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2000-707 TOWN OF O V EENSBURY 742 Bay Road, Queensburv, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE CIF OCCUPANCY Permit Number: P20000707 Date Issued: Thursday, January 18, 2001 This is to certify that work requested to be done as shown. by Permit Number P20000707 has been completed. f ! C M ' J9 C16Tax Map Number: 523400-048-000=0007-010-000-0000 Location, BERRY PATCH Dr Owner, CERRONE BUILDERS, INC Applicant: CERRONE BUILDERS, INC This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN of QUEENSBURY Garage - 2 Cars Attached DirectoroW tng & C eq r ent TOWN OF QUEENSBURY 742 Bay ]load, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 'a BUILDING PERMIT Permit Number: P20000707 Application Number• A20000707 Tax Map No: 523400-048-000-0007-0I0-000-0000 Permission is hereby granted to: CERRONE BUILDERS, INC. Owner of property located at: BERRY PATCH Dr 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner Address: CERRONE BUILDERS, INC. 66 SUNSET TRAIL QUEENSBURY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency CERRONE BUILDERS COMMONWEALTH ELECTRICAL AG 66 SUNSET TRAIL PO BOX. 706 QUEENSBURY, NY HAGUE, NY Type of Construction: 'Single Family Dwelling Value : $ 1409000.00 Plans & Specifications 2000-707 1884 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR .ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $250.00 r RMIT FEE PAID - THIS PPERMIT EXPIRES: Thursday, September 19, 2002 (lfa longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Queenshury before the expiration date.) Dated at the Town e ::nTILle y September 19, 2000 SIGNED BY for the Town of Queensbury. .. Director of Building & Code Enforcement Buitaing Permit Application Town of Queefisbury - Uelm. r>fcelrrrnrurrily Uevelupl+el/r, 742 &�ta Rewel, Quec"/a barlip, NY 12804 /761-8256/ ECEBUILDING & CODE ENFORCEMENTRequirements prior to issuancej� A pcxrrxxit moat be obtained before of this permit: PERMIT FILE N'� � d / = beginning construction. No inspections �"'] p V will lxx rnacla until applicant has rocaived ZOert •tg BOrJTd Acriort PERMIT FGG PAIL] $r-�" a VALID BUILDING PERMlT. All Area I Use applicants- spcices on this applicalicxn RECREA77ON FEW AID MUST be commpleted 40d llxo aignalure ,Pkumir=g Board Action Cam" of the applicant must appear on thn R, VIEWlif] f3Y.• SPt2 I SukyJivitidn ! Cxlhcr B1e1L1irrx Irxv1•rnnr lication form. r�.,. Region Fee Payment Applicant: Owner. Address: s-► t?r'�t� ' /.c�'Q'�/�� Address: 41,' PltQt1C # k" ry Phone # Property Location: /e> ✓ S' Subdivision Name: Tax Map Number 7_1S.,.r Section 111( k I A)t NATgidS OF PROPOSED HARK : ✓ ESTIMATED MARKET VA OF THE l NewBra dea : CO�NSTRUCWXON : $- - - �L ✓residence / commercial Addition, to Building : residence / commercial OCCUPANCY XNFORMATION : Alteration to Building : Pr3yxtia >~y Building - residence / commercial ✓ Single Family Uwe1 � Residence / Commercial Two Family Dwollin�j� * n no change to exterior size Family Dwelling Office sip 1 2 2©00 Other Work ( desca"ilae below ) Mercantile Manufacturing otherGROSS AREA OF PROPOSED STRUCTURE : let Floor . . . . . , . . �� eq . ft . If ADDITION , what will use 2nd .Floar . . .,!� . . . �� MINE _ s (�' of new, addition be7 t Other Flea. ts . . . . . eq . ft . J N/.1t7 ( not unfinished cellar or basem ) ACCESSORY SUII,DINGs : Detached Garage 1 , car TOTAL FLOOR AREA : � SQ . FT . Attached Garage 1 , ( car a- Private _ Storage llu112 xno SIZE OF NEW STRUCTURE * Commercial Storage Building FEET X _- 45 � FEET Other Foundation Type : �� {^ ►Lf} Will any second- hand or ungraded Number of Stories : _ . ` lumber be u e ? 2f so , for what ? ( habitable space aryl - ) Height ( grade to ridge ) : � feet TYPE OF IIEAT NG SYS'TEM r Number of fireplace and/or w o stove ( circle all whic lies ) to be installed :_ / Ga / Wood Forced Hot Air / aseboard / Other Person responsib fo upervislon of work as regards to building codes is : EName Add se done Builder : Plumber : Mason *. 4gad6e _170P _.- Electrician : DEC2.ARATION.• Please sign below after you have carefully read the staterttent. To the best of my knowledge the statements contained in this application , together with the plans and specifications sttbi-pitted, 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, (lie 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. Fur(her, it is understood that Uwe shall submit prior to a Certificate ,of Occupancy Ior Certificate of Compliance being issued, an AS BUILT' PLO'r PLAN by a Licensed survey awn to ale, showing aefual location of project on premises. Signature: owner, owner's agent, architect, con ctor) Application for Permit — Septic Disposal System Town Of Queerrsbury 742 Bay Road Queensbury. NY 12804 (518) 761-8256 1 . OWNER INFORMATION: /�,t _........................... _............................................................................. Location of installation rr_ / Q ,p � •+r Office Use v Tax Map No. / I File Permit No. Owner's Name: " „ Fee Paid Address: c� 1 .... ..... ...... ......_. ...............,....,,.... ..... _....,....................... ......... 2. INSTALLER'S NAME 0;//,/ , _ PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable ,gallons per bedroom to equal total daily,flow) Year of House: No. of Bedrooms x otnpuxation Total Daily Flow 1980 or older x 150 gaUbdnn = 1980 — 1991 _ x 130 gailbdrm = 1991 — present �u — x, 110 gaUbdrm Garbage Grinder Installed yes I no ✓/ Spa or Whirlpool Installed yes I no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) r it r Ground Water Bedrock or Imp rvious Material Dpm@stic Water Sump !'Yat sand at what depth at what depth aal Rollin loa feet feet well Steep slope c ay ell; water .supply slope other from any septic-system depth: _ absorption is other Percolation st: (To be completed by licensed professional engineer or architect) Role: minute per Inch 5, PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: FAT- ,gallon (min. size 1, 000 gal Tile Field: each trench _ 11, Total System Length: a9-O Seepage Pit(s): number of size of each; ,ft, by J1. Size of Stone to be used: tt / depth or thickness _—�_—feet Bed System Size: x Alternative System: length and/or size G. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons I TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved _ electrical inspection agency. 7, SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. =zleel Signature of responsible person Da ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEEt^ISBURY' t WARREN COUNTY 3000 HEATING DEGREE DAYS COM-0 lance Methods : PART 5 - Acceptable Practice .Method - 1 & 2 Farn ly Dwellings ( only ) PART 6 * - The=al 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 A.PPLI C_,INT ` S NAME : PROPERTY LOCATION : � it # PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 - C-moss Floor Area - square feet 2 . °T'y. e of Heat - Electric Oil � ? Gas Other 3 . I s building mecr_a nically cool ed ? Yes r' _ Y. a . Percentage of area c r windows and doors Over 1 7 % � Finder 1 7 % S - R-V_ UES FOR INSULATION GiVEN BELOW Zkd= CORRESPC7ND TO R-VALUES AS S :..C7WTN' ON PLANS S J73MITTED P a. . Roof R -- — b - Exterior wails? s c . Glazed areas R d - Exterior doors R An e - Floors aver u:heated. spaces R Edge of slab on Gzrade ( heated building ) R {, Basement / cellar walls ( above grade ) R ! Basement / cellar walls ( below grade ) R Heating/ cooling-ducts -piping in unheated space R - 6 . Sa _vice ( domestic ) hot water heating device Conforms to mIn _:nurn ef =iciency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT SE EXCEEDED App = rt ��,sS ; grata_e 5? /! _ -°none Nuer INSP2 C - 0W.R S R_E.\LLaRKS : TOWN OF QUEENSBURY BUILDING & BAY CODE ENFORCEMENT 742 IVAQUEENSBURY NY 12004 (518) 761-8256 ... DEPART : INSP ARRIVE : — FINAL INSPECTION REPORT - RVSXDENTSAL DATE INSPF'C/"� L�'I `C3,t17/n QUEST RECEIVED ! NAME L.� /}''"� LOCATION Lam f ! �� LJ PERMIT DATE TYPE OF 'STRUCTURE ' FOOTINGS.,___ FOUNDATION $ACF'LLI FRA14ING _ ROUGH PLUMBING SEPTIC INSULATION FINAI. ELECTRICAL _,,,,._,._ WO[7DSTUVE OR FIREPLACE A Y6F• _ �.-.- r r .NEY BE HT VENT ki IGHT U BI G VEN ROOF NC, svvTrrR C1R FINI DE /POR.CHlST V V C OT E T N O C DOORS OO TH TCki N T I -_�- OTHER .�OT ER FLOG S C PETE STAIR CLEA CE RAI I G SHAKE ,DETECTORS -- �mHROOi'I FAN$ L! D T O I SU ANTI N A E 1NG - DDDR CLOSERS "-.._-- i�'INAL „ w+ ryrA,R IANCE REO - -yclti,�, 3 RVl SY Pu PLAN TO S UE C O O C C MAP REFERENCE: FINAL SUBDIVISION PLAN PHASE 2 DATED: JULY 26, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC O O O 3 to 0 1� 00 LOT 11 N06'29 20"E LOT 10 52,500 sq. ft. 306 29'20"w I HEREBY CERTIFY THAT THIS MAP WAS PREPARED THISMAN ACTUAL CERTIFICATION FIELD DALL RUN YONLY TO THE PERSONS LOT q FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: DANIEL M. & NANCY A. BEMIS FLEET MORTGAGE A DIVISION OF FLEET NATIONAL BANK, IT'S SUCCESSORS AND\OR ASSIGNS FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CERTIFIED BY: _ MATTHEW C. STEVES, ILLS NYS 50135 DATED: JANUARY 9. 2001 350.00' DIRT DRIVE E TEL TRM CTVO YELL C4 W 9Q (�o - / & 7 A7 of NEW .aEW G. �p RECEIVE JAN 17 2001 TOWN OF QUEENSBI '�►. %J' e & Steves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 (518) 792-8474 New York Lie. No. 50135 'UNAUTHORIffD ALTERATION OR AOpTK)N TO A SURVEY NAP BFARM A LICENSED LAND SURVEYORS SEAL IS A VIOLAIM OF SECMN ZM SUB-OM90N Z OF THE NEW YORK STATE E9UCAYM LAW.' MARKED VA7HCOPIES FROM THE OF 1HEL OF THIS SURWY OF THE LAND SURVEYORS SURVEYORS NARIffD WTH AN ORIGINAL CONSIDERED SEAL SHALL BE CglSDERED TO BE VALID TRUE COPIES.' IONS%M NEPARED IN ACC DANCY,HAT •TES SURVEY THIS S/tVEY WAS PREPARED w ACCORDANCE wTH THE E7(I THE NECODW a PRACTICE FOR LAIN SURVEYFES ZONAL O BY THE NEW YOIDc STATE ASSOCIATION OF PROFESSIONAL LAID SURVEYORS SAID CERIFR.AMONS SHALL RUN ONLY TO THE PERSON FOR Mom IM SURVEY IS PREPARED, AID ON HIS BEHALF 70 THE TI1LE COMPANY, OOVERIWDITAL LISTED HEM* AND TO IRE AND LEES O YHE LENDING TO THE ASSIGNEES of FINE LOLaND NiSRTunaL' Dap of a Survey made for Daniel M . & Nancy A. Bemis Town of Queensbury, Warren County, New York Uate: JANUAKY y, �UU1 » � Scale 1 =30 -- BEMIS DWG. NO. 96081-10 NO. DATE DESCRIPTION r RESIDEXTL4kL FINAL rNSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: E Building & Code Enforcement Dept. of Community Development Arrive am/pm ])Nepal* Town. of Queensbury inspector's Initials 742 Bay Road QueensbuM New York 12MM NAI" ( ! = rz-L2 je r* i v [ C3 PERh4IT 9LOCA TYPE F S L. l "ice'- t {1 � k��J J irk h" 4 C�—f} 1' DATE TYPE OF STRC7C`T'I.]€tF; NIA 'YE NO COMMENTS Chimney HeightPB" VentMircct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36'M Exterior handrails, balconies, landing 8 in. or more Interior handrails stains both sides 3 or .ore risers C.>rade 21/6 away from. foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" a ver grade Gas Furnace shut-off within 30 feet or within 1 of site Oil Furnace shut-ofI`at entrance to furnace area Furnace}Hot Water Heater operating. Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Ba a nent stairs, 6 ft. 4 in. Ilandrwi exterior stairs both sides mom than 3 risers Interior privacy/trim/doors/main entrance 36" _ Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomes/LA idi g 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom. outside every bedroom inter connected B8ibrootn fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage: fuvI7rnofin Garage l�etratio s sealed Furnace in separate room protec-ted (in garage) Light venti.tation per room Safety glazing 18" 1 floor _ Final Electrical Site l Survey Plot iced ) APYO/�.e, l.�,l�'fi Final Survey Plot flan �,� �.--~ 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) RESIDENTIAL FINAL INSPECTION REPORT Offlce No. (518) 761-8256 Date inspection request received: Building & Code Enforcementr Dept, of Community Development Arrive amlpm Depa _- Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, Now York 12804 NAME �G- G'c3n-� PERMIT # ( �0 7 LOCATION DATE t [ v TYPE OF STRUCTUR.F. /A "YES NO CONiD,ffiNT'S Chimney Heightl"B" Vent Direct Vent Lion Fresh Air Intake Plumb Vent through roof �L i Roof Complete C L) Exterior Finish Complete ......... .................... Interior/Exterior xterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or F(YM _ Interior Handrails stairs both sides 3 or more Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off expose(Vregulator 18" above gru&iS. Gas Furnace shut-off within 30 feet or within line of site Gil Furnace shut�fl"at entrance to furnace area Fern Mot Water Heater operating.-- Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs ►aCt C^ '(Z Basement stairs, 6 & 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacylirim/doorslumin entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 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 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furravoe in separate room protected (in garage) Light ventilation per room Safety glazing l8" or less from floor Final Electrical Site PlanlVananee 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 perman=t C/O (Certif. of Occupancy) r1WEAl.TK I.X ItS�1GAL 1!w srs PA t7545 { 1 itua ad Road COM1�Q p4aie Office 1'76 Uac _ d C ECT RSCAL N[UNiCiPAU CER'TiFICATE Cut-in Card Cost. �O C*-f4:• 1................................. ..... o............................� ..... panel Board T l & ...J�! f^ .... ,.. ...�' 7 ! .................. ......... . pwnes.....-. � ' l ................. ',7 U .......:.............. 7 0 f -........ ............ .. . ....... ....... � r ......... , .... i,ocacton ... .� .�.....,.... onsisting of .T...... .... 3 ..................................... .... lv , installation C Ir'..........}.... ., .... . ..... t.....,.. .l.ic. No. ....................................issued is certificate psevtousty ... • _ r 1. .................... 1,} on the LL overned the issu"ee of xhis certificate. and any Installed BY. conditions as of date. eFian. ing g and installation made for insp -fbe. conditions follow a ui rrtent ,;hall be pfomptlY any timc, and if its on covers the electrical equip tication - sections at eaneelied; Certificate meat or alterations. app e of Makin P This addition equtp the privilege flea of adds shall haVe a th intraductton this Company ltt to rev . . . inspectors of ompanY shall have the rtg lated. the C t.M p.t..,..... rules are io Date.I2 J ' 6kcbll96e�r� ( 51S ) 751 - 8256 Town of Queensbury f Dept. of Community Development Qxfe inspection request received: o� Building & Code Enforcement 742 Bay Road r, Queensbury, NY 12804 1/ Arrive am/pm Depart ` Isrs or's Initials PA NAME: I G fY RMTT # 17 C,7y� ^^�� LOCATION; ATE : TYPE OF STRA W RECHECK 10 ' N/A NO COI�iI?vMNTS � 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/Wallpour Reinforcement in Place Foundation/Llampproofi n Backfill Approwai Plumbing Under Stab Plumbing Vent/Vents in Place RouA Plixmbin ing Rio -In nsulation r Foundation Walls L -- Foundation Walls Floors Walls Ceiling Duct work or pipin unheated spaces Proper Vent, Attic VcFrami Jack Studs/Header Braeing/Bridgfng Joist Hangers Jack Posts/Main Beam Air Inhitration Barrier Fire Separation 1, 2, 3, hour ' Penetration Sealed . Fire Wall 2, 3, 4 hour Firestoppin GENERAL IN.SPECTIOIV REPlJCRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Hate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Deps Inspector°s Initials NAME: C m-r ,r CAA e. Vim* c + 3 s ERMrr # 006 " 5� LOCATION: / DWTE U TYPE OF STRUCTURE: a r RECHECK. NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing . for 48 hours following the placemerit of the concrete. Materials for this purpose on site FoundationlWallpDur Reinforcement in Place Foundation/DampprDofing Rackffill Appmnval — Plumbing under Slag Plumbing Vent/Vents in Place Rough Plumbing Heating Ron in ; nsulataion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated. spaces -7y` Proper Vent, Attic Vent Frand Jack Studs/Headers Braeing,/Bri Joist Hangers Jack PPostslllrlain Beam Air Inf i ration Barrier_ Fire Separation 1, 2, 3, hour Penetration Sealed q� Fire 'Walll 2, 31 4 hour Firestopping GENERAL INSPECTION REPORT ( 5 .18 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building &, Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive 9M.3Vam/pm De art am/pm Inspector's Initials �+ NAME: PERMIT 8 OQ) r LOCATI, N-- DATE : "TYPE CIF STR CTURE: RECHECK _ N/A YES NCB` COMMENTS Footings/Picrs ___.- Monolithic Pour Forth Reinforcement in Place _ The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete- Materials for this purpose on site _ Foundation/Wallpour -- Reinforccment in Place Foundation/Dampproofrng_ — — Backfill Approval_�__ � Plumbing Under Slab_ Plumbing VentlVents in Place -- Rough Plumbing_- Heats Rough-In _ _ . -- ln ation _ --- Foundation Walls Inter R- Foundation Walls Exle or R- Floors R- _ Walls d R- Ceiling R- '30 � Duct work or pi pi x in unheated space R- Proper Vent, Attic V nt -- - - - - Fram i ng Jack Studs/Headers Bracing/Bridging—. .. .._-,- _ ---- _ — Joist "angersJack Posts/Main Beam Air Infiltration Barrier Fire Separation L 21 3, hour_ � - — Penetration Scaled_ - Fire Wall 2, 3. 4 hour _ Firestopping -_- -- GEWERAL INSFECTI(7NREPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Buy Road Y.� Queensbury, NY 12804 A.r ive am/pin D46Part an Inspector's Initials NAME: f ? PERMIT 4 � C•� ,r^'p? DOCATT DATE : TYPE OF STRUCTURE: RECHECK NIA YES N© CrKlt MENTS Footings/Piers I Monolithic Parr Form - ' } Reinforcement in Place The contractor is responsible for providing protection from f x=ing , for 48 hours following the placement of the concrete, Materials for this pub„ on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place " ugh Plumbin �� c.Aylc� ✓ �"I�'{ 1 Heating Rough-In / Insulation Foundation Walls InZR- Foundation Walls .EFloors Walls Ceiling ct work or piping unheated spacers /Prover Vent, Attic Vent Frantiniz Jack Studs/Headers Bracing; BB d Yx F Joist Hangers Jack Posts/IwI$in Air InSltration Ba er Fire Separation 1, , 3, hour Penetration Seal ' �F Wall 2, 31 our ' a'sivStappin�� _ ( 51 $ ) 761 - 8256 GENERAL INSPECTION REPORT Town or Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Qucensbury, NY 12804 Arrive am/pm Depart f om Inspector's Initials ,s -] NAME: �Jt�l • s? �'�v'F� PERMIT # LOCATIO /"rDATE .1C7 TYPE OF STRUCTURE- RECHECK ANIA YES NO COMMENTS Foolings/Piers _ -Monolithic PourPour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following I rc placement of the concrete- Materials for (his purpose on Vito _ Foundation/Wal I pour____ Reinforcement in Place _ - Foundalion/Dampproofi ng^._L� Backfill Approval__ Plunbing Undcr Slab Plu0ng Vent/Vents in Placc - +� ,�.eGgh Plumbing__ ry Heating Rough-ln- _---- �- v �/ Q c /✓s� r r< .t S 5 c "f� Insulation_ Foundation Walls Interior R f Foundation Wails Exterior R. ? Floors R- Walls R- Ceilin,g R- Duct work or piping in -- unhealed spaces R- Pro r Venc. Attic Vent - -__ - - -- dming- - - - Jack Studs/llcadcrs Bracing/BridgingI & 7 Joist Hangers Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation 1 , 2, 3„ hour. Pencirdtion Scaled_ — Fire Wall 2. 3. 4 hour_ vVirestopping TOM OF QUEENSBURY +' -'BtlILDIN6 &... CODE ENFORCEMENT 742 Bay Road Queen_ sbury NY 12804 (518) 761-8256�C SEPTIC DISPOSAL SYSTEM INSPECTION / Name Location L,, + 16 t 4 -• 'sr! Date iPan Permit -�/() " __T SOIL TYPE: yLoamClay- Results of Percolatio Test- ( if applicable ) Rat Minute/ Inch TYPE OF SYSTEM: ---* ABSORPTION FIEF otaT j Length Length of each/ tr nchcl. Depth of tren he Size of stone SEEPAGE PITS : , N b - Size - t ft . Stone size PIPING : S1xe ype , Bldg . to Tank �! �j4 0 a Tank to Dist . Box ^"—�`—, t, Dist . Box to field/ � Openings Seal d? to Yes No a�`rt~ial LOCATION/SEPA TI Foundation to Tank j feet Foundation t Absorption _ , feet Separation o Pits eet Cpnforms as er Plot Pl an —74-�—Yej No LOCATION OF YSTEM ON PROPS { circle Front - ear ref Side - Right Side Middle Fron - dl a Rear CANTS : 6 C' CC < I` SYSTEM USE APPROVED : rN00 Arrived= Departed : But ding Inspector { , 6 j 40 C ICA L LNNPECTION REP 4ORT ( 5I. F3 } 761 - 8256 GENERA Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road , ,r Qhueensbury, NY 12804 Arrive am/pm Dep L� P Inspector's Initatals-�- NAME: t"+" y A. J PERMIT # 0 Q0` p LOCATIC) DATE TYPE OFF STRUCTURE: RECHECK i NIA YES NO COMMENTS Monolithic Pour Form _ Reinforcement in Place _ The conUactor is respo a for Providing Protection In for 48 hours following the a at of the concrete. Materials for t on Foundation/M00 Reinforcement in Place Foundation/I7ampproofirr y�G Backfill Approval. Plumbing Under Slab Plumbing VentlVents in PI e Rough Piumbi Heating Rough-In Insulation Foundation Walls In r R- _ Foundation Walls E or R- Floors R_ Walls R- Coiling R_ Duct work or piping unheated spaces ;' RR- Proper Vent, Attic Vent Fx ami. Jack StudslFleaders Bracing/Bridging, Joist Hangers Jack Posts/Main Beare Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour _ Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road. Queensbury, NY 12804. Accrue am/pm Depart r � ' am/ Inspector's Initials NAME: (,g"czeo ou c� PERMU # ' 70 LOCATION: �. DATE : C41 Z. TYPE OF STRUCTURE: RECHECK N/ YE O COMMENTS arttngslP'ters 1 Monolithic Pour Form Reinforeement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place_ FoundationJDampproofin Rack ill Approval Plumbing Under Slab PlumUng Ven"ents 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 spades R- Proper 'Vent, Attic 'Vent Frami. Jack Sft"IWT3eaders Bracing/Bridging Joist Bangers Jack Posts/Nlain Beans Air Infiltration Barrier Fire Separation L 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPECTI©N REPORT ( 518 ) 761 - 8256 . . Town of Queensbury Dept. of Community Development Date inspection request received: 4' Z a Building & Code Enforcement 742 Bay Road Queensbury, NY 12804. Arrive j?� � Dept spectWs Initia NAME: �7r PERMIT # 7o #.C . is 7 LOCATION: 1 ,v /+Dijr�-�-c� DATE : TYPE OF STRUCTURE: RECHECK r NIA YE NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for Providing protection from freezing for 48 hours fallowing the pIacement of the concrete. Materials for this purpose on site Foundation!W'allpcw Reinforcement in Place Foundation/Darapproofrn Backfrll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-1n 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 Fr-ami Jack Stwis/Headers Bracing/Bri Joist Bangers_ lack Posts/Main Beam Air Infiltration Barrier Fire Separation 11 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin "i have seen or observed, er beve 1 es# Odds 0 A 1 44 �+1 obiects such as hoasft wok trees. 11 a I . hr,wn on this document i eise 1lliir# 1llM ;onaily m red eettel� so " 7040f/40; SIG LIRE VAX 707 I r� q � �J// I l S! r v" 0 4�