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98-037 CERTIFICATE OF OCCUPANCY TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK December 28 98 Date 19 — 98037 This is to certify that worm requested to be done as shown by Permit No. has been cnmpletcd. SINGLE FAMILY DWELLING This structure may be occupied as a LOCKHART MT . RD . Location JACKSON , STEVEN & Owner TAX MAP NO . 2 3 . - 2 -- 2 9 . 2 4 2 By Order Town Board Wff OF QUElrNSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE IS 12wGQVVN OF QUEENSBURY No. ._ 7 TAX MAP NO . 23 . - I - 29IAAMEN COUNTY. NEW YORK PERMISSION is hereby granted to JACKSON r STEVEN & IP LOCKHART MT * RD . Street, Road or Ave. OWNER of property located at at the Town of tcation in Vo a To Construct or place a SINGLE FAMILY DWELLING_ at the above location in accordance to application together with plat plans and other information hereto fried a nd approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERtAgMitNE P . O . BOX 146 KATTSKILL BAY , NY 12844 2. CONTRACTOR or BUILDERS Name JACKSONr STEVEN S. CONTRACTOR or BU140ER-to Address 4, ARCFtMVrS Name COMMONWEALTH ELECTRICAL S. ARCHITECTS Address B. TYPE of ,Construction — (Please indicate by xl SINGLE FAMILY DWELLING ( I Wood Fran"e t I rrlesonry S 1 Steel ( l T. PLANS end Specification I , 898 SQ . FT . SINGLE FAMILY DWELLING W/ FIREPLACE A'& FER PLOT PLAN AND SPECIFICATIONS B. Proposed use SINGLE FAMILY DWELLING 2 i $ February 18 2000 $ PERMIT FEE PAID -- THIS PERMIT EXPIRES 19 (If a longer period is requ�f�orai applilamion for date-)etanslon muat tie f bade to the Building and Zoning ingaactor of the town of QueensburvIs February 19 Dated at the Town of n Da ry this _ y of 19 for the Town of Oueensbury SIGNED BY Building and eni 1 Building Permit Applicattopt Town of QLIC'G't?sbury - Dept. ofCorn"ounity Develulnnetir, 742 BaY Rocul, Queeiraberrv, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance of this permit: PERMIT FILE NC7. A permit must be obtained before tx;ginning construction. No inspections PERMIT FEE PAID $ will be made until applicant has received = Zoning Board Action � T3 a VALID BUIL DING PERMIT. All Am% t.1se RECREATION FEE P !D $ applicants" spaces on this application MUST he completed and the signature Q Planning Ord Action REVIEWED BY: of the applicant must appear on the SPR ! Snbclivision I O lier Briirdink ItLyeanr• pplication form. xc ,.� Recreation Fee Payment VED Applicant: �� 1 �'`lC +tc �'`� tl J Owner: Address: P.O . r-swr 1*6 fLrif/ Cr► G `/ 'JY /2gfirAddress: '�rR0i `�i UE ENS13URY 1 1 -�'U+1=Df�_f4i) CODE I'liune # ( I�$ __) Ln � - _` 'S_� Phone # Property Location : i ,-, rtl=� A4r Q 40 rax Map Nunil}cr Subdivision Name: Section Mock I .y NAT1PRE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New B< urr CONSTRUCTION : $ 2� ..Lrt � eIidence commercial Addition lding : residence / commercial i OCCUPANCY INFORMATION : Alteration to Building : Prjipary Building - residence / commercial ✓ Single Family Dwelling _ Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : • ; 4 l{!Y � � �� If ADDITION , what will use 1st Floor . . . . . . . �.�"`.'_ sq * of new. addition be ? : 2nd -Floor . . . . . . . 5142 sq . ft . Other Floors . . . . sq . ft . J " ( not unfinished cellar or basemen ACCESSORY BUILDINWg 5� � l ' Detached G rTOTAL FLOOR AREA : L / SQ , T . Attached a Private o SIZE OF NEW STRUCTURE : Commerci 1 S A O FEET X ��"----• FEET Other Foundation Type : /0 g Will any second- h lid or ungraded Numberof Stories : lumber be used? if so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and./ or >e ( circle all which lies ) to be installed : 1 C C� AS Gas / Wood Forced Hot Air eboard / other Person responsible for su ervision of wo ]c as re ards to bixildin codes is : 7 �+0% .�trtuKSo U s3uu l fa <*trMk',, tiny 6 S►� - �' Name Addresss ^r/ t 8ff ' Phone Builder : Plumber : Mason : Electrician : Nr J)ECC, 4RATJ0N.• Please sign below after you have carefully read rite statentent. To the best of my knowledge the statements contained in this application , together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to (lie proposed work shall be 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 BCTLLT PLOT PLAN by a licensed surveyor; dr• wn to scale, sl ing tual location of project on premises. Signature: (owner , owner's ag t, architect, contractor) Application for SEPTIC DISPOSAL PERMIT F0C5 Town of Qtseensbury PerREZ Dept. of Comsntmity DCvelolsment !LVED Building & Codes OfEce 742 Bav Road Fee Pa�gS Queensbur/. KY 12804 T �_ BUIL©1lVG AND C{7DE Location of property for installation: Property Owner's Name: � c A CA<4z ^J Property Owner's Mailing Address: 1� l.7- 93t>x' Wo Installer's Name: AM Phone # 15 Number of bedrooms (if residential) : Total, daily flow: 4 (residential - compute fi? 150 .Ibdrm.) Topogm- pny: ,.-flat, rolling, sre-zo slope ",'a of slope Soil -Na mix e: shod, Ioanz, c:av, ct=d= f depth: Ground water: at what detxh? feet I Bedrock cr 1=rper�;ccs Materiz: at w1mat degrh? feet Percolation test: not T u= -a., recce w [ -=.z.-. min. pe.r inch j Domesic water supply: put icipa? , welt, o--=-^ If dcrnestiQ water supply Is a 'Y'Y'ELL, water sugoly =cc^ ;a"ty s._'^._c absorption is raet. _ PROPOSED SYS=. : semic L gsUcr (rminu"-um size: I ,CCO 8:31.) Tile Held" each trench rJ Q feet I Torte .s rsem Sercaae pit(s): number or / size =Ch: ft_ by ?� Size of some to be used: n I de=th or ttz c s feat H©LDC4G TA.\L TK SYSTF."&* (%r" required) Number of ram: S'ae of z ='?ions Iatm svateaa =d aaaocvAted electrical psi[ to be b=roected by a certiEed as3sncf. Fcrr your pratecr.;taa, please note that pursuant to SectiL7u 136r?9 of the Coda of .;�e Towa of Queembaay, aav permit or a�prUvai mated. winch is based ufon or is meted izt reliance smcn say =2ate=;a =sin or fai2,ax;s maica a nz.a .sral fact or ci.rceurtataace kwv4M by or as bebalf of as zprlicarzs. sraL1 b+3 V ail?. I have read timo tvgU1s=os vvvh mapec:t to this aFP3.i= s c and ag7e� = atade bRy ^cse amd all ^gtxir� of the Town of �gCvrf Sanr`tas;+ Sawsaga Disposal GTrc'i ca. Sic re oc responsible person: Date: ENERGY CODE COMPLIANCE AP3GPlT c 420TOWN OF QUEENSBURY , WARR4E&C 9000 HEATING DEGREE DAYS "'� 1.0 meowC1 ' 0UEE040,f3UHY BUI lffsfG AfVi7 Cd f Compliance Methods : PART 5 - Acceptable Practic"1�e� 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 : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 10 Gross Floor Area - +� C] square feet _ 2 . Type of Heat - Electric Oil ✓/Gas Other 3 . Is building mechanically cooled ? ✓ Yes No 4 . Percentage of area of windows and doors Over 17 % Under 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a , Roof R � b . Exterior walls R -- C . Glazed areas R d . Exterior doors R - "Y e . Floors over unheated spaces f . Edge of slam on grade ( heated building ) R g . Basement / cellar walls ( above grade ) R h . Basement. / cellar walls ( below grade ) R i . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device , / Conforms to minimum efficiency per code L' Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Appl ` an ' s nature D a t / Pho-ne Number INSPECTO ' S REMARKS : F TOWN OF OUE.ENSBURY 742 Bay Rd„ QueenSbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS _ _� , I9 ` Dat� .7ZO Perot Ner. 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 thanf one appliance andlor chimney. Applicant �� APPEwICE (check appropriate boxes) Address �� �.� -� k / CTSTOVE: o Wood ❑ Coal a Pellet rmas ❑ FIREPLACE INSERT Zipl1, ❑ FIREPLACE, FACTORY-BUILT: ip Wood ❑ Gas Phone cow 6 - y2 ❑ FIREPLACE, MASONRY: p Wood o Gas Owner 5' i�,,,t �r"" ❑ FURNACE: ❑ Wood ❑ Gas p Oil Address IF NUN-MASONRY APPLIANCE: Manufacturer: Zip Model : Phone CHIMNEY (check appropriate boxes) * EXACT,,ADDRESS of proposed cons ruction ❑ MASONRY: ❑ Block 0 Brick ❑ Stone FLUE: in Tile ❑ Steel Size: inches CONSTRUCTION 1 INSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Number: BUILDING CODE. CONSULT AVAILABLE Listed By : TOWN OF QUEENSBURY HANDOUTS ❑ Double Walt Tr' Wall ❑ REGARDING REQUIRED INSPECTIONS , ❑ insulated irect Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded ; Code Number Title A 173 3389 (190 ) Public Safety A 233 2655 �(i Z30) mi-gor Sales f Fee Collect d Fro of Refunded to : Address: r Dated : Applicant Clerk or Deputy: ► "ite: App1 cant Green: Fire Marshal Yellow. Bldg, Dept. Pink & Goldenrod: Cashier's Dept. TOWN OF QUEENSSURY BUILDING S CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12004 ( 518 ) 745 -4447 / FINAL INSPECTION REPORT -- RL'SIOENTIAL DATE. INSPECTION,,..1.� REQUEST RMCEIVED : NAME CO LOCATION C�r DATE --' � f PERMIT I r� TYPE OF STRUCTURE �'�� FOOTINGS FOUNDATION BACKFILL FRA14ING ROUGH PLUMBING SEPTIC INSULATION FINAL E:LECTiRICAL WOODSTOVE OR FIREPLACE N 3 No CFSIMNEY HEIGHT[9 VENT/HEIGHT LUMBING VENT ROOFING E XTERIORFINISH EPS ILI O E INGCY D ORS FINISH FLS • BATH/KIT HEN RTIG OTHER FLOOR SWEEPA LE OTHER FLO S CARPETED STAIR CLEARANCE RA ILI GS STOKE DETEC O S BATHROOM FANS PLUMBING FIDS.TURES — FOUNDATION INSULATION GARAGE FIRE PROOFING DOO CLOSERS F NAL ELECTRICAL SITE PLAN /V IANCE REQ FINAL SURVY OT PLAN OK TO ISSUE C OR C /C FIRE MARSHAL TOWN OF QUEENSBUIRY QUEENSBUIRY, NY 12804 (518) 781-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED/ _, RMIT 4 NAME LOCATION c _- SCHEDULE INSPECTION ON -- - - _ A M ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTHS _. EXIT SIGNS EMERGENCY IGH:RS -- FIRE EXTINGUI FIRE ALARM S S FIRE SPRIN ER SYSTEM FIRE SUPP ESSION SYSTEM HOOD IN TALLATION INTERIOR FINISHES STORAGE: - - -- _ _-} -- - - CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY -- - ---- --- - - -- I - WOOD STOVE - -- - -- t.... . . ----- FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: ❑ OK TO THIS DATE 1NSPSUP.mm INSPECTOR 0000 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request roceived- Building & Code Enforcement Dept. of Community Development Arrive arnlpm Dep"_____�. Am Town of Queensbury lnsl�or's Tnittals - 742 Say Road Queensbury, New York 12804 NAME PERMTI• # LOCATION17 Ems DATE TYPE OF STRUCTURT NIA YES NO COhIEN TS Chimney HeightP'B" Vent/Direct Vent Location -- Fresh Air Intake Plumb Vent through roof Roof Complete' Exterior Finish Complete Interior/Exterior Railings 30" to ' Exterior Handrails, bal an in or more Interior Handrails both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shun-off within 30 feet or within line of site Clil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera Relief Valve(s) installed Vj Headroom, 6 ft. 6 in- on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trirn/doors/main entrance 36" Floor Finish Bathroont/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage f t-Mroofin Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glaring 18" o le fl r oo _ Final Electrical �- V���r iJ �} S t $ 'Vo' t Site Plan/Variance requirEd Final Survev Plot Plan As Built Septic System layout required May to issue CIC (Certif. of Compliance) Okav to issue temp. C/() (Certif of Occupancy) p Okav to issue permanent C/O (Cenif of(-kcupancy) lt7 jjJrQk /4 PI i �� ERV COMMONWEA,L"T 'f ELErCT[ ICRo iP MR11h int, P S7545 OVAL [J Pdain Office 06 Sloe Run RoaE[ ECTRICAL APQR MUNICIPAL CERTIFICATE Cut-in Card Ir}o,......... .......... ...............�.... Panel Board 130. .............................Cc". Kq B 7 2 _.. ........... ,. C ............. !�„'✓.C1 �................. ems} , Owner.,............... . 4M 7—AL,) )e T L ....,...... ..... Locatio 4p / '` .......... Installation Consisting ''F'.G'. J ,f..`1'LT► 7�iG.l .r.... .... ... 6� I1.�t`rP.f... .............. ................ Lic. (`3o. ........................ ......................... _}..........................._...... ..............,......._.... ......,. issued is t ,�"! 4.7......... certificate previously Installed By.......... ... ,I ovemed the issuance of this certificate. an any date. LF on the The conditions followingS cancelled: - rc�m tly made for insPc"o� its application shall he s ect ons at any time. aTid This certificate only covers the electrical eyuipm pl and installation be conditions as ° an shall have the privilege of male' fie introduction c tf cafe O nai equipment or alterations, P e t ,' inspectors of this Comp Y rules are violated, the C°mpan shall have the right to rev ..� ...... .. ..............�....._.....,........�_._ /�.�' "�.�....... .. ............ SNSPECTtIR ... ... Member Date 4 GENERAL. INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Itoad Queensbury, NY 12804 Arrive am/ptn Depa am/pm inspector's bdtittla NAME: hrGl�. E?t� PERMIT # q8 LOCATION; �JC+��'� DATE : r0Z 211! TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from g for 48 hours f2in il g e placement of the concre Materials for thon site Foundation/Wa Reinforcement Foundation/Dan Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Mugh Plumbin ing Rough-In Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Walls R- ---+ � Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic `Tent 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 Firestoppi n GENERAL Lb PE I Town of Queensbury t 13) Dept of Community Development Date inspection request received: i Building & Code Enforcement _ 742 Bay Road 70 _ Queeuabury, NY 12804 Arrive am/pm Depart 's Inii3glis NAME: t7 PE # LOCATION: D TYPE. OF STRUCTURE: RECHECK NIA YES NO Ca S Footingso/Piers E 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 FoundatiortlWallpour Reinforcement in Place FoundationfDampproofin Back ill Approval Plumbing Under Slab umbing Vent/Vents in Plat e Rough Plumbin Heating Rou In ation �. �-- Fmmdation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- ,�`r�r Vent, Attic Vent l �y Framin J k Studsf leaders iracing/Bridgmg Moist Hangers ✓Jack PostslMain Beam Air Infiltration. Barrier Fire Separation 1 , 2, 3, hour. Penetration Sealed Fire Wall 2. 31 4 hour Fitmestoppin TOWN OF QUEEMSBURY WILDING 742 CODE EN adORCEMENT Queensbury MY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name f • Location Date � � Permit �# SOIL TYPE: Sand- Loam-Clay- s of Percolation ( if ap Minutel nch { if applic lee )) Rate TYPE OF SY - ABSORPTIO1l ELD : Total Le th Length of ea h trench Depth of tre hes Size of stone SEEPAGE PITS: Number.t . xft . Size stone Size i ze YP'e PIPING:Bldg . to Tank -- --- Tank to Dist . Box Dist . Box to Field t No ar—Ma Openings Sealed? Ye LOCATIOMISEPARATI feet Foundation to Tan — -- - feet Foundation to Ab rpt on , _ feet Separation of p ' s -- es No Conforms as pe plot P nPERTY : LOCATICK OF SY ( circle one) Left Side Right Side Front - Rear - Middle Fran Middle Rea COW '�EMTS : SYSTEMUSE APPROVED = Y s xa Arrived " Departed = Bull dI ng n pector | all ' P(V\ GENERAL INSPECTION REPORT Town of Queensbury est receivers• Dept, of Community Development Date inspection r�u Building & Code Enforcement ��r`� '742 Bay Road Queensbury, NY 12804 Arrive am/pm D eP ' inspector's Initials H! NAME: ATE LOCATION: TYPE OF STRUC RECHECK N/A YES NO CONOVIEN'rS Food ngSlPiers 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/Wall Reinforcement in Place Foundation/bampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ugh Plumisin Beating Rough-In Insulation Foundation Walls interior R- _ Foundation Walls Exterior R- _ Floors R- Walls R- Ceiling R- D uct work or piping in unheated spaces R- pTpe.r Vent, Attic Vent n � ns5T4ty- c7G r't'``' Lack Studs/Headers - BracinglBridgin �'- { .{ L y �1 A- Joist Hangers - c1 ww -.0 c` '�r`^ ►� 4 'U "E 4r` Jack posts/Main ry sTPr ,/ Air Infiltration Berri x35 tkt c __ r yc �jI t LC 6p Fire separation 1, 2, 3, hour penetration Sealed Fire Wall 2. 3, 4 hour FirestopPm GENERA�- .IN .YEC.�T N ItE RT ceusbury ~~ Town of Qu la meat Date insi�ti� request Dept. of Community Deve p / Building & Cade Enforcement anVpm Dep�C56 742 Bay Rand Arrive Inspex tar's Initials _..� — 4ueensbury�, N-Y 1280 # -�- NAME: DATE T �LOCATION: ZlF TYPE OF STRUCTURE - RECIIECK NIA 'r'E NO CANTS I Foo 'ers Mono this Po Form Reinfo t in Place The oontr��°r is respo'ns�'b^le for pro1viding protection from freezing for 48 hours following the placement of the concrete• on site Materials for this pAuro ose FoundationlWallpour Reinforcement in Pla e Foundation/DI Backfill Approval plumbing Vent/Vents in Place plumbing Rough Plmnbin Heating Rough4li Insulation Foundation walls Interior R- Foundation Walls ExberioRr Floors R_ Walls Ceiling Duct work or piling in unheated spaces R �--�' proper Vent, Attic Vent Framin StucLslHeaders BracingMridg,►n 30ist %angers Jack p,,tsf Main Beam --------- Air Infiltration Barrier hour Fire Separation 1, 2> Penetration Seated our Fire Wall 2, 31 Firestoppm " -VOW OF QUIEEKSWRY �FancE BUILDIM 6 COD 742 Road Bay 'toad 4 queensbury MY ECTIOM SEPTic DISPOSAL SYSTEM I1i5P � Name Locati on PerMi t Dated � Loam- l ay- San SOIL TYPE: Test_ l at' °icableMinute/in h--/�ry--"�/ 4: Results of Perco Rate ( i f aPl SYSTEIK` Length TYPE O HELD : tal ABSORPTIOR each tree ~�- Length of �~ Depth of trenches _-----�-- Size of stone ber- SEEPAGE PITS: ft . ft . x ' Size - -- S - e e Stone size PIPIIiG- �_ Bldg . to "lank Wank n' st . Box to to Fieldlpit No artza Dist . B�xSeal ed? Yes Opening SEPARA'TIONS: ', feet LO�CATICK/ to Tank feet Foundation to A+bso► ption Foundation �. pits o Separation o Plan Per Plot LtyCATla�i OF YSTEM OK pRO ER ones i ht Side { circle _ Left Side Front - Rear ea Middle Front " a ? ` YES SYSTEM USE APPRa�r� = Arrived! Departed- dd Bui ding SPectar GEN ERA.L L?VSFECTI©N REPORT Town of Queensbury _,2 Dep'L of Community Development Date inspection request received: �� J CDA Building & Code Enforcement y/ Arp. gm y 742 Bay Road Arrive i "� arnlprn Depart Lf Queensbury, NY 128D4 t"pector's Initials PERN rr # I NAME: DATE : _ - LOCATION: TYPE OF RUC.1I RE:S; RECHECK NIA 'YES NO COMMENTS l Footings/Piers_ Monolithic Pour Form Reinforcement in Place The contractor Ls responsible for Providing protection from g for 48 hours foll g th cement of the concrete. Materials for this pu an FoundationlW allpour Reinforcement in P ce FoundalianIDamis oofing� AAaelgffi Approv Plumbing Un Slab 'Plumbing V t/V ants in Place Rough P'lu ng_ Heating ough-Ir insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiiing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing jack Studs+'}leaders Bracing/Bridging joist Hangers. jack Posts/Ma in Beam�___,� Air Infiltration Barrier Fire Separation 1 . 2, 3. hour Penetration Scaled— Fire Wall 2. 3. 4 hour Firestopping Too or QuEENSBURY BUILDING �CODE ENFO BaydRCE Qrueensbury NY 12804 (519) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �- CZVI c, dt---� Location Date "�=' Permit # -�7�� SOIL TYPE ; Sand- Loam- Clay- Results of Percolation Test- i ( if applicable ) Rate-minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS : ft bzr- ft . Size - ------ Stone size _ S 7` yVpe PIPING; Bldg . to Tank ---- Tank to Dist . Box --- - ------ Di st . Box to Field/Pit ies No arty al Openings Sealed? LOCATI pll/SEPARATI ONS : feet Foundation to Tank feet Foundation to Absorption _ f feet Separation of Pits tsi of Plan �� 'es No Conforms as per PROPERTY ; LOCATION OF SYSTEM ON ( circle one) Right Side Front - Rear - Left Side - Middle Front - Middle Rear COMMENTS = SYSTEM USE APPROVED : YES NO Arrived: Departed: r Bui zng Inspe for GENERAL INSPECTION REPORT Town of Queensberry Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive�4 amlpm Depart Inspector's Initials �^�, NAME: 'i 1t� C�C 1:�SZ^r^� PERMIT # V Y 7 LOCATION: �J r c- _IBC'�.p, y �^ - R DATE TYPE OF STRUCTURE: RECHECK NIA YESjo 0 COMMENTS nf�ngslPiers I fanolithic Pour Form eorcement in Places 7 r,v G 4�GC .v 5 The oontractor is responsible for providing protection fro freez' for 48 hours following the la me of the concrete. Materials for this purpose o si Foundation/Wallpour Reinforcement in Place Foundation/Da pr n Backfll Approvalm Plumbing Un ab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough4n 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 lack Studs/Headers Bracing/Bridging .foist Hangers Jack PosWMain Beam Air infiltration Barrier_ Fire Separation 1 , 21 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Fi restopping GENERAr. INSPECTIDN REPURT Town of Queensbory S ment Date inspection request received: Dept. of Community Develop Building & Code Enforcement 142 Bay Road ArrivVd , [DanVpm Depart/. Pm Queensbury, NY 11804 r, Insp�ec#or's Init ial s �J�4 C or# f` d C}lay NAME: PERMIT 4 DATE On LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES NO CON4h4EhTTS tin I onolithic Pour Form Reinforcement in Place ^ — The contractor is responsible far providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose a si F'oundation/Wailpour Reinforcement in Place Foundation/Damppmofi Hackfill Approval Plumbing Under Sla Plumbing Vent/Ven in Place_,,,___,_ Rough Plumbing Heating Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- — Floors R- — Walks R- Ceil ing R- Duct work or piping in unheated spaces R- Proper Vent. Attic Vent Framin Jack Studs/Heacicrs Bracing/Bridging .foist Hangers Jack posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin t�L, �rp,� ►h0 p � PF a tM 3ico u rvf S 1 � rnnro�t3 ? 1 CL - s�� N � 96611 y,,r+ m 9x9 `-- �qqtm Oil ( L..r2 � a f