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98-032 CERTIFICATE OF OCClJP A.N CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK DeceMbOr 16 98 Cate 19 � 1 -- ry1 98032 to Certify that work requested to be done as shown by Permit No. 's has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 2 # 19 VERANDA. LANE Location BREDA , MICHAEL & CHRIS TAX MAP NO . 8 7 . - 1 - 10 . 5 By order To" Board zcrwty OF c�u s Director of Bldg. dfc Code Enforcement BUILDING PERMIT VALUE $ IlQy N OF QUEENSBURY " �-32 TAX MAP NO 87 a - 1 - 1 %VIAORREN COUNTY, NEW YORK PERMISSION is hereby granted to BR OWNER of property located at LOT" 2 V Strut. Road or ,Ave. in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans n other information ftereto filed and approved and in compliance with the Town of Queensbury 8uilding and Zoning t. owNfR ;��T 2 is VERANDA LANE QUEENSBURYr NY 12804 IIIIII III 2. CONTRACTOR or gi.ritf]ERS Name RAVEN INDUSTRIES S. CONTRIOMC:f8QW�RC BROAD LAKE GEORGEr NY 12845 4, ARC"tTECT'S Name NEW YORK BOARD s. ARCFttT� +� BOARD OF FIRE UNDERWRITERS �,. TYPE of Construction . (Plea• inditaatt by XI SINGLE FAMILY DWELLING 1 I wood Frame l I Masonry f l Steel I I 7. PLANS and Specifications 2tl220 SO FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE APS PER PLOT PLAN SPECIFICATIONS S. Proposed use SINGLE FAMILY DWELLING 293 Februaryl9 2000 $ PERMIT FEE PAID - THIS PERMIT EXPIRES (if a torger PKiod is required an application for an estention must be made to the 6uildinp and Zoning impactor of the town of pueenslwry before ttte expiration date.( 9 February 19 Dated at the Town of QueensWry this Day of 19 for the Town of Queensbury SIGII 8Y gu Mp and 2enirtg Irt or .F�"uttaing Permit �4p a cation Town of - Dept. of Gonlinursity Developnent, 742 Bay J1JC rME)J x+' 176I-$2561 BUILDING & CODE ENFORCEMENT LIg i ��� Requirements prior to issuance FE �C1 � of this permit: -TOWNF NO A permit must be obtained before BUILD NG AND CADS r}� � Yaegirrni�ig construction. No inspections ACt1o�t PERMiT FEE PAID $ GX will be made until applicant has received 0 $ Board a VALID BUILDING PERMIT. All Area ! Use "RECREAEE P -�applicants' spaces on this application MUST' be completed and- the signature 0pktnbtg Board Action of the applicant must appear on the SPR / Subdivision ! OtherBuilding Inspeaar pplication f,)rm. rh,..xym. Recreatkm Fee Payment , n Applicant: �r Owner: / - � s • �" �,, �/ Address: � !" G Lam/ C.+09 ddress; L'' ",' - ': yyr,_,. , '✓ " ``� 4572 5 LD Phone # ( _____ -= - -zap %' Phone # ( -) --___ . _____-- Property Location: �I , �_ .,�, ,r il„ Tax Map Number -"--�" Subdivision Name : s- " +' Section Black i of NATURE PROPOSED WORK : ESTIMATED MARKET VALUES OF THE New Buxl / CONSTRUCTION : $ mo! L is commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : primary 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 : �, �� tq � If ADDITION , what will use Ist Floor . . . . . . . . �n X Ui' of new addition be ? : 2nd Floor . . . . . . . . JJ >y sq . ft + �y Other Floors . . . . sq . ft • G ' {� ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : z �Detached Garage TOTAL FLOOR AREA : JMMWo�_ _ SQ • FT • private Garage 1 , car Private Storage Bui Ing SIZE OF NEW STRUCTURE : Commercial Storage Building Other _ FEET X w .7 -- FEET Foundation Type • . C/.�► .�-� � Will any second- hand or ungraded Number of Stories . lumber be used .tiTrf _so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Humber of fireplaces and/ or w'o�o� ' stove ( circle all which appli s } to be installed : Electric / Oil / ood orce o i Baseboard / Other Person re-sponsi >le for supervision of work as regards to buii�ld- nn codes is : �'`!'✓� •G- Name Addresss Phone Builder : trxs".-� - Z7. b? Plumber : it Mason : Electrician * pECLARA770N.w Please sign below after' you have car Ally read the sWeMeW 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 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 Uwe shall submit prior to a Certificate of Occupancy' or Certificate of Compliance being issued, an AS BLTII,T PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. 1 Signature: (o n , owner's agent, architect, contractor) Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. Dept, of Community Development Building & Codes Office 742 Bay Road Pee Paid $ S Queensbury, N-Y 12804 Location of property for installation: Property Owner's Name: % 4�L Property Owner's Mailing Address: {e' au�— y' Installer's Name: " 4- �P ✓a- Phone # Number of bedrooms (if residential): - Total daily flow: (residential - compute 150 gal.lbdrm.) Topography: fiat, rolling, steep slope % of slope Soil Nature: C/saud, loam, clay, other / depth: Ground water: at what depth? ''�o'`°faet / Bedrock or Impervious Material: at what depth) feet Percolation test: of required, required [ rate min.. per inch � Domestic water supply: municipal., ell, other If domestic water supply is a WELL, water supply from any se= absorption is feet. PROPOSED SYSTEM Septic tank /�'- 5` liOn (min;mtam size: 1 ,OOf� gal.) Tile field: each trench feet / Total system I=gth: �` feet Seepage pit(s): number of size each: ft* by ft. Size of stone to be used: #� th or dAc3mess feet HOLDING TANK SYSTEM: (if required) Number of tanks: �" Size of each.- gallons system and aasaciated electrical work to be inspected by a aertifiod agency'. For your lemon• please note that purguant to Section 136-29 of the Cade of die Town of Qc+wmbmrY. ffiY Pit Or approval granted. which 10 based rpm or is granted is re mum upon any dal or &av" to malro a material fad or circumstance ]mown by or on behalf of an appheant, shall be void. I have read the regtilabons with respect to tins application and agree to abid& by drew and all requirements of the Town of Queaosbury Sanitary Sewage Disposal CWdmance. Signature of responsible person: � Date: � _ 1 TOWN OF QU.E.ENSBURY 742 Bay Rd,, Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS s - Date /7 , 19 Permit Nov 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 andlor chimney. Applicant APPLIANCE (check appropriate boxes) Address _ `' ' : ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ Gas � . . .. - ❑ FIREPLACE INSERT z Zip ! �Y ' ` _-- ❑ FIREPLACE, FACTORY-BUILT: pp Wood ❑ Gas Phone :" : ' M� FIREPLACE, MASONRY: 0.3W6 od ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufac turer: zip i• Model : . ^.. Phone s CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY : Hock ❑ Brick a Stone C;2- LLLa4� 4e� FLUE: o3 -Tile ❑ Steel - Size: inches CONSTRUCTION I INSTALLATION MUST ❑ FACTORY-BUILT: Model : CONFORM TO NYS FIRE PREVENTION & Manufacturer: BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Waft ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ 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 231 2655 (230) Minor Sales Fee CiQueeted Fro r Refunded to: Address: Dated : " Town Clerk or Deputy: Jill, 7477 White: Applicant Green: Fire Marshal Yellow: Bldg. De t. 7ink & Goldenrod: Cashier's Dept. ENERGY CODE COMPLIANCE APPLICATION RECEIVED TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS FEB 05 W8 TOWN OF C3UFENC: jtjRY Coingliance methods : PART 5 - Acceptable Practice Method -BUILIDING AND Cp(>k 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 AP PL CANT ' S NAME : PROPERTY LOCATION : 40407X 40:r PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area -- Z-w$ 45��o` square feet 2 . Type of Heat - Electric Oil �s other 3 . Is building mechanically cooled? s No 4 . Percentage of area of windows and doors Over 17 % nder 17 % 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : R �. a . Roof R f y b . Exterior walls c . Glazed areas ft d . Exterior doors R e . Floors over unheated spaces R — f . Edge of slab on grade ( heated building ) "�-- g . Basement / cellar walls ( above grade ) R he Basement / cellar walls ( below grade ) i . Heating/ coaling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device / Conforms to minimum efficiency per code too Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Applic Signature ��� / Phone Number INSPECTOR ' S REMARKS : 1' �" BLDG. PERMIT NO. 98 -- 032 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at ; Lot 2 + # 14 Veranda Lane for the following uses: Michael and Chris Breda / Contractor H . Raven single family dwelling f DATE ATUR OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()APPROVED ( )DISAPPROVED with the following conditions: complete. exterior finish _ make repairs at cellar submit final survey with as-built septic TEMPORARY CERTIFICATE OF OCCUPANCY FEE: Q$10.00 DEPOSIT: A )$100 .00 received on 1 0 /16/ 98 Date of Issuance Director of Bldg. do Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY IRES 3t $ FROM TIIE DATE OF ISSUANCE . e7 NOTE: This Certificate is NOT VALID unless signed bty, e Director f Bldg. & Code Enforcement or his designee. TOWN OF QUEENSSURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD ISE Q VEENSBURY NY 12604 ( 5I8 } 745 -4447f r,+5x, svr_ : nrrART : �i I :rsP : FINAL INSPECTION REPORT — RESIDENTIAL. s DATE INSP LION R UEST RECEIVED : I NAME LOCATION DATE '�] — �n '� PERMIT / TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTUVE OR FIREPLACE S _ o i CHIMNEY HEIGHT B VENT/11NIGHT PLUMBING VENT ROOFING EXTERIOR FINISH ECK 4 Cli S EPS LIN S RELIEF VALVES FURNACE HOT WATE ER82ZI& INTERIOR T IM Itualqi - FINISH FLOG S : 8AT1jZKjT9HEN WATE TIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE IN $ . SMOKE DETECTORS 13ATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINA3. ELECTRICAL SITE PT,AN /VAR.IANCE REQ . Lr�ALS �T PLAN OK TO�R CCISSUC MAP REFERENCES SECTION ONE BERKLEY DEVELOPME DATED DECEMBER 6, BY JOHN B. VAN DUSEI PROPOSED MODIFICA' TO A SUBDIVISION KNO' THE VISTAS ON WEST M( DATED AUGUST 25, 1 BY VAN DUSEN & STEM 94 � an. Dus eh 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York lAc. No. 50135 "AUIFpItlffD ALTERATION OR ADDITION 70 A SURVEY MAP NEARING A LIED LAND SURVEYORS SEAL NS A WOI.AMON OF SECTION 720IN S16-DM901 z OF THE NEW YOM STATE EDUCATKL LAW *ONLY ODPNES FROM TIIE CRUM OF TMs SURVEY MARKED VAIN AN ORIGINAL OF THE LAID SURVEYORS SEA. SIAL DE CONSIDERED TO BE VAD INK COPIES' *CV"WTCATIONS INDICATED NREON SIGNIFY THAT TARS "VEY WAS PREPARED N ACCORDANCE MTH THE E)OSTING CODE OF PRACTICE FOR LAID SURVEYORS ADOPTED BY NE NEW YORK STATE ASSDMATION OF PROFESSIONAL LAND SURVEYORS. SAD CERTFTOATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AD ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING NSTITMON LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING R67I1UTNON6' LUI I Map of a Survey made for MICHAEL & CHRISTINA L. BREDA Town of Queensbury, Barren County, New York 2 12-15-98 SEPTIC SYSTEN AS PER CONTRACTOR 1 4-24-98 NAME CHANGE NO. DATE DESCRIPTION \L wreI MAI<L.H du, not cafe 1'=50' S-1 SHEET 10F 1 BREDA DWG. NO. 92079-2 v RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received' Building & +Code Enforcement art l t' Dept. of Community Development Arrive � Pm p 1 Town of Queensbury lnspector's Initials 742 Buy Road 4 f �'3 Queensbury, New York 12804 r 1V1IVIEkS! G� ' PERNET # LC ATIo DATE TYPE of STRUCTURE a N/A YES No COMMENTSun Cl ney Heightr7W, VentJDirect Vent Location � � FCC ac1�-� �f` V:'VrzwV5 -V/ Fresh Air Intake Plumb Vent through toojRoofF f� ,, FXte Complete c.,, e5 F5 7- /C.G-t",+l %/�� or Finish Complete Vlnteei-�iiorlExterior Railings 34" to 36" Exterior Handrails, balconies, landing 18 in. or more � � Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas 'Valve shut-off exposedlregulator 18" above grade_ Gas Furnace shut-off within 34 feet or within line of site , + oil Furnace shut-off at entrance to furnace area VAfiiiacefflot Water Heater operaVlRelief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs. 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers interior privacy/trip /doorb/main entrance 36" Floor Finish BathroomfKitchen watertight Interior Handrails Balconies/Landing 18 in- or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroorrr inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour tire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical y�te Plan/Variance required ' al Survey Plot Pfau u �j1t u [� ' j uI21J �f i �►��7S Built Septic Svstcm layout required 4�42 e,vt � okav to issue C/C (Certif. of Compliance) okav to issue temp. C/O (Certif. of 0ccupaney) Okay to issue permanent C/O Wert& of Occupancy) 4186503 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE J BUREAU OF ELECTRICITY 7II WASHINGaTON AVE., r SUITE 704 ALBANY, NY 12210 "ate c3CTOBE:R 2201998 39819€3' A 137368 THIS CERTIFIES THAT ``L� � 00 0.32 only the electrical equipment as described below and introduced by the a named on the above application number is in the premises of HIKE BRODTE, VERANDA LANE LOT 2, QUE,F;NSBURY, NY in the following location• L' I Basement L"J 3st Fl. In 2nd Ft. GAR was examined on OCR rl? 1S• 19-`8 Section Block Lot 2 and found to be in compliance with the ?VcrtiOnal Electrical Code. FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING [PECKS OVENS EXHAUST FAlYS INCANDESCE DISH WASHERS FLUORESCENT OTHER AMT. K.W. AMT. K.W, AMT. N.W. AMT. K.W. 61 57 49 Jr DRYERS . FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS UNIT HEATERS MULTI-bUTLET AMT- K.W. OIL X.P. GAS N.P. AMT. NO. A. W. G. AMT, AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS DIMMERS Nb. pF FEET AMT. wATTs 1 F SERVICE DISCONNECT NO. OF E METER S E R V I AMT. AMP, TYPE E6'lUIP. 1 b 2W I R 3W 3 ! 3W 3 0 4W NO, OF CC CONu. A. W. G. A W r. PER Ib OF CO. No. NO. OF HI-LEG OF HI LEG NO, OF NEUTRAL$ OF NEUTRAL . 1 200 CB 1 X 1 4/0 1 210 OTHER APPARATUS: CETLTNG FAN-1 HOT ORS: 1 —.3 H. P. , 2—F H. P. G. F. C. T. —S SMAE DETECTOR .a — 7 RAVEN TA VEN 'TOS L FlARC7LD R RAVEN 70 HCCORHACK DR LAI�E GEORGE. NY, _.2845 GENERAL MANAGER 2,39 This Certificate must not be altered In any manner; return to the office of the Board if incorrect. Ins Per peWars may be Identified by their Credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT ISE ALTERED IN ANY MANNER. " RESIDENTIAL F[NAL INSPECTION REPORT Office No, (518) 761-8256 Date inspection request received: Building .& Code Enforcement --. Dept of Community Development Arrive amlprn Dep J'amlpm Town of Qveensbury Inspector's initials 742 Bay Road Queensbury, New York 12804 A / . NAIVE t? ~ .;X PERNffF # _ LOCATION DATE /L) -z(�z TYPE OF STRUCTURE NIA YES NO COMMENTS (,� Chimney HcightP'B" Vent/Direct Vent Location fAkK.� � is r *� &heel e45 Fresh Air Intake Plumb Vent through roof Roof Complete oQAC41 "�'�� Exterior Finish Complete Interior/Exterior Railings"30" to 36" Exterior Handrails, balconies, landing I8 in. "� ` abtiL3L fc L+T�tt25 pertte"s Interior Handrails stairs both sides 3 or a risers_ Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/re tar 18" above grad Gras Furnace shut-off within feet aX1within line o to Oil Furnace shut-off at en ce to furnace FunttaceJllot Water Hea operating___ ¢� Relief Valve(s) install 1k 7r6z 'v , *0& 1l�+�cLuE Headroom, 6 ft. 6 in- stairs .Basement stairs, 6 4 in. Handrail exterior both sides more than 3 risers CjM9=P8e9!L= .Qa-riMi , �+ Interior privacy/trim/doors/mam entrance 36" Floor Finish Bathroom/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/e hour fire door/door closer Garage fireproofing Ae Garage penetrations sealed -49 Furnace in separate mom protected (in garage) Light ventilation per room Safety glazing 18" or le fr oar Final Electrical Site Pian/Variance required �r 6 Final Survey Plot Plan 7 P►iw tT4 +-I a4 t- 7 As Built Septic Systern layout required A j, y 9vi "",1- ? �, Okay to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Certif. of Occupancy) C7k" Tty ('�� y/yo L7�f► .. f� `�y Okav to issue perniAnent CIO (Cerlif. of Occupancy) l c- Pt 464 j::j VA74� -- C [ RESIDENTIAL FINAL INSPECTION REPORT r Office No. (518) 761-8256 Date inspection request received.: Building & Code Enforcement Dept. of Community Development Arrive am/pro Depart Town of Queensbury inspector's s 742 Say Road Queensbury, New York 12804 Cd PERMIT # - NAME DATE L4^J ' LOCATION "`1 TYPE OF STRUCTU R,E NIA YES NO COhlNIENTS Chimney HeightF"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both skies 3 or more risers Grade 2'% away from foundation ] 8" clearance to sill plate Gas Valve shut-off exposed/regulator 19" above grade ACT/Ill` Gas Fu shut-off within ee within line of site C3il Furrra sbut-off at ce to cc area Furnace! Water operaRelief Valy instal Heailrc.,om, 6 ft. i on Basement stairs, in. Handrail exten stairs both sides more than 3 risers Interior privy trirnldoorslmam entrance 36" Floor Finish Bathroo then watertight Interior ails Balconies/Landing IS in. or more Railing ss window in stairwells :Smoke Lectors; every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer Garage ftreproafmg Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing I S" or less from floor Final Electrical Site Plan Variance required p Final Survey Plot Plan 4,._. 6 0 Nt 'T +PTt� As Built Septic System layout requirecl May to issue CIC (Certif. of Compliance:) Okav to issue temp. CIO (Certif. of Occupancy) Okav to issue permanent C/O (Certif. of Occupancy) RESIDENTIAL FINAL- INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received' e� Building & Code Enforcement Dept of Community Development Arrive arn/ptrt Depart " Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 PERbo # c . NAME DATE LOCATION' TYPE OF STRU TL1RE Lie I�1C> ,ram C(]MIvIE N I'S Chimney Heightl"13" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Compie#e interior/Exterior Railings 30" to 36" Exterior Han s, balconies, Ian 18 or more Interior Han ISNIMrs both si 3 or mo risers_ Grade 2% away frc�kl foundatio 8" clearance to sill ptfkte Gas Valve shut-off e ' '8" above grade_ _. Gas Furnace shut-off 30 feet or within line of site Oil Furnace shut-off entrance to furnace area _ Furnace/I-iot Water eater operating Relief Valves) ' talled Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/tri-nt/doors/main entrance 36" f`J Floor Finish Bathroons/Kitchen watertight 1 Interior Handrails Balcnnies/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/a hour fire door/door closer [ Garage fireproofing t,; _ ? l,r,� lot c_ *C c,� ode Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site PlanfVariance required Final Survey Plot Plan , *54& t A-s _ 0 1 Gr OSN&P7 4.'� As Built Septic :system layout required Okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/() (Certif. of occupancy) Okay to issue permanent CK) (Certif- of Occupancy) GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/prn Depart&" am/ inspector's Initials NAME: 1 � E. + PERMIT # 'O 3� LOCATION: OOIF- •t/ . DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers ! Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from g for 48 hours following the p m t of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/1:13ampproaPin Baakfi l Approval Pkbmbing Under Slab p unsbing VentNenis in Place ugh 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 Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air In iitration Barrier. Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping 45f� +C . G'EIVERAL 17'NrSiPECT10N REP4R?►' �--- ., .�srwn��' Town of Queensbury Dept, of Community Development Date inspection request received: Building, & Code Enforcement 742 Bay Road Queensbnry, NY 12MM Arrive am/pm Depart ' Inspector's 'Initials NAME: \ \ ' G PERMIT # LOCATION: ATE : "7 TYPE OF STRUCTURE: RECHECK. NIA YES NO CO14MENTS Footings/Men Monolithic Pour Form Reinforcement in Place The contractor is respo ible for pmvi protection m freezin for 48 ho fallowi the place nt of the con Materials this on Foundation/Wall Reinforcement i lace Foundation/Da pproofin Baddiill Appr I Plumbing U Slab Plumbing ent/Vcnts in Place / ugh PI �p 1r. �' '1 C c'pp `7 u P/0,CL l - Ieating gh-In ` /Insulation. Foundation "Walls Interior R- (� J Foundation Walls Exterior R- 1 'c �� �- Floors R- Walls R. , Ceiling R- Duct work or piping in unheated. spaces R- VF'roper Vent, Attic Vent vl`raniing Jack Studs/Headers Q!fracing/Bridgin e eZ In1 Joist Hangers Jack Posts/Main Beam ,/Air Infiltration Barrier Pry ZL Tz— Fire Separation 1, 2, 3, hour Penetration Scaled Fire 'Wall 2, 3, 4 hour Firestoppin GENERAL LNSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road } Queensbury, NY 12804 Arrive am/pm Depart pm Inspector's Initi =� . NAME: Ag:� q' PERMIT # 03rx— _- LOCATION: DATE TYPE OF STRUCTURE; RECHECK NIA 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 FoundationlWallpaur Reinforcement in Place FoundationlDampproofin BackSll Approval Pipmbing Under Slab umbring VentlVents in Place d gh Plumbrin �r .. Ming Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R 1457 - Ceiling R- 3 Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Fi restopping GENERAL vvsPECTION REPORT Town of Qiueensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Hay Read Queensbury, NY 12804 Arrive JL6 am/pm Depxrat��� Inspector's Initials NAME: ` Ci PERMIT # LOCATION: " �" DATE :: �/i4 : � I �5`7 � TYPE OF STRUCTURE: RECHECK l STit� N/A YES NO CONINM? Ts 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 Reinformnientin Place Foundation/l�ampproofijPlace Backfill Approval Plumbing Under Slab Plumbing Vent/Vents inRough PlumbinHeating Rough-InInsulation Foundation Walls InFoundation Walls EFloors Walls R- Ceiling R- Ductt work or pipRing, in unheated spaces R- Proper Vent Ve [—�� rC> �L) ramxng �5 e A--,per Jack Studs/Headers Bracing#Bridgin Joist Hangers / / Jack Posts/Main Beam Ito !5 Prl � Aoir Infiltration Barrier Fire Separation 1, 2, 3, hour. , �- Penetration Sealed _ Fire Wall 2, 3, 4 hour FirestoPpin TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 I' FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED j NAMEOf ' -� LOCATION ���� DATE PERMIT # =, � 'a APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUISHERS AUTO, EXTINGUIS NG SYSTEM HOOD INSTALLATI N AUTO. SPRINKLER 5 STEM i ALARM SYSTEM INTERIOR FINISHE STORAGE: CLEARANC TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY VyFG1O DSTOV E FIREPLACE - MASONRY FIREPLACE - CTORY BUILT /REMARKS OK TO THIS DATE f C15PSLIP.PUB ,I TOM OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road QueenSbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Datef P rm i t # SOIL TYPE: Sa - o Y- Results of Percola ion Test ( if aPPlicable ) Ra -Minut Inch TYPE OF SYSTEM: ABSORPTION FIELD: T tal L gth Length of each trenc Depth of trenches Size of stone SEEPAGE PITS : plumber- Size - ft . x ft . Stone size PIPING : Bldg . to Tank ize �e Tank to Dist . Box -- Dist . Box to Field/ it Openings Sealed? es ar to LOCATION/SEpARATI S : Foundation to Tan Foundation to Ab feet Separation of Pf srPtion feet Conforms as �_ a feet LOCATION OF per lot Plan � cir ON PROPERTY: one ) o ear fight Si 7ddle Front Middle Rear COMMENTS : SYSTEM USE APPROVED : YES Arrived: Depa din r TOWN OF QUEENSBURY s` FIRE MARSHAL {' QUEENSBUR'Y, NY 12804 [S 18) 76 1 -8205 +� FIRE MARSHAL INSPECTION REPORT T ' REQUEST FOR INSPECTION RECEIVED s fi r, NAME 3' LOCATION r DATE PERMIT # APPROVED EXITS N/A YES NO AISLE W) THS EXIT SIG S EMERGE Cy LIGHTING FIRE EXTIN UISHERS ' AUTO. EXTI UISHING SYSTE HOOD INSTAL TION AUTO. SPRINKL R SYSTEM r ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO Sp KLERS CLEARANCE TO H s REQUIRED SIGNAGE Nam' UNITS m CHIMNEY GOODSTO V E FIREPLACE - MA NRY FIREPLACE - FA TORY 8UILT REMARKS: OK TO THIS DATE J i FFi I NSPS LIP.P U B ECT TOWN OF QUEENSBURY FIRE 'MARSHAL QUEENSBURY, NY 1 28U.4 (5 T 8) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR +NSPECTION RECEIVED NAME LI Ieisj LOCATION DATE PERMIT # S / J� APP OVED EXITS f N/ YES NO AISLE WIDTHS + EXIT SIGNS EMERGENCY LIGHT( G FIREEXTINGUISHERS AUTO. EXTINGUISHING SYSTLCM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM ,4 INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLE S _ CLEARANCE TO HEAT( KNITS REQUIRED SiGNAGE �OCH NEY DSTO VE FIREPLACE - MASONRY FIREPLACE - FACTORY BU T REMARKS: _ OK TO THIS DATE INSPSUP.PUB �- O i TOWN BUILD OF QUEENSSURY & Coom ENFORCEMENT QUEE 742 VA Y ROAD ( !038NA 12804 (518) 761-8256 ARRIVE : � � 1aEPxrtr : •.—..- FINAL IN I NSpgCTIdN DATEREPORT - RES, Mr L INSPECTION REK?'UEST RECEIVED , NxME LOCATION [7hTE TYPE OF '-'�--- RMIT i STRUCTURE PE �. FOOTINGS C 'A.� Ail) ROUGH PLUMBI FQUMOATrON BA --� NG SEP,I,IC F'ILLATION FINAL ELBCTRICxL INSU FRAMIN WOOI)STOVE OR FIREPLACE _ V N A S N© N R N R,q N S V v w T I © R VAC r D IL w T C EA NCE I NG C S U MG O ON F NG 0 L CA -- N W C u v P N C o 0 r` © � I,FVA +GENER 4L IN.SPECTIl7N Town of Queensbury RRRC7RT Dept- of Community Development Building & Code Enforcement Fate inspection re u 742 Bay Road esrt received. Queensbury, NV 12904 Arrive �nV, ' Pm Depart [ NAME: lAspector's Initials LOCATTON: PEItI4IIT # �E OF STRUCI`t RE: "' �'"` - d 3 Z RECHECK DATE ; /Ootings/picrs NIA NO Monolithic Pour Form 1 COMMENTS Reinforcement in Place The contractor 's msMnsible f Providing Protection from for 48 hours followin a freezing of the concre acement Materials for this se on site 10"dadon/Wallpo Reinforcement in P Founda"O"Dam roofing Backfill .Approval Plumbing Under Jab Plumbing Ven ents in Pj Rough Plumb Plumb' — ---- Heating Rough-In Insulation Foundation Walls Interior R_ Foundation Walls Exterior R_ Floors Walls R Ceiling R- Duct work or piping in unheated spaces ,R- ooPer Vent, Attic Vent amin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Infiltration Barrier Separation 1 , 2, 3, hour Ctration Sealed � Wall 11, 4 hour Moppllt {518) 761,8256 TOWN OF QUEENSBURY SUILDING 6 CODE ENFOR 742 BAY RD . : CF,NEN'rQUEENSSURY NX I2804 INSPECTOR ' S REPORT: ARR REQUEST DEPART INT IN ECTION CEIVED , NAME t LOCATION DATE PERMIT TYPE OF STRUCTURE : y��+.4_�--�I^(�_ "4Jr F'ZECFIECK APFROV Nfh NO iIC o � R " N PLACE TH8 'CONTRACTOR PROVIDING IS RESPONSIHLR FOR BROT$ FOR 98 HOURS FOL TION FROM FREEZING WKINp F4EFIT OF MCCO C THE PLACB- RgTE , S R THI P SE N E A ON W ALPOUR EI O C NT TN PLAC OUN ATIO ANP ROO IN UMaIN v VENT P ce JPLUMSrMG U D$ SLA$ ary Ua D S%FIE RA G-- --.._ L1 RS S LSRIDQING C p,U S N SAM I NF L ION RR E _ ---:. EA G NS TIO U AT N W °QUNDATrON m S NTER R 'I"LnpRs EFtIC7R�_,_ -- ING DUCT WORK OR PIPING, IN UNHEAT D SPA S �- R- i (518) 761-8256 yf TOWN OFQU ENSSURY ` BUILDING & CODE ENFORCEMENT 742 SAY RD . , QUEENSBURY NY 12804 � a INSPECTOR ' S REPORT : ARJ. DEPARJ wo TNT REQUEST FOR INSPECTION RECEIVED : NAME LOCATION ^y�x ti� � /''' DATE �-�'1 y ' i -el � C PERM IT / 7`+ - l J 3 TYPE 9,F STRUCTURE ; RE ECK APPROVE N/A YES N i ; s MONMIMR19 POUR FORK ' REINFORCEtIENT IN PLACE: THE CONTRACTOR ISS RESPONSIBLE R PROVIDING PROTE TION FROM FREE IPO FOR 48 HOURS FOLLONIN ' THE PLA E- NE OF THE CONCRETE-. T IALS FOR THIS PURPOS ON Tjw �� - - EQUNDATXONIWALLmPOUR REINFORCEMENT N ACE _ FOUNDAT ON/DAMPPROOFING i jACKEILL. ARPROVAL ! PLUNSING VENT/VENTS IN PLACE ROUGH PLUMBING i 1 PLUMBING UNDER SLAB FRAMING ^ • JACK STUDS HEADERS JOIST HANGERS JACK POSTS/MAIN BEAM A R-INFILTfATION BARRIER HEATING ROUGH- IN INSULATION : 1 D TION WALLS I TER FOUN DATION WALLS XTERIOR {- FLOORS 9--- WALLS R- C R- DUCT WORK OR PIPING IN UNHEATEQ SPACES R- I GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road f Queensbury, NY 12804 Arrive am/pm Depart ,pm Inspector's Initials C- - NAME: A PERMIT #f 6-3 , - LOCATION: DATE : 24 TYPE OF STR F RECHECK N/A YE O COMMENTS tings/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/Da mpproofing Backfill Approval Plumbing Under Stab Plumbing Vent/Vents in Place Rough Plumbing_ Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wal is R- Ceil ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing lack Studs/Headers Braci ng/Bridging Joist Hangers Jack PosWMain Beam Air infiltration Barricr Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3. 4 hour Firestopping a 00 b 1 o l ►► Q Ico 0 N y S 6701 o 70 .00, 7-' m' oo F h 3• 70?SS .00,7 LOT 1 N 00 N G 00 co S6 PROPOSED HOUSE 4 0' S S041 28° •�S� �2 LOT 3 33.55' N26 3� 1 2S 60 S'F "i h0 sm or *sernd, or tae im l aw W;dmm of d *ft wh as b , "ls, trem, , etc, ' ft" en ttda docuo"t ! also represent# that l have measures the tances set forth an the d4sm.91 SIGNATURE �f 7 DATE LOT 2 76.22' S02°24'30$'E 30.35 �i S01 041'00" --