1999-402 •
CERTIFICATE' OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 1 19 99
This is to certify that work requested to be done as shown by Permit No. 99402
• has been completed.
SINGLE FAMILY DWELLING
• This structure may be occupied as a
30 FERRI SS DR.
Location •
Owner MILES CUSTOM HOMES , INC.
TAX MAP NO. 121 . -14-27 By Order Town Board
OWN OF QUEE SB RY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
•
VALUE $ .110000TOWN OF QUEENSBURY No. 9940?
TAX MAP NO. 121 . -14-27 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MILES CUSTOM. HOMES, INC.
OWNER of property located at 30 FERRISS DR. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a . SINGLE FAMILY r]WF.LT,TNG
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
MILES, STEVEN, PRES'. 66 HAMPTON COURT.
QUEENSBURY,. NY 1280.4 .
2. CONTRACTOR or BUILDER'S Name
MILES, STEVEN
3. CONTRACTOR or BUILDER'S Address
66 HAMPTON. COURT
QUEENSBURY, NY 1.2.804
4. ARCHITECT'S Name
NEW YORK BOARD
SAVYOR Address
K BOARD OF FIRE. UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE :FAMILY DWELLING
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
1600 aQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE. FAMILY DWELLING
227 July 9 192001
$ 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 Oueensbury before the expiration date.)
• July . - . 19 1999
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
BuildingPermit Application
Town of Queensbu,y - Dept. (fConunrmity Development, 742 Bay Road, Qrlet'nt•bruy, NY 12804 1761-82561
fyf BUILDING (F . CODE ENFORCEMENT
NOTICE
�— Requirements prior to issuance
A permit must be obtained before , of this permit: 1'E11M17'FILE NO.
beginning construction. No inspections
will be made until applicant has received El Zoning Board Action PERMIT FEE PAID$
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION F• • PAID$
MUST bo completed and.the signature i�
of afro applicant must n)Ipear on the REVIEWED Board Action VICREVIEWED !1}:
�n)plication form. )as...t)wa SI'n / Subdivision /Other Ihilditig hulx•culr
A� -I Recreation Fee Payment
Applicant:• / t �� .. i /fo7-.. ...L.e. Owner: S-><f'faeti A). M‘, /-e.S
_ . ' Address: a ,_ - Address: 1-o,--
Phone #
/� Do Phone fit (i/. ) 7? 87P0
Property Location: 3o -err s r; `1 --.- .
•
Subdivision Name:. , (,ue�� bur`v `ov- , .-t- Tax Map Number. /. / / 1 y / ��
,Scetion Illock I ad
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Bu' �ri� CONSTRUCTION: $ //D/ �
residence / commercial
Addit wilding:
residence / commercial OCCUPANCY INFORMttTION:
Alteration to Building: Primary Building -
residence / commercial )k Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change• to exterior size Family D ����
Office
Other Work (describe below) Mercantile
Manufacturing JUN 3 0 1g9g
/ • Other
GROSS AREA OF PROPOSED STRUCTURE: / TOWN OF QUEEN BURY
let Floor /6 p0 sq L ,) S If ADDITION, wha I-ull_t� l`t r � ;!„ .
2nd ,Floor eq. .t
of new addition be? :
Other Floors eq. ft.
-
(not unfinished cellar or basement)
• ACCESSORY BUILDINGS:
' Detached Garage 1, 2 car
TOTAL FLOOR AREA: ./L 00 SQ. FT. 7: Attached Garage 1,C2-car-)
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
5 FEET Other
FEET X
t'
Foundation Type: .pj -ou.J D CE9-nnCc `le Will any second-hand or ungraded
' Number of Stories : f lumber be used? If no, for what?
(habitable space only) _
Height (grade to ridge) : /al feet Yrr br iii:n�i� rio;sxsx'r,M:
Number of fireplaces and/or woodstove (circle all whicb_.a.p.lies)
to be installed: ® Electric / Oil / Gas / Wood
("Forced 1 ot- 11.tt / aseboard / Other
Person responsible .fora su•perv� of,io wwo`rk as `regards to building
codes is : S--)- �, l,l e-.s 4 e_otA o 7 3- -S 790
Ntiino Address° Phone
. Builder: �0-e-s' ..s - Al- .iue.. 9.9--8 cam'
• Plumber: L s' oe 1 , cr,k.c . 76/-Osf'a
. Mason: }b, u- `- C 3,71 - 9/.?8'
Electrician: Z+ L. So�ti`I , i-L . 74/ `as7s7.2
DECLARATION: Please sign below alter 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 pert: ' ' g to the proposed work shall he complied with, whether specified or noted, amid
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, showing actual location of project.on premises.
2( 47/X4
Signature: ,
(owner, owner's agent, architect, contractor) .
- Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury9 9. 7 1400)\
Dept_ of Community Development Permit No.
Building &Codes Office •
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: 7 = 3 0 re-v-w; �-,•�
Property Owner's Name: - I i 5 1-710-+..z.s,
Property Owner's Mailing Address: (0 C, -- (o u r l , O‘cNy.
Installer's Name: ','jl Titt e , , Phone # 77 3 —3 72 )
Number of bedrooms (if residential): 3 Total daily flow: -rb .
(residential -compute Q 15 gal./bdrm.)
Topography: 'flat, rolling, steep slope % of slope
• Soil Nature: wand, loam, clay, other I depth:
•
Ground water: at what depth? /01- feet / Bedrock or Impervious Material: at what depth? ? feet
Percolation test: !V not required, requi.r .. [rate min.per hch]
Domestic water supply: £municipal, well, other ,,/l
If domestic water supply is a WELL, water supply from any septic absorption is A/ feet.
PROPOSED SYSTEM
Septic tank/0-5-6 gallon (minimum size: 1,000 gal.)
Tile field: each trench S ' feet / Total system Ienggth: o>--rs-c feet
Seepage pit(s): number of / size each: . )- ft.by X ft.
•
Size of stone to be used: # 3 / depth or thiclmess feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: ( ' Size of guns
:Maim system ard associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queesbury, any permit or
al pruval granted which is based upon or is granted is reliance upon any material misrepreseda6on or failure to make a
material fact or circumstance]mown by or on behalf of sou applicant, Q1--A1I be void.
I have read the regulations with respect to this application and agree to abide by these and aII recr_rements of the Town of
Queensberry San;tAry Sewage Disposal Ord:mance.
Signature of responsible person: A""Z Date: 6-4o/„.
•
• 'lJL1V
/__ ENERGY CODE COMPLIANCE APPLICATION `�, COVE
�;33 _ TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
- _ JUN 3 0 1999
T \AN OF OUEENSBURY
Compliance Methods: PART 5 - Acceptable Practice Meth UlLCiNG AND CODE
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:
30 /<-u r;s \16--;
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - IL oz7 square feet
2. Tv-Pe of Heat - Electric Oil /- Gas Other
3 . Is building mechanically cooled? 7K Yes No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-V_=L'JE S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R .3g
b . Exterior walls R
c . Glazed areas R 3.s"
d. Exterior doors R /).S
e . Floors over unheated spaces R ,clJ,4-
. Edge of slab on grade (heated building) R ,i%,4
c. Basement/cellar walls (above grade) R -//
h . Basement/cellar walls (below grade) R /
i . Heating/cooling-ducts-piping in unheated space R 4/4 -
6 . Service (domestic) hot water heatinc device 44
Co forms to minimum efficiency per code r Yes No
- TEMPERATURE CONTROL MAXIMUM SETTING 140c - WILL NOT BE EXCEEDED
App 1= -� ' s"y�ig at e au
Phone Number
/[, cLe/ 793 -87 )
INS?EC=OR' S REMARKS:
DAl'JV:kV IAMI_l'J_e.WAL:59.'J...Q 0,42 AO.):J_••_l' tl'W1.0..0A' 40.q J L!'.AQ'AlkOA AQ DP_l'J_e:T. 0SW 5.11, 'All, ',ft_.l' N.Xlt ;k4M0_l' •_l l J.l A J_•_l'5.s_l'."l".!A
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r
• .1 d 8949"r BUREAU OF ELECTRICITY
1 111 WASHINGTON AVE., SUITE 04, ALBANY, NY 12210 r>i
j1 Date NOVEMBER 23,1999 Application No. on file 672699/99 A 146868 -.
.71
THIS CERTIFIES THAT PERMfl NO. 99402 T
• only the electrical equipment as described below and introduced by the '.. ..icant ''med on the above application number is in the premises of gr!_.
:(1 ,}
71 MIKES CUSTOM HOMES, 30 .�ERRIS D.R. , QLf rNSBUBURY, 1 Y 5.--
• in the following location; LA Basement 1I 1st Fl. E2nd Fl. GAR
Section Block Lot '}
�ci was examined on NOVEMBER 18,1�14r-1 and found to be in compliance with the National Electrical Code. IA
1i iY
1 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. r)--
• DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 1
W; 1)i
--CI AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. H.P. NO.OF SYSTEMSEET AMT. WATTS I
l■■■. — I' 1 7 12 1. — ■■ _ 1 III■_■ Ir
N
icy SERVICE DISCONNECT • NO.METER S E R V 1 C E Oi
GIY
�, NO.OF CC COND. A.W.G. A.W.G. A.W.G. 1
-G AMT. AMP. TYPE EQUIP. I 0 2W 1 0 3W 3 0 3W 30 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ,}-
-1 OTHER APPARATUS: y
?Ci IA
IV' li
�c, CEILING FAN-8 rr
j' G.E.C. :—8 ,r
1 rvo rry Y),— I
{1 S11(7As1 ITEIrCC]rt. 5 ,r-
, 1r
1 1
1
fA, it
1 14} J4a frei, ,r: TTT /J t i
I -a r'rf: So rr"N• - 1h
, D/B/A i ELECTRIC PLUS ,��'X ';L-1; ' GENERAL MANAGER r
�c� HOUSE r= 79 BIG BAY RD. •
.,•••.4 � ; e11 , .Ni .,w ,r
c,
1 •c1UEENSSURY, NY, 12804 -- , ,..1: 1-
' ..,.,.',- f'. Per ;i
N
j1 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.
if,YiYYiYY�Y 4sil Y.Y Y YY-YY-•Y YiYY,YYiT;Yi iilY5Y Y'dY 476 �Y Y•Y476476Y•Y 4Y4Y Y�Y YWI Y�Y YiY lirT,47f;4Y..iii iY Yir feTs;f l4i-ANY 0-il4-Wiiii YiY YiY YiY4Y YiY4Y
COPY FOR RIM f)ING DFPARTMENT- THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
p ,. TOWN OF QUEENSBURY
; f�� BUILDING & CODE ENFORCEMENT
N;w
�'`% CV, 742 BAY ROAD
..r QUEENSBURY NY 12B04
(518) 761-8256
ARRIVE: DEPART:, INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION/-REQUEST RECEIVED: /)-/"4`7
NAME -%WC[3S 64 +,P �hC1
LOCATION .) Z 5S ` r
DATE _ - 1 PERMIT N •
TYPE OF STRUCTURE
3
FOOTINGS FOUND ION BACKF LL _ FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVEf:OR FIREPLACE
.
- •v. N/A YES NO
4.
CHIMNEY HEIGHT/B VENT/HEIGHT ':
PLUMBING VENT t
}
ROOFING \
EXTERIOR FINISH
.
DECK/PORCH/STEPS/RAILINGS r
.f
RELIEF VALVES 1
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: i
BATH/KITCHEN WATERTIGHT `i
i
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED '
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES .,'`
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS •'\
FINAL ELECTRICAL '�'�.\
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN •
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT \ yiy)
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive \1ZO a Peeps •��wpm )
Town off Queensbury Inspector': tiaa
742 Bay Road
L.
Queensbury,New York 12804
•
NAME S\e_5 \ �l\`'�U /� PERMIT# fa
LOCATION 3"C ,—.2 \.S -,- s,?.�-- DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location sii I
Fresh Air Intake J
Plumb Vent through roof J
Roof Complete /
Exterior Finish Complete hiterior/Exterior Railings 30"to 36" J/
Exterior Handrails,balconies,1 -.t ig 18 in. or more V✓
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation \.
8"clearance to sill plate \
Gas Valve shut-off exposed/reg ator 18"above grade Jf✓
Gas Furnace shut-off within 30 f= t or within line of site
Oil Furnace shut-off at entrance t i furnace area
Furnace/Hot Water Heater opera' : I /
Relief Valve(s)installed / J
Headroom,6 ft. 6 in. on stairs / •,f,
Basement stairs,6 ft.4 in. �
Handrail exterior stairs both sides! ore than 3 risers Interior privacy/trim/doors/main • trance 36" VjV
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lan. g 18 in. or more
if
Railing across window in stairwe s V
Smoke Detectors: /
every level J/
every bedroom
outside every bedroom V/
inter connected Vf
Bathroom fans Y
Plumbing fixtures
Foundation insulation
3 hour fire door/door closer
Garage fireproofing 1 f
Garage penetrations sealed V
Furnace in separate room protected(in garage) /
Light ventilation per room ✓/
Safety glazing 18"or less from floor /
Final Electrical f
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)
lip.''
RESIDENTIAL FINAL INSPECTION REPORT A 1�c) _
Office No. (518)761-8256 Date inspection request received: A)ar,1 /
Building& Code Enforcement ,� i
Dept. of Community Development Arrive `')�>a D}jf>/pm eglart��'
Town of Queensbury Inspector's Ini•
742 Bay Road
� /�
Queensbury,New York 12804 / // qNAME r-��/ f '. s # `" 466)-
PERMIT
LOCATION 'S c)\'-� DATE fly-/y,gam
TYPE OF STRUCTURE �j
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent L• 4 'on �/ '
Fresh Air Intake " J
Plumb Vent through roof ;i
-_Roof Complete . !
Exterior Finish Complete ) ✓i
Interior/Exterior Railings 30"to 3 '
Exterior Handrails,balconies,1. •.4g 1 in. or more
Interior Handrails stairs both sides--3-or more risers vf
Grade 2%away from—at—in.tio Nii
8"clearance to sill plate
Gas Valve shut-off exposed/re:ulator 18"above grade J
Gas Furnace shut-off within 3 rr feet or within line of site /
Oil Furnace shut-off at en• .e ce to furnace area
Furnace/Hot Water Heater o o- ating
Relief Valve(s)installed / 1 . Ti,=tJc) QL 13:24•::6J\1 C7 -TO
Headroom,6 ft. 6 in.on stai . LJ\--V-\\\tS LI" cF V-LC .a_._
Basement stairs,6 ft.4 in. , .
Handrail exterior stairs both sides more than 3 risers o
Interior privacy/trim/doors/main entrance 36" ,/ C=-mile- ,p�- i�u5T �u N, G t
Floor Finish i
�!O �ft
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or more
Railing across window in stairwells
Smoke Detectors: 1 every level
every bedroom 1/,
outside every bedroom
inter connected
Bathroom fans .f
Plumbing fixtures N. f C,tic) v 1.-v \?3,` �(_, o l%l \1:y5 A10.
Foundation insulation V vo.‘b «_ e—.t --,0�tDt k ler)
3/4 hour fire door/door closerli
p
Garage fireproofing INE cC u t C k3'a-D14_il ftiV
Garage penetrations sealed ;." •
Furnace in separate room protected(in garage) r,71 ,
Light ventilation per room ;/ �t_l'�5c�� _� E� �
Safely glazing 18"or less from floor / t_�ve_o
Final Electrical o/
Site PlanNariance required
Final Survey Plot Plan .6 1 r✓%t J 1LeL3 „ ;
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance) -1---&t\ -6
Okay to issue temp. C/O(Certif. of Occupancy) ' / 1
Okay to issue permanent C/O(Certif. of Occupancy)
a4pouL_______ .
2L ItOc_qatot\i-,
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- Ck.FSI pm Depart IG4 .
Inspector's Initial 1 —
NAME: �e, k PERMIT 'r` V g----
LOCATION: r f\3 S Y 101 -e__ DATE : L f�
TYPE OF STRU o c.J \ I
RECHECK
- N/A YV10 COMMENTS
\ tings/Piers / 1 9 " 1
Monolithic Pour Fo n
•Reinforcement in P1 cc
The contractor is 4esponsible for
providing protecti n from freezing
for 48 hours folloing the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval I
Plumbing Under Slab
Plumbing Vent/Ventt in Place
Rough Plumbing
Heating Rough-In I
• Insulation 1 •
Foundation Walls 1pterior R-
Foundation Walls xterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing �T-
Jack Studs/Headers 6X- N13b gF Pt I LED KW
O
Bracing/Bridging `� T� FL0I��l�l J
Joist Hangers `' .t-t- t �� t�S L_
Jack Posts/Main Beam ✓ f P� O fAt� ‘S �{f��
I
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
G,4\
•
GENERA,INSPECTION REPORT M(51
( 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/D'
,{� Inspector's Initials `J
NAME: \\-\\A,e_.-5 PERMIT#
LOCATION: •3oFeNCY DATE : Co
TYPE OF STRUCTURE: SS`�
RECHECK
N/A YES N COMMENTS
�ootings/Piers ` ' ^I � �
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le forLUG g
providing protection from freezing,
for 48 hours follol ng t`_placenfent
of the concrete.
Materials for this purpose on site ,, )
Foundation/Wallpour_ Do
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ace
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
Qb
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(5L8) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 1E))t-QA,,K__-\(VS).e.,<9
Location �7 ci ex\r�Ss ALEI
Date1y S- 99Permit # T- LFQI
SOIL TYP and -Clay-
Results of Percola on lest-
(if applicable) Raue-Mi ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: o .1 Length
Length of each tr- ' h l
Depth of tren� • • .
Size of stone
SEEPAGE PITS: Numb.r-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank f-4 e'
Tank to Dist. Box ,,cr;
Dist. Box to Field/Pi , c:_477,3F-
Openings Sealed? 4 ' � ` Partial
LOCATION/SEPARATII .
Foundation to Tank IV- feet
Foundation to Absorption 7 0-i—feet
Separation of Pits eet
Conforms as per Plot Plan Yes
LOCATION OF SYSTEM ON PROPER .
(circle one)
Front - .1 t Sides Right Side
Middle-Front - Middle Rear
COMMENTS:
•
SYSTEM USE APPROVED: YES
Arrived- m Z,.C�
Depa ed: - q
ll"'
, �� //� >
- ,ilding
O 1 0.
GENERAL INSPECTION REPORT
( 518 ) 76.1-8256
•
Town of Queensbury
Dept.of Community Development Date inspection request received: ///3�
Building& Code Enforcement
742 Bay Road
Queensbury, NV 12804 Arrive :loa pm Depart 4,9
nspector's Initials_,
NAME: AA%�-z S U S'P-6^-� c�,.,�e� PERMIT# ' (�`i U
LOCATION: -) Q,t-te-% 5 b DATE : 'ALM t
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac�
i�
The contractor is refs n iblc for
providing protect'�n fro freezing
for 48 hours folio ing flit placement
of the concrete. i •
Materials for this purosc on site
Foundation/Wallpou •
Reinforcement in Pia,
Foundation/Damppro ling
Backfill 4 rov l"
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int nor R-
Foundation Walls Ext rior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent_
Framing_
4-Jack Stu iea s.
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
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 1\°- m Depart 1 2 m
Inspector's Initials
NAME: (!)1 T \y E_ ri-1 1 LEA PERMIT#
LOCATION: .FFt V DATE : —
TYPE OF STRUCTURE: c3Q j Fr) lkl Z.- C C—A?--
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. I /
Materials for this p se n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing `
Heating Rough-In 9
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R- ' .ZOifi -s .....,-
.
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- ��
Proper Vent, Attic Vent
Framing
Jack Stu,..1 'eader — ,q1(/\"
Bracing/Bridgmg a'Ef244 LrS R Ai-►.
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping :
-2-- k Ji �-C�1 1 t b
GENERAL INSPECTION REPORT
Town off Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive I t a m, Depart
Inspector's In' ': • ,4
NAME: LE5 PERMIT# f
LOCATION:c3D FF - l D R 1QE DATE : 9- r-`U
TYPE OF STRUCTURE: cx1 Z CA fl E-
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval �.
Plumbing Under Slab \, t
Plumbing Vent/Vents in Place N/
Rough Plumbing
Heating Rough-In `1
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R=
Ceiling R-
Duct work or piping in
u spaces R-
o r Vezattic Vent
rammgl� Two BEA=V..t e ECYt
ac Studs/Headers �pc�T Rbe _A-
BracingBridging
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 Quceusbury
Dept.of Community Development Date inspection request received: 9 f/ I
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive ai pm Depart AI
tom
Inspector's Initia
NAME: j PERMIT# �.
LOCATION: VW); S DATE : 0.10 4-
TYPE OF STRUCTURE: `
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from frcezi
for 48 hours folio ing the plac
. of the concrete.
Materials for this purpose of tsii c
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PI• e
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-
Lor r Vent, Attic Vent v'�� � _ N\1
Framing
Jack Studs/Headers 1 r- 1 1
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
/'4), C-
Z.___. \ i 'Vi___
•
GENERAL INSPECTION REPORT Gy11 r,
('518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive%span_ Depart , m
. Inspector's Initia rl
�vJ' V LT 0
NAME: ��\ �S �� / PERMIT# —[
LOCATION: 3 (---) fir€ - S5, if►)-Q.. 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 freer'ng
for 48 hours following the places lent •
of the concrete.
Materials for this purpose on site
Foundation/Wallpour_
Reinforcement in Place ;--
Foundation/Dampproof ing
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents in Place__
Rough Plumbing
•
Hea g Rough-In
sulation
Foundation Walls Interior R-
Foundation Walls Exterior R •
-
Floors R •
-
Walls R- I t
Ceiling R- ,yj
‘,,),\ , .
ct work or piping in
unheated spaces Z_rou
R- ,.� ` �
er Ve Attic Vent �� ���� "�C � � �\ ``"` `
riming CC0‘3j •
Jack Studs/Headers_
Bracing/Bridging
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping •
'''''''. .-" 6_ ,__,),,c_ ibiiyi
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 DepartI `' m
Inspector' Initials
NAME:' � PERMIT#I OD
LOCATION: (� �� �r I V''e, DATE : 9
TYPE OF STR URE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 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
Foundation/Dampproofing
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 e( Attic Vent g,'`'
//gKJack Studs/Headers i-LC- iC-A-loG a oft Abu to . CAr6 ,
Bracing/Bridging �RvSS !� ,>q���QoV-ite- / �2tS5 /'tL I CR�!'7i0
Joist Hangers_ V e �Y
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation I, 2, 3. hour
Penetration Sealed
Eyre Wall 2, 3,4 hour
rrestopping _
GENERAL INSPECTION REPORT
( 518 ) 761-8256 '
Town of Quccnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive \`. AM.. Depart al:
Inspector's Initi
1 , �, '�'�
NAME: -?JJ \ 1�.'C)�( PERMIT# ! v
LOCATION: 3(l S5 \ Js;1}�-.( , DATE : 7, ----)`,0 c°\
TYPE OF STRUCTURE: c<- '
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form 10 t- L 01 k)( 1— •
-1�YRAC II IN-
_
Reinforcement in Place
The contractor is responsib for i I
providing protection from freezing , A 9 .G
for 48 hours following th placemen
of the concrete.
Materials for this pu ise in site
Foundation/Wal 1pour_
Reinforcement in Place
Foundation/Dampproofinl.
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in race
Rough Plumbing _ / 1-k*Wi? ,O CIA-PkV/
Heating Rough-In k
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- •
Ceiling R-
Duct work or piping in .
unheated spaces R-
Pro Vent, Attic Vent •
Jack Studs/Headers i
Bracing/Bridging / V
Joist Hangers_ V .�J -E.L j�\3�
Jack Posts/Main Beam N A O 2)eft l i., c_N• jP__-d F
Air Infiltration Barrier _
Fire Separation I, 2, 3, hour
Penetration Scaled
�� i‘ ' _.--C.A- _ RF
Fire Wall 2, 3,4 hour ,
Firestopping
TV-43 51., 13€_R i-tl3�: C A.%1
V6` -C Th t--1r XocM.,E Zee_b
tip Ce_ -�--- C3Eflg_t off;
GENERAL INSPECTION REPORT l
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive I°o) /p ) Depart i m
Inspector's Initials
NAME: S �� l ��� /J PERMIT# ''c V o�
LOCATION: scz
, 5 14i4 Dr DATE : ]—,�O-9.
TYPE OF STRUCTURE: •
RECHECK
N/A YESAo COMMENTS
otin Piers - �✓
o it is our Form
Reinforcement in Place 7 ,-4*1-
The contractor is responsible for
providing protection from fre, g
for 48 hours following the pl ent
of the concrc
Materials for this pkirpose on s
Foundation/Wal 1pour,
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interio 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
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 1 ' `am/pm
Inspector's Initials v-'--14
NAME: PERMIT#Al±40 C)
LOCATION: DATE :
TYPE OF STR •
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fo•
Reinforcement in 'lace
The contractor is respon ble for �Q
providing pra ction fr., freezing \ I I
for 48 hours fo lowin„ the placement g'e2
of the concrete
Materials for this e r rpose on site
Founda , . 1 .ur
Reinforcement i Place
Foundation/Da ,.proofing
kfill Approv.•1
Plumbing Under Slab
Plumbing Vent/ ents in Place
Rough Plumbin
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
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received: 7 o9.-o-q
Building do Code Enforcement
742 Bay Road
Queensbury,NY 12804 A 'veCT2. 3m Depa •m
Its s ��� Inspector's Initi
NAME: / 14 P PERMIT#
LOCATION: DATE: /L
TYPE OF STRUCTURE:
RECHECK
N/A YE O COMMENTS
ootings/Piers lac>��SC o►Jt_`i I I
Monolithic Pour Form
Reinforcement in Place 5
The contractor is responsible for A
providing protection from freezing
for 48 hours following the placem nnt\
of the concrete.
Materials for this purpose on site
Foundation/Wallpour ! }
Reinforcement in Place
Foundation/Dampproofing 1 1
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
R\-\
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 ay Road
Queensbury,NY 12804 Arrive am/pm Depart " am/pm
• Inspector's Initials
NAME: c7% PERMIT#
LOCATION: 0 DATE : . 17)a
TYPE OF STR CTURE:
RECHEC `^7
N/A YES N COMMENTS
F otings/Piers I /
Monolithic Pour Form )1 I�Reinforcement in Place -- v`°\U S 'SC U/
The contractor is respons.• : for —��►-1 11
providing protection froi fre zing n
for 48 haurs following El c plakemcnt , 10 Pc_ PI--C—C
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in)P1ace
Foundation/Damppro�fi t
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 'lace
Rough Plumbing T°S� �� \
Heating Rough-In
Insulation
Foundation Walls I erior 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 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
-� ,-. o LOT 21 c o
1 0 ~ 22,DOO.pis .•. 2:
o 59,00.. E q• tic o
�o cr o 84 �. -'
o l
w o • o - *- 11.54
1,.. ._________ C:3 . — Exl 0
all - ,A 1st.; .7tj . . O pd o - 20,46 22,0
s O LOT 20 :q. ft. Nz. ti.
22,000.00 sq. ft. O O
[�.� E
200.00 ' .
4 200.00 ' o 0,- O
o „ Lor 2e observed,or believ-. s *evidence of, k o
o ., �����db s
all objects such h rses,wells tr es, c. LuT 19 ,,1 0 ' N. 22 00i
shown on this document I also represent that cY0•o0 s• d--ft. o
q I- -:• ,I- •d the distances set forth on the,'iagr•m." :/'• �`
�.- �J '1
O 'Cor 2§IG ATURE D, - \
oo
O _' .:•r� sq- t. LOT 18 -. LC
O Rt• •• _? 21,896.77q. .. 22,000.
o i co:.. Or 00 S 8 '
0 199.36,E 15.02, , • 0 3 3
180,(j0 '
i r 219.36 ' 20(
W O Ca 1 O
h /LOT 30 O d �• " LOT
on 28,665.83 O . ..
0 sq. ft. • 2�-.53pT 17 C f 25,707.3;
�hpL,� nt 91 sq. ft. r ~ S` �r
175.00 L A1 • A
S 83•38 '01 „ E '
,
;N 83'38 '00 " °�
�^ ,BB. \ ‘P ,
LOT 12
" 1 C'f�1 105.00 ' 95.00 ' '� 'j — .39, 45,861.73 sc
'/ ,s 1d Ir-8 -
9 j0- .may r - - it
w Ln
p LOT 16 b h O "� LP
44 2 ,965.95 s � c� 7 � to .:' ��
q• ft p i- --7 A° ca - .
\ LOT ' 44,691.35 s .
14 q ft~
`�. N O 26,807.58 sq, ft. trl
.00 >3b.01'
105.ft
163.60 '
25i 9.0