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1999-304 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date c �..a ..�aC c 19 —9 9 This is to certify that work requested to be done as shown by Permit No. - .- - - 7JavJ'S has been completed. • This structure may be occupied as a SINGLE FAMILY DWELLING LocationLOT 42 JOHN ST. Owner 1,14,5ZTT.Tr'1TT r'T-TA PT, TRIP TAX MAP NO. 121 . —1-16 . By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING . PERMIT ;,aril"� VALUE $ 116000 TOWN OF QUEENSBURY No. 99304 ���� %1P) TAX MAP NO. 121 . -1-16. 4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to VASILIOU, MICHAEL, INC. OWNER of property located at JOHN ST. 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 14 STONE PINE LANE QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name VASILIOU, MICHAEL 3. CONTRACTOR or BUILDER'S Address 14 STONEPINE LANE QUEENSBURY,- NEW YORK 12804 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING l 1 Wood Frame ( I Masonry ( )Steel ( I 7. PLANS and Specifications No. 8. Proposed Use SINGLE FAMILY DWELLING $ 179 PERMIT FEE PAID —THIS PERMIT EXPIRES June 10 2001 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.) 10 June 1999 Dated at the Town of Queensbury thisr Day of 19 SIGNED BY )CtAYY , for the Town of Queensbury Building and Zoning Inspe or r A 1 f TOWN OF QUEENSBURY 531 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date r/II ,19 Permit No. 61i1i { 1) 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 f( I-1- ,EZ ,J °��' 5/(_.i O J3 APPLIANCE (check appropriate boxes) Address f y . ? s;4,.12 I A) . ❑ STOVE: ❑Wood o Coal o Pellet o Gas ❑ FIEPLACE INSERT t pi,-'r'=~.rjS a i Zip /2 O O-FI REPLACE, FACTORY-BUILT: ,.�, I rWood ❑ Gas Phone . -- £ 0 FIREPLACE, MASONRY: . • ❑ Wood ❑ Gas Owner 0 FURNACE: ❑ Wood .❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: IYO j — Zip Model: t R f; - c, Phone CHIMNEYS c (check appropriate boxes) *EXACT ADDRESS of p oposed construction ❑ MASONRY: 0 Block 0 Brick 0 Stone f - _ FLUE: ❑ Tile ❑ Steel Size: inches CONSTR CTION / INSTALLATION MUST p'FACTORY-BUI LT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: , G') Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS ti Double Wail ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Received Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales c. Fee Collected From or Refunded to: ,, tr ;'1 << \_, \.,' Address s Dated: 1 Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY REVIEWED BY: a COMMUNITY DEVELOPMENT DEPARTMENT :',' ,, ,''°`' OC BUILDING & CODE ENFORCEMENT 01� • FEE PAID: 4- S 531 BAY ROAD .`110' - QUEENSBURY, NEW YORK 12804 PERMIT NO. - (518 ) 745-4447 BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants ' spaces on this application MUST be completed and the signature of the applicant MUST appear on the application form. OWNER OF PROPERTY: /vl f c !v-EL 04 it-/00 `Arc Mailing Address : /cf 7' ,-t--e 12viii ,L/4A. - Telephone Number(s) : Work 773 73 -3 Home Other PROPERTY LOCATION: /Z/ - /.— g, Tax Map Number: ction Block Lot Subdivision Name: (10/ S t7tz 7 Lot No. NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE 696 CONSTRUCTION: $ //l�� 7,9(7 !„L' '1 NEW BUILDING: l RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: il/W,ki„� ADDITION TO BUILDING: PRpARY BUILDING - , (-)41 RESIDENCE/COMMERCIAL Single Family Dwe ing.1; ; ALTERATION TO BUILDING: Two Family Dwellin re ,/z' RESIDENCE/COMMERCIAL Family Dwellii? / (NO CHANGE TO EXTERIOR SIZE) Office pprprk OTHER WORK (DESCRIBE BELOW) Mercantile Warehouse ManufacturingJUN 021999 Other GROSS AREA OF ROPOSED STRUCTURE: TOWN OFODEENSBURY A 1ST FLOOR S'',c- SQ. FT. 3 / BUILDING AND CODE IF ADDITION, USE OF NEW AD ON: 2ND FLOOR ‘/-7 SQ. FT. `E' 6 OTHER FLOORS SQ. FT. (not unfinished cellar or basert, ACCESSORY BUILDINGS: / Detached Garage - One/Ti • TOTAL FLOOR AREA: ` S()� SQ. F Attached Garage - One wo Car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other 39 FEET X 36, FEET Foundation Type: iPcu2cD Will any second-hand or ungraded Number of Stories : 7_ lumber be used' If so, for what? (habitable space only) - /Of) Height (grade to ridge) : feet Type of Heating System: Number of fireplaces and/or woodstove (circle all whic. - lies) to to be installed: Electric mme:' / Gas / Wood Forced Hot Ai :aseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: NAME OF BUILDER/ADDRESS/PHONE : 144 c c (A Cc.. i, V A-3 /LtoU /Af<'• 7f$ 73 i NAME OF PLUMBER/ADDRESS/PHONE: •PA,JA, Pc„�.,-.—., ��-, t: 7 9'S--y3 9 NAME OF MASON/ADDRESS/PHONE: n / / 79Z ^oz z 2 NAME OF ELECTRI CAN/ADDRESS/PHONE : j� �,`e rrty4-€ J V/-j o 4,1 csk..1 /A.< 79 q.-7.�T DECLARATION To the best of my knowledge the statements contained in this appli- cation, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorize by the owner. Further it is understood that I/we shall submit prior to a ertificat of Occupancy or Certificate of Compliance being issued, an AS UILT. PL ,PLAN drawn to scale, showing actual location of projec re i s . Signature (Owner, owner' s , c ct, c ntra tor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: ,, 9 ,-3() , ENERGY CODE COMPLIANCE APPLICATION .. + r ''.• TOWN OF QUEENSBURY, WARREN COUNTY 5-' " g� "' ='� 9000 HEATING DEGREE DAYS JUN 0 2 1999 Compliance Methods : PART 5 - Acceptable Practice Meth ` OFOJEENSBURY 1&2 Family Dwellings (onl���-DiNG AND CODE PART 6* - Thermal 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 APPLICANT' S NAME: i PROPERTY LOCATION:. /2/ - /- /6 • L/ Act-6(415-4_, I 174-5-"/C-Irk 1 Ae(-7:9 010#4) 57-,i_r-T -7- zo, size /5ox Tr&, 7Y PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Type of Heat - Electric Oil Gas , A/' Other 3 . �� Is building mechanically cooled? Yes ,e ./lio 4. Percentage of area of windows and doors Over 17% ,"Under_ 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 30 b. Exterior walls R /Cr c. Glazed areas R 2,5-" d. Exterior doors R r- , e. Floors over unheated spaces R !�, f. Edge of slab on grade (heated building) R // g. "''nasbment/cellar walls (above grade) R h. Basement/cellar walls (below grade) R R =-� i. Heating/cooling-ducts-piping in unheated space 6. Service (domestic) hot water heating device Conforms to minimum 'efficiency per code Yes No TEMPERATU E CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED App ' ' nat a Date Phone Number INSPEC R'S REMARKS: YZ TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # 9R-3011 Fee Paid Date: 572. /97 Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: JQf / 2/ —/ /t, c/ Owner's Name: ,At\J, `//4-S/ e od /AiC UU Owner' s Mailing Address: /Crl ,Stay,, e Apte0�r.���,� Installer' s Name: I s,7 Avard. Phone #: 9Z-GZZZ Number of bedrooms (if residential ) : Total daily flow (residential-compute @ 150 gal . per bedroom) : 9.Z Topography-Circle One: Flat Rolling Steep Slope % of Slope Soil Nature-Circle One. Sand Loam Clay Other /Depth: Ground Water-At What Depth? A 4. FeetPP: P �� , Bedrock or Impervious Material-At What Depth? /Do E-Vr,2 �c Feet JUN 02 19gg Percolation Test-Circle One: Not Required Required/Rate Min. PlPinch;. Domestic Water Supply-Circle One: unicipal Well Other _ ev(L���yp��QCnflE Y If domestic water supply is a we - Separation: Water supply from any septic absorption ife90 feet PROPOSED SYSTEM: Septic Tank 1c'0O gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench 944et , otal System Length //7 feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet ************** HOLDING TANK SYSTEM IF REQUIRE No. of Tanks Size of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water supply 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the Building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. . D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.29\J Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL v- Panel Board No Cert. N2 64837 Cut-in Card No. 5/ !mil Owner • YA-Si 4( 7A 12JC. �{ l� Location 40 r 7 Z `7Q .7 o r ilicur( Installation Consisting of 7 1 m64J 3 7/2-ecer ,/-S G I ,. i i , Gc-} )yc'2t 3 �-rn d-t�� Z� o/�A -E1W+C, . Installed By �` ` rn u-R 764/4• Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to ke t ' ific te. Date..../...'.7 ( ,( INSPECTOR 1 RESIDENTIAL FINAL INSPECTION REPORT — JJ Office No. (518)761-8256 Date inspection request received: ""0 Building& Code Enforcement Dept. of Community Development Arrive am/pm Depart7r1,� lY Town of Queensbury Inspector's Initials 742 Bay Road l Queensbury,New York 12804 i 1 00 NAME \IIyD- A- ,1 1��'Q14 PERMIT# 3C9 LOCATION ' l - DATE TYPE OF STRUCTURE SG,—� N/A YES NO COMMENTS f' Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof41i/7 ..-- Roof Completef:/ Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation / 8"clearance to sill plate / Gas Valve shut-off exposed/regul tor 18"above grade �/ Gas Furnace shut-off within 30 fee or within line of site 17 Oil Furnace shut-off at entrance to f nace area Furnace/Hot Water Heater operating 1/ Relief Valve(s)installed v Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. V Handrail exterior stairs both sides more than risers / Interior privacy/trim/doors/main entrance 36" .// Floor Finish ✓! Bathroom/Kitchen watertight / v Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells J Smoke Detectors: IQ/ every level every bedroom __,. il outside every bedroom inter connected / Bathroom fans Plumbing fixtures / Foundation insulation / 7 CSC�«`"-16 (AiS U L' 3/4 hour fire door/door closer jv� Garage fireproofing 1/ / Garage penetrations sealed 7 V FO L-C Cr /0 Ar 1 L .- A Ak #3 6 '2$ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"of /V le s from floor Final Electrical CIf 7 7/1 C i3 Site Planariance`re wire Anry Plan �� I '/Asal BuiltSu Septic Plot 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 Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement a, Dept.of Community Development Arrive am/pm Depart ' Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 • NAME VAS at) PERMIT# LOCATION J,<,v\rJ -, .r , DATE TYPE OF STRUCTURE N/A. YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" • Exterior Handrails,balconies,landing 18 in. or more 4jQC�U(o U S Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within 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 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main 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 Vgumbing fixtures ,� /L�.v/_undation insulation (9 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance 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 permanent C/O(Certif. of Occupancy) • GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury /1 /�IQ� Dept.of Community Development Date inspection request received: l l / Building& Code Enforcement 742 Bay Road Arrive am/pm Depari° lim/pm Quecnsbury,NY 12804 P Inspector's Initials - .)/Aqi `�`NAME '� PERMIT# 9°- LOCATION: DATE : y© ff TYPE OF STRU RE: • RECHECK N/A E NO COMMENTS 'ootings 'iers P ---Ii Monolithic Pot r Form . Reinforcement n Place The contract. is responsible for providing pro ction from freezing for 48 hours fo owing the placement of the concrete. Materials for this pu ..se on site Foundation/Wallpour__ Reinforcement in Place Foundation/Dampproofing • Backfill Approval Plumbing Under 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 Proper Vent, Attic Vent Framing Jack Studs/Hcadc Bracing/grid g Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour Firestopping TOWN OF QUEENSBURY ,_, BUILDING & CODE ENFORCEMENT st;� 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPE T ON R. UEST EIVE : NAME LOCATION 4 DATE � �' '� PERMIT fJ `36e4 TYPE OF STRUCTURE (S O O 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 l EXTERIOR FINISH DECK PORCI STEPS RAILI GS RELIEF VAL . S FURNACE/HOT WATER •'D TING INTERIOR TRIM/PRIVA DOORS FINISH FLOORS: BATH/KITCHEN WAT RTIGHT OTHER FLOORS SW'EPABLE OTHER FLOORS C 'RPETED STAIR CLEARANCE/' IILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTU•ES FOUNDATION INS LATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SIT PLAN/VARIANCE REO. _ INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Qucensbury,NY 12804 Arrive am/p Depart• m/p>j I spector's Initials VA-S4Lk OU /PERMIT# / /' LOCATION: DATE : ©`. TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS Footin s/Pier7—\\ T ` " 1.��corJ Moiiolit •c our Form V;to Pi &`-S T b Co,4,11 c 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 4 Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under 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 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 A-/1 1 /h.fj4GL�l�' GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development D•. inspection •quest received: eVilii 7 Building& Code Enforcement 742 Bay Road "4/ Queensbury, NY 12804 Arrive am/p Departu,5t /pm I spector's Initials �•Y/ NAME: 1 ,1 /l ' 'ERMIT# q .,s1,34, — LOCATION: .<5! ,} BATE : TYPE OF STRUCTURE, RECHECK N/A YES NO COMMENTS Footings/Piers ~ 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible • providing protection from freerin: for 48 hours following the placemei of the concrete. Materials for this purpose on site Foundation/WaI 1pour_ Reinforcement in Place Foundation/Dampproofing 'Backfill Approval , Plumbing Under 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 '- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main ream it Infiltration Bar 'er Fire Separation 1, , 3, hour Penetration Seal id Fire Wall 2,3, hour Firestopping . GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received:4/70/ Building& Code Enforcement 742 Bay Road . Queensbury,NY 12804 Arrive am/pm Depart/D. Inspector's Initials NAME: /A S:I i v v PERMIT ifT‘-./? t) LOCATION: 1�". _ l , DATE : -1 / t/”. TYPE OF STRUCTURE: / RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is re:..n ible for providing protecti o n fro freezing for 48 hours folio ing the placement of the concrete. Materials for this p ITrposc I n site Foundation/Wallpo i Reinforzement in Pl'ce Foundatiat6amp e-soling Backfill Approval I Plumbing Under Slab,I Plumbing Vent/Vents'n Place /� Rough Plumbing ,/ -- Heatin Rou g h-I g _ nsul711 �C_,'Ti PA).5 Foundation Walls In crior R- Foundation Walls E. tcrior 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 Firestoppirit. i i 4.111 GENERAL IIVS'PECTION REPORT (518 ) 761-8256 ' ��� Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/0(' 'am/ m Inspector's Initials i NAME: CN. �\_2 ` PERMIT# ��-30 9 LOCATION: DATE : -� -a_� 91 TYPE OF STRUCTUR : _ • RECHECK N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours followin the placement . of the concrete. II Materials for this purpose on site i. Foundation/Wallpour (, Reinforcement in Placd Foundation/Dampprooting I Backfill Approval ' / Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Healing Rough-In [' ulation 1 m 5.7(w tk) U(— 2 ,et.i2. CC:/0R)( Foundation Walls Interior R- Foundation Walls E'terior R- 1\1 Oi.J .J j JD j e ��c�C tS Floors ; R- /� Walls t( R- C( tl Ceiling R- jb Duct work or pipinOn unheated spaces R / , , - Proper Vent, Attic Vent Framing Jack Studs/Headers . Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed re Wall2, 3,4hour 7 Firestopj iiig' l/U9(ft- 1'ReKi ,it-L--Ft 6CIC ( o k. to 1 C C--T \Loe, .( -r- ou-j'S 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 Arrive am/pm Depart 4 -A Vpm Inspector's Initials NAME: \ C ^c Q ��5�•\ i1 * '3 • PERMIT# - _ 1+ LOCATION: 3 \-k DATE : ` TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is re ible for providing protecti n from eezing for 48 hours folio ing the pl cement of the concrete. Materials,for this pu sc on sit Foundation/Wallpour Reinforcement in Place Foundation/C Dampproofin Backfill App o a.1 Plumbing Under Slab Plumbing Vent/Vents in Place gAjtr<igh Plumbing -- 0 c,12f Heating Rough-In 1 Insulation Foundation Walls Interio t R- Foundation Walls Exterior R- Floors 1.- Lty5 Walls R- C5K � U(, Ceiling Rr Duct work or piping in unheated spaces R- Proper t, Atti Vent Ortfming Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed \kire Wall 2, 3,4115our irestopping 1-D�Rj Il�'� ✓ �1cLI( I (`(00A.d — -(to e �Ur N�� D v Y� �- /-�� gttT)-{ I ©tcc�- va;, FIRE MARSHAL / : TOWN OF QUEENSBURY " j QUEENSBURY, NY 12804 1* (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST REC IVED \\\KKelo NAME LOCATION PERMIT#- t �O SCHEDULE INSPECTION ON 7 --6Zc% "i cj AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS -� EMERGENCY LIGHTING' ' I' FIRE EXTINGUISHERS / FIRE ALARM SYSTEM f FIRE SP'RINKLERYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY Ir0D STOVE '/FIREPLAC ❑MASONRY FACTORY BLT. ROUGH-IN ❑FINAL REMARKS: ❑ OK TO THIS DATE INSPSLIP,PUB INSPECTOR 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 Arrive am/pm Depart I l> m/pm Inspector's Initials NAME: V\► � 1\k . PERMIT# - O LOCATION:5 DATE : TYPE OF STRUCTURE 3 `(.- RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 7 )C� Reinforcement in Place 7q The contractor is resposib r providing protection from freer ng for 48 hours following the place ent of the concrete. 11 Materials for this pur se on site Foundation/Wallpou ,R Reinforcement in Place ./ Foundation/Dampproof ng Backfill Approval Plumbing Under Slab lumbing Vent/Ven s in Place gh Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls hxterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent F ming Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed ire Wall 2, 3,4 hour �/Firestopping C° 'C�C--�C� 1CM1Z6-5 r GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept. of Community Development Date inspection request received: _._ Building& Code Enforcement 742 Bay Road Quecnsbury, NY 12804 Arrive am/pm Depart (/, a'm/pm Inspector's Initials NAME:\ 1 e_ Ci�5-1 Li cs� PERMIT#q q-"3 0 LI LOCATION'' '� Y-a DATE : - C TYPE OF STRUCTURE: < RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 7,„ Plum ing Vent/Vents in Place ghPlumling 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- Pro Vent, .ttic Vent - �• ,viD = aitii,n t k 2 - ��►25 ✓ Jack Studs/Headers • Bracing/Bridging_ Joist Hangers / a/ Jack Posts/Main Beam ✓ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed /re Wall 2, 3,4 hour Firestopp ng i P5-ri -�'l E-. -' (e A-5 C' - s� i �. 2 t oflP 3Vtc '�IN(� LoDe.— o �s�� 10-60L. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Location ,c3k\r-,, Date 1—) 51[� 1 — Permit # 30 SOIL TYPE: Sand-Loam-Clay-1 �1�t. ip, Results of Percol . 1 : Test- (if applicable) ''ate- inute/Inch TYPE OF SYSTEM: ABSORPTIONiFIE I : Tota Length (&S Length of :ach trench 1-4�1p 212 Depth of tre,c es — I_ Size of stone SEEPAGE PITS: Number- Size - ' ft. x - ft. Stone size s PIPING: Size Type Bldg. to Ta k 1-1-"or. IA alp-c,-a Tank to Di s' . Box IA" IN1C Dist. Box ro Field/P. t c_To eAGC.ro Openings S--aled? o Partial LOCATION/S PARATIONS: Foundation to Tank Icy'- feet Foundation to Absorption 20+ feet Separation of Pits f Conforms as per Plot Plan Ye No LOCATION OF SYSTEM ON PROPERTY: (circle ole Front :0W t Sid- R.ght Side Middle Front - e 'ear COMMENTS: FD,EC)cF0 B 1CYKF tL SYSTEM USE APPROVED: YES c NO Arrived: Debar ui di g s c or cv Et. / I . fLIP.,)4 --31(L) \i'----'''' o N O 1 CO O N 301 1 In co GAL D VI rq i � / D. • 2� S it„,........ / if ' , z 0-7-- r---/VZ ro U • f 1-1-/' , Door / , /, co . / / . .1- O co. "i have seen or observed,or believe I sew evidence of, o all objects such as houses,wells,frees • shown on this cement. I also represent that I have N person I y ea ured th distances set forth NI the diagram." 0 C64ZitiL... . - .. .._ . D SIGNATURE EMT GENERAL INSPECTION REPORT Town of Queensbury / Dept. of Community :1=evelopment Date inspection request received: (0 2- , l Building& Code Enforcement 742 :.ay Road tge 40 Queensbury,NY 12804 Arrive la6a m Depart , ~ ,, :yr„m spector's Initial, Aft►- NAME: AS, \iik) PERMIT# if LOCATION: -01,-, SZ— ATE : 1, TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 1 Reinforcement in Place \ 1 The contractor is responsible for \ ' providing protection from freezing \ I for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour 1 Reinforcement in Place \ Foundation/Dampproofing J ., ackfill Approval R Plumbing Under Slab i Plumbing Vent/Vents in Place i Rough Plumbing 1 Heating Rough-In Insulation 1 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 \\ N 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 _ r GENERAL INSPECTION REPORT361 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 "'ay Road Queensbury,NY 12804 Arrive am/pm Depart - pm Inspector's Initials NAME: � I ) PERMIT# v LOCATION: 'DATE • TYPE OF STRUCTURE: RECHECK N/A S COMMENTS igs/Piers /I Monolithic Pour Form Reinforcement in Place d The contractor is responsible for providing protection from freez• for 48 hours following the plac ent of the concrete. Materials for this p .•se on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in lace 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 : .s..< FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RE+Cj IVED PERMIT# C /` 3a NAME v!rg (�-\d v LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS / EMERGENC L!GHTI G / FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE FIRE SUPPRESSION SYS M HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS /REQUIRED SIGNAGE V CHIMNEY WOOD STOVE /FIREPLACE-MASONRY v FIREPLA E-FACTORY BUILT REMARKS: ❑ OK TO THIS DATE CNn-)e)jC EC L. 2-4 (Si R t e—v) C INSPSLIP.PUB INSPECTOR FIRE MARSHAL z / TOWN OF QUEENSBURY ;-30 QUEENSBURY, NY 12804 ,, dx (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST R C IVED PERMIT# 7y` NAME i&i0t� LOCATION Jar'.J 5 •- 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 SYSTE HOOD INSTALLATION INTERIOR FINISHES ___ STORAGE: CLEARANCE TO SPRI KLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE TEPLACE-MASONRY (REPLACE-FACTORY BUILT REMARKS: OK TO THIS DATE INSPSLIP.PUB INSPECTOR ,,.:•„t FIRE MA RSHAL 0 4 TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RE IVED + ; PERMIT# 'J v NAME ?1LI LOCATION JerwA) SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED !A YES 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 SPRINKLERS CLEARANCE TO HEATING NITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FI LACEMASONRY (REPLACE-FACTORY BUILT rum-. REMARKS: E 0,4<K TO THIS DATE INSPSLIP.PUB INSPECTOR MAP REFERENCE: MOUNTAIN VIEW SUBDIVISION DATED: MAY 12, 1969 REVISED; MARCH 24, 1970 BY: JOHN B. VAN DUSEN LAND O'PINES SUBDIVISION IPF 3.35 00"E CHAIN LINK FENCE IM IPF 130.00' "4- ,'� Ulz r 'W�� ti h 7- q Z. I l c-77t Qs 79.61' 42 0,616.56 sq. ft. 0.47 acres d 301( W e; 41 "' ° le �Zo to . 0 43 - j z 37.77 Lf) it 2 STORY WOOD FRAME HOUSE 13CTV N.aia D us ei:, & Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518i 792-8474 New York TAc. No. 50135 PORCH w z 0 V) 41.56' w D x U 130.00' 83.46'00"W JOHN STREET %WWtF1== ALIOUTION OR ADWM TO A SIMIEY NAP BEARNO A UCDD® LAND SAWEYORS ZEAL IS A wOLATICN W =nW 7/00. aw-OMM % OF 1W NEW YLNN SPATE OXICATTW LAW.' 'ONLY DMIS FROM THE 016 A. OF TINS SURVEY YARIED pTN AN ONGMAL OF THE LAID AMrEY00 TEAL SHALL K CW WOOD TO N YNJD MR GWW 'CDLINTCA7TW5 MD rAIM HERIMN SIOSFY THAT THIS SIRWY WAS F'RFAAIN:D N ACOORDANCE VAIN THE EDSINW ODDS OF PRACITCE RR LAND RMWYORS ADW= BY THE NEW YOLK STATE ASOOCN7N7N OF FRWOMONAL LAM SLOVEl'ORS. SAW CERTFICATIONS IMALL MM ONLY To THE PERSON FOR *ft THE SIMYEY B PIW1WO . AND ON NO KKA F TO THE MU COMPANY. BDVOMMDITAL AGENCY AND LENDNO INIM RION LISTED NOWAK AND TO THE AI NGNOM OF THE LDDWO wonnoo 52.06, Map of a Survey made for JEAN L. SWANSON Town of Queensbury, Warren County, New York Sip 0 1 1999 Ry NO. I DATE IPF 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: Jean L Swanson Trustco Bank National Association. Its successors and/or c �. g� United General ji �Il�fuffnkaoa, Company CERTIFIED DATED: August 10, 1999 DESCRIPTION Date, AUGUST 9, 1999 Scale 1'=20' S-1 GHEET I OF 1 SWANSON c i o4 DWG. NO. 99106