1999-326 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date fart•4n,ni-4-., m 19 — 99
This is to certify that work requested to be done as shown by"Permit No. 2
J J V 6 V
has been completed.
• This structure may be occupied as a
SINGLE FAMILY DWELLING
LOT 53#49 LEHLAND DR.
Location
Owner MICHAELS GROUP, THE
TAX MAP NO, 7 4 . -2-5 3 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 6; Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 172.900:.." , No. 99326
TAX MAP NO. 74 . -2-53 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP, THE.
OWNER of property located at LOT 53#49 LEHLAND DR. 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
1810 ROUTE 9E.
LAKE GEROGE, NY 12845
2. CONTRACTOR or BUILDERS Name ,
MICHAELS GROUP, INC. -
3.'CONTRACTOR or BUILDER%Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE. 9.
LAKE GEORGE, NY 12.845 -
4. ARCHITECTS Name
NEW YORK BOARD
5. ARCHITECTS Address
NEW YORK BOARD OF FIRE , UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications. '
2.71 '• SQ .FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
•
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE "FAMILY. DWELLING
• 333 June '10 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES - 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 this Day of 19 -
__�
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
I
•
.tit
Building i eiiiu pp . .
,�Utlri l Of Qiie 'llS'�J(ll:)r - U,y,r. ul'c:bnuimiury Uevelulnn<•nr, 7421J0 Kota!, urreenrbUry, NI' 12804 (761-8256J
'BUILDING & CODE ENFORCEMENT
NOTIa -- ltccjuifensculs hfl01.' to issuance • p,RKAIl1'hILG NO.�-- ------ ---.-� of lids I)rrl)lil
A pcuttil must be ubinincd bcliva - -- pG'11h11'1'rLli PAID$ �C)133± _�
beginning conslructioth. No inspections • I_I Zoning Board Action
will be man mail applicant has tccrivrd A,c.,, /lJse • RECREATION r 0. IU
rh plknhll BUILDING MI I'IillNll F. All
nl,I,licnnls' slmcce MI Ihiv nlq,licnlihnh .
N111S•l'bo completed nncl tlrc signntme •
U 1'lttJltting h oard ACIloil REVIEWED Dl:' pnl___ldilw ____for
of the applicant must appear on (ho SI'It / Sut division I Oilier '
hup
!iiplkntiou limn. ,h.,:,tr _ 1 • Ilccscs►liou Ice Payment
1Ite �LCc'hru-('b (%ic.uttl.t, inc.. Owner:
S umo_
Applicant: . . . .
• nddtess:
1810 Route 9, Lake Geuhtc�, NV 128Ai1dtass: .
3316 I'hune it (� ) _. .. ,
Phone it. ( !i 18 668 - 1��"1) - • .. . .... . . -•
Properly l,ucatiut: C �G •
{__
Tax Map Nutubar
Sect; a Bock loft
•
Subdivision Name -
NATURE or E'ttoi'OSEU Flotul : ESTIMATED MARKET VALUE OF 'xa �vv
New Building: (.ON51iwe I $,_
residence / commercial
Addition to. Building: UCCUE')itICX Intronftn'1'IUN:
•
t:ctr.i.clanc.r, / commercial
At "etttiou to' suiId1ncs Primary Ulldng —
"— r residence / commercial X singleFamily Dwelling
Dwelling'
Two Garrity
Residence / Couh,l0rC.i I Italy iiin9
no change to exterior size Office
Mercantile
Other Work (describe below) Manufacturing
_• __ other
•
GROSS AREA OF rnor'oscu STRUCTURE: 1642. •
Floor 1101 i x ADDITION,
what
will use
� g . f :. 3 , of new' addition be? :
2nd .floor l �z .rtq. 't . _ N/A
gq. f
Other l lvor.s — base ACCESSORY BUILDINGS:,
(not unfinished cellar or ute` Detached Garage 1, 2 car
a-11Li. SQ. pi _x-- ALtactted• Garage 1
TOTAL FLOOR 1\liLl\:SIZE OF NEW 5'1'1tUC'1'ULtC: ass, — Private ' Storage Bui iug
Conunerciai Storage Building
f Otlter . '
t' --_- L 1'E I"s'1'
�'4 l�_ FEET x
•Will anyesecond-hand
econ -handeor unfograded
at?
humberl lets Typo; •1'uuhed lumber
(habit b l Stories : , Z , _N ------•1:
(habitable space oily) feet TYPE Oe IIEATIN(3 SAC
(grade to ridge) : - circle• all wltic BP��ea)
Number (y " Gas• Wood
Number of a.tleltJ.aces attd/or wooclstove Elect:ric / Oil eboaoo / other
to be installed: ,__�___-- Forced Hot Air /
le for supervision vn of work ag regard e b P building
.
Per.gvn r.esponslb or Eric !Zi
codes i.s : i.ai tco lt.e.:Larkj=�riji It a o fit.__ �1R tt«
cruise 11dd,esEct h 12845 518-668-3_ -
i c. 1810 Rte. 9t_ylte Ge _..ge
Builder: I he hl_i.c�.hczePJs W�uup.� _._----- .
Kuntber: I.clod. 1'funt(t_lin,__ _6 (1 Rscu GTC? II:a C4 NY 12801 518-198-43 9
1
Marion : _,IJ1,litLus2.Iwj,__Uc _2IL&_G'.c1111dae-,
N y-y
,l cc r.ici.a n:Jcllu?t/s1 _- C <Uu.,_?�2G'- [ 1e
f 18-311-992i
DECLAllA110N: Please slgtl below afla you have carefully read the statement,
s
the
To
the best of my knowledge the statements contained in thsi oflail t on,.to work to be done plans
midn
specifications submitted, are a true and complete slater
th
e tICSCt ibcd inemises mid that all provisions-of the Building
lied ode, the Zoning
cOrdinaner speified or a and �l
(Alter lawsper Mining to the proposed work shallcomp
r �a
nd
tha
o a
t such won k is'authorized by the owner. true llhcr, i't isui d i st ;l an IS I e shah
ubmitI' riot toY
Certificate of Occupancy'ur Catlificalc,.uf Compliancetc b
;t licensed surveyor; drawn to s ale,Allow", actual location of project on premises.
k-NA '
Signature:
-.-.-- .....,,nr'e hoent. architect, contractor
A EICyIPOSLERIT `ppictifor DA M , - ,
r
Town of Queensbury ��_
Dept. of Community Development
Permit No.
,32ta
Building&Codes Office
742 Bay Road Fee Paid $
Queensbuiy, NY 12804
- - L
Location of property for installation: Lt.J"rc 3-4 L q fa kJ tuvt DU it
Property Owner's Name: �f rn ICI tS ilrottp
8
Property Owner's Mailing Address: 1010 DA&q --tet [p _&j.ff_nec__L,AN___k3t'e)Ljs'
Installer's Name: ,I(,LciNtl_ 'F((0.49.,e1 ri j Phone # (( a I Oq
Number of bedrooms (if residential): W Total daily flow: �50
(residential -compute @ 150 gal./bdrm.)
Topography: .'✓ flat, rolling, steep slope % of slope
• Soil Nature: sand, loam, clay, other /depth:
•
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _feet
Percolation test: not required, V. required [rate I min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet. _
PROPOSED SYSTEM
Septic tank gallon.(minimum size: 1,000 gal.) .
Tile field: each trench s feet / Total system length: (°ol0feeet
Seepage pit(s): number of / size each: - ft.by ft.
•
Size of stone to be used: #2,c1C Y / depth or thickness . fee.t .;
HOLDING TANK SYSTEM: (if required)
Number of tanks: 1 A— Size of each:
(Alarm system and associated electrical we&<to be inspected by a.certfied:agency '` U.,`
For your piote�II,please inter that polsaaat to Seatian,A6-29.cof th Code-of the'-Town Of Qu0* ny,tlniy permiC for c f+:,'
approval granted which is based upono is•grantedin relisace upon:saq.)matenelmisrepresentston or failure to make a ,; .-110'a
material fact or circumstance known by or on behalf of an:applicant,';shall be'void.'^-'at"a'.FtuTAt", *- ra,k.:- ,-5 * ' c
I have read the regulations
�,�with
,�respect to .::.application and agree to abide by these and all requirements of the Town of
Q sanitary Sewage Disposal •
Signature of responsible person: ,•= - Date q
TOWN OF Q UEEINSR URY •
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
-1J"
Date it' ,19 jS 9 Permit No
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 / P�� C (c.c r ( j f.-d ; APPLIANCE (check appropriate boxes)
'
Address STOVE: ❑Wood o Coal o Pellet ❑ Gas
o ) �,� ,�,�(C_�,�. ,3
❑
0r 0 FIREPLACE INSERT •
[9 / ,4y �e .. fit__ Zip I Lc. C. C7-FIREPLACE, FACTORY-BUILT:
0-Wood ❑ Gas •
Phone 0
-? 7 (.s-- 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner ` 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address ( ;..- IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block ❑ Brick ❑ Stone
LciI c (, FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST i ACTORY-BUILT:,
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title -"
A 173 3389 (190) Public Safety .- "
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: C
/�, 'i: i s
�. t`1"ft.J. -„- 3
Address: m"
Dated: (p Town Clerk or Deputy: ,: )/` ), 0
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement 7—Z-7
Dept.of Community Development Arrive am/pm Depart _
Town of Queensbury Inspector's Initialls
742 Bay Road
Queensbury,New York 12804
cgv3zC
NAME NS` � � �C�PERMIT
LOCATION �f' /�✓ �0 DATE
TYPE OF STRUCTURE
N/A. YES NO COMMENTS
Chimney Height/"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
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 grad
Gas Furnace shut-off within 30 feet or within line of sit
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed �Af Headroom,6 ft.6 in. on stairs 5 G--�' R�v�Uu 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 I
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofmg j RV g1 . r AJ
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 4 Y
As Built Septic System layout required ' .�, r
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) f (T �J U i LT C21) �(L
Okay to issue permanent C/O(Certif. of Occupancy) V
.. ,...., u FIRE MARSHAL
TOWN OF QUEENSBURY
`T 1 e QUEENSBURY, NY 12804
'°.•_�.. •,;t4. (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME r_9(\
LOCATION 4 PERMIT# ��
SCHEDULE INSPECTION ON • - —
it%it) Au' •M
APPROVED
N/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'SPRINKLERI
CLEARANCE TO HEATING Uh ITS
REQUIRED SIGNAGE
CHIMNEY V
WOOD STOVE
FIREPLACE ❑MASONRY FACTORY BLT.
❑ROUGH-IN
❑FINAL 03c0h [ _PJ►6)6 /
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECT R
RESIDENTIAL FINAL INSPECTION REPORT J/1
lV )1_ / )
Office No. (518)761-8256 Date inspection request received: l /
Building& Code Enforcement WI
Dept. of Community Development Arrive W, iiipm Depart ',kr 1,
Town of Queensbury Inspector's Initial•`?
742 Bay Road I
Queensbury,New Yorkn 12804 3 0-L2
. NAME ` \ `l e9 Q(1 PERMIT 4 �A
— -:32r:7
LOCATION " C\ �� ON) � DATE — S
TYPE OF STRUCTURE
N/A YES NO COMMENTS
. Chimney Height/"B"Vent/Direct Vent L tion d
Fresh Air Intake J
Plumb Vent through roof ✓
Roof Complete ✓
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or mo e
Interior Handrails stairs both sides 3 or more risers ✓
Grade 2%away from foundation \ ✓/
8"clearance to sill plate V.
Gas Valve shut-off exposed/regulator 18"above grade \ f
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 J
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" �J \\..}
Floor Finish w" •� .
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells i/
Smoke Detectors: s//
every level
every bedroom /
. outside every bedroom
inter connected /
Bathroom fans ,//
Plumbing fixtures V/
Foundation insulation ✓ /
3/4 hour fire door/door closer ✓ J Cali*.
fireproofing +`/ 3 6� � Fliz- l.fl FI�Ro
Garage penetrations sealed . .. /
Furnace in separate room protected(in garage) / C) ` CA�6\D�
Light ventilation per room I
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required i
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) J
Okay to issue permanent C/O(Certif. of Occupancy)
ijp7'' TOWN OF QUEENSBURY
„rWM BUILDING & CODE ENFORCEMENT
f 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: Q5
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION RE EST CEIVED:
NAME ) 0,Cnn \�n�
LOCATION2 �"7 �
DATE 9 - 1�j- 9_01 PERMIT #
TYPE OF STRUCTURE S
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
EXTERIOR FINISH
DECK Pb CH STEPS LING
RELIEF V.LVES
FURNACE/HO TER OPERATT�VG
INTERIOR T!IM/`• VACY D6/ORS
FINISH F .4ORS:
BATH ITCHEN WATERTIGHT
OTf R FLOORS sSWEEPABLE
• 'HER FLOORS CARPETED
'AIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
vF'INAL SURVEY PLOT PLAN Cb
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depart(, pm
Inspector's Initials
NAME: ila GfO\ PERMIT# �. ��
LOCATION: 4 ) � � � DATE : -7-3
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible
providing protection from f eezing
for 48 hours following the .lacement
of the concrete.
Materials for this purpose on itc
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval /
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heati ' gh-In
ulation
Foundation Walls Interior I R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling 7'�
R- g L)
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
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT#
NAME Atic ,4 -S 6 /
LOCATION
SCHEDULE INSPECTION ON I
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM", f
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION s,,./
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
"CHIMNEY
SIGNAGE
"CHIMNEY MC-•TAc
WOOD STOVE
FIREPLACE—MASONRY nn
"FIREPLACE—FACTORY BUILT rc'4 , (A)
REMARKS: riitA4- f,_ Ec 36 OK TO THIS DATE
At' FA-ir7 l : 72—
INSPSLIP.PUB INSPECTOR
GENERAL INSPECTION REPORT441?
( 518 ) 761-8256
Town of Queensbury //4/i
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
Inspector's Initi s
NAME: v y PERMIT#
LOCATION: �, r-Aik_Q DATE : —
TYPE OF STRUC RE: SC'0
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
Plumbing Vent/Vents in Place
Rough Plumbing .t, •
Heating Rough.ln-"
Insulation
Foundation Walls Intl' for R-
Foundation Walls Este for 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 D L< to /1)5 UG-
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
•
Fire Wall 2, 3,4 hour
(topping Re.c.ker_K.
GENERAL INSPECTION REPORT
Town of Queensbury
ept. of Community Development Date inspection request received:
Building& Code Enforcement
742 is ay Road
Queeisbury,NY 12804 Arrive am/pm Depart�am/l✓
Inspector's Initials
NAME: ki\-/ �C\P & 5 C ()2._e- PERMIT# 1
LOCATION: DATE : 2
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/Damppioofing /
Backfill Approval l /
Plumbing Under
Plumbing VentNen is 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
Y Firestopping
,:FS tc--(11,—;
GENERAL INSPECTION REPORT
( 518 ) 761-8256 ".
Town of Queensbury
Dept. of Community Development Date inspection request received: V 9g
Building&. Code Enforcement
742 Bay Road7/7,--7
Queensbury, NY 12804 Arrive am/pm Depar • J m/pm
,(,/ / Inspector's Initials
NAME: -!i' s C� PERMIT# -.3,2
LOCATION ,LCile.„b„, /. DATE : . - °5 CrecA)Y-
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
Plumbing Vent/Vents)n Place
Bough Plumbing //i .
Heating Rough-In
Insulation - •
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors t R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- '
Proper Vent, Attic Vent _
raming 21— t-- J
Jack Studs/Headers /
Bracing/Bridging ✓
Joist Hangers ✓�
Jack Posts/Main Beam
Air Infiltration Barriei
—Fire-Separation 1, 2, 3, hour
P etration Sealed
ire Wall 2,3,4 hour
Firestopping . 4-kL P 9 5 J P 1JC.1r5 k W Lia e
O r v. 1� t(O L (L 4T- i �a65-S .
CA,c 2 kECI-(6c(
) 01TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name �
Location _3
Date &v ) Permit # 3 (49
SOIL TY : Sand- =Clay-
Results of Percolation Test-
(if applicable) Rat- '4inute/Inch
TYPE OF SYSTEM:
ABSORPTION ;FIELD: Total Length 7-el-
Length of each tench 14, . D
Depth of t``renche. ► - I --
Size of sta a ��,�� •
SEEPAGE PITS: umber-
Size - _ x ft.
Stone size -
PIPING: Size Type
Bldg. to Tank 1-1" C.N4tOMS,ri
Tank to Dist. Bex Lt"
Dist. Box to Fi 1 d/P'
Openings Sealed? . 4 No Partial
LOCATION/SEPARATIONS:
Foundation to Tank \O" feet
Foundation to Absorption 70- feet
Separation of Pits fe
Conforms as per Plot Plan Y N
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - eft Side = Right Side
Middle Front -
COMMENTS:
•
cam ( ANC.-Y1F1kiL
SYSTEM USE APPROVED: YES NO
Arrived- 2.°,2 0
Depar ed. G . y
_ si'
,/� 1.i1ding I p"Ctor
3 ill) ,
) zy. Q-- /...i a 6
GENERAL INSPECTION REPORT x
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road AIV .
Quee'+sbury,NY 12804 Arrive d. ,?pm 1 epart A b • , '
1 i spector's Initi:, .
NAME: \ -dlt PERMIT# I a
LOCATION: Gln DATE : Nair
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
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
Foun tion/Dampproofing j
l'\/
1 -B11 Approval - `
Plumbing Under Slab 1 \
Plumbing Vent/Vents in Place
Rough Plumbing i \
Heating Rough-In J
Insulation i
Foundation Walls Interior R- l
Foundation Walls Exterior R- }1
Floors R- '
Walls R- \ 1
Ceiling R- �� \Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent \ ,j
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 '
C /44)7)
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road •
Queensbury,N Y 12804 Arrive am/pm Depart -am/pm
Inspector's •Initials
NAME: .0, v �'Q(3v ll�U PERMIT# (;1-e011
LOCATION: L c I 1) J S DATE :
TYPE OF STRU TUBE:
RECHECK
N/A YES7 COMMENTS
- tings/Piers I ✓
Monolithic Pour Form \ r : Z
Reinforcement in Place- ` I'
The contractor is responsibl for
providing protection from ing
for 48 hours following the pla ment
of the concrete.
Materials for this purpose on site
Foundation/Wallpour \
Reinforcement in Place \
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place 1 \
Rough Plumbing I N
Heating Rough-In i
Insulation 1
Foundation Walls Interior R-
Foundation Walls Exterior R- \
Floors R- ‘ !�
Walls R- 1
Ceiling R- k
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent \,
Framing b
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
6 F
l'ECEIVED
SEP 0 8 1999
TOWN OF OUEENSBURY
BUILDING AND CODE
761
I .,/
131
1 500 ,
viE
5 2 Ce
-I ---
MAP REFERENCE:
LEHLAND ESTATES
MODIFICATION FOR PHASE 11
DATED DECEMBER 22, 1998
LAST REVISED MARCH 1, 1999
BY VAN DUSEN & STFVFS
LAND SURVEYOF
D u s eh
8c Steves
Land Surveyors, LLC
37 Chester Street
Glens Falls, New
York
12801
(518) 792-8474 NOW
New York Lic.
No.
50135
�. -4 �
LAt 6 ..
'UMTA*rA= ALTERATION OR ADDITION TO A SURYET
IMP KAWEO AUCENSEDIAND SURYEYMS SEAL W A
WOLATKN OF SECTION 71014 20-DfVAIGN 9. �W IRE
NEW YORK STATE ®UCATN7E LAW.'
'ONLY CONES FROM THE OWN& OF TN6 SURVEY
NARIED WIN AN ORMAL. OF THE LAND SURWYM
WEAL SNALL BE CONSDCPFD W BE YAM I" GWW
'OERVQAI06 WrAIED H W N 9101VY THAT
TNS SURVEY WAS PREPARED N ACCORDANCE WTH TIE
EIOSTM OWE OF PMCM FOR LAND 9YRMMS A MED
BY THE NEW YORK STATE ASSMATDN OF FROFESSMAL
LAND SURYEMS. SAD CERVICATAIS WALL RUN CWT
70 DE PERSON FOR WKW THE VANEY K FREPARM AW
ON HIS BOW TO Ili TIRE COlAW, YOYBRNIENTAL
AOENLY AND LM" OWMUMON LMW ""am AM
71D THE ASSIOISES W DE LOOM 6=TU1ON'
Map of a Survey made for
DAVID C. & KIRSTEN E. JONES
Town of Queensbury, Warren County, New York
NO. I DA TE
i HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURREY 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: DAVID C. & KIRSTEN E. JONES
BANKNORTH MORTGAGE COMPANY,
IrS SUCCESSORS AND\OR ASSIGNS
CHICAGO TITRE INSURANCE COMPANY
CERTIFIED BY:
MATTHEW C. SIEVES, LLS NYS 50135
DATED: SEPTEMBER 7. 1999
DESCRIPTION
JL. . L..� VLF ♦ ♦ , � �
1 "=30'
S --1
SHEET IOF1
LEHLAND
DWG. NO. LEHLAND-53