1999-391 �.
Certificate of Occutancy
Town of Queensbury •
Warren County, New York
•
Date May 16, 2000 •
•
;,.; ;;.;'e.
99391
This is to certify that work requested to be done as shown by Permit No.
has been completed..
•
This structure may be occupied as a SINGLE FAMILY DWELLING
Location 39 CEDARWOOD DR.
Owner— _ -ROF?.1.i Finm,_ r0t-\1r .._ •
TAX MAP NO. 68 _ -5-1 . 5 By Order Town Board'
• T F QU NS' -- ..
,.
Director of Building& Code Enforcement
BUILDING PERMIT
•
VALUE : ,$ . 9000'0: TOWN OF QUEENSBURY No 99391 ..
TAX MAP NO. 68. -5-1 . 5 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to' ROBINSON, DAVID & MARGUERITE
OWNER of property located at 39 CEDARWOOD 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
39 CEDARWOOD DR
QUEENSBURY,. NY 12804, .
2. CONTRACTOR or BUILDERS Name.
MILES, STEVEN
3.CONTRACTOR or BUILDERS Address
• 66 HAMPTON COURT , ., •
QUEENSBURY, .N.Y . 1.2.804 '
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address •
PO .BOX :706 ...• •
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
•• S•INGLE:i FAMILY--DWELLING
( )Wood Frame ( 1 Masonry ( )Steel ( )
7, PLANS and Specifications' ' - .
1200. QQ FT:- SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
' 8: Proposed Use ..
SINGLE: FAMILY. DWELLING .
$ PERMIT FEE;PAID —THIS PERMIT 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.) .
Dated at the Town of Queensbury this Day of •
19
SIGNED BY ui for the Town of Queensbury
B Zoning Inspector
• Application for SEPTIC DISPOSAL PERMIT
f
Town of Queensbury
Dept. of Community Development Permit No. 9 ,s--)
Building &Codes Office
742 Bay Road Fee Paid S
Queensbury, NY 12804
1
Location of property for installation:
Property Owner's Name: 0.v.a sax-
Property Owner's Mailing Address: 3b e- Q w a-o . C , al/ .
Installer's Name: ( .II -Ft 0 c. Sot , Phone # 79,3 -2 7Si
. Number of bedrooms (if residential): 02 Total daily flow: 300
(residential -compute @ 150 gal./bdrrn.)
Topography: flat, rolling, steep slope % of slope
• Soil Nature: sand, loam, clay, )( other I depth: RAJA)e-
• Ground water: at what depth??feet / Bedrock or Impervious Material: at what depth? ? feet
Percolation test knot required, required [rate min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is 0, feet.
PROPOSED SYSTEM
•
Septic tank/,fib gallon (minimum size: 1,000 =l.)
Tile field: each trench S�),(V
feet / Total system Iength: c-0-o feet
Seepage pit(s): number of / size each: . ft.by ft.
1Z1
Size of stone to be used: # 2- / depth or tlxiclmess
HOLDING TANK SYSTEM: (if required)
Number of tanks: I : Size of each: /.D,. '7 ;moons
I
Alarm system and associated electrical work to be inspected by a certified agency.
J
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queecsbmy, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepreae n or`,a-aura to make a
material fact or circumstance koRn by or on behalf of an applicant, ch 11 be void.
I have read the regulations with respect to this application and agree to abide by these and all regeremeas of the Town of
Queensbury Sanitary Sewage Disposal • C
Signature of responsible person: �0t
• 2`• A.....164. Date:
()5 3i9)
RECE
ENERGY CODE COMPLIANCE APPLICATION iv
�alik TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS JUN 2 8 19S
T(wNN OF QUEEN SE,
. BUILDING ii. "O'
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:
{
`�f-e-5 lac S � cS�itC. �o p� e,ja r 1r1oo�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /o scuare feet
2 . Tv-De of Heat - Electric Oil ,C Gas Other
3 . Is building mechanically cooled? Yes X_ No .
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-V _L•UES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
S_O'rvTN ON PLANS SUBMITTED:
a . Roof R 3g
b . Exterior walls R 1 _
c . Glazed areas R
a . Exterior doors R
e . Floors over unheated spaces R 30
. Edge of slab on grade (heated building) R ,I/A_
c. Basement/cellar walls (above grade) R //
b . Basement/cellar walls (below grade) R
_ . Heating/cooling-ducts-piping in unheated space R /tl/A_
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code )' Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App__c _t ; s SVn. a :Al //Da e/ Phone Number
C V� d-0 9 / �- 0
INSPEC=OR' S REMARKS:
Buldin Permit Application
Town of Queensbuly - Depl. cf Community Development, 742 Day Road, Qneensbca y, NY 12804 /701-82561
"O BUILDING & . CODE E ^
INQTIcEJ NFORCEd1EN7'
r Requirements prior to issuance
A permit must be obtained before , of this permit: PERMIT FILE NO. •
y
beginning construction. No inspections OD
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ l -19
a VALID BUILDING PERMIT. All • Area /Use
applicants' spaces on this application RECREATION FEE PAID$
• MUST bo completed and.the signature \ f� /
of the applicant must appear n Planning Board Action REVIEWED!1}: 1 EI /�
I pear cal Uto4
etplicntion form. 7 .4t„� SPR / Subdivision /Other 14111;nh km/warn.
1 Recreation Fee Payment
Applicant:' H?) es s4a,,,,.,
s L,,� Owner: S�ea��
. c
. ' Address: C - °�;u t~�
ess:
dr 7 �,
Phone # ( S78 '
773 - ,cio� Phone # (slS )
? -
PropertyProperty Location: 1--a1- oio � a_r wo•D 1r)ue, •
kE /,4-
A.
Subdivision Name: / IN r op
Tax Map Number. .--/ J
Section Illuck I tit
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE/Y\ New Building: CONSTRUCTION: $ >'b, t 0
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two I'ami.l ) e
no change to exterior size . 1Pr.17yi DYte 1 `„ ; ED
Other Work (describe below) office
MercantilN 2 $ 199�
Manufacturing
•
jy Other TCY.i ._OF,C EENSBURY
GROSS AREA OF PROPOSED STRUCTU E: EiIAL i;'!id'.a AND CODE
1st Floorq. If ADDITION, what will use
sq. ft .J ., • of new addition be7 :
2nd .Floor sq. ft
Other Floors sq. ft. J
(not unfinished cellar or basement) `
ACCESSORY BUILDINGS:
• Detached Garage 1, 2 • _
TOTAL FLOOR AREA: /c9-o-v SQ. FT. K Attached Garage 1, 40110,
Private Storage Buil i .
SIZE OF NEW STRUCTURE: Commercial Storage Building
30 FEET X 4/Q FEET other .
U ((�� •
Foundation Type: 3 ?our Cswe_v Will any second-hand or ungraded
' Number of Stories : 2- lumber be used? If so, for what?
(habitable space only) _
Height (grade to ridge) : 24' feet TYPE OF. HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whict . .lies)
to be installed: 1 Electric / Oil Gas ' Wood
Forced Hot Air ` 'aseboar ' Other
Person responsible for supervision ofwork as regards to building_
codes is : .�' J ems,•-e-- e � ..- 4 4 /-, �) °_oti_F f 7P,.3 4 7 o
Naino Address° Phone
. Builder: )-(.;[ j C�s /�e -�s,�'nc .
Plumber: RA- 15-7-0�,r( ,2"rL_. 7e/-0Ss'-o
. Mason: �.)::..-Behci.i✓ v' 43 02 ,AM'
Electrician: 'R-j- i_ s oe_%-l ; 1,1:c . • '7C/-0-5.3
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 Ilse Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall he complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showin actual location of project on premises.
Signature: _...‘ef-t ,---- ,t', "I
(owner, owner's agent, architect, contractor) .
TOWN OF QUEENSBURY
�
%
4BUILDING & CODE ENFORCEMENT
LOW 742 BAY ROAD
QUEENSHURY NY 12804(�J %/'�p
(518) 761-8256 l �"-`��
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIA
DATE INSPECTION RE UEST RECEIVED:
NAME C3k--)(n gd rn `
LOCATIONc 11 Ofl S a V`C-_--
DATE _ 5 PERMIT # :3
92
TYPE OF ST UCTU E
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/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER O RATIN
INTERIOR TRIM/PRIVACY DOOR
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT '
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL r._—
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
gi‘ bo
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement a.
Dept.of Community Development Arrive am/pm Depart 4". i
Town of Queensbury Inspector's Initials \
742 Bay Road
Queensbu ,New York 12804
NAME < ,! PERMIT# _—_,3_9_, (
LOCATION '3�(c` i�(A )( � Y DATE S-- /.,1_-..,2,0 00
TYPE OF STRUCTURE tom)
N/A YES . NO COMMENTS
Chimney Height/"B"Vent/Direct V• .cation �'�,
Fresh Air Intake \ c(/
Plumb Vent through roof \ ✓f
— ' Roof Complete ✓f
Exterior Finish Complete
Interior/Exterior Railings 30"to 3 t!
Exterior Handrails balconies,land'I g 18 in.or more ✓f
Interior Handrails stairs both side. 3 or more risers ✓,
Grade 2%away fro, foundation
8"clearance to sill pl..• V/
Gas Valve shut-off expo . regu ator 18"above gg,,v de ✓
Gas Furnace shut-off within 3• _ or within�dof site /
Oil Furnace shut-off at entrance .furnace area11
,/
Furnace/Hot Water Heater operaJi g
Relief Valve(s)installed /
Headroom,6 ft.6 in.on stairs i0
Basement stairs,6 ft.4 in. ✓•/s/
Handrail exterior stairs both sid,s more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight I ,./Interior Handrails Balconies/L.t ding 18 in.or more
Railing across window in s fells
Smoke Detectors:
every level Iii.
every bedroom I
outside every bedroom I of
inter connected
Bathroom fans / /
Plumbing fixtures l f /� )
Foundation insulation / / , C — il''/PAO
/4 hour fire door/door ck(ser f V to'
5 i 'Le-- /.1/ fa f- . 4 4- ctJC— 1/16:
Garage fireproofing i O F 17` '
Garage penetrations Baled / I ���•- to t e_� R0 ..5
Furnace in separa room protected(in garage) +� /
Light ventilation roomI ,/
Safety glazing 18"or les floor /
Final Electrical S 1�J 4(6 _
/SiteSurvey .t,60.
Plot Plan t�l
PlanNariance required l
J Fin 5 ,,,1� ri N At- 15 O'=(i6
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)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement c
Dept. of Community Development Arrive am/pm Depart ��%
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME C(n) x..11 PERMIT# qT-5 1 l
LOCATION DATE 51171 2(ab
TYPE OF STRUCTURE
N/A. YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" / N
Exterior Handrails,balconies,landing 18 in. or mo e
Interior Handrails stairs both sides 3+or more risers
Grade 2%-away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regula or 18"above 11 .de
Gas Furnace shut-off within 30 feet or within liri: of site
Oil Furnace shut-off at entrance to ace ar•
Furnace/Hot Water Heaterb.. a
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs •
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo - than 3 risers
Interior privacy/trim/doors/main entran - 36" S taR.4"U ( e
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 i,. or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
.undation insulation
hour fire door/door closer ✓
Zye fireproofing
arage penetrations sealed •/
Furnace in separate room protected(in garage)
Light ventilation per room •
Safety glazing 18"or less from floor
Final Electrical
e Plan/Variance required
"Final Survey Plot Plan u�J l( ORO '
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) �(11tU'6t ,A19
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
z A � (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# G 7- 31)
NAME °4.3l s oA.)
LOCATION
SCHEDULE INSPECTION ON
A PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIG SIG
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRIN _ERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
EPLACE-MASONRY
FIREPLACE-FACTORY BUILT hA)f -L- 1/`
REMARKS: OK TO THIS DATE
cj
INSPSLIP.PUB INSPECTOR
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 10-6 a��;. Depart\\..e._2 - m
��,� Inspector'
NAME: PERMIT
LOCATION: r ;r . , asta�t III DATE: 5-- ao
TYPE OF STRUCTURE: 5 -
RECHECK $2\- Cj-e)Nir
eeramE1V s
Footings/Piers I I
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 s' 1,�C 1E) s�
Foundation/Wallpour
Reinforcement in Place � .
Foundation/Dampproofing
Backfill Approv.
Plumbing Under S •
Plumbing Vent/Vents m ' > -
Rough Plumbing
Heating Rough-In --1 L c o
Insulation
Foundation Walls Inte ••r R- �� r
Foundation Walls Exte or R-
s R-
Wall
Walls R- e 1�
Ceiling R-
Duct work or piping in Y7).3E
unheated spaces R-
Proper Vent,Attic Vent CX) 1�
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Bea it
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: �w •
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive •�' •i — Depart _ m
Inspector's Initia
NAME: s_p, PERMIT# / _ _ _
LOCATION: -- ---DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi .ibl. for
providing protection fro n fro zing
for 48 hours following I.a pl• cmcnl
of the concre .
Materials for this .•urpose i n si'e
Foundation/Wallpot
Reinforcement in Place
------ — - --Foundation/Dampproofing _ -
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pl.cc
Rough Plumbing
Heati g Rough-In
In ation ujlu.-� • ��`fib~/
Foundation Walls Interio R
Foundation Walls Exterio 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
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED 1-1\.1-A V1,00 C)
NAME
LOCATION PERMIT#_ 1C\jO
SCHEDULE INSPECTION ON 14\u,12 Cxx-'
72 AM
hrad co Cc
-�flA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING 7 \•�
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM"—
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE 0 SPRINKLERS
CLEARANC TO HEATING UNITS
REQUIRED SIGNAL
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY FACTORY BLT.
OUGH-IN '
❑FINAL
REMARKS: ❑ OK TO THIS DATE
Lr 1 5 C,m/'J5 V 4
® Sic ?4-f
3/,/Z Cea0 ifv6 III
G R Sr( �,
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INSPSLIP,PUB INS E 0
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IN
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 t"_h ai m- Depart �;.j1
Inspector's Initial• r
i
NAME: � ; ) Tcx PERMIT# J
LOCATIO v . • , r-U-9Cf)r DATE : 3:43 ,
TYPE OF STRUCTURE: �� •
RECHECK 4 _3 - oOoo
N/A YES NO COMMENTS
Footings/Piers N\ ( I
Monolithic Pour Form
Reinforcement in Pla
The contractor is r sponsib}}c for
providing protect..n from reezing
for 48 hours foils wing t e placement
of the concrete.
Materials for this guilt se on site
Foundation/Wall•o u
Reinforcement in/'lace
Fou tio>Ddnipnroo(ing- .- -
ckfilLApproval
plum ing Under S ab
Plumbing Vent/Ve is in Place
Rough Plumbing .
Heating Rough-In
SUlation `°J � 11,
Foundation Wars bYterior R-
Foundation Walls Exterior R- .- — ` Ik,. j fr \
Floors R-
Walls
Walls R- 19 ✓/
Ceiling R A- V
Duct work or p ping in
unheated sprees 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 , /
Fircstopping
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 12004. Arrive --�.` m_.. Depart 4.51-1
Lckg"X-\\ek:\ bkr spector's Initi
NAME: (? ) PERMIT# -39
LOCATION:-?0, ) �C,l'QP) DATE : -
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons le for
providingsKotection fro freezing
for 48 hoursTollQing th place t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour I
Reinforcement in Place I
_ _---- - _ Foundation/Dampproofini - _ -- - -
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents inFlace ✓Rough Plumbing C- c `1-77 {.1,i4
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 %/I 1 �r FL '
ti Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire 12,3,4 hour _
estopping
4
GENERAL INSPECTION REPORT �M
Town of Queensbury 1
Dept.of Community Development Date inspection request received: 3 oZ
Building Code Enforcement
742 ay Road
Queeusbury,NY 12804 Arrive= m apart
•41F-
spector's
NAME: 7 PERMIT# ��~'0
LOCATI 6i Lem, iY4a DATE : �.
TYPE OF UC .
RECHECK 'd
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from • g
for 48 hours following the plai- nt
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Damppr fing
Backfill Approval
Plumbing Under Slab
fPumbing Vent/Vents in Place
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-
Proper Vent, Attic Vent
7?aming
Jack Studs/Headers [�)4K
Bracing/Bridging 0 t11-t § ti
Joist Hangers s/ t C,6T1'tlam. - tiA— H- 6E-
Jack Posts/Main Beam c' .11-V
e`
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour -�j
Penetration Sealed ' "} Lam.IA2-D
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 am/pm Depart am/p
Inspector's Initials
NAME:c \'\r1 CA.\� ' PERMIT#
LOCATION: -)r DATE :
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 freezin;,
for 48 hours following the place nt
of the concrete.
Materials for this purpose on .ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofl ng
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
unhe'ted spaces R-
Prope ent, tic Ven
V ming '�'` Fg.6(or o%o u
Jack Studs/Headers /
Bracing/Bridging
ice'" Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
TVs
GENERAL INSPECTION REPORT 3-Iv W I. •
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart 1-
Inspector's Initials
NAME` NA\il \()Ake 1, Q -' PERMIT# L j 1
LOCATION: L 6Cov L- �C) .ml DATE : J S--
TYPE OF STRUCTURE: SQ�'�
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 followin_ the placement
of the concrete.
Materials for this pu ..se on •.te
Founda\tion/Wallpour
Reinforcec�ment in Place
Foundations Damppr,of
Backfill Approval
Plumbing Under S ab
Plumbing Vent/Vtnts in Place
Rough Plumbing
Heating Rough-I
Insulation
Foundation ails Interior R-
Foundation ails Exterior R-
Floors R-
Walls R-
Ceiling R- _
Duct work or piping in
unheated spaces R-
Pro Vent, ttic Vent
_\? arcing = ' •• V f, o, J`o RC l-t RuC.L y
• _ - Jack Studs/Headers
Bracing/Bridging • k)elit)6G C. /L9.� Y C—A)
deist Hangers_
Jack Posts/Main Beam
./Air Infiltration Barrier_ y� e 6/L) 0 b6w 1--\A
Fire Separation I, 2, 3, hour
Penetration Scaled (, g 1 c)
Fire Wall 2, 3,4 hour
Firestopping
pi 7 -1/uses
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept. of Community Development Date inspection request received: / 7 1/9/
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 1280 • > Arrive am/pm Depart ' •apt /
• ��iv' • Inspector's Initials 0.K-
R. - _ ,� 9/ °i/
NAME: -" °`-�� P RMIT#
LOCATION: (���` d /„../W TE : /�a/f%f
TYPE OF STRUCTURE: 40-4
RECHECK
N/A YE. NO COMMENTS
Footings/Piers \ I.
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from reeving
for 48 hours following the place .
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VenUVents 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-
per Vent, Attic Vent •
raining '90R.L(5.-A / cp & e L�a Dk.)
Jack Studs/Headers v AA IC— 4 4 1)GC S
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
it Infiltration Barrier_ (�,�
Fire Separation 1, 2, 3, hour �—
Penetration Scaled
Fire Wall 2, 3,4 hour << 1 L�C�� C— �,✓+J
Firestopping
,&;2,2cfr
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quccnsbury
Dept.of Community Development Date inspection request received: /D- /
Building& Code Enforcement
742 Bay Road
Quccnsbury,NY 12804 Arrive PO am/pm Depart a pm
Inspector's Initials iy
NAME: PERMIT# / - /
LOCATION. �J7 �1� DATE : / j3 I
TYPE OF ST ( CTURE:
RECHECK
-� -� N/A Y�E�O COMMENTS
icrs I v^Footings .P�,l. -- I 1
Monolithic Pour Form /(./ Joe\s if)
b Gam,
Reinforcement in Place •
The contractor is respoi :ible for /�,. reo
providing protection frnm freezin:
for 48 hours followin: the place ent
of the concrete.
Materials for Olken. •• c • lie
Foundation/Wallpour
Reinforcement in Plac
Foundation/Damppro.Ping
Backfill Approval
Plumbing Under Slao •
Plumbing Vent/Ven s in Place_
Rough Plumbing
Heating Rough-In
•
Insulation
Foundation galls Interior R-
Foundation ails 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 Scaled
Fire Wall 2, 3,4 hour
Fircstopping
RAI
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury / d
Dept. of Community Development ' Date inspection request received: w /d'/q /
Building& Code Enforcement
742 Bay Road • ( 'Le
Queens u ,NY 12804 Arrive am/pm Depart • 7 at pm
,i, Inspector's Initials-4
NAME: D? eC,,'‘)•41C-1-- PERMIT# ( -
LOCATION: 34 eery,,,,),5,a/b/, DATE : O ei
TYPE OF STRUCTURE: , p� 1 1-77
RECHECK dJ
``�� N/A YE O COMMENTS
K otings/Piers 0 Ar(L • I
tt Monolithic Pour Form Reinforcement in Place 'a- 4
The contractor is responsible for
providing protection from freezing
for 48 hours following the placem,nt /
. of the concrete.
Materials for this purpose on site
Foundation/Wall..ur _
Reinforcement in `lace
Foundation/Damppr.,; .2
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing
Heating Rough-In •
Insulation
Foundation Walls Int rior R-
Foundation Walls E..' crior R-
Floors I R-
Walls I 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
sC2.Q,j)1 .
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 :yQai i . Depar0"
nspector's I iti
NAME: ()::)-� _`` / PERMIT# C‘).1
LOCATION: 3 ` GI�I,7OQ? 6 DATE :
TYPE OF STRUC : lj ,
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 placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
//7
Foupdation/Dampproofing
ackfill Approval ; j
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing \,
Heating Rough-In .
Insulation ,, /
• Foundation Walls Interior R-
•
Foundation Walls Exterior R-
Floors R- `'Jl'
Walls R- /
Ceiling R- a / \`
Duct work or piping in .e' \\
unheated spaces R-
Proper Vent, Attic Vent_ \ _ °
Framing_ _ `
Jack Studs/Headers J
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 t ;
Queensbury, NY 12804 Arrive am/pm Depart + am/pm
Inspector's Initials /J/V
NAME: 1 i' PERMIT it 9��
LOCATIO : DATE : — 1
TYPE OF STRUC •
RECHECK
/A YE NO COMMENTS
otings/Piers
Monolithic Pour Form
Reinforcement in Place a- #
The contractor is responsible for
providing protection from freezing
for 48 hours following the placcmcn
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Da mpproot i ng
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
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
IIIIIIL
.., , — \l-id.
TOWN -45F QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518)761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name �( CS4'km_
Location31 k ad,,,,,,x- 6 r
oh
Date f c.^J I Permit ,21_394
SOIL TYP : Sand- oam-Clay-
tii
Results of Percolation st-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length •z
Length of each trench . 6 j5ar
Depth of trenches 7%.-3,
Size of stone
SEEPAGE PITS: Number
Size - ft. x ft.
Stone size
,PIPING: '---__-/ Size Type
Bldg. to Tank Lio
Tank to Dist. Box " ,
Dist. Box to Field/Pi 'Pi & 6 Fief-
Openings Sealed? Y . NoParta
LOCATION/SEPARATION
Foundation to Tank. feet
Foundation to Absorptio ---)1 feet gleigg
Separation of Pits ,_feet
Conforms as per Plot Pla C _Y NNo
LOCATION OF SYSTEM ON PR1'ERTY
(circle one)
Front Rear eft Sides Right Side
Middle Front - Middle Rear.` -
COMMENTS:
SYSTEM USE APPROVED: ES /.(0
Arriv. ,: Alp. te, . T,
Wilding T s •ctor
-;a F , :-F
• i % I` I
1 1 I
r. .. _ i.* 1M i Ji Yi
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TOWN OiF QsUEENSBURY szWe As
...__ NU AND CODE s`pe: w•
1 ,trotP. of,,AvieAihaofa 5 zezveAl
• ,:iaes Y . +f 4. 1474>Ciegeriii. 1
tee#4l'NWart[t 41 have seen or observed,or believe I saw evidence of, • t
Ave /, fsss- all objects such as houses,wells,trees,fences,etc,
shown on this document.I also represent that I have
personally: _____red the distances set forth on the dram."
( 2_ )).-__-e -Th
I
----.....„...,SIGNATURE,-------
. DATE
ti nevey 4 r..,^ As' 'M4P OP JOT A,V 20 `
per,,,,,,t.e.v011la 11410CR.7 Tilt)A11 WOOD C50 3DI ViiiciI�
cmc-v
+ f_ fAt[,.<'rZ4 udlX_
i _J�lVN'to lft ft•IA'.' 4y, /1/O.C•ff Al[rieM�f.Y .VfW f'.'C.E'
I! fe�s�• --. it, i.vS s,_:.•. ..,;•-.e..,- r,♦ .greet- c P4.#eI ,,• . A !r.30.(7B'.AL.f difi 1!.*/
881'59145H r
0 >>5 00' .
0 CO
a `° soli L� lf C.I.R.F.
A PROPOSED SEPAC SYSTEM STEIIe
This 60gNee r s 15. 7
w . •_ !• PtoPwrY Gig+E A 5 St
•
o 07 i 7- -
O I HEREBY CERTIFY TO:
p „ E: 1) DAVID M. do MARGUERITE M. ROBINSON
tO co
2) NORWEST MORTGAGE OF NEW YORK, INC. D/E
NORWEST MORTGAGE, IT'S-SUCCESSORS AND/
O 3) MILES CUSTOM HOMES, INC.
......... .....' 4 THAT THIS MAP WAS PREPARED FROM AN ACTU,
C.I.R.F. .25ow0
20.v.
SURVEY COMPLETED ON JUNE 15, 1999.
'
N82'QQ'OQ„ PROPOSED DRIVEWAY .7THIS SURVEY AND THE CERTIFICATIONS HEREON -
O
c VALID ONLY TO TFIE PARTY OR PARTIES HEREON
Ct4 . .JI,,,� ny w ' ARE NOT TRANSFERABLE 70 ADDITIONAL INST]TU
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE
4 EXPRESSLY STATED HEREON.
•ROPOSED pt x.,
HOUSE PROPOSED `° .
1250 GAL P.J.SEPTIC TANK ODAVID J. BOLSTER •
S82'00'00„ DATE: JUNE 28, 1999
C.I.R.F.- E
O 25.00' C .R.F. 31•1
,
va a N / . .
o
� � � o
LOT 20 •
C'�, • AREA 0.51 M- ACRES . .
ct b q
0
M ;
., �` / •
o c.t.v.
0 NC
°ran eta.
01 Z.c , 1Vy MAP OF A SURVEY OF- LOT 20
al ' 9'48.00.Fr MADE FOR
c FOUNDPIK DAVID Ii W I/ARGUER
n LOT 19
1� TOWN OF QUEENSBURY, COUNTY OF
• 1 Ti I TTTT T '
MAP REFERENCE:
MAP ENTITLED "TWICWOOD"
PREPARED BY JOHN B. VAN DUSEN
DATED MAY 18, 1965, FILED IN THE
WARREN COUNTY CLERK'S OFFICE ON
NOVEMBER 19, 1965.
3�t
1�
MAY 16 2000
I UWN OF OUEENSBURY
SUmLLDING AND CODE
PK NAIL
LOT 21
C.I.R.F.
C.I.R.F.
LOT 22
S'8 r59'45"E
>>5 00'
\od roll
X
k�
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0
0
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72.8'
24.05'
C.I.R.F. 25.00'
N82'00'OO" STONE
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CRUSHED
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C.I.R.F.
25* 00' C.I.R.F. 27.
UTILITIES
LOT 20
AREA 0.51 - ACRES
N7g08 0`
LOT 19
of
N
R.R. SP_ I_KE•�
FOUND
"UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY
MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A
VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW." I
"ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY
MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS
SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES."
C.I.R.F.
ti
IN
a
24'
w
I;1
O
a
0
N
R
I HEREBY CERTIFY TO:
1) DAVID M. & MARGUERITE M. ROBINSON
2) NORWEST MORTGAGE OF NEW YORK, INC. D/B/A
NORWEST MORTGAGE, IT'S SUCCESSORS AND/OR ASSIGNS.
3) MILES CUSTOM HOMES, INC.
4) UNITED GENERAL TITLE INSURANCE COMPANY.
THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD
w SURVEY COMPLETED ON JUNE 15, 1999.
' THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE
VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR
EXPRESSLY STATED HEREON.
DAVID J. STER
DATE: JU 28, 1999
JANUARY 6, 2000 RECEIVED
MAY 130 2000
TOWN OF QUEENSBURI V
BUILDING AND CODE
LAND
�'•.,'9f 4,
0
DAVID J. BOLSTER, LLS
DATE SEALED 1/ (V ocC
MAP OF A SURVEY OF LOT 20 TWICWOOD SUBDIVISION
MADE FOR
DAVID M, & WGUERITE M, ROBINSON
TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK
DAVID J. BOLSTER
LICENSED LAND SURVEYOR
342 MAIN STREET, HUDSON FALLS, NEW YORK 12839
DATE: JUNE 28, 1999 SCALE: 1" a 30' N.Y.S. LIC. NO. 49534
DWG. NO. 99056 B