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2000-521 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (5t8) 761-8201 Community Development = Building & Codes (518) 761-8256 ERTIFICiiiEFIF Permit Number: P20000521 _ Date Issued: Thursday, June 28, 2001 This is to certify that work requested to be done as shown. by Permit Number P20000521 has been completed. Tax Map Number: 523400=296=018=0001-013404000 Location: 8 NOVA Ln Owner: PETER & COLLEEN KNIGHT Applicant: PETER & COLLEEN KNIGHT This structure tray be occupied as a: By Order of Town Bo and Single Family Dwelling TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 76 1-8201 ,A Community Development - Building & Codes (518) 761-8256 UILIIING P'EII1rrr'IIT L 1 Permit Number. P2000052 Application Number A20W,0489 Tax Map No: �3 400-0+64-000-0�0 1 -005-011 -0000 Permission is hereby granted to: PETER & COLLEEN KNIGHT Owner of property located at: NOVA Ln in the Town of Queensbury, to construct or place a Single Family Dwelling at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the N'YS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner Address.: MARJORIE TIMMS 7 NOVA. Ln QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency BERNARD DEGRAFF NY Type of Construction: Single Family Dwelling Value : $ 1654)000.00 Plans & Specifications .A $287.00 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.) Dated at the To o eens rya W ay, July 26, 2000 t ry SIGNED B5 for the Town of Queensbury. Director of Building & Code Enforcement Building .Permit .Application Town of Queensbury "Debt. of Carturtuiiity DevelcyNrteirt, 742 Bay Road, Queenshury, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT INNOTLICE Requirements prior to i uance of this permit: ~ : + MIT FILE NO. r P► permit must be obtained before . beginning construction. No inspection& Zoning Ord Act"AlL 1 -1 x PERMIT FEE PAID $ will be made until applicant has received 0 �Q a 'VA41I? BUILDING PERMIT. All Area ! Use ,r RECREATION FEE ; applicants* spaces on this applications uri4" MUST be completed a A, die signature Q Planraitng Doard -A6foA- -•' ')REVIEWED BY.b of the applicant must appear on the SPR, / Subdivision I Other Inq tnvtrrcYnr Iieation Form. ne.. ,.m Recreation Fee Payment Applicant: 4L l Owner: i Address: /f� * Y �lJ/✓ ii•2r Address: Phone # ( 57,f Phone # Property Location: 2zj/ r4_ Ll r '' C} � ,r , r AC,� Tax Map NumUer _�/ Subdivision Name: ..,_ � Scotian Block IA,t NAT'U" OF PROPOSED WORK : ESTIMATED MARKET VALUE OF !iE 1 - " New Bu :_.lding_ CONSTRUCTION : $ �{'r ° " r 5 fL resident / commercial Addi`t: ion to Building : residence / commercial OCCUPANCY INFORMATION : Tit]N : 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 GROSS AREA OF PROPOSED STRUCTURE : }/ r If ADDITION , what will use 1st Floor . . . . , 1� sqo f of new, addition be7 : 2nd ,FIo�ar . a OeAw . . . sq . ft .�- other Fluters , . Bq . ft . ( not unfinished cellar or base ACCESSORY BUILDINGS : ca ( , Detached Garage 1 , Gar TOTAL FLOOR AREA : 2-2- 4 SQ , F'T • Attached Garage 10 2 car Private - Storage Hu SIZE of NEW STRUCTURE : Commercial Storage Building Other FEET X FEET Foundation Type : _ItQ� V"e "- Will any second- 'hand or ungraded lumber be usedY if so , for what ? Number of Stories : ( habitable space onyly r Height ( grade to rdge ) : feet TYPE OF HEATING SYSTEM : t. Number of fireplaCe� and / or��dstove (circle all which lies to be installed ._ [ _ Electric / oil / as / wood Forced Hot Air / Baseboard / Other Person responsible ar suQ vision of work as regards to building codes is : � Name Addresss Phone Builder : cC Plumber a selq Mason Electrician : .DECLA.R.4TJr0N.• 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 witty, whether specified or noted, and that such work is authorized by the owner. Furtftier, it is understood that 1/we shall submit prior to a Certificate of Occupal Certificate of Complian Bing issued, an AS BUILT' PLOT PLAN by a licensed survey dr _wil o scale, sho i act u loc Lion of project on premises. Signature: (o ner, owner's gent, itec contractor) Application for Permit - Septic Disposal System 1 Tatvrt O,f QrleelislJtlry 742 Bay Road Queensbury, NY 12804 (518) 761-8256 I . OWNER INFORMATION: _.. ............ ....... W ............................ .,,.,.... Location of installation: < 1V� A 6e r � Office Use File Permit N. pw 4 Tax Map No. / �_ 1 ,/� ' � G �' � / I /� r ;� Fee Paid Owners Name: /I re ' x _............................................ Address: 2. INSTALLER'S NAME : PHONE NO. 3, RESIDENCE INFORMATION: (circle year of dwelling, indicate 0 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 DaiN Flow d ' A 1930 or older x 150 ,gal/bdrm = , _ 1980 - 1991 x 130 gal/bdrm 1991 — present _ 4" x 110gaVbdrm Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes 1 no 4, PARCEL INFORMATION: (circle applicable information &. indicate measurements) Nature - ----_ ,r ynSll Ater Be�ra�k r �mpervio Materil Wate upA_l1+ •!c f� AI whorl de�prl� err what depth fir rci �cr! Rollln,g .Beer we Sleep slope c ay if well; water .supply �% slope other from any sepac-system depth: absorption is fl. other Percolation Test: (To be completed by licensed prr fesslonal engineer or architect) ,Rate: � �011• 2 minute per inch 5. PROPOSED SYSTEM: For New Caastructign: 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 sine of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub, Septic Tank: a eJ gallon (min, size ], 000 gal.) 1 ' i �ScL5��7t`�3 4tG� Tile Field: each trench Total System Len 1� Seepage Pit(s): number of size of each: fl. by fl. L-A Size of Stone to be used: it / clelrrh or thickness _ �'___fec*I Bed System Size: _ 2 e/ ` x _a V + f Altemotive 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. T 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 T f Queensbury Sanitary Sewage Disposal Ordinance. Sig ure of spo lbi ro n to $ 7 ENERGY CODE COMPI.2A2CCE APPLICATIO TOWN Or QUEENSBURYr WARREN COUNTY 9000 HEATING DEGREE DAYS � " �� r• ; a' Comol ia.nce Methods : PART 5 - Acceptable Practice l��hadf L 1 & 2 Family Dwellings ttonls , , PART 5 * - The= al Rating - Corapotfett 1 & 2 Family Dwellings ; Multi-Faiail � ... Dwellings ( 3 stories or less ) PART 4 * Design by Component Perso=ance Commercial. Buildings -Hi Rise Residential *Rev_uires submission of worksheets A.PPLTCAINT ' S NAME : PROPEIRTY LOCATION : PE � rR �.E� AJ e r 6-�-r r� L� (ram J�/,�rl� Z,4 n/C PART 5 METHOD OF COMPZ.IANCE BY ACCEPTABLE PRACTICE 1 . G oss Floor Area - 01Q5 CV� sauare feet 2 . T'sr�e of Heat - Electric a ? Gas Other 3 _ = s .0U. lding mechanically cooled ? Yes Or, No 4 . Pe=tentage of a.ea o= windows and doors Over 17 % _ ! Under 17 �S 5 . R-V?. UES FOR INSULATION GIVEN BELOW 3MI7JST CORRESPOND TO R-V..A..LUES AS S ".E�OW7N ON PLANS SUBMITTED : a _ Roof R b . Exterior walls R c . Glazed. areas R do -ExC" erlor doors R 0. e . Floors ovew uaheater spaces R I .� _ Edge of slate on grade ( Heated bui lding ) R ` 1 c . Basement / cellar •xalls ( above cs -a.de ) R 1 © ?. _ Sasement /cellar walls ( below grade ) R iC> i Pleating/ cooling-ducts -piping in unheated space R 5 . S er vice ( domestic ) hot *cater heati^c device Co - fo =s to rcinimum e �' iciency per code ( _ Yes No 2'Z14s'' ERATURE CONTROL MAXIMUM 5"T'TIHG 140o -- WILL NOT BE EXCEEDED � a,, e�, — Phone Noe TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT QUEEN42 SBURYYNY012fIP4 f (518) 76I-8256 AEIRIVE : DEPART : �Y INSPi FINAL IN8P8CTI©N REPORT - RBS II} TI L DATE INSPEC ON EOUES-r R CEIVEO ; NAME LOCATION ) DATE ( � PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATION ROUG11 PLUMBING BA+GKP'ILL FRAMING FINAL ELECTRICAL SEPTIC INSULATI --- WOOi.7STPVE OR FIREPLACE a a CFiIMN�'Y HEI{'giTr6 VET I p'Ir��BIN_ G-_V'_Ftvm 3�4Qg r E E FIN C O CH P N S I° C HO T OP G ER M P V CY RS FINISH F RS : __.33 TH TC EN T G OTHER FLQQR� S SWEEP B OTHER F DO C PE ED TA R LEA NC ILIN S F S - �,C.UMSZNG FIXZ�� F I} T O I O G GE F R ROO ING O S $ L E ECT c SETS PLAN/VARIANCE REO � ANAL SURVEY PLOT P AN —'- OEC TQ I SSU$ C /n OR C/C MAP REFERENCE: HICKORY ACRES SUBDIVISION MADE FOR SIDNEY H. TIMMS DATED; AUGUST 2, 1988 LAST REVISED: SEPTEMBER 15, 1991 BY: VAN DUSEN & STEVES LANDS OF TIMMS LOT7 0 �Np,GE EASEMEN 28 o W i 20, W10E ORP �-ems �5'12-% N /s�� AREA 5,770.87 sq. ft. a,,-)L Dus e YlU11MO M ALTFR OM 0R ADM= TO A *JWIU IMP O MNO A LX040 LAW SATW M !AL IS A 1 D. & NOLAna W ICIgM 72M 81i-011MaM A, w %a WO V= mAW IDYCAAW LW MM FM W SMSY �`""M=Mk°i"we` Steves YMMFD W1M A11 CROMIiL wAE LAW 71RYEYCR! MW '�tA7C == AWAM ME= � 11MT " luw4Y � Pon%= N AOCCIpAMCF " w Land Surveyors, LLC Pf 111E ttM TOMK AAIE MYOCIAACN OF PMOiF.tA7pW. `f"°°°°`°� POMW LAW sural OR WD CpTIPIG►7as 1I1M1 " OMLT M le Pp1M M VM I* "AT S PIIEPA M Alp 0 ill NNW W lK VM Cg~, adVF>1 som 169 Haviland Road Queensbury, New York 12801 �" : w w I im "p (518) 792-8474 New York Uc. No. 50135 LOT6 46,697 SO FT 1.07 ACRES 10 rye. UTILITIES ADS OF PINE vZEW CEI(ETAR)r Map of a Survey made for COLLEEN KNIGHT LOTS Town of Queensbury, Warren County, New York 1 6-26-Ol E. DATE 64-1-5.11 V�* 1�;O i 1"i �S_-wc�_cct-1 FINAL HOUSE & DRIVE DESCRIPTION S-1 8HEff 10F 1 KNIGHT C408 DWG. NO. 00270 RESIDENTIAL. FINAL INSPECTION REPORT Office No. (518) 761-8256 hate inspection request received: Building & Code Enforcement R Dept. of Community Development Arrive sm/pm Depall�n+I pm Town of Queenshury Inspector's Ini r lax Bay Road Queensbury, New York 12804 NAME VeC5 1(n MRMIT 0 r- LOCATION Ak i.. DATE TYPE OF STRUCTIJRF NIA YES 140 COMMENTS Chimney Height'$" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Cnmplete interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more. Interior Handrails stairs both sides 3 or m Grade 2% away fiom foundation W, clearance to sill plate Gas Valve shut-off exposedlregulator 8" above Gas Furnace shut-of'J'within, 30 feet or withut line f site Oil Furnace shut-offat entrance to hurt ace area Furnace/1-lot Water Heater Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 fk. 444-11, Handrail exterior stairs 3 risers Interior privacy/trun/doorsfntain ext 36" Floor Finish BadwoonVKitchen watertight Interior Handrails Balconies A*k?g 14 in. or more Railing across window in stairwells Smoke DLL tors: every level_. . every bedroom. outside every bedroom inter conrrec Ac d Bathrocnn fans lumbirig fixtures oundatian instrlatiaar 3/4 hour fire door/door closes Garage fireproofrrt Garage penetrations sealed Furnace in separate room protected (in garage)roomLight ventilation per room Safety glazing 18" or less from flour Final Electrical Site PlanfVariance rr gaired Final 'Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Cerlif. of Compliance) Okay to issue temp. CIO (Certif of Occupancy)_ Okay to issue permanent C/O (Certif. of Occupancy) T11A RESIDENTMI, F NAL INSPECTION REPORT Oftlee No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive* am/pra Depa►rrt Town of Queensbury Inspector's Initials 742 Bay Road Queensbury New York 12804 NAl4IE 4 S'�l1Q/✓ PERhII"I" LOCATION Q aDAT$ - TYPE OF STRUCT THE NIA YES NO COMMENTS Chimney Heightr B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complet Interior/Exterior Railing36" Exterior Handrails, balcLjboth anding 18 " . ar more Interior Haxtdrails stains 3 or risers Grade 2% away from fo V clearance to sill plate Gas Valve shut--off exp for " above grade Gas Furnace shirt-offwi eat within line of site. Oil Furnace shut-off entr furnace area F■ r nAce�ot Water a Relief Valve(s) installed Headroom, 6 ft- 6 in. on stairs Basement stairs, 6 ff 4 in. Handrail exterior stairs both sides mere than 3 risers � -- Interior privacy/trim/doors/main entra�tce 36 Floor Fuush Bade-oorn/Kitchen watertight Interior Handrails Balconies/landing I in, or nlme Railing across window in stairwells ep Smoke Detectors: every level every bedroom outside every bedroom utter connected Bathroom fans Plumbing fixtures Foundation insulation W.CJGrG-+ ^+ G►�� I J s/4 hour fire door/door closer !/,4,r�Jjz' c✓ do Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per rcHDM �Q � Safety glazing I V om 1 oor Final Electricalgot Site Plan/Varianre � /6,,�l Final Survey Plot Plan r i r 17 v k V 1 As Built Septic System layout required Okay to issue CIC (Certif. of Compliance) Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue permanent CIO (Certif, of Orcupaac: ) fl RESIAENnAL FINAL INSPECTION REPORT , t Office No. (518) 761,8256 Date inspection request received: 9 *�I .Building & Code Enforcement Dept. of Community Development Arriveta�m Depart i Town of Queensbury tor's Initi 742 Bay Rood I [ r Queensbury, New York 12804 NAME PF:IUVff r # 00 LOCATION vslouc^ DATE _ 1 11 TYPE OF STRU E N/A YES NO COMMENTS Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete lnterior/Exterior V to 36" Exterior Handrails bal landing l8 in. or mare Interior Handrails stairs des 3 or more risers Grade 2% away from 8" clearance to sill plate Gas Valve shut-off exposed/re for 18" above grade Oras Furnace shut-off within 30 or within lisle of site., �. Oil Furnace shut-off at entrance t area Furnace/Hot Water Heater capers Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs, Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides in than 3 risers Interior privacy/tsim/doorsfmoin en 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Baleonien and=__a 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom = inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/s hour fire door/door closer. Garage fueproofin Garage penetrations sealed Furnace in separate room protected (in garage) Light vemtilaatiorl per roam Safety glazing 18" or less from floor Final Electrical Site P1a if Variance required Final Survey Plat Plan As Built Septic System layout required. Okay to issue C/C (Ccrdf of Compliiance) Okay to issue temp. CIO (Certif.. ofo uwmcy) Okay to issue permanent C/O (Certif. of Occupancy) ERAL. INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept, of Community Development Date inspection request received+ Building & Code Enforcement 742 Bay Road Queenshury, NV 12804 Arrive WWPm Departs Inspector's Initials NAME: PERWF # "''t:1 " LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A 'YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinforcement in Place _ The contractor is respo le fo providing protection froi i freezi g for 48 hours fallowing a pla ent of the concrete. Materials for this purpose 4 n site FoundationlWallpour. Reinforcemcnt in Place Foundatia Backfill Approval Plumbing Under Slab Plumbing VentlVents in PI ace Rough Plumbing InsulRough-In ation Foundation Walls ILRFoundation Walls EFloors Walls Ceiling I]hict or pipinnhcaled sparesVent, Attic 'Ve Framing Jack. Studs/Headers Bracing/Bridgin joist Hangers Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 21 3, 4 hour. Firestoppin t GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement _ Bay Road Qu / C eenabury, NY 12804 Arrive ant/pin Depa 0 �ff Inspector's Initials �._____..C-^- NAN E: k6u !Cv Kr' PERMIT # LOCATION: /T/'�+�(/aW '—rJ DATE : >q!s 10 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FaotingslPiers 1 Monolithic Pour Form Reinforcement in Place The contractor is respo 'by providing protection f for 48 hours following of the concrete. Materials for this p„rposd on Foundation/Wailpour Reinforcement in Plane Foundation/Damppnoo Backfill Approval -- Plumbing, Under Stab Plumbing VenUVents inpPlace Ro Plumbin i tang Rough-In nsulation Foundation Walls IoUrior R Foundation Walls xterior R- Floors R. Walls R- Ceiling R- ot o work or pipi in ZopeT nheated R- Poe F Vent, Attic Vent �t J %''� LL �/ 6! oe 0A Framin - Jack Stu dstHeaders Bracing/Bridging F 1j'4 G =J�' Joist Bangers ! Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin TO FIRE MARSHAL OF QU gB RY NY ENSBURY (518) 781-8205128(34 FIRE MARSHAL INSPECTION REPORT REQUEST C IVE NAME PERMIT # �� I LOCATION _ HEDULE INSPECTION ON '.- -- AM P ANY-n EXITS APPROVED AISLE WIDTHS WA + YES NO EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM — — FIRE SPRINKLER SYSTEI�L � FIRE SUPP�R�'S,S{'gryF-SYSi'ENJ e HOOD INSTALLATION INTERIOR FINISHES p STORAGE. r CLEARANCE rO SP NKLERs� � CLEARANCE To H TING UNI REQUIRED SIGNAGE TS CHIMNEY WOO[) STOVE _ + FIREPLACE - MASONRY FY!� CE FACTORYl3UIL7'IL _ REMARKS: ! C OK TO THISI AD TE INSPFCTOR � GENERAL INS 'ECTlI?N REPORT 1 v,%A ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement a 742 Bay Road '"" ,.* Queeus6ury, NI' 1 � Arrive arrupm Il.,, pa rn(p"n }�,�' * ° �w.� /} ..( / ,�,, �a �( � (yam +/�� �Iyn[}s�p�e�c■t�or's 1 r al/s� /''� (.�..•({, NAME. l � � V iL+� �L ��Yy Y \Y ' l i PERMIT � � V 0 — LOCATION- y DATE : �Ao> L TYM OF STRUCTURE: _ ✓C� RECHBCK a� NIA YES NO r COMMENTS Footings/Pters Monolithic Pour Farm Reinforcement in Place` Joe The contractor is respo le for providing, protection from freezing pair for 48 hours following the placnt ` of the concrete. Materials far this purpose on site FoundationlWallpour Reinforcement in Place Foundatio Eackfill Approval , Plumbing under Slab FImiftbing VentlVents in Place ough Plumbii f c Heating Rough-In Insulation ..,/9ee1 �- UVi*I2 ,�3 .� R Foundation Walls in or R- Foundation Walls terior R- Floors R_ Walls ,s R VIP- P - Ceiling R- work piping in / ,p unheat spaces R- per V Attic Vent rams Jack. tuds/Headers 13 ng/Bridging Jo` Hangers _ Ja k Fbsts/Main Beam Air l tion Barrier Fire tion 1, 2, 3, hourion _f /� f Wall 2, t 44 hour l / 'Y f F �' tin ig l Y k ( 51 8 ) 761 - 8256 INGENERAL MECTI©N REPORT pegTown of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road t Queensbury, NY 12804 Arrive am/pm D a i 'cp pm / Inspector's In' ' Is NAME: z ERMrr # d LOCATION- DATE : cs TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers t Monolithic Pour Form Reinforcement in Place The contractor is responsible for yV providing protection from fr ng for 48 hours following the ment of the concrete_ Materials for this purpose on ite Foundation/Wallpour Reinforcement in place Foundation/Dampproofin Backltll Approval - PPl tbing Under Slab utgh Pl Vent/Vents in P f �� Rough Plumbi Heating Rough-In Insulation Foundation Walls Interio R- Foundation Walls Exteri r R- Floors Walls Ceiling Duct work or piping in unheated spaces R- oper Vent, c Vent ✓✓✓✓✓✓Franti i L7 Jack. Studs4leaders BracingMridging — Joist Hangers Jack Posts/Main Ism Air Infiltration Barrier Fire Separation I, 2, 3, hour Pgnetration Scald ire Wall 2, 3, 4 hour Firestopppin r4 �- GENERAL INSPECT N AEPORT Of { Sle - 8255 Town Queasbrrry Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Departl�}� m Inspector's Initials ,1 N ZA- /#ME; 'TYPE F ST RUCI URE:ATI DP .i.l # f� RECHECK Footings/Piers N/A YES No CC*AMENTS _ Monolithic Pour Form _ Reinforcement in Place The contractor is responsible for providing protect ion 'from for 48 hours following a place of the concrete. Materials for this on site Foundation/Walipour Reinforcement in Place Foundation/Dam f roofi Backf"ill Approval Plumung Under S Pl�in$ Vawvents in .toe Pl Plumbing r /� Heating Rough-ln Insulation Foundation Walls Interio R. _ Foundation Walls Exteri R- Floors R - -� Walls R- Ceiling R- - Duct work or piping, in u3jbeated spacers R- rrOyff ent, Attic Vent f,�j�� lire - 5ie�r5 •R ' i9 u f% ��r''t< b S Jack Studs/Readers ti l3rac, r dgtnJoist Hangers g_ Jack Posts/Main Beam ^$►ir Lufiltration Barrier C t7 Fire Separation I, 2, 3, hour Penetration Sealed .Eire Wall 2, 3, 4 hour '✓Fi estoppl.n t3w BLS f TOM OF QUEENSBURY BUILDING _ !i_ CODE E1 F70MF ENT 742 Bay Road QueensburY_MY 128D4 (518) 761-8256 SEPTIC D POSAL SYSTEM INSPECTIOrt Name Location Date SOIL TYPE: Sand-- LLoam- Clay- 1 Results of Percolation Test- ( if applicable) hate-Minute/Inch TYPE OF SYSTEM: — ABSORPTION FIELD. Total ength Length of each trench Depth of trenches Size of stone SEEPAGE PITS : umber- Size - �� ft . x - --�� Stone size PIPING : - ldg , to Tank T �e ,� � Tank to Dist . Box \, re Dist, Box to Field f Openings Sealed? LOCATION/SEPARATI es ° ra 1 Foundation to Tank r Foundation to Absorption feet E Separation of pits feet Conforms as per feet c LOCATION OF SYSTEMplot Plan es No ON PROPER Y; ( circle one Front - Rear - Left Side - R t Middle Front - Middle Rear ght Side COMMENTS : i SYSTEM USE APPROVED: No Arrived.: Depart 8u ny n e for F TOMN OF QUEEKSBURY BUILDING . 4, CODE ENFORCEMENT 742 Bay Road Queensbury NY 12864 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name er Location, - Date I .z� f h 'j� p rrni t SOIL TYPE: San Loam- lay_ Results of Percolation Tet- ( if 4pplicable ) Rate-Mina le/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total ken t(i Length ,of each trench t Depth o� tr•enches `,c Size of stoneSEEPAGE P�,TS : Number- Size - ft . x ft. Stone s e" , ` PIPING : _ zed_ " TankBldg to Tank . Tr-���.e�i Tank to Dist , B x Dist . Box to Fie d/pit w w Openings Sealed ? Yes? Part� a LOCATION/SEPARATI J,,,, Foundation to Tank �, feet Foundation to Absorplon feet Separation of Pits y eet Conforms as per ; Plot P n Ye No LOCATION OF SYSTEM ON P. { circle Front - ear Left Side Right Side Middle F Mi dd] a Rear COMMENTS: i SYSTEM USE APPROVED: YES NO Arrived: �;; Departed: Building Inspector s TOWN OF QUEEWSBORY BFIILDIIJG b CODE ENFORCEMENT 742 Bay Roar! Queensbury NY I2804 (518) 761-V56 SEPTIC DISPOSAL SYSTEM INSPECTION !Name _ Loc ion d40 � \ r } Date I�Z i P e rm i t� SOIL TYPE: Sand- Loam- Clay '. Rsults of Percolation To ��~f applicable ) Rate-Minu e/ Inch T E OF SYSTEM.: -_-�� AB RPTION FIELD: Total ngth Len th of each trench �---- Dep at trenches size f stone z SEEPAAE PITS : Number- Size - Stone S 'ze — ft . xt� PIPING: Bldg . to ank Size Type Tank to D7 t , Box -----_ Dist, Box Field Openings se ed ? NNo P T Yes artia LOrATION/SE S : a k Foundation to Foundation to ,_ feet s Separation of sorption �_ feet Conforms as p ot Plan feet LOCATION OF STE ON PROPERTY: No j� ( circle one ) Front - Rea - Left ide J IL Middle Fro t - Right Side M O a �R r a % Cam' oQC-tyjd03 4i= fi [ _ _ .tea SY USE APPROVED: YES 0 Ar iced : Departed: , gyp Building Inspector f V4e- ( 53. 8 ) 761 -825b GENERAL R6%8kCTI0N REPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road r/� Queensbury, NY 12804 Arrive am/pm .Depart ` n 1 f Inspector's Initials._ NAME: K, /\3 t-:S= __ T PERMIT # 4 r IX)CATION: � s L�l �� DATE : G `TYPE OF STRUCTURE: _-- �7 RECHECK N/A YES NO COMMENTS Footings/Piers 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 purpo on ite Foundation/Wallpour Reinforoement in Place Foundation/Dampproo Backfiti Approval Plumbing Linder Slab PWmbing Vent/Vents in PI gh Plumbing Heating Rough-In Insulation Foundation Walt: I r R- Foundation Walls e r R- —_— Floors Walls - Ceiling R Butt work or piping in unheated spaces R.- r Vent, Attic Vent s�Prami Jack Studs/l3eaders Bracing/Bridging Joist Hangers— Jack Posts/Main Beam Air Infiltration Harrier Fire Separation 1, 2, 3. hour _ Penetration Scaled Fire Wall 2, 3, 4 hour �restc�pp�n GENERAL INSPEC'TI+C?N REPORT ( 5181761 -8256 Town of Queensbury / Dept. of Community Development Date inspection request received: Building. & Code Enforcement 742 say Road ,- Queensbury, NY 128114 " Y ` " errive :� am/pm Depart pm Inspector's Initials �)Ly N FERMI AME: I # LCJCATION: 1�^" BATE TYPE OF STRUC RECHECK JA YES NO COMMENTS Footingst'Piers --- � Monolithic Your Form _ Reinforcement in Place The contractor is responsib for providing protection from ing for 48 hours following the p ent of the concrete. Materials for th�u•pose an site Reinforcement in Place FoundationlDampproofm Backlill Aroval Plumbing Under Slab Plumbing Ventivents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior Floors R- Walls R- Ceiling R- Duct work or piping, in unheated spaces R- Proper Vent, Attic Vent Frainin 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 Firestoppin ti �t �I GENERAL IN,SFECTILlN REPORT ( 5J. 8 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: f/ Building, & Code Enforcement 742 Bay Bond Queensbury, NY 12804 Arrive am/pm DePAR15�`_-......�. Inspi ectoes Initlals —J NAME: PERMIT # LOCATION. 4 A DATE : TYPE OF STRUCTURE: RECHECK NIA YSICNO COMMENTS tmgw?ters 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing, protection from freezi g for 48 hours following the PI of the concrete. Materials for this purpose on site Foundat3ionlWallpour Reinforcement in Place, Foundaiion/Dampproofm4""�- Bac-.ki"11 Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walks Interior R- Foundation Walls Exterior R- Fioors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing. Jack StudstTleadcrs Bracing/Bridgin Joist liangors Jack PostsiNfain Beam Air Infiltration Barrier. Fire Separation 1, 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin ... "I have seen or observed. Of bdi" 1 OW M all objects such as hDusW weds, tFeW *lam spawn an this documeft l also represent *A I hm , personally easureu the dicta set lrettl #M !be/d �- y� f ■ i SIGNATURE TE JULI ? 200I1 o oilS ON in cJq .35" 46 ' "4 T 017 s�