbu 3p/iv\ Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ay Road Queensbury,NY 12804 Arrive am/pm Depart a____.:31)am/ m Inspector's Initials NAME. Acx PERMIT# 1 l l3 �. C LOCATION: ( ,1( `— DATE : I D -9�l TYPE OF STRUCTURE: RECHECK N/A YES NO r COMMENTS gs/Pie I / nolithic Pour orm Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. yiaterials for this purpose on site Foundation/Wallpour / f,/(}'( Reinforcement in Place — V Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentNents 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 unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL INSPECTION REPORT _ d 7 3(), Town off Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ;=ay Road Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials NAME: PERMIT# 7 3 LOCATION: ( DATE : TYPE OF STRUCTURE: S' ', RECHECK N/A YE O COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place vd- The contractor is responsible for providing protection from freezin for 48 hours foll wing the place I ent of the concrete. Materials for this purpa si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i lace Rough Plumbing Heating Rough-In Insulation Foundation Walls/interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping A )CI. /) ) (' cJl(( e ( GU — I — . 99 -173 • EC88VED APR. 2 3 1999 "I have seen o►observed,or believe I sale evidence . all objects such as houses, wells,trees, fens et $. U I. �� ��`-�•fe( jr-OWN OF QUEENBBURY "pl • ' BUILDING AND CODE shn,„rn on this document. I al o represent that_i-have pe,_.Arally me ured th di nces set forth the diagram." , ETURE "`—"` � �'2' DATE d, f poi/w./ cioeft.3_ . CW1'e- ..\ 66'4 Sy S( LV ) Q 1 o An 2 3 1999 o , �' OFcaUVTOWLN0pDE \ _ 0 BUIDNG ADit,I isi ) iftL);L__,r_—)___ _ • F/c/t4— '°;14 1 od ; I'�i.P) 1 t I, , na\ . I'd( r • • ).,� _ _.. _�__—__.. .. -�. _ a J• D D NO ViCi DEED REFERENCE: SIDNEY TIMMS TO MICHAEL & REBECCA BLACKMER DATED MARCH 7, 1996 BOOK 972 PAGE 333 LOT #9 LANDS N/F OF PATRICK J. & KAREN B. KOWALCZYK S87' 12'04"E I.R.F. ���+.®.u..,.e.:. w 1271' °°° 4°0 of � o O fiZ •. i a �Se' • MONO' S 7 g 2 6' 3 LANDS N/F OF TIMIIIS MON. M M AP REFERENCE: p�,P ENTITLED "HICKORY ACRES SUBDIVISION pl, FOR 50V NO" �� REVISED 9I151g� OF ���r A���► LS [.� __ ..,, �,�►,�nII�FN 8c SIEVES, ._, 0 a: 346. 32, cONc. MON. chafnlink fence r' o N ♦' O FOUNDATION 166.6' oz� N ONLY �04 — LOT #8 AREA 1.25 +1 ACRES I.R.F o y� S . �y. R. 326.00t ........ ...... • • CRUSHED STONE DRIVE O .......... .. TO BLACKMER I.R.F EASEMENT CONVE.YED 972/333).................. pER DEED REFERENCE I.R.F. LOT #7 "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB DIVISION 2, OF THE NEW PORK STATE EDUCA NAL OF THIS SURVEY "ONLY COPIES FROM THE OF ORIGINAL LAND SURVEYORS ►�o►rGn WITH AN ORIGINAL In aF VALID TRUE COK o�•%`�SEp LAND"", J. 80 pP �� o c/' DAVID J. BOLSTER, LLS DATE SEALED LOT # 1 I HEREBY CERTIFY TO: 1) MICHAEL & REBECCA BLACKMER 2) TRUSTCO BANK, IT'S SUCCESSORS AND/OR ASSIGNS. 3) FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK. THAT TKIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY COMPLETED ON MAY 21, 1999. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR LOT 2 SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. DAVID J. VOLSTER DATE: MAY 26, 1999 qor3fi&44 ir 113 MAP OF A SURVEY OF LOT 8 HICKORY ACRES MADE FOR MICHAEL & REBECCA BLACKMER TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK DAVID J. BOLSTER LICENSED LAND SURVEYOR 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 DATE. MAY 25, 1999 SCALE: 1" 50' N.Y.S. LIC. NO. 49534 DWG. NO. 99060 B I.R.F. IRON ROD FOUND