1999-230 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date A.. .r 19 — 9 9
This is to certify that work requested to be done as shown by Permit No.
has been completed.
• This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 40 ,#t85 SURREY FIELD DR.
Owner MTrl-i'k13',T,C CID CTTDTT.-T7: T. T. Y'
TAX MAP NO. 4 S . _8`4 0By Order Town Board
TOWN OF QU EN BURY
‘,1
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE• $ 122900
TOWN OF , QUEENSBURY No. 99230
TAX MAP NO. 48 . -8-40 WARREN COUNTY, NEW YORK
PERMISSION:is hereby granted to • MICHAELS GROUP,THE L.L.C.
OWNER of property located at LOT 40 #85 SURREY FIELD DR. 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
1810 STATE. RT. 9, SUITE 3
LAKE GEORGE, NY 12845
2. CONTRACTOR or BUILDER'S Name.
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDER'S Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE 9
LAKE,:GEORGE, . NY.,. 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK. BOARD. OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING .-
( )Wood Frame ( )Masonry - ( )Steel ( 1
7. PLANS and Specifications .
1315NcSQ FT. SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS.
8. Proposed Use \
SINGLE .FAMILY_ DWELLING
191 May 12 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 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.) '
12 May 1999
Dated at the Town of Queensbury this Day of -. 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector., -
TOWN OF QUEENS BURY .
742 Bay Rd., Queensbury, NY 12804 I
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date i ,19 Permit No. C)
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, ordinances, regulations, and all conditions that are part of these requirements and also will allow
' all inspectors to enter premises to perform required inspections. ,
Please fill out additional form if more than one appliance and/or chimney.
Applicant T 1 ,,Q !Q( 1 6 iA,c..6, I (Thteitjc) APPLIANCE (check'appropriate boxes)
Address a i3 ati .,(S'e i.' , fir~ - ❑ STOVE: o Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
1,1 ACJA t G� I Zip L 0 t 'S �ia FIREPLACE, FACTORY-BUILT:
o Wood Io Gas ,
Phone -1 ) - c,(. ( 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 0 FURNACE: 0 Wood - 0 Gas p Oil
;
Address IF NON-MASONRY APPLIANCE:
r�o
4=j Manufacturer:
Zip Model:
Phone ,
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
.�- 0 MASONRY: 0 Block 0 Brick 0 Stone
( c i LI U li E ( f-- r to I 6 ' FLUE: 0 Tile 0 Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST oFACTORY-BUI LT: '
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated ❑ Direct Venting
0 Chimney Liner '
Cashier's Department Town of Queen'sbury, - New York
Dept: Fire Marshal ' Amount Collected Amount Refunded
Code Number Title -sd
A 173 3389 (190) Public Safety , . '.: ..'
A 233 265.5 (230) Minor Sales ,,
-5„,.,
r`.
t ee Collveeted From or Refunded to: Z. ., r I. `- f`y''.,
Ada ess: ' • /
Dated: i - Town Clerk or Deputy: ,a(' ''2, r. ,___, -
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink &,Goldenrod: Cashier's Dept `` -
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury ...U=.30
Dept. of Community Development Permit No.
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: L ' LfQ —1=L S S(y)-C� of oRiv
Property Owner's Name: Ifft, rn iO Q&u E Yr)L ) US—
Property Owner's Mailing Address: I?)(() G— La k •: �'� 'E'CF IED
Installer's Name: (,Cl lsK1 Phone*# �ot.7 a I' 0 ?p99
TOWN
B 1L®dN �c.trt�vE3URY
-- G copE
• Number of bedrooms (if residential): _ �Total daily flow: —�-
/ (residential -compute
Topography: ✓ flat, rolling, steep slope % of slope
• Soil Nature: ✓sand, loam, clay, other /depth:
Ground water: at what depth? .O feet / Bedrock or Impervious Material: at what depth? _ feet
Percolation test: not required, ✓ required. [rate 1 min: per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: l= gallon (minimum size: 1,000 gal.) 4
5--
Tile field: each trench (4 1 _ feet / Total system length: tX5 feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: #(gStiX / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: /U IA- Size of each: gallons
(Alarm system and associated electrical work to be inspected by a certified agency.
J
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qneensbury, 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
Queensberry Sanitary Sewage Disposal Ordinance.
Signature of responsible person: Date:
. .
..
ildiiig, • Bu Peril �tApplication
•
,Town of Qleelsbll) 7lcpt. of 0:Minnnilt Development, 742 liej Road, uueembtny, NY 12804 j -
_.�.c.._.._. IIUI1l)1N(' & .CODIi ENFORCEMENT
U A 11 J . Rccjuirenlcnts Eric to issuance 1'G1t1111'1'r1LL NU.
-�-- w nI' Iliis Itcrnlil:
A I:cunillnusl be uhl,iincd Ixai:ia "-""-'" _- . / d°.
1'�GKA11l'1%El"1'�llU
beginning cansln,clian. Na inspectionsreceived
U Zoning 1JcN:rd Action `�j,���
will he undo anlil npplicand lour :cccrivctl lt�C ,�„an,- �tJ�
•
l � �tFs1' U1P
n VAI;II:) Illlll.l)INU.1'IiRA111'.. All Awn /, pm) r It (U
• npplicnnla' rpncrn nit Min ni plicnliou
MUST b0 camplelcd nnd•Ihe signature Li Planning thwart Acllv,: - . lilsv EWER DI' D,rIIJGrg inspector
the applicant mull nppcflr on rho SI'tt I Subdivision I.Ullrcr
`ipplicnliun lurui. :!rar_. ) ' ' Itccienliuii hcc Payment .
Applicnul: I lte. bl.i.r~hmu:C(' ,(;1wltl.�; 1[tc. Owner:
Addtcss: ' Z U._ _ --:. =;o,:ihcss: ,
Chi P�r ,a-- cwCic
I'ho lie.l! ( 518 ) - _ - !'hone # ( --- - -- .. ... . ......
Properly Luc.tllon. �- ._ '1'nx M ap Hutubcr . -�
Stue — •• Section Block IA '
Subdivision Nantot -j-- ------- CP 5 "°` :- -
tu►'runr • or PROPOSE!) WORK' ESTIMATED MARKETVALUE OF vTHE
v— New llui:l.dingl : • • . CoWST'ILUCTION: . •$ .
rouldenco "./ c:onunercltal
' Addition l:o uttliditttl: pCCUt'11 ICX Ittl*Utlttn'1'xONs
• r:oct l:clettua / conuncr.'.cltt.t, Primary ttuiJ,dlug -
A.l.l:ct:ril:i.c:n tottn:t.ldtttcl: X-_ .Single I"rattt�,iy Dwelling •
^' residence / commercial •_ Two 1+'�a�F .
__ -Resi.dettce �/ Commercial • lraltl ataD g
_ no change ' to .exterior ni.zo • OLX ,ce
Mercan��lYelui.u.1°4E.
199g
Other Work . (dee crbe below) Matt � ENSBUI�Y
• --- OLlte
BUILDING AND CODE
GROSS•.11ltL:l1 OF t'ItUpUSCU. S'.t'1tUG'1.'UItC s- �� ADDITION, •wltal: will use
.� of nem addition be?:
].sl; Floor. ���� , .ttcl. .l:L f • . .
2nd .Floor.'. . . . . N A
ay. i �, J.
Oilier Floors _ ora. Et. ,
- (not: -unfinished cellar or baueatenl) 1►CCI;SSOItX DUILDINdS.$ 2 car .
. ... ( l •—. Delach.ed Garage '•1, .
I �I 50. F'1 . x _ Attached. Garage 1, 2 car
'i'u'1'nt, FLOOR nttLn: private' Storage Building
Coltuner%lal Storage 13uildittg
•
—51'Ll OF NEW STRUCTURE: •
pt;her .
2s_l___r FEET X t-II
'on TYPO i'ula/ted Will .au second-hand or .ungraded
lumber
S E :-.L..._— lumber be used? If ao, for what?
M.umu'cr: ot Stories : . .
-• (habitable apace only) c. feet G VF'• IIEA INt;i 8�[S'1'CMt
Height: (yr de .l:o ridge) : _ - circle all •ING Rp • ee. .
Number of •f.c.repiacee,nand/or woodatove -• Electric /. 011. •GiaD' , Wood .
l:v be installed: Forced !lot Air / :(4 oard / Other
Person r.eep • • upervisivtl_� . ark ae regards. to building '
or Eric Rice, Pro.3 e't
•
codeu 1 s : ' lallde1t.,_121.0. �c�:_Matlayg[ '
• Mike �t
•
Builder: 'Ilse 14teltagts.Ghou.1, Isle. 18 0 Rt Y
e 9i take Gealrce l'il d5
• ilui.J 518-668-3316 •
Plumber:
_er: I'clva ' il p,_16A IWL4, Ilea G elUS 1 aCC3 NY 12801 518-798-A39
hia nett: _iI li_cctl`c11 ►..UPLZ1L8 ![.alivate., NY .
E Iecl:r.ici.an:_J_[t1r.Etzor 110elibie, 94el6 'Jcl.442Lev s.t. ► sltrue.e.tatl. h'y 12308 18-3I1-9922
DISCLAlM1WN !'lease alga below 04.you have caref slly read the statement.
•
To the best oimy kiwwlcdga the statements contained in this applicaron, togethery work tot h th doe n ans
- • and•spccilications'submitted are a true and complete statement of all { pos
edlire described ptpremisessoul lhstl•all provisions ork -shall be comp Code, the complied with, Whether specified
spca't(icdnor 8and all
�� attd
c:llrcr laws, pertaining to the proposed
that such work is authorized by the owner. Further, it is understood that I I a ss1 1l submit prior toy
Certificate of Occupancf.or Cetlilicate of Cunmi,lianec being, issued,
an AS• a licensed. surveyor; • wn ►J scale, slwwinikaclual location ul project on premises.
Signature: ----:
- , .[.«.,..ar /rwnt is agent, arcltttc-t,ronlractur)
S •_l' •_l'J.•_1,, .f_l'J_•_l'wo '•.Q.A mi J`"_l' A�1'J_e.1 • •_C'Ji,_1 to"..Q •-QJ_•�l' •_lJ__V_"_l J_•_lJ_•_l'J_•_l'J_to.,')_f0....Q1,ft._l'J_• •_T.A.0_._l' •_o.... J_•_l'J� •_l'L,_lJ_�.0... ., t•.lJ_•.l"I,
_4 rY
01
-w; THE NEW YORK BOARD OF FIRE UNDERWRITERS AGE 1 lai
%; 4028789 BUREAU OF ELECTRICITY 4
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 l
• Date AUGUST 1.3,199!:) Application 53Ci1=��9/99 A 144349
1<, THIS CERTIFIES THAT PERMIT 1 1. 99-230
zci only the electrical equipment as described below and introduced by the icant n d on the above application number is in the premises of it
.(I I
:41
THE MICH.AELS GROUP, 85 SURREY FIELD DR. LOT 40, QUEENSBURY, MY it
in the following location; 0 Basement 1=1 1st Fl. ❑ 2nd FL GAR Section Block Lot 40 r
il was examined on JULY 23,1999 and found to be in compliance with the National Electrical Code.
Sp
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
I OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i
•
• 29 3 25 27 --■-■■�.■.
j' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Y
11
-, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. CM H.P. NO.OF FEET AMT. WATTS r}
it
11
-- =('---SERVICE-DISCONNECT No:-oF S E —R v= =4_• G ._ -�__.E.__ .: . 1
WI PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL
-' AMT. AMP. TYPE EQEUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G' NO.OF NEUTRALS A.W.G. 4
,r
• 1 150 CB 1 ■ X_ ■■ 1 2/0 1 11&7
-` OTHER APPARATUS:
?(I IA
•
' POST LIGHT-1 '>_
ITOTORS.1-a' H.P. r
!-AlI C9..[.C..T a-5 r r}
!' SMOKE DETECTOR r--5 I•
_(I Ir
'<I 'r
:I ` "1v; ` I:
W .FOREVER ELEC'fBOEL El,F'CT. N a�=� a 2 a-" 2f,t....).L Ih
FJILL.Z"AM D. MOPARTrOgd = ; a • ,.�, 0:
2446 JAFFREY ST. :k� g,,� e;a'.q \ pit' GENERAL MANAGER ;VD
:I SCHENECT4.DY, 111Y, 12309 4 .'q�,, 4. 23
WI ..w: , .' %.I Per 1r
K; 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. :¢
V,47(.Y•Y 4Y Y�Y Y•-YYeY Yii;YiY YeY Y•-YY•Y Ye-YY•Y Y•-Y Y•Y:foil Y•YY•Y Y•YI-YI'•Y Y•YY••Y Y•Y YeY Y•Y Y�Y 4Y476 4YYit Y•YYoil YiDY YiY YiY 476,ii itYiY,Y•Y 4YY•7‘.Y476.%YY•Y 4T,riY
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL,FINAL INSPECTION REPORT t 3,0 c 3 3 C)
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement i
Dept. of Community Development Arrive am/pm Depart l
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME , a., ,—, PERMIT li 9,,R.--C)--c-30
LOCATION Ux4 p,(1).'C \ (N/ DATE c? — Cs, 6 1
TYPE OF STRUC
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location \//
'
Fresh Air Intake ji
Plumb Vent through roof
Roof Complete ' 11/,147/,
Exterior Finish Complete
Interior/Exterior Railings 30"to 6"
Exterior Handrails,balconies, ding 18 in. r more
Interior Han . s stairs both des 3 or more 'secs
Grade 2%away m founda on V
8"clearance to sill ateto(;
Gas Valve shut-off ex sec�/regulator 18" bove grade �f
Gas Furnace shut-off within thin line of site ✓
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed �//
Headroom,6 ft. 6 in. on/stairs
/
Basement stairs,6 ft.4 .
Handrail exterior stairs both sides more than 3 risers C l�
Interiorprivacy/timidobrs/main entrance 36" VP
J
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors: /
/1/
every level
every bedroom 7
outside every bedroom
inter connected /
Bathroom fans
Plumbing fixtures 7;
Foundation insulation
3/4 hour fire door/door closer7
Garage fireproofing7
Garage penetrations sealed
Furnace in separate room protected(in garage) . /
Light ventilation room / �✓
Safety glazing 18" less�from floor,_ �%
Final Electrical �� vo P/ ,v 3
Site PlanNariance equine
Feral Survey Plot Plan"Z 44 �l Cb
'As Built Septic System la out required 10T6-�,•- dui`?% &® ox° '— 4e --- 45
Okay to issue C/C(Certif. of Compliance) /3 viLT 4,v5,0��-e, f a.� k r
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
3c33
{ FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
Er (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME : !k _ r r 00.
LOCATION _ ' RMIT#_
SCHEDULE INSPECTION ON
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST M
FIRE SUPPRESSION .YSTEM
HOOD INSTALLATI•
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ['MASONRY ❑FACTORY BLT.
R H-IN
INAL
REMARKS: L✓ OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name $,!lArkGt/ 6-t,S 6Rr
Location (--c`i'
Date 81/3/cil Permit # q-' -
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION IELD: Tot. -ngth
Length of ea.h trenc
Depth of trenc -s _
Size of stone
SEEPAGE PITS: .Numbe -
, Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATI0 . :
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits, _ f- - .
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: u do lul,L c 1`�� 1 8 u( c_
OR le, C00 .61
SYSTEM USE APPROVED: YES NO
Arrived:
Departed:
Building Inspector
y�l� �
TOWN OF QUEENSBUR • lw'
„ 411.ball, BUILDING & CODE ENFORCEME
742 BAY ROAD
� �• - QUEENSBURY NY 12804
(518) 761-8256 ARRIVE: :. •ART: �' INSP: 6-4t-
FINAL INS ECTION REPORT - •ESIDE TIAL
DATE INSPECTION REQUEST RECEIVED:EI
/
NAME 1 J l` Air- _ U
LOCATIO IZr S- L( /-c / C
DATE _ �ilIN PERMIT1 /13Jp
TYPE OF STRUCTU E 1 —— \ v' 1 'IT
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULAT •N
FINAL ELECTRICAL WOODSTOVE OR FIR:PLACE
N NO
CHIMNEY HEIGHT B VENl aIll
PLUMBING VENT
ROOFING IIM
EXTERIOR FINISH
DECK PORCH STEPS RAILINe
III
RELIEF VALVES UV
FURNACE HOT WATER OPERATIW
INTERIOR TRIM PRIVACY DOOR
FINISH FLOORS: ._
BATH KITCHEN WATERTIG
AIlk
OTHER FLOORS 'SWEEPABAIIIII
OTHER FLOORS CARPE 'ED
STAIR CLEARANCE RAABE&
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTU^'S
FOUNDATION IN:ULATION
GARAGE FIRE •ROOFING
DOOR CLOSETS , /
11111
FINAL ELECTRICAL
SITE PL, at t, , I. -
FINAL : :V • • • :,
OK Ty, ISSUE C 0 OR C C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 5 6P
Location
Date es /Z Gc '-rmi t #
SOIL TYPE: Sand Loam- lay-
Results
of Percolation Test-
(if applicable) Rate-Minute/Inch A
TYPE OF SYSTEM: ,�►. ';
ABSORPTION FIELD: Total Len th li
Length of each trendy 7 14
Depth of trenches
Size of stone 1,u r11_'47r'k;osc
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank . /,v 4«
Tank to Dist. Box 4"- ,4t32 35--
Dist. Box to Field/Pit\ /, - �o
Openings Sealed? a No Partial
LOCATION/SEPARATION :
Foundation to Tank /Ai /-4' feet
Foundation to Absorption 75r- feet
Separation of Pits feet
Conforms as per Plot Plan Yes
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS: —/ C-4_d
/,ems.-/fCG ei470 faaa L >r 5�l
&xici pu1.- c
UL vet Pi{��-� i8 O-- �'� G
(51-m,60 w/ LY
SYSTEM USE APPR D: YES liD
Arrived:
Departed:
Building Inspector
604 V
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
vro 742 BAY ROAD
QUEENSBURY .NX--1-2•'�04
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT — RESIDENTIAL ✓✓✓
DATE INSPECTION REQUEST RECEIVVED: —2/.7 /5 5
NAME ,L,
LOCATION (. T
DATE ]� Q • PERM 0
TYPE OF STRUCTURE Imo— /• c� 4-4—
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCIH/STEPS/RAI INGS
RELIEF VALVES
FURNACE/HOT WATER OPE TING
INTERIOR TRIM PRIVACY DO RS
FINISH FLOORS:
BATHJKITCIIEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN 11�
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 ,5 ay Road i7diQueensbury,NY 12804 Arrive am/pm Depart pm
1, Inspector's InitialsNAME: V\'A`\G ' —c S g lRf - PERMIT# c .-2-3°
LOCATION: 9., 4 c)re 'v, ---v&-L.,10 S DATE: ''7 C`/Z //gq
TYPE OF STRUCTURE:
RECHECK //
\. /
N/A YES NO COMMENTS
Footings/Piers •
•\ ��'
Monolithic Pour Form °E_
Reinforcement in Place f
The contractor is responsible for \ /
providing protection from freezing � J
for 48 hours following the placement '"ti;/
of the concrete. /'k,
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place \
Foundation/Dampproofing `,
Backfill Approval ! \
,
Plumbing Under Slab Is
Plumbing Vent/Vents in Place i
Rou lumbing :i /`-,
ling Rough-In 11;
Insulation t. 4, A G t, ,e6-,7Ce t,A r G c\
Foundation Walls Interior R- '1,Fr
Foundation Walls Exterior R-
Floors R- i
Walls R- c1
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.
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart lkil/pm
Inspector's Initials_ �
NAME: Mt-1-(4-6&S c L%2i PERMIT# , ` 2
50
LOCATION: EY6 4U/2/e&% / 6 C-OS DATE : 'ti"
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fong
Reinforcement in Pl. •
The contractor is re 7•.nsible for
providing.protection om freezing
for 48 hours following s e placement
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place/
Rough Plumbingting /
Vl�nsu ation
Rough-In r 1 L L /1-)AiRckbo, 3,00 ( .- )$
Foundation Walls Inte 'or R-
Foundation Walls E rior R- Co v.— \ x ( V--1 c_(
Floors R-
1,1
Walls R- \ I o LrS F 1
Ceiling R- �
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Veit \_
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
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ,:ay Road
Queensbury,NY 12804 Arrive am/pm Depart *ani/pna
/
Inspector's Initials -,)
NAME: d ./Q il' PERMIT# 0 3 C)
LOCATION: S(WY-\P %7 \(?) \S DATE : R
TYPE OF STRUCTURE: 3
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contracto is responsi le fo
providing pro ion fro freez' g
for 48 hours fol wing place ent
of the concrete.
Materials for this purpose n si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo g
Backfill Approval
Plumbing Under Slab
PlumbingVent/Vents/in Place /
Plumbing V
Heating Rough-In
Insulation .
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheat s R-
Prope nt, Attic Vent riaing 1,ti\-.4 c _ C�� ,Jack Studs/Headers / //I/
Bracing/Bridging
ing /
I Joist Hangers I
I Jack Posts/Main Beam `
Air Infiltration Barrier r/
- Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
TONN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road `�
Queensbury NY 128 �\
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTIO
Name M 1 CI 1AE_[__- (2,260v
Location ,1)02_ Ft
Date Permit # cft-no
SOIL TYPE: San oam= lay-
Results of Percolation T- t-
(if applicable) Rate-Mi 'e/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD Tota - .th /
Length of each t ench '\ 'C&
Depth of trenches MININIWA,
Size of stone ffiljf
SEEPAGE PITS: umbe '""m'.
Size - ft. - ft.
Stone size
PIPING: Size Type .
Bldg. to Tank "_ 4o -rb 6DE3S
Tank to Dist. Box 13(3T �►��T�lC�
Dist. Box to Fiel •/Pit <<
Openings Sealed? _Yes No cPPartiar -
LOCATION/SEPARAT ONS:
Foundation to Ta k %'-, 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:
/ 13•941
SYSTEM USE APPROV'I YES
Arrived: t 4#11,
Depart:. / ,'�
JIiAiL
B `] •ing I :pe or
.�/
cP4
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: 7 499
Building& Code Enforcement
742 fc•ay Road •
Queensbury,NY 12804 Arrive am/pm Depart pm
Inspector's Initials"
NAME: ge.4 .5 PERMIT# `'9_1 31D
LOCATION: d DATE : �- 7 �'i /Gti
TYPE OF STRUCTURE: 4,12
RECHECK
N/A YES NO COMMENTS
Footings/Piers "
Monolithic PourTorm
Reinforcement in\Place
The contractor is.responsibl- fo
providing protect4on from t mg
for 48 hours folio g the •lace ent
of the concrete.
Materials for this p "+se o site
Foundation/Wallpour
Reinforcement in Place -
Foundation/Dampproofm s+
1//7
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 'lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls nterior R-
Foundation Walls ixterior 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 A; 3 a
Town of Queensbury.
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive 1072,6eipm Depart I a •
Inspector's Initials gliff-
NAME: /4Zt./€S PERMIT# l i! 30
LOCATION: -� �� ;dff DATE : S-�%y�
TYPE OF STRUCTURE: 1,P n u)J Z CAR R GARP�-+F
RECHECK l
jootings/Piers
N/A e ' N J COMMENTS✓
Monolithic Pour Form / �(
Reinforcement� �?.n Place ✓ D\
The contractor is re •--nsible fsr ���
providing protection,tom ing
for 48 hours follq ' g the pla -went
of the concrete. \
Materials for this p - on ' -
Foundation/Wallpo
Reinforcement in Pl
Foundation/Damppr'-.fing
Backfill Approval
Plumbing Under Slag
Plumbing Vent/Vent- 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
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive °• • ..m Depart
Inspector's Initi: Ar -
i
NAME: M I C.I-IRE__ PERMIT# "CI CI_7`3
LOCATION: DATE : y
TYPE OF STRUCTURE: F� v� 7_ C.R R (-�f R_akr a
RECHECK
N/A YE% NO COMMENTS
'/Footings/Piers \ il
/Monolithic Pour Fo u
V Reinforcement in Pl.,,
The ntractor is •sponsible for
provi ' g protecti hn fro i freezing
for 48 h urs folio 'ng s e placement
of the cone =te.
Materials for *)' •..ei.. - on site
Foundation/Walipo .1
Reinforcement in.Pl: -
Foundation/Dampp 1-..fing
Backfill Approval
Plumbing Under Si.'.
Plumbing Vent/Ven 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
FIRE MARSHAL
r' `t TOWN OF QUEENSBURY
tV 4 QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# (-2-3
NAME LS G-
LOCATION ' 2'2�v F ��-
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION S4 STEM
HOOD INSTALLATION \
INTERIOR FINISHES \
STORAGE: .
CLEARANCE TO SPFIIN KLERS
CLEARANCE TO HEATIt G UNITS
REQUIRED SIGNAGE /
CHIMNEY �t2L c'� \6-4/1-
1!
WOOD STOVE
"REPLACE-MASONRY
FIREPLAC FACTORY BUILT 9g/V
REMARKS: KIIRNO THIS DATE
5u3N.t TRL.A,cr A PP
vtircac—s-11 e— -pvR RA., 67g0607g
INSPSLIP.PUB INSPECTOR
. ,
RECEIVED •
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MAP REFERENCE:
SURREY FIELD SUBDIVISION
MODIFICATION TO AN APPROVED SUBDIVISION
DATED: OCTOBER 27, 1998
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
Du s e,,,�2
Stever
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
39
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP HEARING A LICENSED LAND SURVEYORS SEA. IS A
VIOLATION OF SEMION 7206, SUB—OMSKIN 2. OF THE
NEV YORK STATE EDUCATION LAW
'ONLY COPIES FROM 1HE ORIGINAL OF THIS SURVEY
MARKED VATH AN ORIGINAL OF THE LAND SURVEYM
SEAL SHALL BE CONSIDERED TO BE VAUD TRUE CONES.'
•LERTInCATTONS INDICATED HEREON SIGNIFY THAT
THIS SURVEY WAS PREPARED N ACCORDANCE "IN THE
OR
EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED
BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL
LAND SURVEYORS SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR *ft THE SURVEY IS PREPARED. AND
ON NO BEHALF TO THE: TITLE COMPANY, W40 MENTAL
AGENCY AND LENDING INSTITUITION LISTED HEREON, AND
TO THE ASsmm OF THE LENONIO UTSTITUTIW.'
41
40
3.72 sq ft
7
Map of a Survey made for
THE MICHAELS GROUP
Town of Queensbury, Warren County, New York
�4
H.O.A. COMMON
GREEN SPACE
y-S 'S C4, P-,P-"
42
NO. I DATE
NE`�P
C.
srF�
. I
�4AND .
DESCRIPTION
RECEIVED
AUG 12 1999
FILE czar
.later JULY db, lyJ`J
Scale 1'=20'
S-1
SFEr=T 1 OF 1
MICHAELS GROUP (SURREY FIELD)
DWG. NO. 97061-40