1999-373 TOWN OF QUEENSBURY
742 BaY Road,Qu eensb ury,NY 12804-5902 (518)761-8201�
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: 99373 Date Issued: Thursday, February 17, 2000
This is to certify that work requested to be done as shown by Permit Number 99373
has been completed.
Tax Map Number. 523400-295-007-0001-011-000-0000
Location: 36 SARA-JEN Dr
Owner. MICHAEL & GINNA FITZGERALD
Applicant: MICHAELS GROUP
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
(--'‘ j 4 -
Director of Building&Code Enforcement
BUILDING PERMIT
VALUE ' $ 172900 TOWN ,OF QUEENSBURY
No. 99373
TAX MAP NO. 74. -2-70 WARREN COUNTY, NEW YORK
' PERMISSION is hereby granted to • MICHAELS GROUP
OWNER of property located at LOT 70 #36 SARA-JEN 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. OWNERS Address is
1810 ROUTE 9
LAKE GEROGE, NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDERS Address
JIM 'CHANDLER,' PROJECT MGR 1810 ROUTE,.9
LAKE GEORGE4, ',NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECTS Address
NEW YORK BOARD OF FIRE. .UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELL ING , „
( Wood Frame ( I Masonry ( )Steel (
7. PLANS and Specifications
25 4.3.41 Sr/3,,FT, SINGLE FAMILY DWELLING WITH 2-CAR ,ATTACHED GARAGE „
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE.;FAMILY:.,..DWELLING
. . 4+, %' July:67, , , . 2001..f_
PERMIT FEE PAID EXPIRES
(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.)
July 1999
Dated at the Town of Queensbury this - — Day of
19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Building 1-'erniit Application • .
•
• • -- . •um, of Qll('C'/IS'�/Ill:)i - Ur/�r. r(/'(-�mvnru+ilp Ur'rc'lalrrnc'M, 7�2 /Jt►p Kut►r!, u+reensGur��, NI' 128U� /7G1-325Gf
1.1 it I L U I NG (1 C O U G' ENFORCEMENT _
•
L
OTICE _- Requirements prior to issuance } {
1 - -- - of iIii, perliiit: PERMII'I�ILE NO.
' _�� �C
A pciniil mast be ditninccl Mine -.._____' • p1;7ih111'F.CG PAID beginning cousliirclion. No inspeclio"s (� Zoning Board Action
be u1nJe until nigdicnnl him received Arca /tJ:c • RISGlUS4710N FEE PA $ —
n VALID I11111.IJIN(i I'Ii1tA111'. All
ni,ldicnriln' pincers on Ihi:+ nlq,Iicnliint •_ /"�—�
MUST be comiticicd and the sigtmlwc I- 1 Planning Board Action REVIEWED 1J1'. Drr1►ding Inspector
Ike nppticnnl inusl nppenr on the SI'It / Subdivision /Oilier
qipplienlion fi tin. n„;,1,,,_ l •
Recienlinn Fee Payment
hefil.�cinti�f.!t Grculll.i, 1 ow,. • Uwrtcr:
Sunie
/�pplictutl: .
• nddess:
I 8.10 Route v 9 take Ghulite,V 128A5tltcss:
( !i I8 ) GGfs 3376 Phone if ( ) ..... ... . _. _. ,
--� 3 �',ar .. . .
Properly Location: '�� - -- :lax Map Number_ ---J
,� , �Sk S Section Block {nt
•
Subdivision Name
Iln'runr or PROPOSED WORK: ESTIMATED MARKET 1�� g�QALUE OF llE
New Bu.i lding: CONSTRUCTION:
residence / commercial
Addition to I.luil.ding: OCCUPANCY x[rronr[n'rxvNs
residence / commercial pt Primary Uull.ding --
11.l.Let:rtki.ctn i:o I.in.i.loi.tte: X aySingle[wilding
y Dwelling
residence / commercial Two Family Dwelling
Residence / Commercial• __ !`amity Dwelling
no change to exterior size Office
Mercantile
Uther Work (describe ktelow) Manufacturing •
_ _ — other .
GItUJS AREA or E'ltoroSEu STRUCTURE! /S/ • what: will use
. 1,,, If
I f ADDITION,
1335 sq. f ► . 3 •
of ttew, addition be? :
2nd-, Floor 11 sq, ft• . N A '
zits .Floor � _ gq. ft.
Other Floors
,� 11CCE5501tX IiUILDiNdS:• 2 car
•
(not unfinished cellar or • semet UeLached Garage 1,
` _ I1LLached• Garage 1, �'a
"U'1'nL FLUOR AREA: �5 •
private • St;orage Bull Ong
i
— Cvnunercial Storage »u, l g _
SIZE OF flEW STRUCTURE: �� J Miler . ' .
FEE l' x �I.3 FLL'r
Will any second-hand or ungraded
Fouticlati.on Typo:' Number of i'uuJtetL lumber be used? If so, fotungraded
whadeL•7
(habitable space only) 30 feet TYPE OF HEATING SyS'rE[•1i:
ilembe (grade to ridge) : circle a�.l wllic --allpl ee)
Electric / Oil Gas' , Wood Other
Humber of fireplaces and/vr woocicL-ove aboard
to be installed: Off _ Forced Hot Air /
Person r.eSponeible for supervis i.on of workvraEricg regards
b p building
tta it
codes i.s3 : __ ji11LCItcillt�.CP�..--�llai -�` f'hoit12dS 5 f 8-668-3316
N7iue 1lddr,es8s
nu litter ! -I he tit t.c.ItaP D. GJLOUp�, l llc. 18 10 l to 9 t I_QIze r - T4n3-ICCI N99
1'lurtil;er : lava I' 'uti:b.i tin,_.1�iA 1'a1�:k. Road, N-
i•1 El i3 oil: _.U1 U tzt�c.k ei.J.,_13�J.x-2.6_8_,_Giu ►J L .e., ----------- ___,18-3!I-4 9 2 2
11 e c t r 1 c i.a n:_l_t11�s mur._L_Ce.t'1.tluc.,-21'11t2 Lct1 1.ey-5= •,- � 1 - - 3
DECI,AliAllON: Please sign below af1a you have ctarefidly read the statement.
•
To the best of my knowledge the statements contained in
h is pplif al ton, toed work toitbe a plans
andone on
specifications submitted, are a true and complete 5l. nt
the &set ibed pi emises and that all provisions of the
Building
ode, the
ith, w ell er Zoning
sp Or rdinance
notel and
l
other laws pet lainittt: to the proposed work shall becomplied
a
that such work is authorized by the owner•, l'uttlier, it is understood ssu , an�tA5 I3UU�IlI'LO'htPLiANor Iby
Ccllilicalc of Occupaucy'or C;crtirteale er Compliance►t1cc being
a licensed surveyor; dra n to se c,, slowing actual location of project on premises.
•
•
Signature:
'...,,,,,r'r nrr's :meld, architect, contractor) •
Application for SEPTIC DISPOSAL PERMIT : - '' -
Town of Queensbury
Dept. of Community Development • Permit No.
Building &Codes Office •
742 Bay Road Fee Paid $
Queensbury, NY 12804
.,_
Location of property for installation: I Off• -1 O - S(.4)
Property Owner's Name: l'firt thitiatIS hrotip
Property Owner's Mailing Address: 1010 ILEJL `? 8
Installer's Name: (10,1(,c KfaridTrij Phone # -a l Oq
Number of bedrooms (if residential): `i Total daily flow: llOLJ
(residential - compute @ 150 gal./bdnn.)
Topography: V flat, rolling, steep slope % of slope
- Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? 20 feet / Bedrock or Impervious Material: at what depth? _feet
• Percolation test not required, 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 I gallon (minimum size: 1,000 gal.)
Tile field: each trench St-St-f feet / Total system length: 24 to feet
Seepage pit(s): number of / size each: - ft.by. ft.
•
Size of stone to be used: #2.,c / depth or thickness feet
HOLDING TANK SYSTEM:'. (if required)
Number of tanks: N 1 Size of each: gallons
(Alarm system anti associated electrical.
c to be inspected by a wed agency.-:‘
gency:` r::y : --
J.
;.•.:•:• For Your please note that pacauaat:to_Se°642n*;9 5ifl}]91codo f-t 1!g°*n of•QUee613171/1541t4
approval granted winch is based upon or-is granted m rel ce °myimatenalmisr preseatatioa or•failure to inikeli4avir.
material fact or circumstance known by or on behalf of an,appll ;ailall-be-voicl i i,;$5T
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 Ordinsuce. ....
Signature of responsible person: Date:
TOWN OF QUEENSBURY
r/ 742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
2
Date '" ,19Te Permit'No. S /
r
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 Le c /; (-; t 6, ) APPLIANCE (check appropriate boxes)
Address ;) ' " 1/1 c , A ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
{ ,//� ,,.. ( 1 /r Zip /? of p ,FIREPLACE, FACTORY-BUILT:
r ❑ Wood \EL,G as
Phone I' 6 "2 j 6 c,, - l' - 0 FIREPLACE, MASONRY:
® Wood ❑ Gas
Owner ❑ 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 0 Brick 0 Stone
4 6 u„t FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-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: '1/4 ,
Address: ; ( > y
1 `" Town Clerk or.De ut
Dated: j �.:� .- �` �`� P�Y:
White: Applicant. Green: Fire Marshal Yellow: Bldg. Dept. Pink.& Goldenrod: Cashier's Dept.
THE NEW YORK BOARD OF_ FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE--FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.if DATE /
d ) I ri
CITY OR VILLAGE /' ZIP CODE - TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
\
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT---y
(r)
OCCUPANT'S NAME . - , BUILDING OCCUPANCY
! ( /
OWNER'S NAME AND ADD5ESS CI HOME TELEPHONE NUMBER,� !
CURRENT SUPPLIED BY FROM THEIR .. OFFICE WORK TELEPHONE NUMBER N11\c)
BUILDING IS j
NEW K OLD Li WORK IS NEW.f2‹,, ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT-TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
1' lrY. ,
CHARACTER OF WORK y ❑ EXPOSED GAS TUBE SIGNTTRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
E OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS A ;,�
IDENTIFICATION NUMBER �"T{ I I I ; 11 1C31C\
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS .,--
NAME OF APPLICANT y DATE OF APPLICATION SIGNATURE OF APP NT
��ad "t v442 t.,. lC . L _.� 1 X i '
STREET ADDRESS _ �.> i' TELEPHONE NO.
CITY OR POST OFFICE 1 t \ I ZIP CODE LICENSENO.WHEN APPLICABLE
1 SC''_V+.fi (`=::A(• V) p c--' 7 0
❑ 85 John Street [ `.111 Washington Ave. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ID 202 Arterial Road
NEW YORK NY 10038 / SUITE 704 BUFFALO,NY 14219 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 ALBANY,NY 12210 I(518)463-2122 (716)827-1155 (716)254-0141 (315)463-8552
THE NEW-YORK BOARD OF-FIRE.UNDERWRITERS
•
S'Aik!'"010.0.0. •_!'"!'JIl'J•A!'"J_I It AM•_:Atl' l'AtV).440):A Alk! QA M_e_l � _e�''e '01.!AQAQ".V."P.• J__Q'e..!l'J_t:'e_VeeP R'ee • J_ Qn f,1J_• Tt(VeVe J_tnO,
l rY
ip
it THE NEW YORK BOARD OF FIRE UNDERWRITERS '-AGl='
IA
•' BUREAU OF ELECTRICITY ;j
l F j111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 ry •
'Al Date Application No i i file I>,
1 cERM:: s' ). 99373 �j 11
1 THIS CERTIFIES THAT a 1 ./3 C 73
'Ai only the electrical equipment as described below and introduced by the app want named on the above application number is in the premises of IA
WI 'i
-_.(1Ty� IA
K; THE l CfXAM GROUP. 36 SARA ;JEN DR. LOT 70, OUEENSBURY, Nl' r
in the following location; 0 Basement El 1st Fl. 0 2nd Fl. GAR Section Block Lot %La ;
l was examined on FEBRU ARY 0-'2000 and found to be in compliance with the National Electrical Code. .
iI 'i
:j1 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
' OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.i41 IY
1 ,T
,1 1 i1' 'i,
I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS S �,-
-- AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OFnFEET AMT. WATTS Ij
!ci 1, .E' 2 2 12 ._ a .7 r
=G IY
�1 SERVICE DISCONNECT NO.OF - - S E - R -V I - C E I�!
it rY
_(I AMT. AMP. TYPE METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. IA
=G EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ly'
�CI 150 (/ pp7� y X /�y I
(11 7 4-11 1 I 2/0 •_� 1/0 1}
WI I ly-
-v OTHER APPARATUS: I)�
!I IA
WI �qq
�J.1 C. ""'Y' I�.!
;• 5!'fO ; DETECTOR:—7 ',��._
iI 'i
_P 'r
ii4 rY
=G rr
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t ,
I X-.el 4 TL.,4; 7 i
FOREVER ET,F'C/BOEL Er.1. . L� -`t v:f• f ,''t -- ���-_h l L oL..?L
I W LLEAM I). A.c]IRTLO I Iv 4 -....,• , 1 -k:
it 2446 :METRES' Sr. •'. ".1! L l`,�G 7k a,, GENERAL MANAGER ;
qi
`// ,[��L�'r�E T�it?Y� RY, �3Oa ', t i0 ' ' ."'� ,-' -r9
r,:r,,� . «.. 9"'.-' .:' Per I•
CI 'r.
I This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
/,YiY.11 Tr,431 Y•Y Y Y.•74, iYY'e4T, • 45-Y•• rgliMilinirgfirgraldnanifin Y;TirWrii•- •Y;74. n n •Y
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
r FIRE MARSHAL
p.f /, ,= TOWN OF QUEENSBURY
#fit gar
�aC ,' ,, QUEENSBURY, NY 12804
"".-°.b `#a,,ii' (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED aft, aftz
NAME t,`l21L41 45 y a
LOCATION .76' •CIK-A-e9- J -0ERMIT# (7-
SCHEDULE INSPECTION ON ,:I' =_,, 0
P"M`.
C l) 1 _- - 4 APPROVED
l) 4 N/A YES• NO
EXITS §
AISLE WIDTHS II
EXIT SIGNS 1 '
EMERGENCY LIGHTING ('
FIRE EXTINGUISHERS ', r
FIRE ALARM SYSTEM 't ,1
FIRE SPRINKLER SYSTEM v1: I _
FIRE SUPPRESSION SYSTEM ‘, 1 '
HOOD INSTALLATION ‘ 1
' \i/
INTERIOR FINISHES
STORAGE: A
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATINGrUNITS
REQUIRED SIGNAGE Ei
CHIMNEY � .
WD STOVE /
'FIREPLACE ❑ SONRY FACTORY BLT.
❑RO H-I '
NAL f
REMARKS: OK TO TINS DATE
:
'41/ ,
INSPSLIP.PU8 INSPECTOR
MIR ( a ez_v„-..
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:474 a't'
Building& Code Enforcement �,a
Dept. of Community Development Arrive am/pm Depa
Town of Queensbury Inspector's Initials ,
742 Bay Road
Queensbury,New York 12804 �
NAME (_
"rt, PERMIT II 73
LOCATION .�.,-) DATE . L
TYPE OF STRUCTURE
w=_ �
-:. N/A YES A."*-e."
N COMMENTS • g i )eC��-�
Chimney Height/"B"Vent/Direct Uent Location •
Fresh Air Intake i, '
Plumb Vent through roof 1 /'
Roof Complete 'k
Exterior Finish Complete d If
/ i
Interior/Exterior Railings 30"to 36"\ ''
Exterior Handrails,balconies,landing 1`8 in. or more •
Interior Handrails stairs both sides 3 or more risers r
Grade 2%away from foundation ,
8"clearance to sill plate r
Gas Valve shut-off exposed/regulator 18"above,grade ,f%r
Gas Furnace shut-off within 30 feet or within line+,of site ,d'- / /
Oil Furnace shut-off at entrance to furnace area 'l, . f ti/ /
Furnace/Hot Water Heater operating ',' i�
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs 7
Basement stairs,6 ft.4 in. e°, `'`
Handrail exterior stairs both sides more thy3 risers
Interior privacy/trim/doors/main entrance/36" -/_,
Floor Finish ✓//
Bathroom/Kitchen watertight / r�
Interior Handrails Balconies/Landitig 18 in. or more
Railing across window in stairw�e'lls
Smoke Detectors: /r 17/
every level / �/
every bedroom / ✓/ ?
outside every bedroom t/ .`.
inter connected v
Bathroom fans • v//
Plumbing fixtures
Foundation insulation
t.,
3/4 hour fire door/door closer °� ,z,,,,
Garage fireproofing t/ ,
Garage penetrations sealed �'
Furnace in separate room protected(in garage) / '°�
Light ventilation per room �/ A'*.
Safety glazing 18"or ess ikm floor J
Final Electrical �/8 de, ,JU(
4'
Site Plan/Variance req • 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) 7 .
Okay to issue permanent C/O(Certif. of Occupancy)
- -- _,. --- - ,- --_:,-.::-• - .-- - ... -,--.,:-,::,-;:-:-..-"-_;.:.-_-,-;.;2::',:•-....,'
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PROJECT PLANNING NOTES---.
PROJECT ACTION NOTES /
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TOWN OF QUEENSBURY
+'' "i" BUILDING & CODE ENFORCEMENT
TAF 742 BAY ROAD
",, QUEENSBURY NY 12804
(f (518) 761-8256 /1�,
ARRIVE: /DEPART: INSP: e
FINAL INSPECTION REPORT - RESIDENTIAL
it
DATE INSPECTION REQUEST RECEIVED:
N
NAME VA%C NPrELb Gaz, Q _
LOCATION Loi �6 73CCI 6ARA U op___
1
DATE Z— 1 LQ bU PERMIT # -1
TYPE OF STRUCTURE\ ,3 FD t.yj1 t2_ C A C k
FOOTINGS FOUNDA 'ION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC _ INSU;LATION •
FINAL ELECTRICAL \WOODSTOVE ORrFIREPLACE
�y N/A YES NO
CHIMNEY HEIGHT/B VENT {EIGHT r
PLUMBING VENT y
ROOFING �\ /
�+III
EXTERIOR FINISH 4
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES 1 \
FURNACE/HOT WATER OPERATING \
.6
INTERIOR TRIM/PRIVACY/DOORS o,
FINISH FLOORS: ;/
/
BATH/KITCHEN WATERTIGHT
OTHER FLOORS S{�IEEPABLE ��,
OTHER FLOORS .CARPETED
STAIR CLEARAN E/RAILINGS
A
SMOKE DETECTORS
s
BATHROOM FANS ----
PLUMBING FIXTURES \\- ,
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
F NAL ELECTRICAL
EalJ/VARIANCE REQ.
`FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C ,
/4)5,6).
rffi/\
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrive am/pm Departli.faig/t.n,,,,Inspector's Initials
NAME: M-.c.„NUye--t.5 CifZf. PERMIT#
LOCATION: 7A-be.� N16-AJ DATE : 1
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons. e o
providing protection fro freezing
for 48 hours following t c placem nt
of the concrete.
Materials for this purpose on site
Foundation/Walipour_
Reinforcement in Place
Foundation/Da m pproo l n
Backfill Appr. •1
Plumbing Under Slab •
Plu thing Vent/Vents 'n Place
R ugh Plumbing
eating Rough-In
Insulation t< •
Foundation Wal . Interior R-
Foundation Wal s Exterior R-
Floors R-
Walls R- l
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Ventrittic Vent_
Framing b N .
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
Firestopping
- ). lAill
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ,
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road I
Queensbury,NY 12804 Arrive am/pm Depart_ ± epm
Inspector's Initials
4J'1+��
NAME: I C �Q�L 1' (SLR�P PERMIT# f --�5 k.--`� /---)
LOCATION: 3 ; (c ,j se,.'\- y7\,j _ DATE : it- - —C)(,Cj
TYPE OF STRUCTURE: Cc7- O.
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour For
Reinforcement in PI e
The contractor is esponsible for
providing protecti n from freezing
for 48 hours folio ing the placement
of the concrete.
Materials for th\s pu se of site
Foundation/Wal po r _
Reinforcement in 1 cc
Foundation/Dampp ing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place /
Rough Plumbing _
Heatin Rough-I i �'
f.tion A�% �i-tz •• ari-`, •/ 1dc)5 !' L l S 5
x Foundatioi/Walls Interior R-
Foundati ( Walls Exterior R-
Floors R-
Walls R- 1
Ceiling R- 30 I.,/
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
Firestopping
\\N'S /,/)/5/.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ii �
Quccnsbury,NY 12804 Arrive am/pm Depart\l, m/,pm
Inspector's
NAME: M��c QC^ 6--y-o-tup PERMIT#
LOCATION: 3 cc,_ mac„ �6)jv-"N DATE : / f 'Gf Ci
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the plac m t
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slat
Plum ing Vent/Vents in Pla
gh Plumbing /
'dealing Rough-In t�P
Insulation
Foundation Walls Interior R-
Foundation Walls Extcr'.r R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping i
unheated spaces R- _
Proper Vent, Attic Vent
F mng -
Jack Studs/Headers
Bracing/Bridging ✓ e "'C v�
/Joist Hangers
/ 1 �i1J j%/tLL ,�rJ :�=��
Jack Posts/Main Beamf
` Air Infiltration Barrier �/
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2,3,4 VogireCtopping
GENERAL,INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart
L
Inspector's Initials
NAME: Mi AOL � PERMIT# ` 37_
-,
LOCATION: —2, y-c - JP
DATE :
TYPE OF STRUCTURE: <Sc
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible r
providing protection from frediing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpeur
Reinforcement in Pl
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Jusufgrion
Foundation Walls Interior R-
Foundation Walls Exterior R-,
Floors R-
Walls R- 9
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
01
TOWN OF QUEENSBURY
BUILDING A CODE ENFORCEMENT
A 742 Bay Road
Queensbury NY 12804
1'
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1461,..aefi6ftule
Oc a ti on 3& /4/Lh (
Date I Ajbliejt fermi t # 9N-i7;,)
SOIL TYPE: ans Loam-Clay-
Results of `ercolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: i
ABSORPTION FIELD: Tota Leng h, '2:2.-,t
Length of each trench - ,:,
Depth of trenches
Size of stone /4, R o,e i
SEEPAGE PITS: Numbe -
Size - ft. ft.
Stone size
PIPING: Size Type
Bldg. to Tank k 5N f
Tank to Dist. Box ft
Dist. Box to Fiel ./' . ti a+
Openings Sealed? lb
No Partial
LOCATION/SEPARA /I0
Foundation to T nk , �Ca feet
Foundation to bsorption 2!:5'feet
Separation ofPits eet
Conforms as per Plot Plan Ye No
LOCATION OF SYSTEM ON PROPERTY:
rtle
Front - Rear Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
•
SYSTEM USE APPROVED:/ YES NO
Arrived:
Departed: cr ,
,i-%
Building Inspector
c �
�V7sT /6-
GENERAL INSPECTION REPORT( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ,1/7/ 2
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arriv ek{ c�am/AIIP t.epa ( a
Inspector's I
NAME: GLA- S s PERMIT# ` 373
LOCATION: 3( i DATE : /iJ'i of f`l 95
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible i r
providing protection f_.m free-.'ng
for 48 hours following he place ment
of the concrete.
Materials for this ►urpose site
Foundation/Wallpou
Reinforcement in Place
Foundation/Dampprool ng
ackfll Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place •
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 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 , g
Queensbury, NY 12804 Arrive am/pm Depart/" lam/pip
Inspector's Initials
NAME: S\ r 1 6-)GV G " PERMIT# plc'\-3'7 3
LOCATION: 3 k •r�Cn_ e�,. )y DATE :
TYPE OF STRUCTURE: C7
RECHECK
N/A YE NO COMMENTS
ootings/Piers � V I I
Monolithic Pour Form
Reinforcement in Place 1-(
The contractor is respot ible for
providing protection fro frcezi• g
for 48 hours following t1 c place' ent
of the concrete.
Materials for this purpose o site
Foundation/Wall ur
Reinforcement in lace
Foundation/Damppr8g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R _
Walls R
Ceiling Rr
Duct work or piping in v
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
Firestopping
6
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury 5 Jg
Dept.of Community Development Date inspection request received: lq
9
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depart.�- �'aam//pmm
)
Inspector's Initials
NAME: 5 PERMIT# 4-3 73
LOCATION: 5Le A A-J 76 DATE : /0/10 19 9
TYPE OF STRUCTURE: •
RECHECK
•
N/A YES O COMMENTS
fotings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl o
providing protection from rcezing
for 48 hours following th placeme t
of the concrete.
Materials for'tiis purpose n site
Foundation/Wahpour
Reinforcement in Rlace
Foundation/Dampproofu g
Backfill Approval
•
Plumbing Under Slab
Plumbing Vent/Vents it Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I,tenor R-
Foundation Walls E,terior 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
Firestopping
FIRE MARSHAL
TOWN OF QUEENSBURY
;1441'
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# c19:3772
NAME \i',\-i C f\.e_,'5 6,V
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN _
FIRE EXTINGUISI\ERS
FIRE ALARM SYSTEM,/
FIRE SPRINKLER SYS '
FIRE SUPPRESSION STEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: -_
CLEARANCE TO PRINKLERS
CLEARANCE TO HEATING UNITS _
REQUIRED SIGNAGE
`HIMNEY 7r \,' &fU f
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT Kci , (n)
REMARKS: likk -ST L OK TO THIS DATE
f v 41.
'(" 0,2_
L---
INSPSI.IP.PUB INSPECTOR
MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
MODIFICATION PLAN — PHASE 2
DATED: DECEMBER 22, 1998
REVISED: DECEMBER 29, 1998
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
A 11
SARAH J
-_ =RI VE
& Steves
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
hh ,
2N W
lase.
61
S85' 14 20"E
58.12'
70
29,153 sq ft
0.67 acres
�
4Id
e
59
�z`�° 71
�� FILE COPY
C. g'9.f
'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
YAP BEARNB A LICENSED LAND 9JRVEVOR3 SEAL 13 A Map of a Survey made for
MOATKN OF SEODON 7200, SUB-OMEKOT 2. OF THE
NEW YOU STATE EDUCATION LAW
*ONLY COPES FROM IE ORMUL OF THIS SURVEY
MARKED VAIN AN OROINAL OF TFE LAID SURVEYORS
TE�SHALL �CONEDERED ro�YALD,NUE * MICHAEL H. FITZGERALD
f ERTBICAMONS NOGIED HMM WdFY THAT
THIS SUIVEY WAS PRETARED N ACCORDANCE VAIN THE
EXISINO CODE OF PRACTICE FM LAND SURVE-f= ADOPTED
BY THE FEW YORK STATE ASSOCIAM`OM OF PROFM NA .
LAND SIRVElORIL SAID OETTw"'MONS SHALL RUN ONLY
TO THE PERSON FOR Oft THE SURVEY 6 PREPARED, AND
ON HIS BMW M THE 1111.E COMPANY. OOVEHI/WTAL
TO µ0 LEES O TH LIDO L, 4SM HEREON, A� Town of Queensbury, Warren County, New York
ro THE ASSIOTEES OF 711E LENDBIc N31IlU1WNl'
NO. I DATE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: Michael H. Fitzgerald
Chicago Title Insurance Company
EquiFirst Corporation, its successors
and/or assigns
CERTIFIED BY.
MATTHEW C. STEVES. LLS NYS 50135
DATED: February 14, 2000
e 1 "=
S-1
&*ET 1 OF 1
FITZGERALD
DESCRIPTION DWG. NO. 89423-70