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2000-754 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Permit Number: P20000754 Date Issued: Thursday, February 08, 2001 This is to certify that work requested to be done as shown by Permit Number P20000754 has been completed. 3�51 1 J3 Tax Map Number. 523400-I48-000-0003-038-000-0000 Location: KETTLES Way Ownet. `THE L.L.C. MICHAELS GROUP Applicant. THE L.L.C. NUCHAELS GROUP This structure may be occupied as a. By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached ��(000� JW Director of Building & Code nfot went TOWN OF +QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761 -8256 BUILDING PERMIT Permit Number: P20000754 Application Number: A20000754 Tax Map No: 523400- 148-000-0003-038-000-0000 Permission is hereby granted to: THE L.L.C. MICHAELS GROUP For property located at: KETTLES Way in the Town of Queensbury, to construct or place 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. Type of Construction Value Owner Address: THE L_L.C. MICHAELS GROUP Single Family Dwelling 1573500.00 1810 STATE RT. 9 SUITE 3 Garage - 2 Cars Attached LAKE GEORGE, NY 12845 Total Value 157,500.00 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS DEVELOPMENT 6 CENTURY HILL DR. LATHAM, NY Plans & Specifications 2000-754 SINGLE FAMILY DWELLING W/ATTACHED 2 CAR GARAGE PER PLOT PLAN SPECIFICATIONS . Location: House No. 23 Kettles Way, Hudson Pointe PUD $271 .00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, October 13, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of +Queembury before the expiration date.) Dated at the Town o Qnee lau4f F da AcE ber 13, 2000 SIGNED BY for the Torun of Queensbury- Director of Building & Code Enforcement Building Permit ADPlication Town Of QueeIZSbury - Drim. of co► wilinky Develolmnenr, 742 flay Road, Q11reAVh1f1Y- NY 12SO4 1761-82.561 BUILDING de CODE GNFORCEA4E' NT �� Requirements prior to issuance 7PElx)?A41T R NO. O40 ` of this per A porntit must be obtained befora �p� 71 0 0 boSiff=t construction. Na inspeecti«ns C 13AIDZoning Board Action will be made until applicant has received Area I L1sca VALID BUILDING pBRMIT. Ali N FEE AJD $ applieartiI spaces on this application MUST bo completed abd-the signature � Plaruting Board Action REVIEWED 13Yr111111111111111, Rill, of the applicant- must appear an the SPR I Subdivision 1 Othor tlirr`Ltlin Ir�slxrinr 1 lication form. na,+o- y� { Recreation Fee Payment Applicant: c�CIS Owner: Address: .�� �`*��'� Address: Property Lo&.aibn: � Tax Map Subdivision Name: Section Block Tint NATURE OF PROPOSED WORK : ESTIMATED MARKS VALVE OF THE New Building * CONSTRUCTION , residence f commercial Addition to Buildings OCCUPANCY INFORMATION : residence / commercial Primary Building Alteration to Building : Sin le Family Dwelling residence f Commercial _ Sing al / Commercial Two Family Dwelling Family Dwelling no change to exterior size office Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : �� ����--��yy ,��-..,,,, If ADDITION , what will use lst Floor . _ % II sq • fIt of new addition be ? : 2nd .Floor . . . . . . . • .$C}►" sq . ft . other Floors . . . * . sq . fte ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : 2 Detached Garage 1 , FT _ Attached Garage 1t car 'TOTAL FLOOR. AREA : S � ` private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other IDI FEET x _ FEET Will an ded Foundation Type : F2 , y3r second - hand or + or what Number of Stories : lumber be used? If sot for what ? ( habitable space only ) Height ( grade to ridge ) : ��_� feet TYPE OF , HEATitiG SYSTEM : Number of fireplaces tend / or woo stove ( circle all which rx i? liWood to be installed : Electric / oil / as / Forced Hot -.Air / Baseboard / Other Person responsi.bl. e for supervision of work as regards to building codes is : Nei" e Aldrepso Phone Builder : If Plumber : d Mason . 2Z ElectrICIian : DECT. i Iyyt�N• Please sign be after you Iurve carefully read the ,statet►cerrt. To the best r�F my knowledge the statements contained in this application, together with the plains and specifications submitted , are a true and complete statement of all proposed work to be clone on the described premises and that alIll sprovisions d work shall be complied witch,de, whe her p he Zoning ordinance Orcnotedd, sand other laws pertaining, to the propoprior to a tltiat such work is authorized by the owner. F urtlrer, it is understood sin�AS BUIL.Ti PLOT tPL.AN. by Cortii"icate of C3cctispancy` or Certificate of Compliance being issuro +cct on remises, a licensed surve or; d ale , showing. actual location of project P Signature: (owner, owner s eCt, contractor) " agent, a 1 Application for Permit — Septic Disposal System ✓ it tltv►l of Qrjeensbwy 742 Bay f oad Queeifshury, N)} 12804 (518) 761-8'S6 1 . OWNER INFORMATION: ................................................ ...........,_. ---.........._..... .., r� { office Use Location of installation: �J �' ` .l"—? File Permit No. 4RQO,!5 - Sy Tax Map No. f Fee Paid Owner's Name: `C �l� � Address: kC� F� to % C< 2. INSTALLER'S NAME : t t," U2 y _. _ PHONE NO. 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedrooln(s) and multiply li of bedrooms with applicable gallons per bedroom to equal total dailvflow) Year of H se: No. of Bpdrooms x Coin utation = Total Daily Flow 1980 or older x 150 gaVbdnn = _- 1980 — 1991 x 130 gai/bdrni = 1991 — present 3 x 110gatlbdrm Garbage Grinder Installed yes f no X , Spa or Whirlpool Installed yes � f no ;>< _ 4 . PARCEL INFORMATION : (circle applicable information & indicate measurements) T o rra Soil Nature r nd Water Be rock or Impervious Material Doniesti c Water Supply 1;'fat scr►a at what depth at what depth Municf foal Rolling loam 3(� jeel feel Sleep slope clay lf'well; wafer steppfy _ % slope other frnna anv sel�liC-.vyrlc�rr� depth; _ ab,svrpti(+rr is fl. other Percolation Test: (`1'o he completed by licensed prufcs.vional engineer or architect) Rate _._.. _�.. ._,_ minute Per inch 5. PROPOSED SYSTEM: For Neiv Construction: All individual sewage disposal systerns must be dcsigncd by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to titc sire of the septic tank and leach field for cacti Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 1000 gallon (min. size 1, 000 ,gal.) Tile Field: each trench '` l fl. Total System Length: 1(O. 2 jt. Seepage Pit(s) : member of size oj'each: f!. by ft. Size of Stone to be used: ff _ � / dcplh or lhickness —_.__ __ feet Bed System Size: x Alternative System: tj __, length and/or size 6, HOLDING TANK SYSTEM: (if required) Number of tanks; N_ �A,* f Size of each: gallons f 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 belralfof 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. x� 0 SISInaturree of r—espon able person Vate E i='c* 11 .�tsttarf" {)1'fi�c 1`r/.+ F� 1!I f�4li'l Iis1) irl'" �42 B iN [to:icl . (, ucciishur-3 N l Application for Fuel Burning Appliances & Chimneys f applicable to solid fuel & vented gas appliances Date i ���-._. W_• 20 �- 1'ert�iit 40. 1 j ,-lpplicYtlrorz Is heret) ' mtid,2 tc+ the Building & Cfrcics Offic'c' .fold rhea 0/ 41 l3lrilriirl•+; rr+id IJsc t Pt'l-lad4t ,tx111stecrrtt to the 11eltp York State Fire PI-evc•Irliolt aiul lhiilflwr ii (. odc Ilte applic aril Mm 01111;er- E crgicres fo ca1)11?1y 1%4111 al! crpplic'ahle IoII kr. urclilIaIIce,s, rt�grI/ariclrt.3• Crrrfl rrll C-011diI if;114; IhaI oI-e p I '+ of I these i-ce lrtrerltents raid C1I.S.0 Will crllcrlc' rill r1lipe[,•tU1".5' tfJ e)11e'r- f31'�Iil r-��s IFl pe+fJ!'11r r'cgliwed illspef-rdolts_ NOTE t4 applicant * Rough in and Filial Inspections are regttired . s Applicant Information Friel I3urc>Iit>Ig .4pp1< iance Ic1Gf'orcxysitiai>< ( c Ir-c ie appropriate words) Name: Cloft-lLnstovice tt'ood coed pellel gas T Fireplace insert ddress: 4 Fireplace, factory-btii1t : Wood gels Fireplace. I77asonry+: %et Ood gets l Furnace: I ootl ,rtr oil Phone: "[p3 If note-masonary appiicaa7ce, please Provide jManu fact L trcr Name: Owner: t Address: Ail* Model N LInaber: Chimney Information Phone : (circle appropriate Nvords) Masonry block brick stone tie the tee size: filches Exact Address: "V' *ic9w&1� (I ". nfeolrsrrurtiolr ui' ilrsrraltntirlir Factory-Built Manufactttr'er name: I Model Number: ' 'Vote: Listed By: Nttt-riber: Construction f Installation nit(st u I CQII CJ -n to NY.S FIFE Prevention & Buildiirg 1ndieate (circle) chininey material : Cotle. Consult available Town of Queeusbury Hrtiidouts regai"cling i-equir+ed insj-Jections. -^ovble ti+'rrfl 7}'rlrlt' x,•C1ff / Insulated / 1Jir'f'c'f x'c'ri7irrt,' Cllirrlrlc't' Lirrc'r• d:7A&AKJ!A1Ar Xv-*aer .T..1 p� x�aM t i -- eaa;*xrar�e opt' $r�c�.� wa �rrz:�y„ T.esr>rr Yea• tir-�c — { i I `FI Fwe .Wc1r-shell Carle .S Collectc',l c Rf,fiowteat Rc'cc^i�•c•rl_fi r+rrr Ir-c^flrrrr{f"rf crr1,' _ ..-,rr' _!tom' ! -'- _. (. . 4 d l '3 3 3 S 9 {190) Public Safelt .4 333 7655 [230) Xfin,r,w .Sales 7 «'Ititc (fi.}rplicasxt) Green ( Fire tiiarshal) 1'clloa• { t31c1g„ Dc}x[. 1 Pink & CioIclr,trcrci (C'astiirc ' s f7rlxt-) TOWN OF 'QUEENSBURY BUILDING & CODE ENFORCEMENT 74-2e BAY ROAD QUE CRi j URY NY 12604 i ARRIVE : . . DEPART : INSP : 1 rx"AL INSpecTION REPORT - R74'82I1SNTIAL DATE INS ECTION R QUEST • CESIVED : i NAME LOCTILOCATION � DATE gel PERMIT R r) I IL i TYPE OF STRUCTURE FOOTINGS FOUNDATION BA.CK'FILL FRAMING 7 ROUGH PLUMBING SEPTEC INSULATION PENAL E;LEC"L`RICAL WOC7gSTOV'E OR FIREPLACE { EI A 6s liQ CR H I BIT V NIT It I liT PLU B G V N RQ GAF I NG — TS F N S p]gC OR S N S R�L..F F V LVE'S RNINT C O W T O S I R ff-RI141F I Cy R FINISH F ATH K E W T G 1' T R FLOO S S E P T E P'LOO C P STAIR CLEARANCE LINGS OKE O 3 G E XTUR S i 1 U I D O U O i �^, E FIRE- ROO N O C ' s C R U V P p SS E C O OR C 9 { { MAP REFERENCE: HUDSON POINTE P.U.D. BY VAN DUSEN & STEVES DATED MAY 1994 LAST REVISED MARCH 6, 1995 FILED IN THE WARREN COUNTY CLERK'S OFFICE ON APRIL 5, 1995 AS INSTRUMENT NO. 44 PLAT CABINET B SLIDE 43 .v an D us en Steves Land Surveyors, LLC 169 Haviland Road Queenebury, New York 12.801 (518) 792-8474 New York Lie. No. 50135 H.O.A. GREEN SPACE 3-s ^W -77' N 92Op ,0 I! aoo LOT 37 V` LOT 38 S 18,909 sq. ft. 0 0 O 'UNAUTHOItlZED ALTERATION OR ADDITION TO A SURVEY NO BEARING A LICENSED LAND OUR* -I= SEAL RI A MO.ATION OF SECTION 710B, 10-MMM 4, OF 1HE NEW YORK STATE EDUCTION LAM.' ,ONLY Comm MOM IIIE ORIGINAL Or This SLSVET mom MHH AN OBPiML or THE LAND SURVEYORS SEAL SHALL BE CO NSIDERM TO BE VALID WE COPIES,' 'CERTIFICATIONS INDICATED NlIEON SKNPY THAT THIS SURVEY WAS PREPARED N ACCORDANCE BITS THE COMING CODE Or PRACTICE FOR LAND SURVEIGNS ADOPTED BY THE NEW YORK STATE A9lOCADON OF PROFESSIONAL LAND SUMEYDRS. SAID CERIMDONS SHALL WN OILY TO THE PERSON FOR *W THE SLMV RI PIEPARED, AND ON INS BEHALF TO THE IDLE COMPANY. OOVERNORAL AGENCY AND LENDIN NSTITUITI0N1 LISTED HEREON, AND TO THE AWI NQs Or THE LOSING NG N6IINII0L• NB�Mw Map of a Survey made for THE MICHAELS GROUP Town of Queensbury, Warren County, New York NO. I DATE DESCRIPTION 5 RECEIVED FEB 0 8 2001 TOWN OF QUEENSBURY BUILDING AND CODE �AND S --1 SHEET 1 OF 1 M HAELS GROUP DWG. NO. 91297-38 FIRE MARSIHAL jp+�VN f3F CIUEEN5B 2604 QUEE(51a)761 ,9205 FIRE Mp,FtSHAL 1NSF'ECTIQN REPORT � f PERMIT # REQUEST RECEIV`Q -- NAME LOCATION IQI I © SCHED� }LE 1tN4sp CT _ - pTp NYTIME APPRCIVED YE NQ OUTS — --`` p,ISLE WIDTHS ` —_------ ��— E?CIT SIGNS `---- EMERGENCY UGI ITIfiG s FIRE lNGUlS1-IERS — — } F1RE ALARM SYSTEM - ---� TEM FIRE 'SI'RIPIKLESSIC►N SYS SYSTEM FIRE SLjp?RE 80OD 1N5TALLATIV4 1NTEERIC)R FINISyEB -- STORAGE S 1yKl ERS CLEARWC' TO CLEARANCETQ HEATING UNITS mQ1llRED SIGNAGE -- - CHIMNEY _ MASOoRy F CE - FACTORY BUILT flK T© THIS DATE RESIDENTIAL FINAI. INSPECTION REPORT Office No. (518) 761-8266 bate inspection request received: _ Building & Code Enforcement j Dept. of Community Development Anriv f`. r Dep�xrt Town of Queembury ap� ma's Initnals 742 Bay Road i Queensbury, New York 12804 P� ._� -' ) —� LOCATION DATE TYPE OF STR C N/A YES NO CONOvIENTS Chimney HeightP13" VentfDi.rect Vent Location Fresh Air intake Plumb Vent through .roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 3 Exterior Handrails, baicumes, I IS ' . ar mare Interior Handrails stairs bath si s 3 or m risers Grade 2% away from foundati 8" clearance to sill plate Gas Valve shut-off exposod atm I8" ve grade Gas Furnace shut-off within 3 feet or wi line of site Oil Furnace shut-off at enuune h to area FuxnwceMot Water Ficater Relief Valve(s) installer!. Headraomn 6 f t. 6 in. on s Basement stairs, 6 ft. 4 in. Handrail exterior stairs both s4les more than 3 risers Interior privacyltrimldocus/ entrance 36„ Floor Finish BattuooniiKitchen watertight Interior handrails Bat 18 in. or more Railing across window M' s s Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer, Garage fireproofing Garage penetrations sealed Furnaoe in separate room protected (in garage) Light ventilation per roam Safety glazing 18" or less from floor Final Electrical ,.�� _ 1 Site �e required ` kid ktzi Final Survey Plot Plan ( ,;�� - As Built Septic System layout required Okay to issue CIC (Certif. of Comphanoe) Okay to issue temp. C/o (Certif. of Occupancy) =%A Okay to issue permanent CIO (Certif. of C]ccupsrxc*I) �2, GENERAL INSPEG'TION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road fj`7 Queensbury, NY 12804 Arrive am/pm AeparJ Inspector's in itia ls --7 _ NAME: W'e PERMIT # Lf t ' f / LOCATION: DATE - -;�/ TYPE OF S CTIIR.E: _ RECHECK NIA. YES NO COMMENTS Footings/Piers � T Monolithic Pour Ferns Reinforc.^ement in Place _ The contractor is rTote providing protectio for 48 hours follow of the concrete, Materials for this purFoundation/Wallpcsur Reinforcement ' Pla Foundatio fi Backfill Approval Pluminng Under Slab Plumbing, Vent/Vents in PI Ro Rjoug n sng Raugh�n nsulation E3 Foundation Walls Interior Foundation Walls Exterior R- Floors R. Wails Ceiling - Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Frarni Jack StudslElesdecs BracingBri Joist 'Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed tre Wall 2, 3, 4 hour arestoppring GENERAL INSPECTION REPORT c sz $ » 61 - sass Town of Queensbary Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, Nat' 12804 Arrive am/pm Depart 111 /► Inspector's Initials NAME: �C l�t �i �� _._ PERMIT # 011*2) _—rt`' LOCATION: DATE : _Cz IZ-7 TYPE OF STRUCTURE, RECHECK _..—.._ __._._...._ N/A YES NO COMMENTS Footings/Piers Monolithic Popur Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete_ i Materials for this purpose on site Foundation/Wallpour Reinforcement in Place 3 FoundationfD ampproofiate__,.___ EkwA fill Approval Plumbing. Linder Slab Plumbing Venl/Vents in Place Rough Plutnbi Beating Rough-In f Insulation Foundation Walls Interior.- - Foundation Walls Eaior 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 1961tration Barrier Firq4Separation 1, 2, 3, hour ctratiou Sealed re Wall 2, 3, 4 irestoppin J5= cv t c)i GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay R,'oad Queensbury, NY 12804 Arrive7os � inspector's NAME: PERMIT LOCATION: DATE : L7 C, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS F'ootingsfP'iers ~�- ��-Ti Monolithic Pour Form [? `A -- 't Reinforcement in Place [� \ 1 titJ pv{ "� l The contractor is responsible f r �j� (�, — 1`� t✓1 t t� k MU¢JI providing protection from7men ng for 48 hours following thet tz23 `� �� 13 � v of the concrete_ fit 1�F a Materials for this purpose on � F1 Q A GNE M NIA Foundation/Wallpour t]F Reinforcement in Place Foundation/Darnpprooft C%3) Ls; Backfill Approval Plumbing Under Saab -V �� �j� C Plumbing Vent/Vents in 'Place L L> Rou Pluxnbi 1 G© ing Rough-ln lation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R_ Walls; R- je �� / �, Ceiling R- , l - �1[=+E� Vic-'f A)C `� � Duct work or Piling in unheated spaces R- Proper Vent, Attic Vent Frami Jack StudsMeaders Bracing/Bridging Joist lJangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour _ — Penetration Sealed Fire Wall 2, 3, 4 hour1�}. 0 Firestopgin FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, IVY 12804 (518) 761-8205 FIRE MARSHAL_ INSPECTION REPORT REQUEST RECEIVED PERMIT # 21 ) -7V NAME LOCATION 9L i <'eT rle T �q. Q SCHEDULE INSPECTION ON � # Z r M NYTIME Y ig-r , �y 6 ROVED EXITS `✓ WA ES NO AISLE WIDTHS _ EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM f f HOOD INSTALLATION z INTERIOR FINISHES STORAGE, CLEARANCE TO SPRINK RS CLEARANCE TO HEATI G UNIT REQUIRED SIGNAGE CHIMNEY WOOD STOVE !REPLACE - MASONRYOr- _ FIREPLACE - FACTOR BUILT REMARKS: OK THIS DATE De rrC k.wr Vet) C) w k:. iRpue 4NS CTOR GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development gate inspection request received: �a Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 ArriveZ,p f ZW; �} D�epa its Initials L/ NAME: ate'] . 'C.A 04 -r _S r r PERMIT # LOCATION: 2 aC e rl T DATE : TYPE OF STRUCTURE: f / RECHECK _ N/A YES NO COMMENTS FootingslPiers Monolithic four 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/Waltpour Reinforcement in Place Foundation/Dampproofl Backftll Approval Plumbing tinder Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation Foundation Walls Interior R.- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent ` CZc1x� Framing Jack StudwReaders Bracing/Bridging, Joist Hangers Jack PostsfM am Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour. Firestoppwn e r TOM OF QUEENSBURY BUILDING_ S CODE ENFpRCEOWNT 142 Bay Road Queensbury NY__I2804 (518) 761-8?56 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date f f ermit SOIL TYPE: Sand Loam- Results a erevlat ' on 7 st_ ( If applicable ) Ra TYPE OF SEEM: - Mi utelInch ABSORPTXON FIELD: ot - _____� Length of each tre c L th r--7 d Depth of trenches Size of stun SEEPAGE PITS; Size - e r- Stone size ft -- ---� ft . PIPING: Bldg , to Tank Size` e Tank to Dist . Box - � �r � �� 3jr— Dist . Box to Fier IP Openings Sealed?Sealed? LOCATZOW/SEPARAT ON Yes IUa art . a Foundation to Ta k r Foundation to Ab o r feet Separation of Pi s ptian ��� feet . -Conforms as per l Est Plan eet LOCATION OF Sy ON PROPER a No (circle one) Franc - Rear Middle Front - eft Si a Right Side COPS"TS: ar n D SYSTEM USE APPROVED: OYESNO Duart : Departed: is Bui ding Insp,e r I H.O.A. GREEN SPACE �'�; 13;l � .'' v2 1 . DEC: 0 7 Laberge 51 81458-71 1 2 ti GrUUE' cp t� BU1LDINC' F`'f�1�3• C i '0+ kk to �. PLOP PlE Q - Ly LOT 38 HUDk( TOWN OF OUEENSBURY SCALE, 1*=34' mot f ;r LAND SURVEYORS, GLEh ^TATr 1 Tf Mn 15A17 3 �7I� � l� � GENERAL INSPECTIO?N REPORT ( 518 ) 761 -8256 'Gown of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement ry 742 Bay Road O Queensbury, NY 12804 Arrive Ins per ' Inspector's Ini#ills PERMrr # S NAME: DATE ; LOCATION: TYPE OF STRUCTURE: RECI€ECK NIA YES NO COMMENTS Monolithic Pour Form Reinforcement in Place The contractor is responsibl providing protection in for 48 hours following placetn t Of the concrete. Materials for this purpose n site FoundationlWallpour Reinforcement in Place Foundation/DanippTOOfin Plumbing f P'tumbing Under 5 Plumbing VentJVents in Rough Plunaibin Heating Raugh-3n Insulation Foundation Walls ricer R- Foundation 'Walls E 'or R- Floors R- Wails R- Ceiling, R- Duct work or pi g in unheated spaces R- Proper Vent, Attic Vent Frami Jack StudslHeaders BracinglBri joist Hangers Jack Postsimai-n Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 3, 4 hour Firestopgain GENERAL IN PECTlf)N REFQRT ( 518 ) 761 - 8256 Town of Q„eensbury Date in Dept of Community Development etion request received: Building & Code Enforcement 44 1 742 Bay Road I l� Queensbury, NY 12844 Arrive am/pm Depart fj Inspector's Initials RkVII - J- DAME: S PET 4 4/ � ��•• LOCATION: DATE : TYPE OF STRUCTURE: RECHECK. NIA YE a COMMENTS tings/P"iers 1 or orm Reinforcerent F in Place The contractor is nwsponsible for providing protection €torn freezing ; for 48 hours following the P t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofuig Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R, Floors R- - Walls R- Ceilin,g R- Duc t work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bri Joist Hangers Jack Po Beam Air Infiltration Barrier Fire SepaGrat- n 11 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping Sent By : The Michaels GROUP ; 5188996260 ; Oct - 12 - 00 11 : 13AM; Page 1 / 1 • I L Hp►AN�N �1V�1N�i�R11VC r-w,.esvErj. P.E. 'fHON1AS VV. NACIE, RE. Navnnber 3. 1995 Mr_ Jim Cb&ndur Thob6ahadt Qsoup a Csrnury Lm Drhre tmdmn, 1VY 12110 Via Fax 798-3182 lE; Hudroa Poko o Yuen Dear Nspu: Pac ofuou Tin" to ■0" ++fh thf PQD 4VEOVW $Or thsc PfojoCt &V hwo paffiaatfd sites •Pecafe OfmolMao tuts tr left sot, 033, #38, mW 043. Tout tart vmwo pea'&rrmad in the sift of thf on arlm fepelc.ftYasmes arf ittdieatfd vn the p3snt ` r Thf etllb dimod povekdon rtrcas we as.&►vows: IWOV5 1 mbout.; Lot an* iW7193 1 Vdimm IKi psdpada e:q. I i �yy A.. Fris p��b,0,1�A�m�you .SSW! Olaf 'gywmiftNr. pit/L' Cfia. im. Thomwe fhdchioz, P.E. &64 BAY MOAD, CKAENNKMV, M_V_ 128" 'ram Sti of 7911-7444 FAX fIN0 70%-70M