Loading...
98-017 f I i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY 3 i WARREN COUNTY, NEW YORK I Date Apr 1 1 17 l9 —98 I This is to certify that work requested to be done as shown by Permit No. 98017 f has been completed. e This structure may be occupied as a SINGLE FAMILY DWELLING I LOT 23 PEACHTREE LANE Location Owner SCHERMERHORN CONSTRUCTION TAX MAP NO . 121 . - 1 5 - 2 3 By Order Town Hoard I TOWN or +QUEENSSURY Director of Bldg, do Code Enforcement i BUILDING PERMIT VALUE $ 85000TOWN OF QUEENSBURY No. 98017 TAX MAP NO . 121 . — 15 - 23 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SCHERMERHORN CONSTRUCTION OWNER of property located at LOT 23 PEACHTREE LANE Street. Road or Ave. in the Town of QueensburY, To Construct or place a _ SINGLE FAXILX 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. t- OWNER'S Address is CORP . 79 MASTERS COMMON NORTH QUEENSBURYr NY 12804 2. CONTRACTOR or SVI LDE R"S None SCHERMF'nHORN CONSTRUCTION S. CONTRACTOR or BUILDER'S Address 79 MASTERS COMMON NORTH +QUEENSSURYr NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. A PO-- 7fdr6s HAGUE , NY 12836 B. TYPE of Construction — (Please indicate by X) SINGLE FAMILY DWELLING ( ) Wood Frame ( F Masonry # i Steel ( f 7_ PLANS and Specifications 121A. SQ FT SINGLE FAMILY DWELLING WITH. 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $, Proposed Use SINGLE FAMILY DWELLING 179 January 26 2000 $ PERMIT FEE PAID --� THIS PERMIT EXPIRES , 19 (if a longer period is required an application for an extendon roust tae made to the Building and Zon4v inspector of the town of Guerrnsbury before the expifetion date.l 26 January 19 Dated at the Town of Oueensbury this Da of 19 SIGNED By h2 '— _ for the Town of Queensb,ury u ng a, •nirVe I .Buttaing Permit Application Town of Queensibury - Dept. ofC01ptunurtity Developrneru, 742 Bay Road, Q,ueensibury. NY 12804 [761-82561 BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. r OLZ beginning construction. No inspections PERMIT FEE PAIL? $Zoning � will be made until applicant has received � $' Bbard Achim a VALID BUILDING PERMIT. All Area / Use RECREATION applicants' on this application nts' spa F MUST be completed and- the signature Q ping Bpm Action REVIEWED of the applicant must appear on the SPR I Subdivision I OtIl H prrrar lication form. rrwq* Recreation Fee Payment Applicant: c 1 . e ; y%^o' t~hy ",Ad Ceti A roc :e7 .l4J Owner: Cc ^y) - Address: 4 3 H lA an } e ; 6 rt o k 1- Al Address: Phone # ( SEA_) ?2$_ - ty4,,-?y _ Phone # ( _____7 _____ ______ 1 � Property Location: s Tax Map Number +F Subdivision Name: -y1+ .+� o i +' Section Block Tint NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Buildin : CONSTRUCTION : $ R � oao res3.denc / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building .ty..al l i residence / commercial A Single Fam p- . �. ..� rs� Residence / Commercial Two Family Dw no change to exterior size Fami ly elling Office Other Work ( describe below ) Mercantile JAM 23 19 M Manufactu in Other TC FLV OF QUEgNSWRY GROSS AREA OF PROPOSED STRUCTURE : 3�/ BUILDING AND C.QDE 1st Floor . . . . . . . /A/ Eo s €t� If ADDITION , what will use e1 • f/ of new addition be ? 2nd .Floor . . . . . . . K sq . € t . Other Floors . . + x sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR. AREA : i 9t I Cr, SQ . FT * x Attached Garage 1 . car Private Storage Buil ing SIZE OF NEW STRUCTURE : Commercial Storage Building Other `I FEET X NG• FEET Foundation Type : 0 "lc- eke will any second-hand or ungraded Number of stories : ! lumber be used.? If so , for what ? ( habitable space only ) It'i Height ( grade to ridge ) : feet. TYPE OF HEATINGSYSTEM : Number of fireplaces and/ or woo stave circle all which es to be installed : x Electric / oil / Gas Wood Baseboard / Other Person responsible for supervisiLon of work as regards to building codes is : S�L, errner � � �� �+slrvc � � xJ or +S • 72T - 4) 4> 1 Ndine Addresss -phone Builder : 741, oZ Plumber : 5-vt .a A llo+ /l '7al - 54% 7 "l Mason : yo,Le_ 54%\4 w N 793 - 13:t_1 ._ Electrician : uy1 ' 1. $ C-i 91O5 DECLAR'A77ON. Please sign below eoer you have filly read d w 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 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 authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLAT PLAN by a licenser[. surveyor; (drawn to �slcale, showing actual location of project on premises. Signature: ii' � * (owner, owner's agent, architect, contractor) Application for SEPTIC DISPOSAE PERMIT Town of Queensbury Vxn Dept, of Community Development ti ' :j 1 '# a w � 0- e ,,s 61 ^� Permit No. �107 Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: 000P c& c, r. f r a � .L An O . Property Owner's Name: Sc jr 4�:!o r,ij ta.. r A c ao C P Property owner's Mailing Address: 143 14 Installer's Name: Phone # C.erP - Number of bedrooms (if residential) : :s Total daily flow: ISO (residential - compute 150 gal.lbdrm.) Topography: x flat, roiling, steep slope Sb of slope Soil Nature: x sand, loam, clay, other I depth: Ground water: at what depth? feet ! Bedrock or Imprerv-:cus Material.: at what depth? ____ feet Percolation test: \e not required, required ( rate ruin. per inch Domestic water supply: >e municipal, well, ct p= If domestic water supply is a WELL, water supply from any sic absorption is feet. PROPOSED SYSTEM Septic tank: /�o c gallon (minimum Size: 1,000 gal_) Tile field: each trench feet 1 Total system !=gth: feet Seepage pit(s): number of / size each: & by & Size of shone to be used: # :L ! dearth or tbickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Q� Size of each f' gallons AU= system and associated electz=al wcwk to be br a certified agency. For your pmtecdcm, plan" note that pursuant to Section 136-29 of the Coda of zbe Town of Qoeensbury, any pwmait or approval granted which is based upon or is granted in relutoco upon may mstm-ml nxim esentation or 69ure to wake a material fact or circunu"ntiee known by or on behalf of in applicant, shall be voai I have crud the rogcdations with respect to this application and agree to abide br dume and all mks of tho Town of Queezubmy Sanitary Sewage a Disposal Ordmamce. p n Signature of responsible person: ` Y Date: +t - - ; 8 '. rt ENERGY cot) c Ct?lSP�. xr��TCE APPLICATION TOWN OF QCEEc. NSnUt�_ ; , STARRE,?t COUNTY _ r 9OUC7 'r' E1�' ?tifCS E] c ;REE Fl?S Methods : P 5 ACC' eof'... f- Q .i. e �i[a.. K. �.� a cM Method l & 2 Farb ly Dwe llzngs ( only ) PART 6 * - Thezma ll Rating - Component Trade offs ? & 2 Farnily Dwellirlgs ; Mu?ti-Farrr.iZy Dwell *.. rigs ( 3 stories or less ) PART $ * ggs igrt r Component $ erfOrIriarlC� Cottxrzzercial. Buildings-Hi Rise Residential *Requires subrttzssior� Of worksheets APPL : C �,iVT ' S NAME : rr PRC?PERTY LC]CRT24N : Sc.�h�. c•rvt �. {" ]'l e t",�-: {r.�c ,-.x'�- c'.�c'� ��ry N L-„c !^ �. �.,r� �.� T � ca.c.� '� ." e �-. �-.. r✓ r PART S METLrO]D OF CQt-!aT, iA�iC� By ACCEFTABL PR� CTIC= l . C; ass Floor Area saua=a feet 2 - 's've of Heet - E ? ec't = i p ; T >f Cas� Other 3 . = s crxi ?d i nC ec :anicalilr craci = e ^: ? yes Y No ? e - ca _^.race CZ area a = wy;sdcws anc co © rs x aver I : CTrzder 17 ze 5 _ -V=r,UES FOQ sVSJtse?TION G ;iT: iti nc _ C��: IiVST COR.II.ES2C3t+11] S'E7 t2-VALUES AS 5 caC� �.ti" 7 C?t7 S S%iL£=TTED a Roof F: [i b _ E:cter;or walls R c _ Glazed areas R --� d - Ext -i e or doors _ Floors over unheated spaces R 45 f _ Edge of Slab on grade ( hea.ted building ) g _ Sase:aent/cellar walls { above c=ade ) R r �h . Basement/cellar walls ( b a law +rode R i . Heating/caolinq-ducts -piping ;ri unheated space R - 6 _ Service ( domestic) hot 'wage = heating device C(=rrlfarms to mia mum efficiericy per code x Fes No ^ �xSPE33ATL7FtE CDIF'FROL MAXIMTJ2# SETTE2FG �40a = WILL #,TOT BE EXCE'EDMI:) Appl artt,,' s n tore `'' i Phone Number IriiSPECTCIR. ` S R�'i�*AR{S : . TOWN OF QUEENS'BURY BUILDING & CODE ENFORCEMENT 742 SAY ROAD QU'EEN'SBURY NY 12804 (518) 76I-8256 ARRIVE : DEPART : INSP : CAL FINAL INSPECTION REPORT - RESIDENTIAL DATE I PEC ION REQUEST RE IVED : �� t 77 -9 NAME t f�%� LOCATION DATE -� '�} '�- ' _ PERMIT # TYPE OF STRUCTURE _ � � �"t• ! FOOTINGS FOUNDATION SACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION -FINAL ELECTRICAL ELECTRICAL WOODSTOVE OR FIREPLACE A IES NO CHIMNEYGHT/B VENTZHEXQHT PLUMBING VENT ROOFING I EX19RIOR FIN ism DECKZPS2RClilSmEIfthILINGS RELIEF VA YES FURNACE/HOTWATIgR OPEAWNG or INTERIOR IVA6 DOORS FINISH F ORS : / SA GHT T OTHER FLA)ORS CARPETED STAIR C EARANCE RA LINGS SMOKE QjSTEr4TOaS B&THROOM FANS pLUMajHp,XIXTURES FOMH2ATION INSULATION gARAGE FIRE PROOFING b R FItfAL C SIT jFLWAOL AN SURVEY T PLAN QK TO ISSUE C R C C MAP REFERENCE: SHERMAN PINES SUBDIVISION BY MORSE ENGINEERING P.C. FILED IN THE WARREN COUNTY CLERK'S OFFICE ON JANUARY 29, 1993 IN PLAT CABINET A SLIDE 197 PEACHTREE S 82"17'20` E 9 86' — Vj CL o30. .? 0 LOT 22 O �dN• - z 0 v o �- D s & Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 LANE L=75.49' 2- w'=0 STORY O�ERFIANG� 16.06' HOUSE f v'•� O J LOT 23 10,043.12 sq. ft. 110��8 23' N82W %AWW0MM ALIMATW OR AWTM W A fHtll:Y NO MAW A LIDDIM LNO SWAM RO WA R A YIMA7011 OF KCRW 7>O� RN•01LiMM1 &M NN YLMK 649 IOXA9d1 LAIV •OLY awes 11MI 1K ONIM L. OF 1N YJR1%Y UM AN CNOMAL W 1K LAID lNWE M KK OWL K OW6M 10 K WAD ME COW 'W11MCATAK MMCAIM NM= 9MOY WAY 10 SURWr W PMVM M AOOMDAYI£ RIM IM ONIPO CM W FRAMIDI IAA LNO MIRY= APW= LAD SUMOM SW CE"PWA1MK MALL MM OQY 10 1K POO= FM O 1K SOU 4 PRO A 06 AND CN = now 11 1K IRE OM/NI1: iW090RITAL AM= NO LDOPN NOT= OI UR MEA AND 10 1K AKItyB! OF 1K LDQ M offamOOLL• e ° a apse yort���` ofp NEW pays > a � o LOT 24 Map of a Survey made for 617' RECIFIVEn APR 17 IM TOWN Or y�c� 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 0093 S. CERTIFIED TO: Steven H. do Molina M Johnson Schenectady Federal Savings do Loon, its successors and/or assigns First American Title Company of New York CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: April 14. 1998 STEVEN H. & MELISSA M. JOHNSON i i i S 1 81fET 1 T Town of Queensbury, Warrqu County, New York JOHNSON NO. DATE DESCRIPTION DWG. NO. 94246-23 RESIDENTIAL FINAL INSPECTION REPORT �l Y office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement AArrive�am/prn DeptTj Dept. of Community Development lnspecter's Initi Town of Queensbury 742 Bay Road Queenshury, New York 128W PE # 017 NAME DATE LOCATION TYPE OF STRUC N/A YES NO CO! Chimney HeightP'B" Vent/Direct Vent Lion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Extenor Railings 30" to 36" 1 & or re Exterior handrails, balconies, landing Interior Handrails stairs both sides 3 or more risers (-Wade 2Q/o away from foundation 8" clearance to sill plate ulator 1 $ above grade C,as Valve shut-off exposed/regulator " Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnacefflot Water Heater operati Relief Valve(s) installed Headroom, 6 11 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 Bafhroonl/Kitchen watertight interior Handrails Balconies/Landing 18 in, or m Railing across window in stairwells Smoke Detectors; every level every bedroom outside every bedroom later Connected Bathroom fans plumbing fixtures Foundation insulation , 3/4 hour flre door/door closer C rarage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation Per room Safety glazing 18" oW les [fro r / Final Electrical Site plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue: C1C (Certif. of Compliance) Okav to issue temp. C/[) (Certif. of Occupancy) oil r, ot, 13 u � �'"�f Okav to issue permanent C/O (Certif. of 0ccuPamcv) 1 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 357 Elwyn Terrace — Mmuheim, PA 17595 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. . Cert. 5 9 8 9 4 Cut-in Card No, .3' `_0- _ Owner ... .. ,r._.. .....-..._,, . . . . ... . .Occupant --. ..... . .. . Location . ... ...... ......... .......... installation Consisting oF _.! ...� So.#sv. . ., fJ. G-.._..i sv; . .�.f.or.+ .r'. p410 . . 1e3 1 .. tzt: C—_*. .. .. .. ....... .. . . . ..... .... . Installed By. .../� 7 ... ..0 oe! ' 2G.iK.. _....... ..... ... . .... .... .. The conditions followingoverned�0 " .. . ... . ... .. .. .. ......... Lic. #. . . . . ... . . . ... ......issued is cancelled: _ R the issuance of this certificate, and an certificate pr- vj .. . uusly This certificate only covers the electrical equipment and instalhatian conditions as of dare upon the introduction of additional equipment car alterations, application shall be promptly made for inspection, Inspectors of this Company shall have the privilege of makinginspections at an eirne, rules are violet d, the Company shall have the right to revok pp y and il' its certifica#e. yam, 1 L1ate . ..'.L. ...�r�� '�. ".".............. INSPECTO�� Member N.F.P�A., I,A.@.1. . .... Town of Queensbury GENERAL INSPECTION REPORT Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive %D�t4 Depart 1 y Inspectors Initials NAME �` , srr trr� k tl, .f #;C i `t,� �1'ERMTI # LOCATION: c 7)- Z-r __.. Q r, DATE : TYPE OF STRUCTURE: 'S Srz� RECHECK N/A YES NO COMMENTS Footings/Piers l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezi for 48 hours following the pl me of the concrete- Materials for this pu Foundation/Wallpour Reinforcement in P1 Foundation/Dampp fin Backfill Approval Plumbing Un Slab Plumbing- nWents in Place Roush Plumbing-_ H ting Ro -In He Foundation Walls Interior R- Foundation Walls Exterior R- Fioors R.- ~alls vt % R- Qr Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1 . 2. 3, 'hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestopping GENERAL INSPECTION REPORT �' 3 0 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive \'�3N� Depart Inspector's Im NAME: ERMTT 0 LOCATION: DAL TYPE OF STRUCTURE: RECHECK N/A YES NO CONMIENTS Footings Tiers Monolithic Pour Form ffl Reinforcement in Place The contractor is respo for providing protection firs f ing for 4$ hours following t pi went of the con te. Materials for n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing Under Slab Plumbing Vent/Ve in Place Rough Plumbing_ Heating Rough-ln L,,.k ulation L'll✓' \ c i1J �= �, -+ � �►� i.� _ _. Foundation 'Walls Interior R. � � \':L Foundation Walls Exterior R- Floors R- Walls R- Ceiling; R- Duct work or piping in unheated spaces R- "�^ - Proper Vent, Attic Vent. Framing lack Studsflleaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbary Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road e~' Queensbury, NY 12804 Arriver am/pm Depart L n ]Inspector's Initials NAME: �. � OzJZ*^.J PERMIT # - !� LOCATION: -of C.i &1te - DATE : It z f TA TYPE OF ST*UCT'URE: RECHECK .J NIA YES NO COM1vIENTS Footings/Piers F I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protectia from freeziung for 48 hours followi g the placement of the concrete. Materials for this purpose Ite Foundation/Wallpour Reinforcement in PI Foundation/Dam fing Backfill Approt+'al Plumbing Under Slab_ Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wal is R- Ceil ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam_ Air Infiltration Barrier Fire Separation 1 . 2. 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour. Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road 1 Queensbury, NY 12804 Arx-i�NT - Depart Inspector's Initi NAME- PERMIT # LOCATION: PEIDATE TYPE OF STRUCTURE: RECHECK !V 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 purpo on site Foundation/Wallpour Reinforcement in Place_ Foundation/Dampproofing� — Backfili Approval Plumbing Under Slab Plumbing Vent/Vants in Place Rough Plumbing Heating Rough-Ir Z*nsulation � Foundation Wall terior 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/Ma i n Beam Air Infiltration Barrier Fire Separation 1 , 2. 3, hour Penetration Scaled Fire Wall 2, 1 4 hour Firestoppi ng ENERAL INSPECTION REPORT G Town of Queeosbury Dept. of Community Development Date inspection request received* Building. & Code Enforcement , y 74 Bay Road De pa Qneensbury, NY 12804 Arrivearn/pm part Inspector's lbdtials PERMIT # 4 �L/I NAME: ALL �' � DATE LOCATION: TYPE OF STR RECHECK. N/A 'YES NO COMMENTS � 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 on si Foundation/WallPOur Reinforcement in Place Foundatiors/Dampproo 13ackJ"ill Approval Fugh Bing Under Slab / at bing `Vent/Ven in Place " '� 1� I Plumbing- Heating Rough-In Insulation Foundation W lls interior R- Foundation ails Exterior R- Floors R- C`-► ,�f (✓ L-""�'" Walls R- Ceiling R- ©uct work or piping in unheated spaces R- Proper Vent, Attic 'Went Framin Jack Studs/Headers Bracing/Bridging joist Hangers Jack PosislMain Beam Air infiltration Barrier Fire separation 1 , 2. 3. hour penetration Sealed Fire Wall 2, 31 4 hour Firestopping (519) 761-8V% TOWN OF QUEENSBURY BUILDING CODE ENFORCEMENT 742 BAY RD . , OVEENSBURY NY 12804 INSPECTOR " S REPORTS ARR( 2�bEPART REQUEST FO IN,rS.,,.P�E�CT/I^ON �RECEIVED : NAME LOCATION Z '3 i✓'�•' //yy DATE PERMIT I I TYPE OF STRUCTURE ; RECHECK P OV j N/A YES T NO ING SAft MONOLITHIC R8lNF'QRQEME T-. XV PLACE_ f THE CONTRACTOR IS RESPONSXBA NVI PROVIDIND PROTE TION FROM EESIN(i FOR 48 HOURS FOLLOHIN6 T cc- MMT OF THA CONCRETE* j MAXZJUA14S FM TH S PU8PoJSE ON F, UNDATjQNAWALLPOUR t REINFORCEMENT IN PLACE f FFQUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN ,PLACE ' OUG PLUMBING PLUMBING UNDER SLAB FjWil N : JAgL TUII HE DE S GLpR�[tING �'' J ST flAagg.Rq J CK OS S AIR IMiLTRATION BARRIER HHB T NG RO[fC,H- IN S LA O : F UN A O W S N E I R FOUNDATION WALLS EXTER'TR R FLOORS R 1VA_LLtiS R C I N _ DUCT WORK OR PIPING IN 9NMEATED SPACES R_ GENERAL LIVSPECTI(7N REPC7RT Town of Queensbury /' } Dept. of Community Development Date inspection request received: �-''/ Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv` z---_ 419 7-' mart 60 Inspector's Initial NAME: 10� PERMIT # I LOCATION: DATE TYPE OF STRU RECHECK NIA YES NO COMNffiNTS Footings/Piers I Monolithic Pour.Forin Reinforcement in Iace ZZ The contractor is a for providing protectio m freezing for 48 hours f ng the placement of the crete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Cinder Slab Plumbing Veni/Vents in Place Rough Plumbing. Heating Rough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wal is R- Ceiling R- Duct work or piping, in gnbeated spaces PwOc'r Vent, A 'c Vent .40 ramin g Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts(Main Beam •"- "js Cc ."p� 8 t'E.E_+1,.,_ �L:1 _ M Q6 Air Infiltration Barrier &I Fire Separation 1 . 2" 3, hour *� Penetration Scaied Fire Wall 2, 3, 4 hour Firestoppin 4.R r L 7 TOXIN OF QlEENSBURY BUILDING A CODE ENFORCEMENT { 742 Bay Road � Queensbury NY 12SD4 (518) 761-8256 ? SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date __. Permit # SOIL TYPE d oam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION IE Total Length Length of a Ch tr nch Depth of tr n e Size of sta e { SEEPAGE PIT - ber- Size - ft * x ft . Stone size PIPING : ,S�7' ze e Bldg . to Tank Tank to Dist . Sox Dist . Box to Field/ !!No �---� Openings Sealed ? Ye o artia LOCATION/SEPARATI Foundation to Tank feet Foundation to Absorption eet Separation of Pits _ feet Conforms as per Plot Plan e o LOCATION OF SYSTEM ON PROPER' { circle Front - VRea Left Side - Right Side Middle Middle Rear COMMENTS : Cti t c7 U f I oqj I I -C(5 SYSTEM USE APPROVED : YES NO Arrived : aa Departed : Bui ding nspectar TOM OF QUEENSBURY 1 BUILDING A CODE ENFORCEMENT 742 Road 3 Queensb u y NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION i Name J Location Date Permit #� "� i ! SOIL TYPE : SanJTJ - 3 Results of Per T st- ( if applicablen +e/inch TYPE OF SYSTEM ABSORPTION FIE en oLength of each Depth of Size of stone SEEPAGE PITS : Number- ; Size - ft . x ft . Stone size PIPING: S � z ype Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pit Openings Sealed ? a No Partya LOCATION/SEPARATION Foundation to Tank feet Foundation to Absorption feet Separation of Pits eet Conforms as per Plot Plan a No LOCATION OF SYSTEM on PROPERT . • ( ci rc1 e Front - Rear Left Side - night Side Middle - Middle Rear COMMENTS :. SYSTEM USE APPROVED : YES 0 Arrived Departed : d : Building Inspector TOWN OF QUEEKSBURY r BUILDING S CODE ENFORCEMENT 742 Bay Road Queensbury NY IZW4 (519) 761-8256 SEPTIC DISPOSAL. SYSTEM INSPECTION Name -7e,Ran A) Location Date �`sr Permit # I SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: { ABSORPTION FIELD: Total L gt Length of each tre ch Depth of trenches j Size of stone SEEPAGE PITS : Numbe Size - fte ft . IStone size PIPING : Size Type Bldg . to Tan 'lank to Dist . Box Dist . Box to Field/Pit Openings Sealed? Yes ^ No Partial 1 LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan __ Yes No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : A.) SYSTEM USE APPROVED: YES No Arrived: 7 Departed : f ff B n nspector 99 IF fir �.+.. 1 i ri:'ei rr ✓,ea ♦ �rxfi JAN 3 1996 1 T(3Wh+tC)FC%Ueet4eWFt 3 AND CODE I 1 r. rer ro 1ii j IJn..+a i'�haw"llfr'o /dar'T .r[nE ��x...SF's✓1dd ti.�`� / r r r w -+�+.• �Sy� � M � ` ,.� ,-^ha.rvr1.i•,t.,SY,..,,.fs,nf t� I f~zs`oy°' hr �.sr � rR{b+RaPf� iY/.YM"..Si['+wo•( -�.1 ,fir e,rorCn Y-.c'•s C/a�'f s..vre .�) CO (518) 761-9256 TOWN OF QUEENSBURY _ BUILDING S CODE ENFORCEMENT - ` 742 BAY RD _ , QUEENSBURY NY 12604 INSPECTOR ' S REPORT : ARK DEPART._.l'tLAS� REQUEST FOR INSPECTION RECEIVED : NAME Jq .E'..e lyl . k jVX Y ,}V LOCATION L- � Z � C '� ,C c� DATE _ PERMIT 1! TYPE OF ST UC URE : � RECHECK APPROVED NfA YES p S ' L`lONOLITH?� POfJ� F__C1R�} . REINFQRCffMENT IN PLACE THE CONTRACTOR IS RESPOlISISLE FOR - - - PROVIDING PROTE TION FROM FREE O FOR 48 "OURS FOLLOWING THE P ICCE- 'MEHT OF TAB CONCRET MATERIALS FOR THIS 'UR SE N ON W LPOUR RE D EM T P CE FOUNDATIOff IDAMPPgWF I NG BACKFILL APPRQVA PLUMBING V NT VEN. S L CE ROUGH PLUMB IN LU ING DE S B F G J STUDS H ADERS a RA�I.N'G/J!R I DiG I NC, JOjST HANGERS JACKOSm_ C /Mpjt� BEAM AIR INF IRATI0. BARRIER i�,PATING ROUC7H- IN � T INSULATION , F ) IID I W LLS INTERIOR R- FOUNDATiON WALLS EKTERIPR F RS - -...BALLS R I N R-- _ DUCT WORK OR PIPING IN UN E E SP CES i \\ TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 SAY RD . , QUEENSBURY NY 12904 }/ 1 INSPECTOR ' S REPORT : Ao�R/ 5; ) DEPAR 11 REQUEST FOR INSPECTION RECEIVED ; ` I' NAt3E {� J LOCh TON r DATE �� RCS PERMIT / TYPE OF STRUCTURE : RECIIECK APPROVE N/A E N G S RE NFORCEM.ENT IN PLACE THE CONTRACTOR IS RE ONS LE FOR PROVIDING} PR WE TIO FROM 'EEZZWO FOR 4 B HOURS OLL.O NO THE CE— MENT OF TH CO T A OR T : S PURP SE ON S E FOUNOA�.I. WAL POUR R I M IN P AC - OUNL] TIO D PPROO ING $ACKF IL t a aIsR0 . PLUMBING V T ,rVENTS iN PLACE _ _ t{�OUGH PLUMBING PleUMB N N E SLA _ — SR_a�'INGlBRIDGING '� JO* � HANGERS JACK POSTS/M_.uTnt ggp,L,L AIR iNFILT TION RARRIER HEATING ROUGH_ IN � y I S T N F 1 U D T O WAL S I TERI R R— QUNDATION WALLS E7{TERIOR R FLOORS W L _— I NG _ DUCT WORK OR PIPING IN U H A E SPACES R_