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2000-716 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number; P20000716 Date Issued: Thursday, January 18, 2001 This is to certify that work requested to be done as shown by Permit Number P20000716 has been completed. + Tarr Ma Number; p 52340 - 48-000-0007-015-000-0000 15 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 Fireplace Directot of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 (aw Community Development - Building & +Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000716 Applieation Number: A20000716 Tax Map No: 523400-048-000-0007-015-000-0000 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 locatiln 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 Y Contractor or Buildees 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 2000-716 SINGLE FAMIL'S( DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $211.00 PERM.i r FEE PAIL? - THIS PERMIT EXPIRES: Thursday, September 19, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Qucensbury before the expiration date.) f Dated at the Taw peens ry; Tuesday, September 19, 2000 SIGNED BY for the Town of Queensbury. Director of Building Cade nforcement Building Permit Application Town of Queensbury - DeIN. r f Cr rJrrtruJriry be vefolsrre►rr! 742 Rr{v Ruruf BUILDING & CODE E N F a R C' E M E QaecvrsLru.► , NY I28CkF J7dI-82SdJ NOTICERequirements prior to issuance Lbi must kxe obtained before of this permit: I'ERM17' FILE Na. U—' J g cunatniction. No inspections atte until applicant tuns received © Zwdng Board Action PERMIT FRE PAID $BUILDING PERIL IT. Ail Area I Uses' on thin application RECREA77ON FEE P D aa completad atul trio ttignatwePla nbig Board Actionplicant roust appear pin tha REVIEWED Br*. SPR J Subdivision I Otheran form. rrt..t > ' Recreation Fee Payment Applicant: J^/E Owner: Address: IG+ftr+ 4-7— Address: _ f Phone # Phone # Property Location: ! ' —_r Subdivision Name: �� rax Map Number W Section block Lot NIIITTJ�SE OF PROPOSED WORK , ESTIMATED MARKET VALIJin of THE 6/ New Building * Cc]NSTRLJCTI W : $_ f� residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial i✓ Single Family 'Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing � � Other > ti DDd GROSS AREA OF PROPOSED STRUCTURE ; 1st Floor ! ! . . . . . . 7418 sq . ft . �j If ADDITION , whit'. : will use . 2nd .Floor . . .,.:,' , ! . � s of new adds ion be ? Other Flours . . . . sq , ft . { not unfinished cellar or basemen CCESSORT BUILDINGS :; FLO OR AREA * f��' t� gQ . TOTAL Detached Garage 1 , 2 Car E� �� Attached Garage i , car Privater- Storage+ Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other �-'� F>MET X _�� FEET Foundation Type : I irr&7 Will any second- hand or ungraded Number of stories : 9= lumber be s d ? If so , for what ? ( habitable space oglyr ) Height ( grad© Lo r idgo ) -2 feet TYPE t7F t[LINci SYSTEM : Number o fireplaGel3 and/ or woo stove ( circle call which applies ) to be installed :_ ]a / / Wood Forced Hot Air / seboard / Other Person . respons ' le r supervision of ork a �regards to building codes s : �/ � Name Builder Addres P on : 7 'd � ?� Plumber : Mason : t.Ii Electrician : _ ,l E:CZARA770N.• Please sign belmv q ter you crave 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 proix)scd work to be done on the described premises and that all previsions of Ilse Building Code, the Zoning Ordinance anti all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that stich work is authorized by the owner. Further, it is understoxxl thal 1/we shall submit prior Loa Certificate of Occupant r Certificate of Compliance being issued , an AS BUILT PLOT PLAN by a licensed surveyor- a tit •, showing, actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System ToWn of Queensbuty 742 Buy Road Queen'"' NY 12804 (518) 761-8256 1 . OWNER INFORMATION: .......... ............................_.........................._..........._....._................_.,.,............. . Location of installation: 515 , Id" Ounce Use Tax Map No. / 1 File Permit No, Owner's Name: �,fi~ r 4.t�t° S Fee Paid ................... _................................... ...... Address; .S .,.,_..................... .... 2. INSTALLER'S NAME : C : PHONE NO. _�L��r✓/ � 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 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 .Daily Fiow 1980 or older x 150 gallbdrm = 1980 — I991 x 130 gaVbdrrn = 1991 — present _ x 110 galfbdrm — — 36 �TM `n Garbage Grinder Installed yes I no t,,/' Spa or Whirlpool Installed yes f no t/ " 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Tonosrranhv Soil Natury Grgund Water Bedrook or Imyervivus Material _ DQrjjgstic Water Supply 1417 � can a[ what depth of what depth 1pal ollln Darn feet feet we cep slope a ay ell; water supply slope other from any septic-system depth' absorption is ft, rather Percolation Test: (To be completed by licensed professional engineer or architect) Rate: -£q ---Z= minute per inch 5. PROPOSED SYSTEM: For ff AM Construction: All individual sewage disposal systems must be dcsigned by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the silc of the septic lank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: gallon ('min. size 1, 000 gal.) t Tile Field: each trench ft Total System Length: Seepage Pit(s): number of size ofeach: ^fi'. by ft. Size of Stone to be used: 11 / depth or thickness _ _feet Bed System Size: x Alternative 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. 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 regu 'ons with respect to this application and agree to abide by these and all requirements of T wn ofQueensbury Sanitary Sewage Disposal Ordinance. 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CI' FC 4 t3 1� `� H I� rt (n Us I's f I� He c11� tJ t� I} 1 To tn 4+I Qtrc•<•;ixb1ivt-, 742 B;1 % Road , (lflc<.�trtifrttrt , ,\ '� + ( 518 ) 761 -820 t Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date ->000 Permit INO, ipplicuiioit is Tlcr�>ht ururle> to tlic l3rrifelin� C r,ric s C1tji, ' fr,+ Me 4s,t116rwd.> ol'4a 13tri1rliliy r„rtlll :tc I'e rniit Pir slo-'lllt to the New Yr-)rk Siwe P'ire Pj ek)C'tdtin1i ul741 811i1lliily { 'rlel:-, 7 71 e 4IppItC (Ilit or r,+ t, Iier ce ylgl-es: to co1771i7IL' li'rth all etp1Fcr1171e let fi',S, rJ F'{1Fn Cfil ces,, ix; lticlno) s, !lrlr:l o l Cohn-liti011s• that orre p4Frl e# tit ese I-OgIeirerne,lts L'Ind 'el lsn tipill a1/0It' all illspeclol-S to 6.)Iter prCIlri.tes to peso 4,1,-IiI t-eel?0il'ed lll,spectir`,17.V_ I �► NOTE to applicant: Rau��ll - in and Final 111spccl [ Otis are t egttzz cd . I Applicant Informa (iolt Fuel Burning Alapliatice Irtf[) r-tlleltiott f { circle al7p>rul�riate tti•cards) I Name: C 4.2./i'c / �fC:�t'.J>�'7;r'.f Stott C: tVorxl cord pcllc( gels i Address: ce rowS^'' �--- Fireplace insert eu Gs►i �'r> Fir< piacc, factorv- I)ililt : ti, ood Fireplace, rjtasonry r-voorl gcrs ? �►�r Furnace : it oorl ;cts o � Phone- If P ; if rloil-masonary applicance, Please ,provide i Owner: MantifacttlrerNam c,, P ,o''/ ''A *" 4a�eZn + ! Address : Model Nurnlaer: fi^ r 6*04 Chimney Information Phone: 1 (Circle zippropriaite words) Masonry block brick stotle ] Flue tale steel s7 e.• ir7ches Exact address: _�' ri j Of eorrstrrectielr or istaltatioi _a Factory-BLiiit Mal2tifaCtt21CI name: /G�r�l►/ /�d �djtr�� 00 Model Number: r 4& Listed By: Nt][11L1C1': Const1wetion / I11stallation nuest call otvr7 ro NrYS Fire P2•eventioll c'� Builelin g Indicate (circle) chiartney rllaterial : _ Cocle, Conslelt available Town of Q&eensbui-v i C2I7CIC7Lt1S i-egai-ding 1-erjliir-ed hislwCt1017S. Do;tble wall ;ri-1pl4> +mall / Ili.trlleilecl Dlrcc! i•t�Irtiiit; � i C"hirii+i�i 1_irrc�r Ji i f Fire :t 1ae•s'lieil C'oelc .#` S collected ti fie ittrrled Re<:- •i%vel ti-e-mo lo). R - . t -•Y 1.._—... •1 1 73 1389 (190) Pieblic Safen ,� uelrli 4cti's. .4 213 2655 (230) Ali or Sales }.y^)T •'�"t�G —. /pwx4 V'(C.'i/4 Y?Z l✓GYJ c +i+y While {A13}aiicartF) Greed (Fire �fatslrai ] 5 "eil4att Glld�g- Dept. ) Fink Licllti�rtrtxt (Casfaiel''s Detltl� ! — - - TOWN OF QUEENSBURY ARM BUILDING 6 CODE ENFORCEMENT 742 BAY ROAD QUE8"SBURT NY 12804 (51a) 761-8256 -- - . . 'DEPART * INSP : ARRIVE ! FINAL INSQECTXON REPORT - RE6xDENTIAL DATE INSpECTIDN REQUEST RECEIVED' LOCATION ,. } PERMIT $ '�"""" f DATE "TYPE or STRUCTURE SACEP 'LL FRAMING FOOTINGS FOUNDATION TIC INSULATION ROUGi4 PLUHI'BING SEWOOD FINAL ELECTRICriL W DS Vr'' Oit. 1�' IREPLACFS�.,�. I[LTIGHJ_. VI"�T�kiEIGHT G T PLU F N T R R N S H S EP GS d T N IN mgiNilPRIVAC]L RS -Ci iER FL����y?Lt,PttBT @ 0 R F 00RS C PET T CLEARANCE NGS RMOF(_ 1] �E'C" 0F7tS aATHR06Ni FANS - otxttmlmq FIX't'UR�'3 _ U A I0 S A ION Io IRE NG d0R d5E . MA ZL+rCTR.iCA1a E v RI NC E I V Y LAN Z• U C 0 FIRE MARSHAL. TOWN OF QUEE:NSBURY QUEENSBURY, NY 12804 eL (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST CEIVED NAME C, o4criA)� LOCATION _ _ P,F=RMIT # SCHEDULE INSPECTION ON AM PM APPROVED N/A vEs 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 SPRINKL IS CLEARANCE TO HEATI UNITS REQUIRED SIGNAGE CHIMNEY _ WOO TOVE PLACE MASONRY ACTORY 8LT. 0 GH N =T FINAL REMARKS: ❑ OK TO THIS DATE Imspwp.I INSPECTOR MAP REFERENCE: CERRONE BUILDERS, INC. BAYBERRY MEADOWS PHASE 2 DATED JULY 26, 1999 BY: VANDUSEN & STEVES, LAND SURVEYORS AS PER REFERENCE �o;-�\ o \ \ LOT 14 LOT 27 "Y r9� 3s o --___ tb �00 o DID E" Z LOT 15 1 22,561 sq. ft.WELL Qy a i i ,30.83' W V O ry th °q Propane ton k 2T 1 7j' ►0 SOs'11 4�A'w � i 1 2�- D & S teve S Land Surveyors, LLC 37 Chester Street Glens Falls, New York 1.2801 (518) 792-8474 New York Lie. No. 50135 FIELD I LOT 18 LOT 16 I LOT 17 VIEW 'UNAUTHORIZED ALTERATION OR ADDITION To A'SURVEY NAP SEARING A LICENSED LAN) SURVEYORS SEAL 6 A VIOLATION OF SECTION 72DS, $US-DMSION 1, OF Y9ff NEW YON STATE EDUCATION LAW.' 'ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED On AN OWGNAL OF THE LAND SURVEYORS :SEAL. SHALL SE CONSIDERED TO BE VAUD TRUE CUPIEV 'LFA7IFIwms NOhVTm HEREON 94NIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EDSMG FADE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE FEW YOM STATE ASSOCIATION �OF PROFE'MONAL LAND SURVEYORS SAID CERTPCATIONS 9ULL ROSY ONLY TO THE PERSON FOR WHDM THE SURVEY IS PREPARED, AND ON NS BEHALF TO THE TITLE COPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LSnD HEREON. AND TO THE ASSIGNEE'S of THE LENDING IMMMMOe SO UTH Map of a Survey made for Timothy Q. & Anne Marie Conboy Town of Queensbury, Warren County, New York b . 1 1-15-01 NO. DATE RECEIVE JAN 17 2001 TOWN OF QUEENSE I HEREBY CERTIFY THAT THIS MAP WAS (PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS 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: Timothy Q. & Anne Marie Conboy Trustco Bank National Association, It's successors and/or assigns Fidelity National Title Insurance Company of New York CERTIFIED BY.• _ MATTHEW C. STEVES, LLS NYS 50135 DATED: January 8, 2001 eL January 6, S --1 SHEET 1 OF 1 ROAD NAME & PROPOSED DRIVE CONBOY DESCRIPTION DWG. NO. 96081-15 Aoi �r r�,'r -e RESIDENTIAL FINAL MSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement �? Depk of Community Development Araive an/pm Depar jE�t✓ 1 7 Fawn ofnabury 742 Bay Roadoad inspector's Initials Queensbury, New York 12O W NAME C i LOCAT ON PERMIT' TYPE OF STRUC ftJRF�2 T I S �' �' ! R"?rx - DATE NIA YE NO COMMENTS Chimney Height/'M" Vent/Direct Vent Location Fresh Aix Intake Plumb Vent through roof Roof Complete Exterior Finish Complete huterior/Exterior Railings 30' to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or mare ' Crrade 2% away horn foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" a ve gra -� Gas Furnace shut-off within 30 feet or within of s to Oil Furnam split-off at entrance to furnace Furnace/Hot water Heater operatin Relief Valve(s) installed Headroom, 6 f. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sidea-port than 3 ri Interior privacy/trivaldoors/nu in entrance 36„ Floor Fiuish Bathroon /Kitchen watertight Interior Handrails Bal,coni 18 in_ or more Railing across window in stairwells Smoke Detec- every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire doorldoor closer Garage fugM>ofng Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation Safety FIa23nB 1871 1 s from floor Final Electrical t { Site Plan/Vananee red Final Survey Plot Plan AAa"0 5 / - '� i/� As Built Septic System layout required — w Okay to issue CIC (Certif. of Compliance% r �3kay to issue temp. ClO (Certif. of Occupancy) _ l ✓fJ Okay to issue permanent C/o (Certir of Occnxpanc•, .•• 'Main aLTN ELECTRIC AL INSPECTi(]N SEk l✓ICE Main Office 176 one Run Road - ,'YZanheim. P MUNICIPAL CIER7IFICATE , INC. I:LECTRICAIl�s45 ��O �, �i Pane! Board No. 4I'I'R�t►AL ' Cer1. Omer_......... ...........+� /�Gt /V6 a 6 Cut-in Card Nc�. .... . ........................ ...... Locationk� t'� f5 .. .'�.�. ,-`' .... .... . Installation ��5 '�!' .......��A..... ^�'................... .....u onsistin crf... Z' tD Installed �-+ �.. ............. ................................,......_............. The conditions foHowin ,.. ..Lic, Ncn. ................................................. caneelled: - Y governed ........ ............. ..............._...,....,... d the issuance of this certificate, and anv certificate this cenificatc only covers the electrical equipment introduction ofpreviously issued is additional equipment or appl and installation rules are rors aF this Company shall haverarians. application shall be "editions as of dare_ Upon the plated, the C'om the privilege of promptly made for ins parry hall have the r' makin eetiDrly at an pection. rgtt[ Ya re ke C Y tlme, and if its . ............�..�...... IrvsPricro �rL/ti..�'lI_J/ R .... '-00 ..... 44ember N. ' F P.A., t.A E.f. . . ....................... as , GENERA, VVSPEC:"TTDN REPORT ( 518 ) 761 - 8256 Town or Queensbury Dept. of Community Development ate ins request received: Building & Code Enforcement _ 742 Bay Road Queensbury, NY 128 Arrive a#Npm Depart ` Inspector's Initial- s � NAME: + PERNYI.T # - ' f L OCATI BATE 'I"YL'"E OF S U RECHECK ` I NIA S NO COMMENTS Footings/Piers V II Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from f'reezzmg for 48 hours following the plaoement of the concrete. Materials for this purpose on site Foundation/W'allpour Remforeement in Place FoundationMampproofing. Bacicfi.11 Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi H ugh-In anon Foundation Wa s lnteri R- Founcfation W !s E or R- ,r .. Floors R- -- Walls R t LA - Ce.iling R- Duct work o p�ipin in unheated space R- Proper Vent, c V t Franzen Jack S is ]Bracing/Bridging _ \, Joist Hangers _. h Jack Posts/Main Beam _ Air Tnfiltraation .Barrier Fire Separation 1, 20 3, hour Penetration Sealed Fire Wall 21 3, 4 hour Firestoppin r GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date ins ction request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 f Arrived am./pm, Depart / ]� _. rI Inspector's Initials r NAME: I �+� � �f- PERMIT # i' 7/ LOCATION: DATE : TYPE OF STRUCTURE* RECHECK /1A YES NO COMMENTS FootingsMiers Monolithic Po:inPlaoc m _ Reinforcemen The contracresponsible for providing pon front freezin for 48 hourswing the plat nt of the concrMaterials for trpose on site Fou ndation/Wallpour Reinforcement in Place Founda#ion/Dampprnofin Back6.11 Approval Plumbing Linder Slab Plumbing Vent/Vents in P Rough Plumbing. Heating Rough-In Insulation Foundation Walls In or R- Foundation Walls E e.or R- Floors R- Walls R- Ceiling R- Duct work or pipi in / unheated spaces R- ,A'roper,,V'enL Attic V v cack Studs/Headers Bracing/L3ridgi Joist Dangers Jack Posts/Main Beane Air Infiltration Barrier W °� Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping re�f J t fl�yV l GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury fly Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road /�y Queensbury, NY 12804 Arrive am/pm Depr�rt���' luspector's I3r#itiais NAME; {2 if' PERMIT DO CA.T It7N: _ _ L o'T i 'S ► sue '. BATE 'TYPE��CJ/F STRUCTURE: RECHECK Y. NIA YES 0 C hrIML?NTS FootLngslPlers 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 Reinforcement in Place Foundation/Dampproo Backfill Approval Plumbing Under Slab i Plumng Vent/Vents in Place r' J biRough Plumbing, ✓ f`� 1 `"` ;ji / ? i- __ 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- roper Vent, Attic Vent r r-antt + ti' Jack Studs/Headers Pt v �j Bracing/Bridging,ng/Bridgi f Joist Hangers ✓ j0t-t^' f=c r2 f Jack Posts/Main nain Beare ! if Air Infiltration Barrier Fire Separation 1, 2, 3, hour 1 Penetration Sealed ire Watt 2, 3, 4 hour Firestoppin TOM OF QUEENSBURY „�-- WLDING & -CODE EMFQRCEME;NT 742 Bay Road Queensbury -fly 12gO4 (518) 761-825670 SEPTIC DISPOSAL SYSTEM INSPE TIOi1C Name Je � Locatior Date tYnit ,# - SAIL TYPE: Sand Loa Clay- Resu7is of Perco7a ion Test- ( if aPP7icab7e ) Rat -Minute/Inch TYPE OF SYSTEM: _ ABSORPTION FIELD: of 7 Len Length of each tr ch gh Depth of trenches 1. ^- �` '--- Size of stone SEEPAGE PITS: N 'c_.. —�2'-C Size - ber- Stone size ft x ft . PIPING : Bldg . to lank e ze Tank to Dist , $o Dist. Box to Fie d/Pres Openings Sealed? ' .� L�TION,/SEPARA ONS o a't i a i Foundation to Ta k Foundation to Ab o on -' feet Separation of Pig srPti feet Conforms as ,Per v 7ot Plan eet LOCATION OF SYS Op PRQP£R es No ( circle e Front - Rear Left Side Middle F orrt - Mi dd7 a Rear Right Side CONWRTS K'k c e "t") , i L1 SYSTEM USE APPROVED:Arai YES NO Departed t Rui ding nspector i' "I have seen or obswwA or bdwn I w all objects such as hottsM rflft WgNV6 .own on this document +lp i�lt! c�c1 1p� (7 1 4� 0 R [+ur5Dn2l sur • GNATUR 1 1 /0 7 A O Q p. get 76 r 4UL7 s .r S"4 5'� . 151 G�' f GENERAL INS'EEC.T N RE RT ( 518 ) 761 -8256 Town of Queensbury at received: Dept. of Community Development Date inspection re�gae Building, & +Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/Pm Depart In Inspector's initials - rrrr�-Q1.- gal) "?I L.� NAME: PERNUT # LO CKHON: r DATE : c� TYPE OF STRIJ 41 RECHECK N!A 'YES NO COMMENTS Footings/i'iers_� Monolithic Pour Form Reinforcement in Place _ The contractor is responsi for providing, Protection froth ing for 48 hours following the at of the concrete. Materials for this purpose on site - Foundation/WallPonar Reinforcement in Place ottrtdati Backfill Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbin Heating Rough4n Insulation `�$ ,,,� Foundation Walls Interior R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, AMC Vent Frami Jack StudsMeaders Bracing/Bridging, Joist Ilanpexs lack Posts/Main Beam Air hi filtration Barrier Fire Separation I, 2, 3, hour. penetration Sealed Fire Wall 29 314 hour Firestopping. E IQ1V REPORT ,/ r ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road peps "�- amlprn Queensbury, NY 12804 Arrive �Pm cL Inspector's initials U -� PERMIT # C7 IdA1ti4E. ATE f� LOCATION: TYPE OF STRUCTURE: RECHEM NIA YE C) COMMENTS ers R w Nionolithic Pour Form Reinforcement in Plane The contractor is responsible f providing protection from fre"i for 48 hours following the placem t t, of the concrete. 1 Materials for this purpose on site Foundation/Wallpour Reinforcement in Place { F on/Darnpp *n �` ' rzzt Lll Approval Plumbing Under Sla Plumbing Vent/Vents in Phan Rough PL Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R __— Floors R- Walls R' •, Ceiling It Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin lack StudSJlieaders Bracing/Bri Joist Hangers jack p osts/Mnin Seam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wan 2, 3, 4 hour Firestopping 10 GENERAL INS►P.L j N REPQRT ( 518 ) 761 - 8256 Town M Queensbury 'pert. or Community Development Date inspection requ"t received: Building & Cade Enforcement 942 Bay Road F Queensberry, NY I2804 Arrive am/pm Depart %pni Inspector's Initials NAME_ ` f�'►2 vNC� PERMIT # r -171 LOCATION. `tee t+ i� ►ate r DATE : TYPE of STRUCTURE: RECHECK NIA YES NO COMMENTS Footing,/1'iers Monolithic Pour Farm Reinforcement in Plane The ,contractor is responsible fo providing prc'tecnan fram free for 48 hours following the nt of the concrete. _ Materials for this purpose on site Q �� FoundationlWallpour " Y rcement in Place aundation/Dai n C�.7 �._ Erackrdt Approval Plurttbing Under Slab C A-C P1uxnlring Vcnt/Vents in Place i Rough. Plumbin Heating Rough-In insulation Foundation Walls Interior R- Foundation "Walls Exterior R- Floors R- Walls R,- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Franvi Sack S*= lue�,`�.�' Sracing/BridgingT__ joist Hangers — Jack Posts/Main Air Infiltration Barfier Fire Separation 1, 29 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin Q�2VERALysp��'7`IQN REPQR� ( 518 ) 761 - 8256 Town of Queembury '.pate inspection request received: Dept. of Community Development Building & Code Enforcement 742 Bay Road Arrive am/pm �Depart Queensburyr NY 12004 inspectoes Initials P7GliMIZ # � !fle CX! �P NAME: ,1 DATE LOCATION: TYPE OF STRUCT'ITRE: RECHECK N/A YE: NO COMMENTS V .}j'�"FootSngsli'iers monolithic Pour Reinforcement in � The contractor responsible providing pro 'on from ng for 48 hours foll g the cement of the concrete• materials for this on ite Foundation/Wal Reinforcement in P Foundation/Darn Bac I Approval plumbi nder Plumbing Vent/Ven in place Rough Plumbin Keating Rough In� -- Insulation Foundation Wails erior R- Foundation Walls xtedor R- Floors R" Wails R- Ceiling R.- Duct work or pi in unheated s R- Proper Vent, Attic ent F Jack Studs/'Headers— Brair ingiBridging Joist Hangers Sack osts/Mail Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour penetration Sealed Fire Wall 2, 37 4 hour Firws: i