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1999-367 01.111A TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P9367 Date Issued: Thursday, December 27, 2001 This is to certify that work requested to be done as shown by Permit Number P9367 has been completed. Tax Map Number: 523400-239-007-0001-021-001-0000 Location: 15 KNOX Rd Owner. PAUL KNOX III Applicant: KNOX, PAUL III This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY 1st & 2nd Floor (DJ 4 141 Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P9367 Application Number: 99367 Tax Map No: 523400-007-000-0001-016-001-0000 Permission is hereby granted to: KNOX, PAUL III For property located at: 15 KNOX Rd • 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: PAUL III KNOX Single Family Dwelling 150,000.00 12 COLVIN Ave Total Value 150,000.00 ALBANY,NY 12206 Contractor or Builder's Name/Address Electrical Inspection Agency CARR, EDWARD P., JR. 28 CARR LANE LAKE GEORGE,NEW YORK Plans & Specifications 99-367 3580 sq ft SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS $407.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Sunday, September 22,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer 10 of the Town of Queensbu before the expiration date.) Dated at the Town bf Qu e b rig .1�-.= l er 22, 2000 41 SIGNED BY \ for the Town of Queensbury. Director of Building& Code Enforcement BuildingPermit Application - ., :_.,10,\ iO „ of Queensbury - Dept. of Community Development, 742 Bay Road . NTICE BUILDING & CODE ENFORCEMENTrccntGur►, NI' ! 8U4 /7G1 �g25G/ r Requirements prior to issuance r - A permit must be obtained before , of this permit: PERMIT FI Na �/ Q- j(,� • beginning construction. No inspections ' will be made until applicant tins received El Zoning Board Action 1RMIT FEE PAID$ a VALID BUILDING PERMIT. All Area / Use • applicants' spx Gas on this application RECREATION FEE PAID$ MUST be completed and•the signature ('� Planning Board Action '�f of the applicant must appear en the REVIEWED BY.' phCatiUn form. nk.,e yogaSPR / Subdivision /Other sawing h►crtnor J /� Recreation Fee Payment .- Applicant: /)4-ll_ kiJ Owner: !1'>'C)--_ 7 t:t eleA ee f1, , (1- CGS i-D AR1c Al y I a.0($ Address: Address: 5-4-41.g" c.e// 3�g - g 3 Phone # ( �7� ) . ` 4 - g3g3. Phone # (57 ) R77 - 14Ir ! •3 /►�O•l rProperty Location: /s— K/ViC i !)- • ., , ;j .., t i - 6 26r A) V /2.2i5, 5ci/VStr- ,11 F-Wi'is Tax Map Number / 1 ice •/' Subdivision Name: .._ Section Block lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF TIIE New Building: CONSTRUCTION: $ v251: etiO si enc / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: • Primary Building, - residence / commercial Single Family Dwelling Residence / Commercial ' Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing Other GROSS AREA OF PROPOSED ST UCTVRE(�/),7na • Cv ! let Floor :a 3�0 sq ft O If ADDITION, what will use . ��� 2nd .F1'oor. . ., / .,q 3 O sq. ft ;i, _- 'ao1 new addition be? : n r�6 Other Flouts .3_C-00 sq. ft. - • (not unfinished cellar ore basement AC• CESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 3s FD SQ. FT. Attached Garage 1 , 2 car Private*-Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building FEET X `J-94. FEET Other Foundation Type: POG4-2lyd CbtrC12GTTe Will any second-hand or ungraded ' Number of Stories : . -f fA/'so lumber be used? If so, for what? . (habitable space oryly) `-1I4 ;8- Height (grade to ridge) : 36 feet TYPE OF HEATING SYSTEM: Number of fireplaCes and/or woodstove ( circle all which a plies) to be installed:_ I Electr' Oil / Gas- / Wood ' - P . n v e wet wee 44q '/49g Forced Hot Ai� / aseboard / Other Person responsible for supervision of work as regards to building _ codes is : 1 i)c 4'ieI) Pc2-1'2272. ' (*ale a'0 61-teR i.iii) 44-le r t�t`" e,e /V 7 1 aPlir Name Addresss thone� /7q3-oqq/ Builder: Z Plumber: r ]P 99t /ate 9 Mason: Electrician: DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, arc 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. Purther, it is understood that' I/we shall submit prior to a Certificate of Occupancy Or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor brawn to scale, showing actual location of project on premises. I�V�Y 4 Signature: , MAAC 01/0 (owne , owner's agent, architect, contractor) V ) L.k` Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: /� Office Use Location of installation: / ~kArOK -/ = L 4 (.'sue y File Permit No. (a7 Tax Map No. -7 / I / 1 6 s "k i L • Fee Paid Ownar's.Name: /v ief1fDk Address: 7 61tegliv644441, . t C�4,e S`dnd /�- NY <10 6 2. INSTALLER'S NAME CRA'iy84 ij PHONE NO. #q 3 YD h/3 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year.of House: No. of Bedrooms x .Computation = Total Daily Flow 1980 or older x 150 gal/bdrr = 1980- 1991 x 130 gal/bdrm = 1991 -present 1 x 110 gal/bdrm = '/0 Garbage Grinder Installed AIM / no Spa or Whirlpool Installed es ) / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) Topography Soil Nature Gerund Water Bedrock or linpelyjois Material Domestic Water Supply Nat sand at what depth at what depth municipal Rolling oam feet feet well.. Steep slope clay if well; water supply _%slope other • . from any septic-system depth: . 1 absor tion is ft. tt� - Q 5&vu2' Air 5- ir4. 1 v �a etvls-i o c4451P'gJirak . other Percolation Test: (To be completea by licensed professional engineer or architect) Rate: minute per inch lep)4lee/14" ; / f etR/ti 5. PROPOSED SYSTEM: For New Construction: All1individual serfage disosal sms must be designed by a licensed professional engineer or architec�(unless installed in a Planning Board a roved subdiZicW Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, pa or Whirlpool Tub. Septic Tank: /SQO gallon (min. size 1,000 gal.) Tile Field: each trench `j7 ft. Total System Length: 330 ft. Seepage Pit(s): number of size of each: ft. by fl. Size of Stone to be used: 11 / depth or thickness __feet Bed System Size: z • Alternative System: length and/or size 6. . HOLDING TANK SYSTEM: (if required) AO' Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electricalwork must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. (2i - q :� 1. Signature of responsible person Date qq.,3(07 • '' ENERGY CODE COMPLIANCE APPLICATION 'Aa► TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) 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: PROPERTY LOCATION: i2*l / ncI f /6404 i d Cat 6-,miti Api PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: / kl/S 1 . Gross Floor Area - 1 S tD square feet • 2 . Tvoe of Heat - Electric Oil Ga Other 3 . Is building mechanically cooled? Yes No 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 , a 3 0 b . Exterior walls k j ei c . Glazed areas j: 'd3Y WMty kv R 0.5-5u►nover d . Exterior doors R a.ta e . Floors over unheated spaces R . Edge of slab on grade (heated building) R .la g. Basement/cellar walls (above grade) R !fit h . Basement/cellar walls (below grade) R i3 i . Heating/cooling-ducts-piping in unheated space R vii 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per cod Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED App_ ' s gnat:: - Date Phone Number L q. =tulsilt , 1 L/f6-&3Si INSPECTOR' S REMARKS : ., _ Building Permit A lii , cation Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] BUILDING & . CODE ENFORCEMENT NOTICERequirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. ��pp beginning construction. No inspections PERMIT FEE PAID .!Y will be made until applicant has received 1-7 ZoningBoard Action a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ applicants` spaces on this application MUST be completed acid.the signature E Planning Board Action REVIEWED BY.• of the applicant must appear on the SPR / Subdivision /Other Building Inspector pplication form. 712m+k you. -' Recreation Fee Payment Applicant: PA-Ut I. kA O)C - Owner: S Mitr . ' Address: q 8uGdcl`N'erif n\C.7` Address: K - C tF- P91?-14" `lv y l a 60 , Phone # ( "1 ) gi1 - 6,L1 q; tk 6304 ) Phone # ( (18 ) y84 - �351 tyliva-It) Property Location: 1 S' IKWOX I b\ 4540(160/ Pr 'i+lce -e otplz,e v fd-wwss Subdivision Name: 5vt Arse"- NA Tax Map Number_ 7 / / "�0. Section Block Tnt NATURE OF PROPOSED WORK: . ESTIMATED\ MARKET VALUE OF THE New Buildin , CONSTRUCTION: $ 1 SO/15-017 residence / commercial t Addi i. uilding: \ residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial 9l Single yFamilyIts El • Residence / Commercial Two Family Dwelling no change to exterior size ' . Family Dwenjg8 Office! 1999 Other Work (describe belo ) Mercantile `-OWNOFQUEENSBUR`•' d T ; �tFPI_I�CTn( se tj� D viva) Manufacturingp�l�p��G AND CODE Other GROSS AREA OF PROPOSED STRUCT RE" Y4 ( 1st Floor 1a.60 sip . f /� If ADDITION, what will use Arl ' .� of new addijion be? : ` 2nd .Floor J a&O s t . Other Floors . f �` (not unfinished cellar or •as 1 } ACCESSORY BUILDINGS: • Ok(1114 Detached Garage 1, 2 car TOTAL FLOOR AREA: a /tis SQ. FT/. Attached Garage 1, 2 car Priva1te Storage Building SIZE OF NEW STRUCTURE: Commeircial Storage Building 3 0 FEET X 14 d FEET 1 • Other,' -4 AtAN-4 6 p A L u t A `7- i Foundation. Type: 00 ,V-6 COiv-e-iee-1"f ill any /second-hand or ungraded ' Number of Stories : -rw-D umber be used? If so, for what? (habitable space o ly) AO Height (grade to rage) : ag feet T PE OF./HEATING SYSTEM: Number of firepla es and/or woodstove ( ircle/all which applies) to be installed: C1N�' F/RIPLH-C( Electric /'Oil)/ Gas / Wood F rced /Hot Air / Baseboard / Other Person respon able for supervision of work asLregards to building codes is : / PETS CARK a L - L/1-`tt-��Lr ?6-C 4 S' Name Addc ssp 45\iv 2(Phones y Builder: / ' • > , 7q3. 014) Plumber: / (----` -79/b- /q$'y Mason: Electrician: DECLARATION Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all 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 Uwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; awn to scale, showing actual location ofproject on premises. Signature: 'CLNA 9 h 'CA- a`/l it f (owner, owner's agent, architect, contractor) _. - . TOWN OF QUEENS �j URY „,, 742 Bay Rd., Queensbury, NY, 12804' APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS T:L._,.....:3_,(71) Date i. ,19 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. v } E 4, s Please fill out additional form if more than one appliance and/or chimney. ' , Applicant 1'�'4 1. W() . APPLIANCE (check appropriate boxes) Address 7 130 Z kii-A.4 h' A 6v, Cam. ❑ STOVE: ❑Wood o Coal ❑ Pellet ❑ Gas �` 1 0 FIREPLACE INSERT l (: �J l� 1 ' zip i 4, S FIREPLACE, FACTORY-BUILT: Wood ❑ Gas Phone (wor 11 4 ~ S' 0 FIREPLACE, MASONRY: �...,F ❑ Wood ❑ Gas Owner .1. _ .0f'FURNACE-: 0 Wood ❑ Gas ❑ Oil Address IF NON-MASONRY.APPLIi4NcE: Manufacturer: 14 01Ai t 1 (Ct. :1 tr- Zip • Model: Phone . CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 0 MASONRY: 0 Block 0 Brick 0 Stone / 5 J io/. Rd I4 yid &e&i4! 4vY FLUE: ❑ Tile 0 Steel Size: inches CONSTRUCTION / INSTALLATION MUST ' 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & , 1 Manufacturer: ,1 `7ti.1 &.�.�Mgdel: BUILDING CODE. CONSULT AVAILABLE Listed By: IAL' ' , ° Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall j ;Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting o Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title 0 A 173 3389 (190) Public Safety 'A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: i ,, w .-,<f -,../rge Address: ' • . :�, 7/7 Dated: ( (2 --/ `) -L. '-` Town Clerk or Deputy:( 1 i '1", White Applicant Green: Fire Marshal_ I Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. CHARLES R. ACKERBAUER, PELS ( �/ 36, P.O. BOX 927 JOHNSTOWN,NEW YORK 12095 ' r,� 1 518 762 4831 4 i fre. March 22, 2001 Gj,,op �oO ,e 8 Mr. John O'Brien �/�® Q� � r Code Enforcement Officer ��®O (119)- Town of Queensbury 742 Bay Road Queensbury, N Y 12804 RE: Paul Knox foundation Assembly Point, Lake George Dear Mr. O'Brien, Pleased be advised that I have inspected the concrete foundation at the above captioned residence. The foundation has been repaired to correct the voids condition caused by the lack of consolidation in the original pour. The cold joint along the left wall facing the lake will not present a structural problem because the reinforcing rods will serve to tie the pours together. Based upon my inspection it is my opinion that the foundation wall has been adequately repaired and is structurally sound to support the anticipated load. If you have any questions please feel free to call. Yours truly, CX,g, k at„,4„., Charles R. Ackerbauer, PELS ®7. N - A t�. Foo t\ cA fi? S, A ,,A(.. `Cry Ty &2u e_e aJ2ea rz,e__} G l'A_ 0/6 / _ 6 , 019"vi, / / RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive // am/pm Depart/4 30 am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME n IQL 1 � �/ PERMIT# of GI c3� LOCATION 4 icJx• R/74, e ©n keine /&1�2/ DATE -?6d- TYPE OF STRUCTURE / 12 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 35"Y 3EN' Exterior Handrails,balconids,Iandii 18 in.or more Interior Handrails stairs bo sides 3 more risers Grade 2%away from founda'on 8"clearance to sill plate \ Gas Valve shut-off exposed/re lator 18"above grade Gas Furnace shut-off within 30 et or wi in line of site Oil Furnace shut-off at entrance tb form area Furnace/Hot Water Heater operat' g Relief Valve(s)installed , Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides ore . 3 risers • Interior privacy/trim/doors/main en man t• 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 l outside every bedroom inter connected Bathroom fans I Plumbing fixtures Foundation insulation I 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor ��S y��F,i,nal Electrical /Q`�✓I Site Plan/Variance required Final Survey Plot Plan >< § filetv-Q- S //SU, As Built Septic System layout required /0 f f 55a a r VI"- Okay1 to issue C/C(Certif.of Compliance) QS Okay to issue temp.C/O(Certif.of Occupancy)_ D 51Jiki) d /,k Okay to issue permanent C/O(Certif.of Occupancy) 11 a , i s 15 L� 1 s1 `T as (1 / M( l�l cew` ` us ion J ; Ao1 -,-,,.h,A1 61 . C4 On RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept. of Community Development Arrive 1O ai m�Depart :. Town of Queensbury Inspector's Initial-_ c- 742 Bay Road Queensbury,New York 12804 11 LOACATION ��0�/ }4�� �,(� PERMIT# ���� DATE /Q. TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/'B"Vent/Direct Vent Location �//' Fresh Air Intake !�/ Plumb Vent through roof •.// Roof Complete i Exterior Finish Complete Interior/Exterior Railings 30"to 36'4 M4 R�1� V Exterior Handrails,balconies,landing 18 in.or more i l 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 J 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 V! Relief Valve(s)installed d' V, Headroom,6 ft.6 in'on stairs ;✓/ Basement stairs,6 4 in. 1 •✓/ Handrail exterior stairs both sides more than 3 risers t( l.oc-v__sT' A"-AV...c yJ Oct TF_%.0 Interior privacy/trimMooryain entrance 36" �A1 Ll ` EZ L 6:N t� Floor Finish \ / Bathroom/Kitchen watertight Interior Handrails Baffonies/Landing 18 in.or more Railing across window in stairwells I / Smoke Detectors: t J every level t J • every bedroom / outside every bedroom I/ inter connected ,/! Bathroom fans V/ Plumbing fixtures Vi Foundation insulation I _ V 3/4 hour fire door/door closer I Garage fireproofing Garage penetrations sealed / Furnace in separate room protected(in garage) J Light ventilation per room �, Safety glazing 18"or less from floor J Final Electrical 16 T OA 2-N50 Fw0(2-- ! Site Plan/Variance required ✓ EV- t C i.5 CZ,t3TP--C L.r-- `tJ .-E- Final Survey Plot Plan 7 "I As Built Septic System layout required �j Al�����t Okay to issue C/C(Certif.of Compliance) _b FF\}tak Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) \,/ ,Th—CY\ • RESIDENTIAL FINAL,INSPECTION REPORT V ry..\ Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive Z1,, am Depa • i~ Town of Queensbury Inspector's Initi 1 c 742 Bay Road Queens ,New Yor 12804 v 7 NAME ��e/\ PERMIT# _3G LOCATION TURF\ � DATE 1 d 1 TYPE OF STRUC ��,�-. J ' N/A YES NO COMMENTS Chimney Height/"B"Ven i',: t Vent Location ' — FL�4 2) \`v T't. Fresh Air Intake Plumb Vent through roof f l tJb\NLt✓L� ‘'it TjM� %T Roof Complete °'-b`` �� Exterior Finish Complete \ 6Ji b;1� V� Ej (�l� 1 �_ Interior/Exterior Railings 30' to 36" Exterior Handrails,balconies, an. : 18 in.or more / h‘Z<')O ti:) -- f_C)\` Interior Handrails stairs both si.es 3 or more risers /' y, Grade 2%away from foundatio \e" lNc>l ./ c-A ksk)3 [emu�,./ \V e �, 8"clearance to sill pl: e VAS+ Gas Valve shut-off expe ed/r : tor 18"above grade k�( t—'z3ClA Gas Furnace shut-off within 30 feet .r within line of site J f �1 `� , e i Oil Furnace shut-off at entrance to f nace area / �'p��% — Furnace/Hot Water Heater operating / m'��= tA c ?_ Relief Valve(s)installed Headroom,6 ft.6 in.on stairs + •T�•'N' v C e_� ' 1✓`)S Basement stairs,6 ft.4 in. yCID1 -- I Handrail exterior stairs both sides more an 3 risers Interior privacy/tr m/doors/main entrance 6" / /100 Q l-\P(&p17 RQ-e ts z_ j 'i CQtE Floor Finish i'/ 1 t .b i l .-i. D •, 2yL() ;Ct� \-\kN�[ Bathroom/Kitchen watertight ✓ �� �l� ���� Interior Handrails Balconies/Landing 18 in. .r more 1,1 FN%-i Railing across window in stairwells / "" v\v� u- Smoke Detectors: V/ 4A�in-€T-0 � �S ¢ every level / L every bedroom r' outside every bedroom inter connected 2, Bathroom fans / Plumbing fixtures t/ 1,3N1\Crl12 1‘ C`T t '‘3 ivy U1`3 Foundation insulation /a hour fire door/door closer v// vc,- Ck�.�j Garage fireproofing ,// e'_ Vic-, X k N L -�a Garage penetrations sealed �// p;_�-1— Furnace in separate room protected(in garage) V Light ventilation per room Safety glazing 18"or less from floor Final Electrical //4e____z_.z.____ t--i 4 1-1.:.) F t �- Site Plan/Variance required t/ Final Survey Plot Plan i 1"� 1As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) 1- 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 Dept.of Community Development Arrive am/pm Depart n/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 • NAME Ku 6 _ PERMIT# LOCATION t-� , /r) - DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Pk Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or ore Interior Handrails stairs both sides 3 or more ri rs Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator F8' a' ove ade 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 Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing 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) �- TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name P4'IL gtio/� Location /4/ /D - Date / �/O / Permit # % ---J3(e 7 SOIL TY E: Sand-Loam Clay Results of ercolation Te t- (if applicable) Rate-Minu e/I ch TYPE OF SYSTEM: / ABSORPTION FIELD: -Total L ngp %70 Length of each trench .1 . / iJvK 7 -J Depth of trenches -gz l Size of stone SEEPAGE PITS: Numner , Size - ft. x ft. Stone size PIPING: ize Type Bldg. to Tank `` ��n Tank to Dist. Box • iL 5a 2 .ii7,--- Dist. Box to Field/ f Aef Openings Sealed? Yes Tdo Partial LOCATION/SEPARATION . Foundation to Tank l Z./ .feet • Foundation to Absorption . `Z� feet . Separation of Pits _ _ eet 5 Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROP RT . , �irc - one) Front - Rear - Left Side - Right Side '•i e Front. - Middle Rear COMMENTS: 8 ‘.06_,L Pz,+, ,-f/w-7—,-,,,,) —73k (-) .Z, /14*- U/C-1— .fiei--A.) . . SYSTEM.USE APPROVED: • YES NO Arrived: 71r_ Departed. . Building Inspector t< N 0 (4 - 4r/ - ®Gig \\. \: of p 0 Th r (3,9p,) QJ 08/20/2001 09:06 S184896717 KNOX INSURANCE AGY PAGE 02/02 .. r , . .. _ . . • - -tom '. . C'a 5e Coil c ' UNSET HILL FARM ABSORPTION TRENCH DESIGN TABLE STABLE DESIGN TOTAL ABSORPTION TRENCH DEPTH TO TEST PERC PERC TRENCH CONFIGURATION BOUNDARY HOLE RATE RATE LENGTH * PRIMARY RESERVE CONDITION ** l:11) TE ID (MIN) (MIN/IN) (FT) (#-FT) (8-FT) (INCHES) 6/91 Di113 1: 10 1-5 216 4 55 2 - 56 47 - 2 6/91 DU16 12 11-15 325 6 - 55 3 - 55 29 3 6/91 DH14 1: 10 1-5 216 4 - 55 2 - 55 ?84 4 6/91 DH1 10 11-15 325 8 - 55 3 - 55 65 5 6/91 DH2 Not stabilized - rerun on 9/92 (see below') 9/92 5 11 11-15 325 6 - 55 3 - 55 60 • 6 6/91 DR8 6 6-7 ,260 5 - 80 3 - 60 80 9/92 6 34 7 8/91 DH7/8 10 8-10 290 5 - 60 3 - 60 80 8 6/91 DH7 10 8-10 290 5 - 60 3 - 60 80 9/92 8 38 9 6/91 DH5 14 . 11-15 325 6 - 55 3 - 55 >84 *10 6/91 DH4 24 21-30 433 8 - 55 4 - 55 >84 9/92 10 43 * BASED ON A 4 BEDROOM ROUSE GENERATING 520 GALLONS OF WASTEWATER PER DAY (WATER CONSERVING FIXTURES) ** MOTTLING,GROUNDWATER,CLAY OR BEDROCK{ 1.1.3- CES:=- VbsiC)(3\7‘1\/\ 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'', • . p 1 epart '/ '/ Inspector's Ini ' NAME: Cll.) X� PERMIT# -13 7 LOCATION: OD (2 )BD1 DATE: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers � 1 I Monolithic Pour Fo Reinforcement in P1.ce The contractor is esponsibl:for providing protec '•n from -ezing for 48 hours folio 'ng the acement of the c ncrete. Materials f this pu q.•se o site Foundatio 1.•u Reinforcement in Pla e Foundation/Damppro,i fang Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i Place Rough Plumbing V\ /Heating Rough-In 'J Insulation rY Foundation Walls Inte 'or R- Foundation Walls Exte or R- Floors R- Walls Ceiling Duct work or piping in unheated spaces - /' ��`� LSD Proper Vent,Attic Vent Framing V Jack Studs/Headers r — yJv oA \ 1`'Bracing/Bridging Joist Hangers k'LA 12 Jack Posts/Main Beam Air Infiltration Barrier V —/\ \ Fire Separation 1,2,3,hour Penetration Sealed � . Fire Wall 2, 3,4 hour Firestopping � / e hi 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 I I''Cbam/pm Depart 1 , m Inspector's Initi NAME: Q '55-X. PERMIT# . . LOCATION: YNInQ7?‹ DATE : 1. TYPE OF STRUCTURE: =j.� RECHECK N/A YES NO COMMENTS Footings/Piers ---1 Monolithic Pour Fo Reinforcement in Pla \ The contractor is re nsi le for providing protection om zing for 48 hours followin the p acement of the concrete. Materials for this purpose n s' - Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under .. Plumbing ent/Vents in Pla.e Rough Plumbing Heating Ro gh-In - - / I atioi Or , • ' 15f Zti'D F-00 O tJ L-q Foundation Walls Interio R- Foundation Walls Exteri.r R- Floors °- Walls '- Ceiling ►'- 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 j j hT 12 D F ``p_ b l• t-1 Firestopping UJ6JJam" \�`'��z t3� v (.)4.)1 r ,,,,_‘,...R GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbu ,NY 12804 Arrive tt m Depart ((Y � �%•I Inspector's Initials .. NAME: (' Q. Y�d PERMIT# �. A/� LOCATION: 1 rj l<r\O. lI • DATE: �i -C_.���j 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 fre-zing for 48 hours following the pls '-ment of the concrete. II Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Fotmdation/Dampproofing Backfill Approval Pl ing Under Slab Pl bing Vent/Vents in P .ce / ugh Plumbing \ T 4t• 'Q C11- V Heating Rough-In Insulation Foundation Wa - Interior R- Foundation •alls Exterior R • - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pr per Vent,Attic Vent f raining 't F y 13 t '6 1Jack Studs/Head.rs Bracin rtdgin l 13 EYst& vL9 R2 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire eparation 1,2,3,hour Pen tion Sealed 4 Fi Wall 2,3,4 hour '/ a 1L— stopping \` -7 vt-� GC=It_ O:, --\ i GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road11110 Queensbury,NY 12804 Arrive .2 am/pm Depad1111� 1s)Ca Inspector's Initr: At �r NAME. PERMIT# %MI Le LOCATION: '(\0)110( DATE: / TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res••nsible or providing protection r.m free..ng for 48 hours following e place t ent of the concrete. Materials for this purpose • site Foundation/Wallpc r Reinforcement in Place Foundation/Damppro• i g 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 nheated spaces R- Pro r V tAttic Vent aming n p4 k �/ (5eAcktt Po tA1,1,1t Z Jack Studs/Headers v - Ft->cR, 8Rc 8-1161►JCD Bracing/Bridging Joist Hangers 1 t35-Mt_ C t1f t_CAR 'T 1 E ) - Jack Posts/Main Beam Air Infiltration Barrier bb i t . Fire Separation 1,2,3,hour .— )\1_l_ ;p 1 \--VNI,,%��/- 1J D Penetration Sealed Fire Wall 2,3,4 hour 11,,5-A- c lLEP Firestopping 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 k�m Depart ��Eilt�l spector's FI: )NAME: �// inl�O PERMIT# 4 •7 LOCATION: K 10())L k.et c) DATE: EN.TYPE OF STRUCTURE: ,6F RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible or providing protection from fr ing for 48 hours following the pla e nt of the concrete. Materials for this purpose on ' e Foundation/Wallpour Reinforcement in P ace Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-n � ����� Insulation pl� A Foundation Walls Interior Foundation Walls Exterior - E 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 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)ITam/pm Depart ' i'01 Inspector's Initia _ �i NAME: PA1311-,, 11K\DY-_, PERMIT# F = • Q7 LOCATION: � FtM�l� Pot DATE: - -� c: TYPE OF STRUCTURE: 6 F C� 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 /� O Foundation/Wallpour Reinforcement in Place \ Foundation/Dampproofing _ �/ Backfill Approval PC-aRT1 _ 0S3AC1,F1 LA D 0 kA F 1—O t 1 Plumbing Under Slab b F l3 LLB 1 tJ OP�E{� 1 O CNEc Plumbing Ventents in Place FOOT.I G6 F-i�l" F v Rough Plumbingmbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- -^- U t•\E_Roo6 CO CO 1 Floors R- Walls R- 1?� n i D Ceiling R- �' ` EAPT'1 0 t� G1� N Duct work or piping in ���1 D unheated spaces R- ti3\LL k3E 51P.N1P C 13G --r\-lE 11 Proper Vent, Attic Vent Framing PU A i b O�-`- H 0 E6 ` Jack Studs/Headers TO F Ei_) 1 EJF�.C.1 17-AF Joist Hangers F CU i� V n `� Jack Posts/Main Beam FRRtil PD� Air Infiltration Barrier Fire Separation 1,2,3,hour C Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 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\it tin/pm Depart ".� Inspector's Initial vc_ '1 1 PERMIT# c LOCATION:ION: 1\1 D DATE : Z— I`l 0 TYPE OF STRUCTURE: :•F¶ RECHECK N/A YES NO COMMENTS Footings/Piers —� Monolithic Pour Fori Reinforcement in Place The contractor is re sponsib a for providing protectio from mezing for 48 hours followi g the lacement of the concrete. Materials for this purpo a site Foundation/Wallpour Reinforcement in Place/ Foundation/Dampppofing fill pal Plumbingack Approval 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 Firestoppin La-te, 7Z1-1),/ 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\\- m Depart V-74';-7dam/ L_.�--Inspctor's Initials NA : � x PERMIT#9L3L'7 LOCATI N: � DATE: — O ) TYPE OF STRUCTURE: "r\C," RECHECK • N/A YENO COMMENTS Footings/Piers --I.. Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing prote o om freezing for 48 hours fol owin:the placement of the concrete. Materials for this .urpose on site V Foundation/Wall.Our Reinforcement in 'lace ) Foundation/Damp. oofing Backfill Approval / Plumbing Under Sl.b 1' Plumbing Vent/Ven :in Place Rough Plumbing Heating Roug -n Insulation Foundation Walls I tenor R- Foundation Walls E-tenor R- Floors R- Walls R- Ceiling R- Duct work or piping i 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 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742Bay Road Queensbury,NY 12804 Arrive3�-�(%a ;1p Depart� spector's Initials NAMEPC Q 1\ PERMIT# LOCATION: \ nOX DATE : — 0/ TYPE OF STR S RECHECK N/A YES NO COMMENTS oorings/Piers MAD-1 Monolithic Pour Form / t-"--'Reinforcement in Place ✓ m r Vco i1 k The contractor is respo ible f r providing protection fr m fre ing for 48 hours following he pla ement of the concrete. Materials for this purpos on ste Foundation/Wallpour Reinforcement in Place Foundation/Dampproo ng Backfill Approv Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls In.erior R- Foundation Walls Esterior R- Floors R- Walls R- Ceiling R- Duct work or piping�n 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 TOWN OF QUEENSBURY 7A/ BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name kL.1/ Location , ifdi /0 Date Z-d Permit # 47 C 1`3C� / SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM:, ABSORPTION FIELD: Total Length Length of each trench Depth of renches\ Size of st e �\ SEEPAGE PITS• Number- Size - _ ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/P\. Openings Sealed? Yes\ No Partial LOCATION/SEPARATIONS: o Foundation to Tank. N�:, 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: ic Ce N\ SYSTEM USE APPROVED: YES (;\'' n/ Arrived: Departed: — i ' ‘1,-.6/- Building Inspector