1999-450 ---,--"moolll
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TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
---
, Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: 99450 Date Issued: Tuesday,,January 30, 2001
,../
This is to certify that work requested to be done as shown by Permit Number 99450
has been completed.
Tax Map Number: 523400-125-000-0008-154-000-0000
Location: 18 FOUNDERS Way
Owner: TODD & MARGARET MARTIN
Applicant: MARTIN, TODD & MARGARET
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
(....--104P 11 Olt
Director of Building&Code Enforcement
BUILDING PERMIT
VALUE $ 125003n0WN OF QUEENSBURY No 99450
TAX MAP NO. .125 . -8-154 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MARTIN, TODD & MARGARET
OWNER of property located at LOT 15 4#18 FOUNDERS WAY Street,Road or Ave.
in the Town of Oueensbury,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. oln2(0 RHEIdNRICK CIRCLE
QUEENSBURY,= NY. 12804:-
2. CONTRACTOR or BUILDERS Name
MARTIN, TODD
3. COKTRaC7Dgfr BUILDERS Address
GGGL,ENSSPP.FALLS NY...,42,801..
4. ARCHITECT'S Name "
COMMONWEALTH ELECTRICAL AGENCY..: .
6. A 4l1 ltS F istsS
HAGUE, NY 12836.
6. TYPE of Construction-(Please indicate by XI SINGLE. FAMILY DWELLING
( 1 Wood Frame ( 1 Masonry ( 1 Steel l I
7. PLANS and Specifications
2655 SQ FT. SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE.
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
348 August 11 2001
$ PERMIT FEE PAID-THIS PERMIT EXPIRES ,19
(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.)
11 August 1999
Dated at the Town of Oueensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
•
•
ENERGY CODE COMPLIANCE APPLICATION �I
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS JUG 2 1 1999
TOW`;,,i3( f�OLf iZ siss J y
BUitiDIP�lG 4dD
Compliance Methods : PART 5 - Acceptable Practice Method - P COS
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:
Todd M 1vg Ma.►rt i vt 18 Fodvlders v\[cu� , aucelisb
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 2.6 SG 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 30
b . Exterior walls R 19
c . Glazed areas R 3.2
d. Exterior doors R /4
e . Floors over unheated spaces R I9
. Edge of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R If
h . Basement/cellar walls (below grade) R _ r�
_ . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device 7
Conforms to minimum efficiency per code ✓ Yes No
- TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App_ - ca=t ' s Signature Da a Phone Number
/ a.: .�,1 7//9 79 793-7651
T-NSP =O?' S REMARKS: I
PIM' nuuaing •Permit Application
Town of Queensbul y - Apt. r f Community Develulserntr 742 Bay Road, Qrrerrrabrrr NI' 1280�
Nt° J J /7Gl-8lSG/
la BUILDING (F . CODE ENFO1tCLAfENT .
r-- Requirclnclits prior to issuance
A permit must be obtained before 1 of this-permit: PERMIT FILE NO. • ~
beginning construction. No hsspcclbrhs ������
will be made until applicant has received El Zoning Board Action PERMIT FEE PAID
a VALID BUILDING PIIRMrr. All Arca /Una
npplicnnts' spaces on this application • RECREATION PE r!'AID$
MUST bo completed and.the signnluro • , /
of We applicant must appear cat the t lfrilntitg Board Action REVIEWED Di': tC�s
�h splication forth. n...�),,� SRO / Subdlvl+ion /Other
Minding imprrmr
-� J 1 Recreation Pee Payment
Applicant:' I OPD k Mal aIr- - M Q. IY1 Owner: -Todd Mar aref
'� I� _". 9 gaXIIYI
• ' Address: 20 hth r[C,�C �.'11�G• �6, Qbc, ,l�`l
Address: Sa w1G
•
Phone .
(SJ. ) 791 7691 nouc # ( ) - _ ..
Properly Location: I8 F Ov)OI P�r3 RI a1� Q Ny _ 1s /
Subdivision Name: l3cc! k v4 CI ose Tax Map Number. LZ-5.1 S 1 1-
' Section Ilhrek I ill
NAT3JRE OF PROPOSED WORK: •
New Building: ESTIMATED MARKET VALUE OF THE
residence / commercial CONSTRUCTION: $ I"LS,Opp
Addition to Building:
residence / commercial - OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial V Single Family
Merl-
Residence / Commercial Two Family Uwe i <4" WED
no change to exterior size Family Dwelling
Office JUL 2 1
Other Work (describe below
Mercantile 1999.
ManufacturingOWN OF QU,EENSEURY .
GROSS AREA OF PROPOSED STRUCTURE: -2. ~ Other BUILDING AND CODE
1st Floor 196�, sq. n 5� If ADDITION, what will use
end .Floor 749 s . L of new addition be? :
Other Floorsq. '
(not unfinished cellar or basement) ��
• ACCESSORY BUILDINGS: •
373. (° Detached. Garage 1, 2 car
TOTAL FLOOR AREA: 2)6 5 5 SQ. FT. Attached Garage 1, 2 car
SIZE OF NEW STRUCTURE: Private Storage Building
Commercial Stor gP Building
65 FEET X 57
FEET / other Antic/1r (Rural e
Foundation Type: Pourrd Will any second-hand or ungraded
' Number of Storl.es: lumber be used? If so, for what?
(habitable space only' •Height (grade to ridge) : TYPE or--•- _..__U s ;
Number of fireplaces and/or wo dstove (circle all�which xa.•lies
to be installed:
I Electric / Oil / as / Wood
Forced Hot Air / base oar / Other
•
Person responsible for supervision of work as regards to building •
codes is : Todd Mc tin 20 fit nrick C,rde Qbj,NY" 713-7691
ame Addrosso . Phone
• Builder: T. M lk Cions-fv-udidA - ,
Plumber: rl t t I I •
Mason: 176111 Corit:W (founet.--trot)
Elechrician: T. WA-A c 'tis1 G-fedn •
DECLARATION: Please sign below filler you have carefully read the statement.
To the best of my knowledge the statements conlahicd in this application, together with (Ile plans
and specifications submitted, nro a true and complete statement of n11 proposed work to be done on
the described premises and (lint nil provisions or the newton Code, the Zoning Ordinance and all
other laws pertaining to the 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/%ve shall submit prior to a
Certificate of Occupancy''or Certificate or compliance being issued, an AS BUILT PLOTPLAN by .
n licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: f
•
(owner, owner' agent, arc litect, c nlractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury l C( ) �Q
Dept. of Community Development Permit No. "i
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: J Foundry-5 Wal
Property Owner's Name: pdd 4 Mnn 'et' /' art
Property Owner's Mailing Address: 20 Ncinnck CI r01d,a by ,N/
Installer's Name: Phone #
. Number of bedrooms (if residential): 4- Total daily flow: 600
(residential - compute @ 150 gal./bdrm.)
Topography: flat, rolling, steep slope % of slope
Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: not 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 feet.
PROPOSED SYSTEM
Septic tank:1,000 gallon (minimum size: 1,000 gal.)
Tile field: each trench `J 0 feet / Total system length: Z 5 O feet
Seepage pit(s): number of / size each: _ ft. by ft.
Size of stone to be used: # 2.- I depth or thickness 2- feet
•
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm system and 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 Queensbary, any permit or
approval 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 Sanitary Sewage Disposal Ordinance.
Signature of responsible person: T(3421 4 - M Date: 7 / q el q
w
TOWN OF QUEENS WRY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
61 Li
Date ,19 d Permit No.
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-F � U �t�(ro �r't Ma, rbti ' APPLIANCE (check appropriate boxes)
J
Address {Pj Fo lr ' 's (AJa.i,l ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
CUeosbur ' Zip f - FIREPLACE, FACTORY-BUILT:
1 ❑ Wood 4/Gas
Phone 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner Todd (tykl v re V+( 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
J
.Address 2.0 )viYfek f , re, IF NON-MASONRY APPLIANCE:
Manufacturer:
UCCIr1Sbu1..1: 0 '1 Zip e 7 CJ— Model:
Phone --7 ()J
CHIMNEY (check appropriate boxes)
*EXACT AD®RESS of proposed construction
/ 0 MASONRY: 0 Block 0 Brick 0 Stone
f F uvi(kvs I ,cr,t �)II., ►' 'f FLUE: ❑ Tile ❑ Steel
w .. 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 ❑ riple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected. Amount Refunded
Code Number Title ( )
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: I " �:"(1, 1r, v- \
Address: � ,..
i t: . b
Dated: —I— a# _ Town Clerk or Deput : � �-, t�-�+
g
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
3O- OD
RESIDENTIAL FINAL INSPECTION REPORT 1
Office No.(518)761-8256 Date inspection request received: ,
Building&Code Enforcement
Dept.of Community Development Arrive Depart.L Id14•
Town of Queensbury Inspector's huti•
742 Bay Road
Queensbury New York 12804 NAME iV \4 ''�\�� ` \ PERMIT 4 9 9_ L S
0
LOCATION I K 00 1%\ S '\J._.) C DATE 1 — — 1
TYPE OF STR C 'URE l()
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location I
Fresh Air Intake rj
Plumb Vent through roof V/f
Roof Complete
Exterior Finish Complete f
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more ✓/
Interior Handrails stairs both sides 3 or more risers f/
Grade 2%away from foundation J/
8"clearance to sill plate V i
Gas Valve shut-off exposed/regulator 18"above grade di
V
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area r/ `
Furnace/Hot Water Heater operating ✓/
Relief Valve(s)installed �//
Headroom,6 ft.6 in.on stairs t//
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36" J
Floor Finish /`
/
Bathroom/Kitchen watertight t/f
Interior Handrails Balconies/Landing 18 in.or more ,/
Railing across window in stairwells _
Smoke Detectors: >i.
every level •,//
every bedroom �/
outside every bedroom
inter connected
Bathroom fans /
Plumbing fixtures • /�/
Foundation insulation
3/4 hour fire door/door closer /
Garage fireproofing J Garage penetrations sealed
Furnace in separate room protected(in garage) I /
Light ventilation per room t//,
Safety glazing 18"or less from floor J
Final Electrical
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)
cC\--(21\is\
RESIDENTIAL FINAL INSPECTION REPORT / a- it° j-1)J Office No.(518)761-8256 Date inspection request received: !
Building&Code Enforcement �����
Dept.of Community Development Arrive pm Depart i
tal 101
11.
Town of Queensbury Inspector's Initi
742 Bay Road
Queensbury,New Irsi
rk'12804
NAME I'D -NO\CKNAAP RMTT# 9c `✓-
LOCATION --- I
'0 ( 6( '3 \ r-`,' DATE ( �2 1 -�0U
TYPE OF STRUCTURE j )
N/A YES NO/ COMMENTS
Chimney Height/"B"Vent/Direct Vent Location ,/ � -t
T--• \5�1' i L tiJ(—AV-�1::
Fresh Air Intake gh 1 ��Is-V 11�� 1'' Li_�B lz3c
Plumb Vent to roof: FUb`d 5
Roof Complete ri- -'It: li
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" V Exterior Handrails,balconies,Iandin 1 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation , \ �f9b\�\d-6 fy
8"clearance to sill plate /c'5)%
Gas Valve shut-off exposed/regula o 18"above grade
• /
Gas Furnace shut-off within 30 fee r within line of site ✓ �/
Oil Furnace shut-off at entrance to leurnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed \ hts, T'r�1 `z, ‘2i)\ .c-2
Headroom,6 ft.6 in.on sta. /// V/
Basement stairs,6 1t.4 in 1/
Handrail exterior stairs oth side more than 3 risers /
Interior privacy/trim/doors/main trance 36" /
/ V)C fj Q— VT.-V7. , _ .� 1 .- C3,
Floor Finish
Bathroom/Kitchen watertight // owe
Interior Handrails Balconies/Lan ' g 18 in.or more ,/
Railing across window in stairwe is
Smoke Detectors: ✓/
every level V
every bedroom f
outside every bedroom ✓ '
inter connected ,,�j
Bathroom fans ��///
Plumbing fixtures ✓ v tJ °V.--4- \j- +gyp
tsik
Foundation insulation • - .
3/4 hour fire door/ : se Y/ O\\ 2 \E- LC,CA\ ‘Dz.
Garage fireproofing • ✓J n \
Garage penetrations sealed ✓ v HE� c_ i L ALA CDNI Nkl f v
Furnace in separate room protected(in g? age) I V / \s"(\t TO p,+�^ 1. ,
Light ventilation per room_ ,/ ./. I t)
Safety glazing 18"or less from floor I ✓/ 112 c 6 C7 �i0
1\A W'
Final Electrical ✓ R t=
Site Plan/Variance required
/
Final Survey Plot Plan 1 \
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif. of Occupancy)_ i
Okay to issue permanent C/O(Certif.of Occupancy)
FIRE MARSHAL
TOWN OF QUEENSBURY
`; j QUEENSBURY, NY 12804
• (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT#
NAME a4-1 n
LOCATION t,g �d u \( )0- -
SCHEDULE INSPECTION ON I =0 /
AM M ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM_
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY / f
FIREPLACE-FACTORY BUILT / \/
L
REMARKS: OK TO THIS DATE
INSPSUP.PUB INSPECTOR
I ,
/� TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
` O 742 BAY ROAD 6, A
QUEENSBURY NY 12004
( (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDE TIAL
DATE INSPECTION REQUEST RECEIVED: / O29p2K)/
NAME j// r--
LOCATIONo t/. f 7� t DI (J
C°
DATE I PERM �,/� # 99
J
TYPE O 5T DCTURE 6
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 OPERATIN
INTERIOR TRIM/PRIVACY DOO S
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
S PLAN/VARIANCE REQ. //��,
FINAL SURVEY PLOT PLAN "y
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
1 TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME
LOCATION -g1lS AA PERMIT#
SCHEDULE INSPECTION ON
`*-1- v
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY L.GHTI
FIRE EXTINGUISH''S
FIRE ALARM SYSTE
FIRE SPRINKLER SYS ,M
FIRE SUPPRESSION SYS M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKL.RS
CLEARANCE TO HEATING NITS
REQUIRED SIGNAGE
CHIMNEY 9 ‘bti;1.3/[
WOOD STOVE
FIREPLA9 EMASONRY 'FACTORY BLT.
ROUGH-IN
❑FINAL
REMARKS: E M�'�Q �:t✓1� OK TO THIS DATE
SL-f71 ( cocr
�,`.
INSPSLIP.PUB INSPECT"
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 .,.ay Road
Queensbury,NY 12804 Arrive 2.'' ca pm Depart ' ,Wo./
rs iti: � !
�
NAME: I C D D 1`-1 is C 1 O PERMIT# �
r�►
LOCATION: 1(6 Fmt\►JD 4 tl>�� DATE : t3 )5—oh
TYPE OF STRUCTURE: A F ) uJ! 7_ CAR CAA R ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi- e
providing protection fron freez' g
for 48 hours following the place ent
of the con ete.
Materials for 's purpose n
Foundation/Wal
Reinforcement in Place
Foundation/Dampproofini
Backfill Approval I
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing
Heating Rough-In
Insulation t i',T '2-o3p Ft 'f\c?— eQ-1 1,- � cu1`\
Foundation Walls Inte 'or R-
Foundation Walls Exterior R-
Floors R-
Walls R- V
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
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 Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arriv, � De 31.%4 y✓J
spector's Initials
NAME: \o ) d PERMIT#_ " -'1 5C)
U
LOCATION: ( c )-(�d€r' [S I�O.—�, DATE: , /4
-.200 C)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form (�
Reinforcement in Place I
The contractor is responsible fcr
providing protection from free vkng
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpqur
Reinforcement in Place
Foundation/Dampprotifing---- 'I
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place !
• Rough Plumbing
He ng Rou In
ulation ir 7,'`V 1 ' — .11
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- ict
�l
Ceiling R- 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
\ Yn tI \
}tV
16
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive 1.7,:�:am//prn epart r pm
✓ �` pector's Initi
NAME: fc ) a-v\A--r\\(\ PERMIT#
LOCATION: N,coc eN DATE : - �S -.7200 0
TYPE OF STRUCTURE: c
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freez' g
for 48 hours following the pla •ment
of the concrete.
Materials for this purpose on to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Piing Vent/Vent 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 VA� NDD r 013DE
Jack Studs/Headers
Bracing/Bridging 1
J
Joist Hangers `
Jack Posts/Main Beam V/ •
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour �/
r, stopping 1 l ��-' t
PI
540,
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road r 15
Queensbury,NY 12804 Arrive am/pm Depart I_�am/pm
Inspector's Initials
NAME: < W
1 n PERMIT# —15D
LOCATION: 1 51A 6 sW DATE •. ^�
TYPE OF STRUCTURE: ` c
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 placem
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbi : Vent/Vents in Place.
°� ,� —� v' l yJ 5 j 4 L( IJ j -1._ f h-T< A.)66-1DE
Heating Rou:'1 e n
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri r R-
Floors -
Walls
Ceiling R-
Duct work or piping in
unheated spaces R-
er Vet is Vent �5 e�
oir
mm --
Jack Studs/Headers
Bracing/Bridging G Fr-3
/foist Hangers
lack Posts/Main Beam fuc,t, 1 ,4d&
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealedei4
WaI , 3+,� hour / ��
r in CA-TNT .C�C� ��1 i
3 ?in
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive Z'- /p apart -
pector's Initia.
NAME: C�`( 1 t PERMIT#
r L/ 50
LOCATION: Le-4 (,S q (r',x , . JCl c.O DATE : / — S-- 7 (5
TYPE OF STRUCTURE: c-� U
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 \Site _
Foundation/Wallpour \
Reinforcement in Plac
Foundation/Damppro ling
Backfill Approval_
Plumbing Und Slab
Plumbing VenUVe in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls nterior R-
Foundation Walls xterior R-
Floors R-
Walls - R-
Ceiling R-
' Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
�a Z�,F,a 7 — - __A — t� �
�531i. �\ _ l
V7ck Studs/Headers � =� cA AN\D
Bracing/Bridging J \5— «,\13E'v__5
Joist Hangers_
Jack Posts/Main Beam _ If _ _ _
Air Infiltration Barrier (
Fire Separation 1, 2, 3. hour -Tf-ld)?k, CC��i14,
Penetration Sealed 40
Fire Wall 2. 3,4 hour
Firestopping `—l'ke SAS\c D c_5 v___u CrWrwc
Tv33 Vlr'R he Ceti . Col-kcE
WAS °r4 VLF c
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, NC.
Main Office 176 Doe Run Road-Manheim,PA 17545 q of—YSJ
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert.
N2 7 0 8 3 2 Cut-in Card No.
Owner / G..�_D�0" rJ&
G
Location.! �? I� w/'J4 6 �n rV
Installation Consisting of L...L t T 4 , 7 ( G'-7
loll (f fi(ll (2G7O �i ?�i�/Ff� �i7s .aif�E7
Installed By S A-4 Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki inspections at any time, and if its
rules are violated,the Company shall have the right to re oke t certificate.
ed
Date /�/ 0�61 INSPECTOR....
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
NameAAr/L'O
Location f---6uNioG �f_,S W
ci
Date i( JGC) Permit # q q'
114
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Tota enh
Length ,of each trenc //
Depth of trenches
Size of stone
SEEPAGE\PITS: Nu er-
Size f ft.
Stone size -
PIPING: Size Type
Bldg. to Tank
Tank to Dist. ox
Dist. Box to field/P.
Openings Se ed? No Partial
LOCATION/S .PAR.ATIO`
Foundatio to Tank feet
Foundati n to Absorption _ feet
Separat/ on of Pits feet
Confo s as per Plot Plan Yes No
LOCAT ON OF SYSTEM ON PROPERTY:
(r_ir le one)
Fro t - Rear - Left Side - Right Side
Middle Front - Middle Rear
CENTS:
OK v CA ire►
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: ---F-i/b
Building Inspector
30 _//j4„
,, . �O
TOWN OF QUEENSBURY I 17 'I
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name 10(K\I
VA r\ ,I9
Location ,s1 (Cl (j .6-1
Date , C) .�. Permit # c)9— S'()
SOIL TYP. . Sa .-Loam-Clay-
Results of Percolation Tes
(if applicable) Rate-M nute nch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Lengt / 5
Length of each trench,
Depth of trenche 3
Size of stone ?—
SEEPAGE PITS: Numbe, -
Size - ft. x ` ft.
Stone size
PIPING: Si e Type
Bldg. to Tank "f c h d_
Tank to Dist. Box < a
Dist. Box to Field/Pit
Openings Sealed? Yes o Parti .
LOCATION/SEPARATIONS:
Foundation to Tank S feet
Foundation to Absorption '7 feet
Separation of Pits feet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPERT :
(circle one)
Front - Rear - eft Side - Right Side
Middle Front - Mi ar
COMMENTS:-17
' '.--6- /13_ 13,,,„-- g_,_./0
___
4,,,A.,A__ e,o, I m20 1---e>4)/ut>.
C4-4-- F f? <_ -K
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: /e `r)
Building Inspector
pi c."1- P t--AA lj -
v V
JU 1999
i` /' TO -i''C:"%(.te • ��
UJLDin;� ' `'-JAY
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells, trees, fences, etc.,
shown on this document. I also represent that I have
personally measured the distances set forth on the diagram."
SIGMA URE
D TE
1-4
,`
•
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; OCT 7 �9
'
1999
1 r�v�„Ia
I
) D)PYY
as AND D�JC�
z
( 1 <q
Al
5a' 60 ,,..\
i
•
•
•` 50
9, TerrA,—
46_ g UIL i �6P L-- �L 44/
'
..1101
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road /
(g)
Quecnsbury,NY 12804 Arrive am/pm Departf _ m/ m
Inspector's Initials
NAME: `)a A.A.V\--1 PERMIT# (Yt 4 5 0
LOCATION: \ LL �rc�c C'n�S ,( � DATE : - 9
TYPE OF STRUCTURE:
RECHECK
N/A Y NO COMMENTS
ootings/Piers (c —1 I
Monolithic Pour Form
Reinforcement in Place ' —
The contractor is responsible for
providing protection from free. ng
for 48 hours following the pl.ceme
. of the concrete.
Materials for this\purpose on •to
Foundation/Wallpo .
Reinforcement in Place
Foundation/Dampproof ing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
G I (i 3 b)
_i'kl .: dU
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road -
. Quecnsbury,NY 12804 Arrive am/pm Depart " ;(J am/pm
Inspector's Initials (( /�
NAME: Q ) PERMIT# ��-—1 S�J
LOCATION Q*- ) G1�. - , R U-FLNIt z,,z1 DATE : -0 �9.
TYPE OF STRUCTuRE: - r \� I -
RECHECK
{ N/A YES NO COMMENTS
Footings/Piers\ I I
Monolithic Pour Form
Reinforcement i Plac
The contracto 1 is re ponsible for
providing protactio from fr4ezing
for 48 hours fol ow.,ng the placement
of the concrete.'
Materials for this pu se of site
Foundation/Wallpou
Reinforcement in PI e
Foundation/Damppr offing
LL,33eldiTrApproval •ti//// .
Plumbing Under SI•
Plumbing VenUVcrts 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 Scaled
Fire Wall 2, 3,4 hour _
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury 4 Q
Dept.of Community Development Date inspection request received: ? a.3l
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive\3an pm Depart
Inspector's Initial —•
//\\
NAME 1Q1/(/ICA� ERMIT
LOCATION: /54‘ I P ime-r,As DATE : 3 4g
TYPE OF STRUCTURE: f
RECHECK
N/A Y- NO COMMENTS
,00tings/Piers � A
Monolithic Pour Form
Reinforcement in Place —cam -A�� V
The contractor is Fespons ble for
providing protection from reeving
for 48 hours following the s lacemei t
of the concrete.
Materials for this se on sit,
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 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
• j
•
, s OF NFy,
��PPp KEIT/�4,�,p1,
O
RECEIVE �, •
' a
10 August 1999 n " ' '
AUG 101999 . ;; a k�.
U
Mr. Todd Martin TOWN OF QUEENSBURY 9oF 6675.1
.1 t:�
20 Heinrick Circle BUILDING AND CODE
Queensbury, New York 12804
Re: Foundation Change to Single Family Residence
Plans Sealed 8/2/99 for Todd Martin
Dear Mr. Martin:
Regarding the above:
Please change the 20 x 8 inch continuous concrete footing shown to 24 x
12 inch with 2 -#4 rebars.
Please feel free to contact me if you have any questions or comments.
Sincerel
,ty
C)114‹.6
Edward . -Point, P.E.
22 Brookshire Trace
Queensbury, New York 12804
518-798-3654 .
p, c,---j-- p t_ 5--:'t ......) ' 99- Liso
•_,
• ptcr.:7,,panipia
_::.,• .
. ,
JUL 2 1
•
TowN err t:iUt`tl3'61RY
"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells, trees, fences, etc.,
shown on this document. I also represent that I have
personally measured the distances set forth on the diagram."
r
•
SIGNA URE D TE
i�t
/
,
0
/ A
air 2'
�c
r i,.
•
• <7 4?
4; / ,
f .
I
75' 60
111111.
.5--e . ',, s-a
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MAP REFERENCE:
MAP OF SECTION SIX
BEDFORD CLOSE
DATED MARCH 29, 1989
LAST REVISED NOVEMBER 2, 1989
BY COULTER & McCORMACK
LICENSED LAND SURVEYORS
E-4
w
z
O
04
w
m
O
D
153
'9•
\154
1.03 ACRES h
FIEI Y ED
JAN 2 9 2001
TOWN OF QUEENSBURY
BUILDING AND CODE
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: TODD & MARGARET MARTIN
TRUSTCO BANK, NATIONAL ASSOCIATION,
IT'S SUCCESSORS AND/OR ASSIGNS
LAWYERS TITLE INSURANCE CORPORATION
CERTIFIED
DATED: AUGUST 24, 1999
OCTOBER 1, 1999
a P 99-ays a
LT '� `�,,�
& Steves
Land Surveyors, LLC
169 Haviland Road Queensbu New York 12804
ry,
'518) 792-8474 New York Lie. No. 50135
'UNALI HOR I A.TERATM OR ADDITION TO A SURVEY
HAP BEARNO A UCEMED LAND SURVEYORS SEAL IS A
NOLAIM W SEL'TM rM. SUB -DIVISION 2. OF THE
HIER YOM STATE EDUCAMM LAM'
'ONLY COPIES FROM THE ORIGINAL OF I SUSURVEY
HARMED MiH AN ORIGINAL OSA
F 7}E LAND tVEVMDR4
SEAL. BECONSIDERED TOBEVALID ,TAUEDOPIM'
'CERTIFICATIONS NDICATED HEREON $10RIY THAT
THIS MIThEY MIS PREPARED M ACCOMDANCE MTS THE
A
BY THE UEYP YORN STATE ABBOCIA710N OF PROFESSONAL
°°M° CODE PR�� S LAM A°°"`°
LAND SURVEYORS SAID cExTIFlC"VE SHALL RUN D, A
TO 4iE PERSON FOR MMH THE SURVE'/ IS PREPARED. AND
ON HIS BEHALF 7O 7HE ma COW MY, OOVEMNENTAL
'ter "S `EES O IME U "°" "�° ICK' ""°
,D THE AssOMEEs OF ,HE ItNDINc INSn7UnaL'
Map of a Survey made for
T4DD & MARGARET MARTIN
mown of Queensbury, Warren County, New York
2
1-26-01
HOUSE LOCATION
1
10-1-99
FOUNDATION LOCATION
NO.
DATE
DESCRIPTION
1'=50'
S - 1
SHEET 1 OF 1
MARTIN
DWG. NO. 99184
C-130