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1999-465 '. CERTIFICATE • OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ATryvrtttthaar 1 7 19 �9 ‘") C6 0 tr 1 a?I This is to certify that work requested to be done as shown by Permit No. o a A,C M • has been completed. • This structure may be occupied as a SINGLEFAMILY DWELLING Location LOT 2 9 #9 LOREN DR. Owner ntrTOLT7\1ZT C r'x�r Tut TAX MAP NO. 7 4 . -2-2 9 By Order Town Board TOWN OF QUEENSBURY (--- -/----)at, Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 157900 TOWN. OF QUEENSBURY No. 99465 TAX MAP NO. 74 . —2-29 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MICHAELS GROUP OWNER of property located at LOT 29 #9 LOREN 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. t. OWNER'S Address is . LOT 29 #9 LOREN DRIVE QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name MICHAELS GROUP, INC. 3. CONTRACTOR or BUILDER'S Address JIM CHANDLER, PROJECT MGR 1810 ROUTE 9 LAKE GEORGE, 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 DWELLING ( I Wood Frame ( I Masonry ( )Steel ( 1 7. PLANS and Specifications 2280 sallo.ft SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 289 July 29 2001 $ 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.) 29 July t9 Dated at the Town of Queensbury this Day of SIGNED BY 1`j2N`'_`-� for the Town of Queensbury building and Zoning Inspector TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS 1 Date —1 U`y ab ,19 Permit No. �J 1 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 Tc..4 ,Mav ,S Cc '_cs,...$`e APPLIANCE (check appropriate boxes) Address g22 U �.rc 0 STOVE: ❑Wood o Coal ❑ Pellet ❑ Gas 0 FIREPLACE INSERT c )\ ckAI/\ Pam Zip ‘2, 9(,5 Xf FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone (2511 OS�i(.,o 0 FIREPLACE, MASONRY: ❑ Wood %Gas Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of,..prop er -cpnt ucti rye y� CAA T' ASONRY: 0 Block 0 Brick 0 Stone C 2sc _ tOn l-;k1c'1—FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title ')��cXJ A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales Fee Collecte ro Refunded to: /-k/,D S ��✓ Address: �z Dated: .7 ,)--) J Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. . • 0 . , .. . . .. . • . , De widins ...lie/init. -zip-plicallott,f • . ‘• .-- : .. .. • • . . YVihil of Q1ieen,s1111.1;)r U,yrr of•t o,w nrnirl� Ilerrlo niirof, 742 Ikiy Rood, .Quccaabury, NI' 12804 1761-8256f :._.a--••-• 11t/ILUIN<; ,tc COL)L ls'N1-(JIrc AfLN7 ffl,PTN1N �____ IZc his'nicnls lliivr. lu issual►cc PERMIT NO. �i. "q • - - ----�► or !his ltcrnl,il: h Ix;rnlil must be tibininc<I Mine _.____Y._- • _ 1'1sRA01'TEE PAID$ l inn-conslruclion.0 No inspections ;T.��nfrrg 1Jcxt>d,1C1I J1%` will ha nmdo nnlil applicant (u1s rcci�ivrd I+I Arin 1 lJ�c RECIU A71UN F 1 A a VAI,II.1 Illlll,l)INU,I'I'sltAltl'. All applicants.' munch on Illi;, nlq,liotlitnl.. , MUST lxt corillllcicrl and llro laignnturc ri l'laruilrrg I oaf.d Acllvli.. 1t,FV11ilVGU Di,.. of Iilo n ►rlicnnl must n 1 enr on the , UuNding 1n11xctor . • I I I 51 It / .,uht 'l iun I Ulhcr application Jinni. rh..4ri,_. :1 Itccrcnlion l cc Payment Sctnre /1lrpllcrur l'.. 1 lte .11.�.ch tr('A (�Jcuttl.r, - Inc:,•.. Owner: • . ' Address ' 18.10 Route 9,. late; ()cony., NV .128�r1 1-. . • s: , • I'bonc•11 ( 518 ) 668, - 3316 • 1'hono It ( ) - - .... _ .:. ..• to+ ;�g- 51o�ruX► ► •-- �'-� 9 Properly l,uc;l ltctn: - , r . '1'n;c Mop Num cr _ ---� .• P ��: . ',1,uy- Section Block luit .. Subdivision Names _L i ��\ate, Fsk -es . _ M t111iini or IItUEU5CU twilit: r5rIt1 'rIsU • c VALUE or 'XI1E x- Mew Building i , CotlS'J.'1t;UC'1'1ON •$ 1 realdortce / c:olnniercia.l" • 11dd.i..l;i.cin I;o ui.l.d ny: . UCCUE'11tICX Itit=Ut1F1/1'r1ON: r:ctll.ilc;l,lcsc / ccmunr..r.�c.lt�•L n1Le : c.n L Build ntin,: P rimary Building - , eo3dener / commercial X Single lan3ly Dw e. lling rwo ):ami ly Dwelling ' Res i.denc:e I. CoMmer-C-i al. . __ ltily liling -~ no change to exl:er:lot: size Office• •F �tercnnl:iie Ut;her .Work (describe below) Mercantt-ur.ing... • • �� ' GltOs5 'AREA or viloropE ) STRUCTURE� what: will usrr ?e ('� ,, I f • ADDItION,. • ft:. O' ' ` of new addition ben teL Floor \\$O � cicJ. i . • 2.nd'.Cloor: . : \NCO sqJ. fl:. r�"C) N1A other fl.00re . • -_ sq. :ft. .S (not: unfinished i:rtished cellar or basement) ACCESSORY BUILDING'S: 2 car _ Detached Garage 1.r � tl�.� e TOT/lb. FLOOR ARM: %� SQ. ri'• - x , Attach edSGarage 1, i.0 �____ Conunercia Storage Building SIZE :OF NEW STRUCTURE: f Other 53 . rEi T x _ ._:: FEET. ,utUced • Will .any second-hand or ungraded Mtunbo tl:i.on Type: 1 lumber .be used? If. no, for what? ' t;ltambcr. o.0 St.cries t �� - • (habitable apace only) 3�_ reel: TYPE OF' 1IE11 Iti1d s sRPl•es)11.eidliL (grade to ridge) circle all whic Lumber v1 fa-reltJ.uc.es and/vr wo �OVe L Electric / oll ' Une)• Wood Other Lv be installed: • _ -' 5 • Forced Not Air / 13a-der oard a son responsible onsible ;for supervision of work aEri 9Rice ards t p building , Person r p tici � •r . codes i-s : LU1LS,.itcuidis�.,�►e-�-a`la �t Mania nddreeen Phone 518-668-3376 _ Ilu l ide r: _111e. e.lta.e.0 (Amin, -I lli- 1.810 R.te 9, Lake Ge ill e PI•umber: fttlt ktig n l cslz IZuac(, GLelii� 1 ctf 4 NY 12801 518-19:8-�l399 . 'I�1riUolt: _j l;cias.keit.,_ .61_2118,Gaat1 . Ce.•:-- 1 �,18-311-992 ._1_cztLr'isit_1.erjU1,1_c:,___2�-d 6 '1 chat le y__St„- 5 e �J'r- hlecLr.lc;a.ttn. VI•sCL,4RAllUN: Please sign below cfie`I•'yvr: have cur•efrrlly read the sin/silent. '1'u the hest of my knowledge the staletttclils contained in this a pail `proposedtn , tog Cher •ottho h h e plans and specifications subiltiticd, no n true and complete Statenlell of the ilcscritcd lionises_ sold 11tit ail provisicirls pf.t11e Building Code, the Zoning•Qrdinartce and all _.. nos el tainting; to the proposed wot:k shrill he cotnpl.icd with, whether r specified c111 or noted,lirtor andd a other I 1 • lh:il such work is aulllori7cct by the�twncr.--Irullhcr, it is undcrsloct Certificate of Uccupancy''or CcttificatC of Compliance being of ued,•ccll A (�cUtis SPLO1' PLAN:by l . J ;t licciiscd atirvcycir; dawn to refire, Showing- actual location . Signature: _ -- ., „or „WIIPT s wilt, ftrdhltect, contractor) :� TOWN OF QUEENSBURY Fee Paid F � BUILDING & CODES DEPARTMENT Permit # 6R— ., APPLICATION FOR: PORCHES-DECKS- DOCKS & BOATHOUSES Est. Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING: The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED WITH THIS APPLICATION. Owner of Property: Tru,.. ' K_V `c CcA ile P.O. Address ZejZ lLj 1 ACN Phone # Property Location \p-k- 9C - la M Dithe Tax Mall # . Subdivision Name (If applicable) PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES: Name: 1 i y OnaAA62r Address Phone# BUILDING SPECIFICATIONS: • Type of work to be done: Porch Deck Dock Boathouse (Circle one) Size of Structure to be built (square footage) : 160 .E\ Foundation Material : Width Thickness Depth of Footing, below grade: Size of Posts or Studs: x x Long Size of Floor Joists: x x Span Decking or Flooring Material : How will Porch or Deck be fastened to building? If Roof Will Be Installed, Answer Following Questions: Size of Posts or Studs: x x Long Roof Rafters: x Spacing Span Roof Trusses (pre-engineered spacing) : Span Type of Roof: Sloped Flat Shed Other (Circle one) Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, showing clearly and distinctly all buildings, whether existing or proposed and indicate all set back dimensions from property lines. Show location of water supply and location and configuration of septic disposal area. Size of Property: ft. x ft. Existing building(s) : Size ft. x ft. Size ft. x ft. Use of Existing building(s) : Proposed structure, distance from property line: . Front yard ft. Rear yard ft. Side yards ft. and ft. If on corner, setback from side street: ft. DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. DATE: SIGNATURE wn r, Owners Agenc , r ct, C or REVIEWED BY CODE ENFORCEMENT OFFICER, DATE 7 24 T SIGNATOR Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Dept. of Community Development Permit No. W--06' Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: Lor Zq Lc ,0 ID , Property Owner's Name: Ink%.cii -e,6-5 Co At', • Property Owner's Mailing Address: tuft) �r 1 i.+s - 6C xu-. ,G/r l � Installer's Name: ' - Phone # �‘?' 3 376 / - Number of bedrooms (if r idential): Total daily flow: 6 / (residential - compute @ 150 gal./bdrm.) Topography: t, rolling, steep slope % of slope - Soil Nature: sand, loam, clay, other /depth: Ground water: at what d /th? feet / Bedrock or Impervious Material: at what depth? _ feet Pe rcolation test: not req required [rat„ 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- /75-6 gallon (minimum size: 1,000 gal.) Tile field: each trench Jam.5- feet / Total system Iength: 11 feet Seepage pit(s): number of .l / size each: .eft:by ft. Size of stone to be used: # 2- / depth or thickness / feet HOLDING TANK SYSTEM: (if required) Number of tanks: : Size of each: gallons ( Alarm system and associated electrical Rork 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 Queensbury, any permit or ,/1 appivval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitsiry Sewage Disposal Oniinance. Signature. of responsible Person: - ' Date: Application for SEPTIC:DISP-OSAEPERMIT' Town of Qnensbury Dept. of Community Development - Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 1 1 Location of property for installation: {�+ .28 (=WU" rc.. Property Owner's Name: -rQ al/dolts - hroup Property Owner's Mailing Address: INO ILDLd e q -Ledo krzylc_i_w_Nidotis- Installer's Name: E,t LtShQ._ aTa..pj-Trij Phone # 0013 a i oq . Number of bedrooms (if residential): Total daily flow: (residential -compute @ 150 gal./bdrm.) Topography: V flat, rolling, steep slope % of slope Soil Nature: ✓ sand, loam, clay, other /depth: Ground water. at what depth? LJ 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 id-SD gallon (minimum size: 1,000 gal.) • Tile field: each trench 94 feet / Total system length: 240 • feet Seepage pit(s): number of / size each: ft.by ft. Size of stone to be used: #Z'}G'° / depth or thickness feet • • HOLDING TANK SYSTEM:' (if required) Number of tanks: N 1/3-- Size of each: canons • &hum system and associated electrical wok to be inspected b9 a certified ngeocy.: .. or Your protoctiout please note pursuaat:to Section 136 297.ofihe4.Codo of.theEocvn:of.Queeaeba y,iax permit or ";.tin;; •approval granted ch is based upon or.is.granted'di+eii i ee� aY.s nal iaisiepu+aeentabaa or-falli re:to matron . material fact or circumstance known by or on behalf•of as applicaat;'.sball pia voed:4t r' .t}r*;i::C�c s: 1*S w I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queenstnny Sanitwry Sewage Disposal Onlinanae. Signature of responsible person: Date: S?-111,!J_•.l 's,.•_lJ! y•.lJ_i 1. •_r.A.It•r.•_l''e.Vl.•_ll•_lll.CJ.•.lJ.,•.I',•.lJ.•,P�, ,111.1 J•.lJ•_Qe. J!.l'JLI'J.•.l.1,4 01.. 9.4 •v"m•Ash a tk •r.mlJ..4 •kr"...�•.l' ., •tr• ft WI=C! fy , �;'{ ; THE NEW YORK BOARD OF FIRE UNDERWRITERS "'G�' ' i I BUREAU O ELECTRICI$Y ; Alt vE,,,`IBF-c 16, ;11t1,JWASHINGTON AV .,SUITE 704, ALB,A Y,.N- 122r30 ., t 1� ,:.= a� �••v! a 7-, i Date Apphcatio._"No�ionAle_65 r a ,?.c THIS CERTIFIES THAT q, only the electrical equipment as described below and introduced by plica_n_t_naizzed on the above application number is in the premises of 7-4 i} .711 1 it w Ou n r in the following location;iu0;Basementg c,0 1st FL ❑ 2nd Fl. Section Block Lot :i K� was examined on and found to be in compliance with the National Electrical Code.- '-e r -4t FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS , ' OUTLETS ilk. INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .�1 ski ❑-■■■.❑.© c {` DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS �=' S rFe AMT. K.W. OIL H.P. GAS Hj.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. 1:11 H.P. NO.0. OF�FEET AMT. WATTS 2 2 1 z 2 - 1 ll i>,-.., ' SERVICE DISCONNECT NO.OF S E R V I C E ' pi AMT. AMP. TYPE MEER ® NO.OF CC COND. A.W.G. A.W.G. A.W.G. 1 : :_�1 EQUIP. 1 0 2W 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL Iy�,, j' 1. 1.)O GB I 27. 1 2/0 .t 1,1 0 il t --AI' OTHER APPARATUS: iI iv, POST LIGHT-I 1 Y IR SMOKE DETECTOR:-7 r6- • A. 'cI - - r - �-.r. 0r rwi ii 1! .l �t VE. EI,EC,'BOE ELECT. L:1C "t20-3 t�•fit-\ - l •WI t b. - U. MLl-ii'3P �;��1,� A '�,d �� c» ,. L'tl r, ih �(' i F's �' NI', %cr �Ff'it ;' ° -•.. •'- �,. GENERAL MANAGER r C_H�.e:lJ.CTADS I 1 W.30_. - — ,: t 1 - . • •r`.- Per ' ?id lh by their credentials.•i This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may beidentified - - -- -- --�„ /Y•Y Y•Y Y4Y,•1;Y•Y,Y4y Y•Y 4il Y•Y,Y•M-ail Y•Y,Y•Y Y•-;Y•Y Y4Y Y•Y Y•Y,Y•Y 7•Y Y�Y 7•Y Y•Y 4i'Y•Y Y•YY•M it rie.Y•YrY•Y 7•Y Y•YYi1 tY•YY�YtY�Y Y•Y.Y�Y Y•Y,Y•Pil Y•Y 7•,Y•Y Y•Y Y•YY�Y!,i► r.OPY FOR Bull DING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE Al TFRFD IN ANY MANNER • RESIDENTIAL FINAL.INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: - Building& Code Enforcement 2 -- Dept. of Community Development Arrive am/pm Depart -j p/p�n Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAMEc - PERMIT# (0. _5 LOCATION p\ ,_c>,C ��.c-ram DATE _ TYPE OF STRUCTURE 1� N/A YESES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ✓/1 . Fresh Air Intake • �/ Plumb Vent through roof Roof Complete Exterior Finish Complete / V/ Interior/Exterior Railings 30"to 36" / V Exterior Handrails,balconies,landing 18' . or mor /` Interior Handrails stairs both sides 3 orn)bre riser. V ,� /Grade 2%away from foundation / 8"clearance to sill plate /� Gas Valve shut-off exposed/regulator 1 above grade Gas Furnace shut-off within 30 feet or -thin line of site / V Oil Furnace shut-off at entrance to .ce area Furnace/Hot Water Heater operating // Relief Valve(s)installedii Headroom,6 ft.6 in. on stairs Basement stairs,6 ft. 4 in. ✓/ Handrail exterior stairs both sides it ore than 3 risers ✓/ Interior privacy/trim/doors/main • ance 36" Floor Finish 4 Bathroom/Kitchen watertight a// Interior Handrails Balconies/Landing 18 in. or more / ,/ yj Railing across window in stairwells . Smoke Detectors: every level , every bedroom outside every bedroomL) inter connected / Bathroom fans le/! Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer / Garage fireproofing J �1/ Garage penetrations sealed ,./ Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or 1 sfrom floor Final Electrical 'ri* 0, C,� !v ( ✓ • Site Plan/Variance require Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) Okay to issue temp.CIO(Certif.of Occupancy) j Oktly to issue 'permanent CIO(Certif.of Occupancy) �/ ql &J 0 I• FIRE MARSHAL TOWN OF QUEENSBURY rim.,- QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME �_�-s y c LOCATION n � l I-J.)row # 61`4(5 SCHEDULE INSPECTION ON 1\-1—j—Cj9 e, AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY FIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM'''---- FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM' HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO S RINKLERS CLEARANCE TO H TING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE 1 FIREPLACE ASONRY FACTORY BLT. ❑RO H-IN INAL REMARKS: OK TO THIS DATE INSPSLIP.PUB INSPECTOR .h " TOWN OF QUEENSBURY � f�� BUILDING & CODE ENFORCEMENT �N#. �. 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: 2-0, INSP: " FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED: NAME fo___-LOCATION DATE A i -+ PERMIT a TYPE OF STRUCTURE `S�� 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 OPERAT NG INTERIOR TRIM/PRIVACY DOORS \FINISH FLOORS: BATH/KITCHEN WATERTIG T OTHER FLOORS 'SWEEPABI E OTHER FLOORS CARPET D STAIR CLEARANCE/RAILI GS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATIO GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. 7 SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C ap tap TOWN OF•QUEENSBURY BUILDING it CODE ENFORCEMENT 742 Bay Road Queensbury NY_12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name (1\0316(aPel Location Le,( Date\\` ` l9\ Permit e\'4 CQS SOIL TYPE: Sand-Loam-Clay- Results of Percolat' .n (if applicable) Ra -Min to/Inch TYPE OF SYSTEM: ABSORPTION FIELD: otal ength Length ofach tr:nch Depth of tr: ches Size of stone SEEPAGE PITS: N 'mber- Size - f' . x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. :ox Dist. Box to F eld/Pit Openings Seale ? Yes No Partial LOCATION/SEPA' .TIONS: Foundation to Tank feet Foundation to Absorption feet Separation of Pits eet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPE. . (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROVED: 411110010 • 1 Arrived: Departed: -- Ai( ;-°- u. ding In-n :r . - • i 0 . .. • -.s. . ,...... ., .,... . "......"•.„........ -,....N.,, • *••••.,... ..N.,,, .. .N.... • '••.-.. --... ',...... . . • N'''''',............ ... '‘. ••••,..... • ;' * . * ',.... ... 7.'' . '. . •,•... ',...., "N. . .1--.., , --.. •-• ''''''.••... . ...V * `...,... ••-•. ''''''',. • •• . .. . i -,.., ... ii .....„...,....""'•,...„ f ..„....-- l 2,C) \ NOV 1 7 1999 . • . •• -' - • •1,,.. Is:----4, .., _ ,. r------_____I - 'To/17,v!of,0:,.,•-:".„,, ------...22(2L .. .‘....6,.. ,.,. .1'. / . . T • 4 n \ 0- e i 1 '')t\, .•• . _ ..1: Se," ft 0. •4.--....-L-•-, . 1 • • . . . •.! 2 I . ...--. 1 . . . . • 'L.61 —1111#241 li it Al4 I .. • .. t ,.. . •/ - .. , f • • ' 4 I. -. ....----..------ . . . 1 , . -• . . . • -.. . - . .. • . . • GENERAL INSPECTION REPORT /64111_ ( 518 ) 761-8256 Town of Quccnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road G"5 Queensbury,NY 12804 Arrive am/pm Depart!- yam/ m Inspector's Initial NAME: ‘N\ (': Qr�p�QQ 6,57r PERMIT# 9 r 5 r DATE : LOCATION: � <--�1`�('��� u--C_ ' ' TYPE OF STRUCTURE: JF'+(1 RECHECK `� N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Plac The contractor is sponsibjle for providing protec ion from rcezing for 48 hours fold wing th,placement of the concrete. Materials for this Durpo on site Foundation/Wall sur Reinforcement in •I• e Foundation/Damp. oofing Backfill Approval Plumbing Under ab • Plumbing Vent/ c its in Place Rough Plum. g Heating Rough-In Insulation Foundation W Is Interior R- Foundation W•Its Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing • Jack Studs/Headers I Bracing/Bridging Joist HangersJack osts/Main Beam nfiltration Barrier i Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping 1316,d, GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development ' Date inspection request received: O T I Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/0: pm Inspector's Initials NAME: I-id-a JJ UT PERMIT# — _$ LOCATION: 12CJ.ee DATE : c7 TYPE OF STRUCTURE: RECHECK �414 c��--- N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor'is respo isible for providing protection f em free1rng for 48 hours followin_,the placement of the concrete. Materials for this pu .. on s' Foundation/Wallpour Reinforcement in Place Foundation/Dampproo ng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Y Heating Rough-In e( isulalion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls f 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 11 _ 495P. 6- .ti,/L\ 7\ GENERAL INSPECTION REPORT ,1 . ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road �J (IZ) Queensbury, NY 12804 Arrive am/pm Depart/" a Inspector's Initials NAME: ‘S\ \ PERMIT# 91 (05 LOCATION: t1� \1\A-Z DATE : MC111 j oc- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsib a fo providing protection from reezi g for 48 hours following the place ent of the concrete. Materials foik\this purpose of site Foundation/W llpour Reinforcement .Place Foundation/Dampp ofin Backfill Approval Plumbing Under Slab I Plumbing Vent/Vents in Place Rough Plumbing Heating Rou h-In . ion I Ait-'5/4-e-C__ / .0I 190/0 lit>S vL-. VieCe - Foundation Walls Interior R- 5 (AJ ,4v5 ,-) A-'( 5‘---?#0e Foundation Walls Exterior R- Floors 1 R- / t`�-XTZ--/iii7 '�aLA' Jj&i1 i JD (Vg Walls ! R- lq �-// Ceiling / R- V Duct work or piping in unheated spaces R- /roper Vent, Attic Vent Fralyting _-_ f/ "Jack Studs/Headers V Bracing/Bridging Joist Hangers � / Jack Posts/Main Beam �� VAir Infiltration Barrier 71,411-6 -- li Na( 0ra. Fire Separation 1, 2, 3, hour ; -4•A Penetration Sealed fire Wall 2, 3, 4 hour HFirestopping '1s-1. 5 - ----- GENERAL INSPECTION REPORT( 518 ) 761-8256 Q4' Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement / 742 Bay Road �� I Qucensbury,NY 12804 Arrive am/pm Depart( , 5ppm Inspector's Initialss NAME: M t�l C' ^t00 (FLA 7 PERMIT# 99 LI 6,5 LOCATION: C%I. DATE : % C) —7 -c n TYPE OF STRUCTURE: \Th RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection from freezi g for 48 hours following the pla ment . of the concrete. Materials for this purpose on sic Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi ng Backfill Approval Plumbing Under Slab Plumbing VenUVenls in Pla e ,..R9.4hPumbing• V . 4-leati ngRough=l n,-: Vr Insulation Foundation Walls Int rior R- Foundation Walls E terior R- Floors R- Walls R- Ceiling R- Duct work or pip'ng in unheated spaces R- / 05 j aLL '4 v6 (..),.LAD 6-R 4`/t T. L, A Proper Vent, Attic Vent �4v Jack Studs/Headers Bracing/Bridging Joist Hangers a -rge ie4 Jack Posts/Main Beam r�`� Air Infiltration,Barrier �Ol ���� l yabg e ke,fie \ :; • 'Fire-Separation 1 2,3, hour PE . C40 Penetration Sealed ire Wall 2,3,4 hour Firestopping.. - v 6!{-/e5 1-51 Ft.r2. �C- ' 1 A.?6 C-e{J .,-6.L mil_ "S t{ _ ��+�--� . .--,- ..--, 4q7A1? TOWN OF QUEENSBURY � BUILDING & CODE ENFORCEMENT PM 742 Bay Road J Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Lr 'Ne\C'J 1 Date -a01Permi t # - SOIL TY*- : Sand- oam-Clay- Results of Percolation Test- (if applicable) 'ate-Miiute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Tota L gt-#— .. Length of each t nch p tr. Depth of trenchs __ Size of stop- _—,,,,,r___Ii„. 2� - SEEPAGE PITS: umber- Size - t. x ft. Stone size PIPING: Size Type Bldg. to Tank _ "_-14 1{,-1T-,3D Tank to Dist. B x " d.__ Dist. Box to Fi ld/Pit Lpt ic Openings Sealed es - Partial LOCATION/SEPARA IO : Foundation to T nk tp4- feet Foundation to Absorption _2() feet Separation of Pits feet Conforms as per Plot Plan s No LOCATION OF SYSTEM ON PROPERTY: (circle one) i Front - Rear - Left Side - Right Side g Middle Front Middle Rear COMMENTS: --2;; S .. 47(51 . 4''..-- j - 0,.,eizio--00011;aqw_.iiirVIO SYSTEM USE APPROVED. � :=. - j � Arrived: Depar ••+ 16V7 :u-dui"gI tetor 8k)411 . . 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 Inspector's Initials N NAME: \CSX PERMIT# LOCATION: Ck LEN�iv` ��Lr DATE : — v2 o, TYPE OF STRUCTURE: RECHECK • N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsibl for 26. providing protection from fr ring for 48 hours following the plac nent • VOC71 of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing \ B I 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 I i y 6 0 AM -J` 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury ,y l�y�� . Dept.of Community Development Date inspection request received: d 1/ Building& Code Enforcement 742 Bay Road A Queensbury,NY 12804 Arrive m . Depart ., . • Inspector's Initial' s r NAME: /)1l C,hAe-ks C4.4 a p PERMIT# !Jr0 LOCATION: 9 1N,DP.0 / Dig • DATE : . ra = TYPE OF STRUCTURE: S a 0 RECHECK r N/A YE NO COMME TS Footings/Piers I Monolithic Pour Form Reinforcement in Place 7 --.'Yrif / `t� The contractor is responsible for providing protection from freezing for 48 hours following the placement /of the concrete. t Materials for this purpose on site \ � Foundation/Wallpour ��` Reinforcement in Place ' Foundation/Dampproofing \ 4' Backfill Approval Plumbing Under Slab I Plumbing Vent/Vents in Place I Rough Plumbing I Heating Rough-In / Insulation ,i Foundation Walls Interior R- s Foundation Walls Exterior R- Floors R- 1' 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 " Iv EXIS117'PHASE 1 LOT : /..... ..._ — __ -- TO BE NLARGED a icci?'(C° % 1 / / — I 0 ot / 4/. .t•; "") •••• w 1 66 67 1 68 / ,.., co / 1 ., ,i b co 21,178 sq.ft. co a) 21,178 sq.ft. cr) I • 21,177 sq.f 4 „ cr, -; I 0.49 acres ii 33,497 sq.ft. P; to, 03 ',,.' 4 0.49 acres 4 kr) 0.49 acres 1 P 1 .--- 0.77 acres S• i 1:ct _ , / o • / LE.: ---- — .F. J 1 '— r — IUTILIT 35 9'1.90 136.67 136.67 7 e Irtil„_ '4...422.as C.B. III N85'41'20"W S . N8541'20"W 0 0 0 JEN 8 DRIVE . I ----1— 1 ---f-- I -I —1- 0 csi -----P1-1 d• IV tere,?:•:,:s. . . .. ./., .,..r. _ S85'41'20"E $C37NCt..4 .06LV71-7'..'113 - . ?law 585'41.20"E ONC. MON. on LIE St.1 • • kSOrs.,:el.,:e;c 100.00 ,y, 100.00 100.00 ril 105.75 . Tirn -- g,,,:v1,:44i,t4;t:•,,-, 1312-,1 I rid"'1 1:-1,;;`%•; s:4.!;_;,Zif„, LOT .-9 .el. 'e.-i.-V.g.,...' ''' 1 r, 1 i'.5- - '"".:4*/;::•*." I *Cf ' • : --- __. ___ ___ ___ ___ ___ ___ ___ — _..— ___ __I r _..1 ,......•71 -,t;.'....••:,,,c,=., •••,,,:. 1.__ _ _ 77 , \r 1 r —1 1-- 50' ''... •• 0)..,.e.2.'-.-'1', -0'1'• ' EXIS 1 — 1 " ' ' ••.e-1,:::..0.,r.1, ;0 A ;-,.,-----.... 1 I ''''''''''''''::•eelj :_7' , ILI a 1 .1-'...'. .:'''-'...';'?,'"'''',l't: •-• ..."':-..1.V•e:i",.. 11 20',I"' ‘,,1,t...,.,''''''A.7:,:jt.',..2;•••'‘ 36-I .";4.1r14-;;;:e:'frO:'. 72 73 0 74 1 . re°. ,..„,,,_,„,,,,,„,..,,%,,,0„,.• `a; I:-.1) 0,000 sq.ft. O 20,000 sq.ft. d 20,000 sq.ft. I ''...''';:i•/..;I:NS,,`•,s1,1_,:., 1:4 ii?2. cd <---;--, o 2 0.46 acres o o c,i 0.46 acres i'•,1,3•::?. ':i',1-ft 0...t: 0 1=4-1_ , <ii °z I o " cNI 'f) 0.46 F ck I 'S t,'.:•••", ,..t:"A•1,.., .( .„•.; •4`1!. I BUILDING SE113ACK LINES (TYPICAL) 7. I 1 -i.- _ I SIDE LINE SETBACKS I .0 ARE A MIN. OF 10' ' •-.-•-•,/1' -P•-•:'. I sq. t; 41 W1111 A TOTAL or 30' ...i".; .f.•,;',1?,.e.h••,.,_ 0.60 acres ". ''''..t..404-0.1,..44/2,1,- • [r.,,,. ttrn, 1 — ,-,-,•'..,zr.,.:•, ,.. -.4f, L _20:___ _ _\ L _ _ _ _ 1 _ --- — 01_, 7 E IST1NG 1. cK 1 31.38 . . 100.00 100.00 100.00 t-,-;404.1.1,::.• H IRAN 0 7 AM 1 NaMi i -•'...,''.1 i Mal 1 'TIM i ''.- i 54.-'1",- ,I `-:=:14-4- 1 Pla I MI i OM i FA N8541'20"W N8541 20 W ,,-,..fs, •• I SC./t-Cit, I = 66 1 i 1 n f t VO 1 MAP REFERENCE: LEHLAND ESTATES SUBDIVISION MODIFICATION PLAN — PHASE 2 DATED: DECEMBER 22, 1998 REVISED: DECEMBER 29, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC w A 4 W O a SARAH JEN DRIVE NOV 1 `' 1999 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: Rosemary A. Castelli Chicago Title Insurance Company ABN AMRO Mortgage Group, Inc., Its successors and/or assigns CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: November 11, 1999 S ID u S �l �] „( Q A ` • teves ��yy /V�/�-I •1�,_,J Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 518) 792-8474 New York TAc. No. 50135 1 UNTIMM ALTERATION OR ADWM TO A SAW YMAPKMNO A UCEMM lNQ SURV yW AM IR A WMAAOI W MEcnoN ?m S N-WW" & OF IM K V "M STALL EDUCATION LAME• NARIQD W7N AN OMdIW. O< TIE LAID SIIIiEYORS N= IM i11O1 M& or IML A TN6 Kyms MEAL MOLL KCCmw-pm NKYALIO m COMM* 'CUnWrAMIONS "O== MM man THAT 7Nf SRTIEY IWIS FlEAARFO M ACCOIWNft YTAI 1RIE By1WNOMURNS °`" `00"IM A°°�' n 1NE tyr T m MRAIE rwMA TION Q LL RM 10NAL LAND SMt1ETdIC MGID CERIFE'A71OIS WALL IMp OiY TO W PFASON FOR MRROY ARE SSREY S FWARM AM oN NO ■ W 70 THE TIRE CMVANY. OOVEDUMAL >n lIE AMw"NWwr `aNERs LOU" OF M`"'RR'°"' AIE IEERT"p I� RN51TIU10N.' mMme � "'° . . LAND Map of a Survey made for ROSEMARY A. CASTELLI Town of Queensbury, Marren County, New York Date: , 1999 Scale 1» =30 - � 1 OF CASTEW DWG. NO. 89423-29 NO. DATE DESCRIPTION