1999-369 •
Certificate of . ancy
Town of Queensbury
Warren County, New York •
Date February 2 AD n•
This is to certify that work requested to be done as shown by.Permit No. 99369
has been completed.
This structure may be occupied as a SINGLE FFAMII.y T"ytIRT,T,Thi a
Location LOT 83 FAWN LANE
Owner
iiLYS at�.StL�y'L:4a�*.3.L e.a.-..S_+✓L'ti ._-
TAX MAP NO. 171 . -15-S 3 By Order Town Board
TO, -OF QUEENS BUT.
_/)
Director of Building& Code Enforcement
BUILDING PERMIT
1.051alala.TOWN OF QUEENSBURY No. 99369
TAX MAP NO. 121 . —15-83 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to. SCHERMERHORN. CONSTRUCTION
OWNER of property located at LOT 83 FAWN LANE 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
CORP. :..43 H HUNTER BROOK LANE;
QUEENSBURY", NY_ 12804,.
2. CONTRACTOR or BUILDER'S Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
43H HUNTERBROOK. LANE
QUEENSBURY, NEW YORK 12804
4. ARCHITECTS Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECTS Address
PO. BOX..706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE .FAMILY. DWELLING .
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications .
4.5-36 .nfirQ,_.FT.. SINGLE ,FAMILY DWELLING WITH 2—CARP ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use -
SINGLE. FAMILY: DWELLING ..
21.1 PERMIT FEE PAID — July 12 19.2001
$ THIS PERMIT EXPIRES y
(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.)
19 1999.
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
01/03/1996 21:22 5187454437 DEPT OF COMM DEVEL PAGE 01
, • 9
� .'• ENERGY CODE9,3(1
w..� GOMPLIANCE APPLICATION
' :•_' TOWN OF QUEENSBURY; • WARREN COUNTY
9000 iiEATING DEGREE DAYS3° 1 ( (,
^
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
. Comrnercie.•l Buildings-Hi Rise Residential
*Requires. submission•.of worksheets
APPLICANT'S NAME: . • PROPERTY LOCATION:
Scli telk.4e,4'14 -
o fio egos roc. oP . j..o+ 557 Au/N .4,N•
PART 5 METHOD �OF COMPLIANCE :Br ACCEPTABLJRACTICE:
•
1. Gross Floor Area - /534, square feet
2 . Type of Heat - — Electric • • Oil " Gas Other
3 . Zs building mechanically cooled? . • X ' Yes No .
'4. Percentage of area of windows and doors II_ Over 17% tinder 17%
5_ R-V?LUE S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:::
a. Roof R 30
b . Exterior walls R 0
c . Glazed areas . • R 5.y
d. Exterior doors a .,_
e . Floors over unheated 'spaces R T /7
27 . Edge of slab on grade. (heated building) R _a____
c. Basement/cellar walls (abdve grade) R i q,
h. Easement/cellar. wells (below grade) R pi
I . Heating/cooling-ducts-piping in, unheated space R 54
6. Service (domestic) hot water heating device
Co^forms to minimum efficiency per code 1C Yes No
• TEMPERATURE CONTROL MAXIMUM- SETTING.. 140° - WILL NOT SE EXCEEDED
App a S i a e
'-1- w� r ' Date • Phone Newer
.
INS?EC=Cp'S REMARKS: .
.:,E.:: '• Appi64..-tH.:a'.:tii''.e PTIC 1MSPAL 'PCRMIT'A''': • !.I
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. IlOildIng gi tode4 Office • ' - .
'
141 flay Ittiiii ' ; ', . Fee Paid $ •
QiiienAbitijie.NY::i1804 •
. . _/
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'. 'I iiiivii tinct.iiiiiiiiitiiiikiiiiii.41.1i i'ilitio Ili thhi 4301." . . -- ' . " to ibtde , 47e4i9 kid iiii tegttirententA of the Town of
OnetitnitnitY giiiiiiiii tiiWigei tflifOilid dine .
Signature Of refritiAie peritin: .4...... . Date: 4- 7 - ??
. • lsuuucung Permit Application
Town
Town of Queensbu►y - Dept. of community. Development, 742 Bay Road, Queensbrrry, NY 12804 1761-8256]
NOTICJ0 BUILDING & . CODE ENFORCEMENT
E Requirements prior to issuance
� � �
A permit must be obtained before of this permit: PERMIT FILE NO. • 9 -
beginning construction. No inspections 00
will be made until applicant has received n Zoning Board Action P' WT FEE PAID$e) 11.
a VALID BUILDING PERMIT. All • Arch /Use FEE CO
applicants' spaces on this application ReaDATION FEE P ID$S A
MUST be completed and•the signature n Planning P—e-------
of the applicant must appear on tPlanningBoard Action REVIEWED BY: �
application form. 7r.n.4�,„,. Recreation
/ Subdivision /Other sy,, _Dialing Inst r% ,
-J Recreation Pee Payment 'i '� d`
Applicant: Sc.��.1`vHQr ho t"1�1 Cor1 '�('ue��plV Owner: ( t A`.,;'
Grp.
Address: 43 \ guAt,('54`60 Ltil . Address:
Phone # (-518 )116 - p�7/ Phone # ( ) -
Properly Luca lion: Led- 606.3Pa.Lv/1/41 LN . ...
hnluIlvlalun Nitiiwi s
__ ecrinaN P;AJ .0 'I•na Mn Nnmhpr . .:-s.� I-
m�.'rn��r Nuutlll n llltleh 10
•NATURE OF PROPOSED WORK:
X New Bui ., . ; ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /o5� 000
residence / commercial
Additio o :uilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial , _V,- Single Family Dwe11'
• Residence / Commercial Two Family Dwe �°'
A no change to exterior size . Famil ?o H°ing
Office 6 �ggg
Other Work (describe below) Mercantile v� -
Manufacturin ���URY
Other Manufacturing
ON �' GOOD
GROSS AREA OF PROPOSED STRUCTURE: / 0 ®��g�tr�-
1st Floor 7(0» sq. ft . �/J If ADDITION, what will use
--- - 2nd .Floor: .- . . .-: sq-. .ft.l of new addition be? :
Other Floors k sq. ft.
(not unfinished cellar or basement)—
� / ACCESSORY BUILDINGS:
cY(/ Detached Garage 1, 2 car
TOTAL FLOOR AREA: - [.•1 53(o SQ. FT. y( Attached Garage 1,
Private Storage Bui •ing
SIZE OF NEW STRUCTURE: Commercial Storage Building
5 . .' FEET X o�`� • FEET Other
Foundation Type: GOAG('e,A'e_„ Will any second-hand or ungraded
' Number of Stories : 2.. lumber be used? If so, for what?
(habitable space only) it,/o
Height (grade to ridge) : a4. feet TYPE OF HEATING SYSTEM: -
Number of fireplaces and/or woodstove (circle all which . . .lips)
to be installed: 0 ' 1 / Gas //Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : Scliex wiechorAi CO AM-raid-CoN Cot p. 7,A-043741
Name Addresss Phone
Builder: ScA�r,r4Q,I-1NorN -7?A-040q
Plumber: Sl-e..9 p.,.. Aq�A-3 14'7- 54,33
Mason: Azle. &k\sl,\M;0 - 77a- 1b71
Electrician: vV\ &Q, 0".nAI'&r.`1I 441y_39115
DECLARA77ON• 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 1/we shall submit prior to a
Certificate of Occupanc 'or Certificate of Compliance ing issued, an AS BUILT PLOT PLAN by
a licensed surveyor; d wn to sc showin dual lion of project on premises.
4 Signature: • •
(owner, owner's agent, architect, contractor)
/lillph TOWN OF QUEENSBURY
4.401�." BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804 1
! (! (518) 761-8256 /
ARRIVE: DEPART: a : 03INsp,:„Jt
1
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME _ Cc keg, -i0//,o1R,c) ,
LOCATION �if-& `3it1 4-1 2/
DATE 2-/f /tfO PERMIT I 6 i_3(-7
TYPE OF STRUCTURE
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 PORCH STEPS RAILIN S
RELIEF VALVE
FURNACE/HOT WATER ,T k -
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATE^TIGHT
OTHER FLOORS SWE PABLE
OTHER FLOORS C• •PETED
STAIR CLEARANCE/' ILINGS
SSSOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
S E PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
I
RESIDENTIAL FINAL INSPECTION REPORT
•
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart (•0 pm
Town of Queensbury Inspector's Initials •
742 Bay Road a
Queensbury,New York 12804
NAME ��JI�C%���,t�C�i ! O C./`) PERMIT# I i— '( 9
LOCATION DATE 9-1 1 1 CIO
TYPE OF STRUCTURE
N/A. YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location tog.C V`�,�
Fresh Air Intake `jC-
s 4,•110
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 s
Grade 2%away from foundation
8"clearance to sill plate •
Gas Valve shut-off expo#d/regulator 18" :bove .de
Gas Furnace shut-off within 30 feet or wi line of site
Oil Furnace shut-off at en i\• ce to furna - area
Fumace/Hot Water Heater o.• : •
Relief Valve(s)installed
Headroom,6 ft.6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo e than 3 risers
Interior privacy/trim/doors/main en • ce 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan• g 18 in. or more
Fling across window in stairwell.
vSmoke Detectors:
every level
every bedroom
o1itside every bedroom
. rater 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 PlanNariance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Cerlif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) `
Okay to issue permanent C/O(Certif. of Occupancy) (� 7�QV'G� A�PukLr�
1. 12A-- ikk,--‘ 0.4 -)/0 ' 00
Y
•
' }'" RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm DeparI /G am/pm
Town of Queensbury Inspector's Initials 0 I.')[J
742 Bay Road
Queensbury,New York 12804
NAME �C�1�'�� �"l,(�i'"1 �� PERMIT#
3C0c)
LOCATION= W l \ l l�7'C1 \ -�'11\.. �. DATE �,99 ip I 00
TYPE OF STRUCTURE� r)
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete i /
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,l ding 18 in. or nlo3/
Interior Handrails stairs both sid ,.or morestirS r�
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"abov grade
Gas Furnace shut-off within 30 feet or within 1. a 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 th 3 risers
Interior privacy/trim/doors/main entrance_ "
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1t in. or more
ailing across window in stairwells
m e Detectors:
`hvery level C<<-(-! ._
every bedroom
outside every bedroom /
inter connected /,L`1'CON, —r I1) I— ,eu/.4.96,
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
fetYiazin8l8so( om )g IssAm floralElectrical ? (
Site Plan/Varianceq ed
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)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545 3 ?
MUNICIPAL CERTIFICATE - ELECTRICAL APPRO AL
Panel Board No Cert. !N/9 66332 Cut-in Card No.
Owner -Cite
-g�7i—u....f� O/2L) �1 ,
Location.t�:(y 1 0 .3 (r- `-w LA).
Installation Consisting of 3 2 #3 6 2 7 Cit �� I
,W.446/L- 24.uae i GX1-uSr... rnd'k�
`56 4-/y -,zv �
Installed By '?) • ecrtillS1 V 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 makin' spections at any time, and if its
rules are violated,the Company shall have the right t r oke i e fica e.
Date... f— INSPECTOR...
la a,_a 2:,..,_ ,
RESIDENTIAL FINAL.INSPECTION REPORT 1-7) ..--------
Office No. (518)761-8256 Date inspection request received"'.� �; a0
Building& Code Enforcement
Dept. of Community Development Arrive y;, Depart
Town of Queensbury Inspector's
742 Bay Road
Queensbury,New York 12804
NAME 'f — - --4_,)--,-- PERMIT# III . . ��� _ jell)
LOCATION _ -‘ �+Mr L_ DATE I h.� d. % U u
TYPE OF STRUCTURE 5
N/A YES NO COMMENTS
j ,
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof IRoof Complete �
Exterior Finish Complete :(,
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 ' r more /
Interior Handrails stairs both sides 3 or m e sers J
Grade 2%away from foundation Vii
N ,J 1 E- C�iJ )��- 5 �ip� Z5
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 8"a e grade
Gas Furnace shut f within 30 feet wi • line of site / 1
Oil Furnace shut-o at entrance to ace ea
Furnace/Hot Water ter opera
Relief Valve(s)install ✓/
Headroom,6 ft. 6 in. on stairs ✓Basement stairs,6 ft.4 in. V/
Handrail exterior stairs bo ides more than 3 risers
Interior privacy/trim/doors/ .ain entrance 36" ,j
Floor Finish N./j
Bathroom/Kitchen orate ght
Interior Handrails Balco ies/Landing 18 in. or more •
Railing across window stairwells / /
Smoke Detectors: ✓ G LA__
every level �JJJ r— E I
every bedroomDt iG
outside every bedroom L
inter connected Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closerGarage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage) f
Light ventilation per room
Safety glazing 18"or less from floor -ki /
Final Electrical
Site Plan/Variance required I /
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 &aPMFPIbD.)
Location _3 FP A 10E
Date 9-ay-cm Permit # 9q`360
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rat- { inute/Inch
TYP OF SYSTEM:
ABSO 'TION FIELD. Total Length
Length •f each rep.'
Depth of en. e.
Size of ston•-
SEEPAGE PIT: : Number-
Size - ft. x ft.
Stone si -
PIPING: Size Type
Bldg. t. Tank
Tank t. Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
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:
-T'M 1-kk3 AE-6 o f GF eaRDNI MtX.
rJb 21-- TAD1 - v Eli R 1
"" 7,1►31L ‘s o K
SYSTEM USE APPROVED: NO
Arrived:
AN,14
Depar �� �'
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i - 1 FEB-11-99 111:4B WASHINGTON CO L.GC TEL:518-74E-2293 P:003
GLENSFALLS !�r_ _' READYMIX, INC.
01G ROOM ROAD BOX 530 j/ I_ _r',�. mir. (ALIENS FALL% N.Y. 12601
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:fir Why & How ?
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s.„. ,,) �� PlasticShrinkage,z- +.3
•
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CONCRETE IN PRACTICE - • . :: •- x __ •
:.
WHAT is Plastic Shrinkage Cracking? : -
Plastic shrinkage cracks appear in the surface of fresh • ;,:` .. -
concrete soon after it is •
�' -4.:
placed and while tt is still plas- ;a,.® _. . ;� ' :-. �.._� } ;,t
tic.These cracks appear mostly on horizontal surfaces. _ . . _ - - - =' - '�' • I
They are usually ..: .- ` Y�- -parallel to each other on the ortter_c7f - �� • •-�•�; �`r
' I to 3 feet apart, relatively shallow, and generally do ':r ,•.- -y__- ' -= - - ,. ^. ! ,
not intersect the perimeter of the stab. Plastic. shrink - .\-: ` : . . . .. :1..' s,' ' : •�"
age cracking is highly likely to occur when high evapo- ,;;:, fA . - 'i,- Y`: • -•:
ration rates cause • -:.t' ` `'h.,
the concrete surface to dry out be- w�. F' t _ _� ."_ - -`-." _+ .,.,{-
--• fore it has set. • - '_ _t ,'�_
'=
Plastic shrinkage cracks are unsightly but rarely im-
pair the strength or durability of concrete floors and Plastic Shrinkage Cracks
pavements. The development of these cracks can be corporated in the concrete mixture can help resist the
minimized if appropriate measures are taken prior to tension when concrete is very weak.
and during placing and finishing concrete.
Conditions that cause high evaporation rates from the
(Note!t'Iistic sbrinknae cracks should be disiinguisned from other concrete surface, and thereby increase the possibility
early or ptehardening cracks caused by settlement of due cun-
crcte around reinforcing bars. formwork movement. early age of plastic shrinkage cracking,include:
thermal cracking, or d;ffercntiai s:aLenient at a change from a • Wind velocity in excess of 5 mph
thin to a deep section of concrete.) r Low relative humidity •
• High ambient andfor concrete temperatures
WHY Do Plastic-Shrinkage Cracks Occur? ! Small changes in any one of these factors can signifi-
cantly change the rate of evaporation. ACI 305
Plastic shrinkage cracks are caused by a rapid loss of (ref. 1)provides a chart to estimate the rate of evapara-
water from the surface of concrete before it has set. tion and indicates when special precautions might be
The critical condition exists when the rate of evapora- required.c;However, the chart isn't infallible because
Lion of surface moisture exceeds the rate at which ris- many factors other than rate of evaporation are involved.
ing bleed water can replace it. Water receding below
the concrete surface forms menisci between the fine Concrete mixtures with an inherent reduced rate of
particles of cement and aggregate causing a tensile force bleeding or quantity of bleed water are susceptible to
to develop in the surface layers.If the concrete surface plastic shrinkage cracking even when evaporation rates
has started to set and has developed sufficient tensile are low.Factors that reduce the rate or quantity of bleed-
-*, strength to resist the tensile forces,cracks do not form. ing include high cetnentitious materials content,high
- If the surface dries very rapidly,the concrete may still fines content,reduced watercontent,entrained air,high
be plastic,and cracks do not develop at that time;hut concrete temperature, and thinner sections_ Concrete
plastic cracks will surely forgo as soon as the concrete containing silica fume requires particular attention to
stiffens a little more. Synthetic fiber reinforcement in- avoid surface drying during placement.-
. -ge,.- ,..„( . . .
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 ���11 a� pm Depart g` li m,
inspector's Initi .
NAME: S '\�JY mr2. 21�� PERMIT# 1 .9
LOCATION: 0 jc-3 . ..w_.- Q\Q DATE : \ 6 - •TYPE OF STRUCT
RECHECK
•
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Foni
Reinforcement in Place
The contractor is re.ponsib e for
providing protection from fr eying
for 48 hours followin,_ the plt cement
of the concrete.
Materials for this purpost on s'te
Foundation/WalliL*)
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents in Placc
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R- .
Duct work or piping in
unheated spaces R- _
Pro r Ve Attic Vent �, _
aming- e._),-,( -� �t-vQ. __QL)G.v.bk
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
41111
J so
k mac, \ot3
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arriv a Depart • �C`b
Inspector's Init
NAME:SO Q �(� PERMIT#
LOCATION: ,� cf.+ �.� 71k2cyGNy‘..Q___. DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responr We or
providing protection from freezing
for 48 hours followin=,the pl•cement
of the concrete.
Materials for this pu .ase of site
Foundation/Wallpour
Reinforcement in PI>
Foundation iampproofing
Backfill Approva
Plumbing Under Slab
Plumbing Vent ents in Place
Rough P,umbi g
Heatii Rou: -In \,//
In ation
Foundat-on Walls Interior R-
Founda ion Walls Exterior R-
Floors R-
Wall• R-
Ceiling R-
Duct work or piping in
unheated spaces R-
ro cr tic Vent
ran uig -- — —
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
N#rpy ,c r tn'r e
GENERAL INSPECTION REPORT . .., r �1� _ L- UI S
( 518 ) 761-8256 �--
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury, NY 12804 Arrive 3'y6 am/pm Depart am/pm
i1,� �— Inspector's Initials '
NAME: �AQ{' \Qry fl PERMIT# — (99
LOCATION:ma y► Q , �� (� DATE : — C�
TYPE OF STRUCT : I
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form .-
Reinforcement in Place -- ifj,.-c s r r',L► COtt-echer 5,64Ve el r P
The contractor is responsible for
providing protection from{reeri g `
for 48 hours following tli pl• cmcnt _ (� �� `'�t "' "r ° �/� r
of the c icretc. /wi7.( Ko.A1
Materials for t ui s on site J
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppro ing
Backfill Approval
Plumbing Under Sla ,i
Plumbi Vent/Vent,in Place ✓/
gh Plumbing 3/
Heating Rough-In l
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- _
Proper ent, Attic Vent_ /
.: F • ng—
Jack Studs/Headers V
Bracing/Bridging
Joist Hangers
Jack Posts/Main Bcam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
-
Penetration Scaled .
FireW . 3,4hour f
Fir opping �/
TOWN OF QUEENSBURY . .,2.0t1 W
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256 '
ION REPORT
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ciCI-IF-PI FRHC)2K. !request received:
Location �
1-R1��it_ I pi6E. Depart `
s Initia •Date S—7 1Q
Permit # 99 09 I -3 l
PERMIT# t
SOIL TYPE: Sand oam-C1 ay- j DATE : 7 al -' \
I
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: l
ABSORPTION FIELD: Total Length jA4 COMMENTS
Length of each trench ,c) - � I
Depth of trenches Oj\ G `��
Size of stone t`,r�'
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size i
PIPING: 1 ize Type i
Bldg. to Tank !1 l Ib ��
Tank to . I- i►uh 3h i c)i6
Dist. Box to Fie i tQ L �
Openings Sealed? Yes No Partial t C�-` Yy
LOCATIONI/SEPARAT - � �
Foundation to T nk 1r) feet
Foundation to A sorption _ feet _ I�
Separation of its feet _ V
Conforms as er Plot Plan Yes No _
LOCATION OF SYSTEM ON PROPER :
(circle on
Front - Re r - Left Side - Right Side
Middle Front(:-Middle Rea
COMMENTS:
v O ` 1� 8
• I i' 1 bA1�� .t-A Prt�U C k-
tD ' b\ E 1 �Io E(
F- 6TR3C 6° b
l 6V Uo
-C�� , .
SYSTEM USE APPROVED: YES(,_NO ,
Arrived: 7
Departed: (?_ -
Building Inspector 1
GENERAL INSPECTION REPORT a n1,�,1
( 518 ) 761-8256 lY
Town of Queensbury
Dept.of Community Development .• Date inspection request received:
Building& Code Enforcement
742 Bay Road f�
Queensbury, NY 12804 Arriv 2 i Wpm Depa °
pector's Initi s
NAME: PERMIT# (J 9
LOCATION: � ��rN, : — -9 -I
TYPE OF STRUCTURE: Sc Q
RECHECK
N/A YES O COMMENTS
mgs/Piers -- I
Monolithic Pour Form •
Reinforcement in Place 9,, W11--9
The contractor is responsibl-
providing protection fro ' reezing
-for 48 hours following c place • nt
of the�oncrete.
Materials fo on site
Foundation/Wall s ur
Reinforcement 'n Place
Foundation/•ampproofing - - -
Backfill Approval
Plumbing nder Slab
Plumbin: Vent/Vents in Place
Rough 'lumbing
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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fircstopping
MAP REFERENCE:
SHERMAN PINES SUDIVISION
BY: MORSE ENGINEERING, P.C.
LAST REVISED: JUNE 7, 1993
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON JANUARY 29, 1993
IN PLAT CABINET A, SLIDE 197
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11,164.86 sq. ft.
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COMMON AREA
25.98'
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8c Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
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1
Map of a Survey made for
ROBERT M. DENIKE
Town of Queensbury, Warren County, New York
1
Date: JANUARY 31; 2000
Scale 1 "=20'
-
*flu 1 OF 1
DENIKE
DWG. No. 94246-83
1 NO.
DATE
DESCRIPTION
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