1999-575 -01.11.35.111515=0....,
61, ebe0
fi
Certicate of Occupancy
Town of Queensbury
Warren County, New York
Date January 31, 2000
302 , / 17
99575
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a SINGLE FAMILY DWELLING
LOT 19,41/ MC DONALD DR.
Location
•
Owner MICHAELS GROUP
• TAX MAP NO. 150. -1-6 . 14 By Order Town Board
Qu7sB -
ask
Director of Building& Code Enf6rceine.nt
•
BUILDING . PERMIT
VALUE $ 160000 TOWN OF QUEENSBURY No 99575
TAX MAP NO. 150. -1-6 . 14 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP
OWNER of property located at LOT 19 ,#11 MC DONALD DR. Street. Road or Ave.
To Construct or place a SINGLE FAMILY DWELLING
in the Town of Oueensbury,
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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
2. CONTRACTOR or BUILDERS Name
MICHAELS GROUP, INC.
31MNEFit 1 tftUILYI{alQV1' MGR 282 USHERS ROAD
CLIFTON PARK, NY 12065
4.'ARCHITECT'S Name
NEW YORK BOARD
RILPIPtYgRztftrp OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( 1 Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
2321 SNQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
0
8. Proposed Use
SINGLE FAMILY DWELLING
289 September 14 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 Oueensbury before the expiration date.)
14 September 1999
Dated at the Town o uee sbury this Day of 19
SIGNED BY for the Town of Oueensbury
Bui i and Zoning Inspaetor
Application for SEPTIC:DISPOSAL PERMIT,'
Town of Queensbury Dept. of Community Development • RECEIVED
Permit No.
Building &Codes Office •
742 Bay Road SEP 0 3 1999 Fee Paid $
Queensbury, NY 12804
T 'dlro O QEE U NSBURY
�(, BUILDING, AND CODE J
•
Location of property for installation: 'l'- %- I,C:Q;:syy \b
Property Owner's Name: 'f thriatts . hrDitp
Property Owner's Mailing Address: ISO b - { th ‘
Installer's Name: (14'Lf'& 'F(q). Tj Phone # (&-d,1 oq
Number of bedrooms (if residential): Li Total daily flow: (Uob
(residential - compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolling, steep slope % of slope
Soil Nature: ✓ sand, loam, clay, other /depth:
Ground water. at what depth? .'L) feet / Bedrock or Impervious Material: at what depth? _feet
Percolation test: not required, required j rate I min. per inch j
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
•
Septic tanlc I gallon (minimum size: 1,000
Tile field: each trench 94 feet / Total system length: 24(D feet
Seepage pit(s): number of / size each:' ft.by ft.
Size of stone to be used: #?.,s- 1P / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: I A- Size of each: gallons -
1
(.Alarm system and associated electrical workC to be inspected by a certified agency.::
J.
'
For your protection,:headsnote dud prsuai to Sectlon3( 9;of9tcodoo !hetownof Q abwry►mayP :0 , t
granted baled upon otiagrnabediainee>iupoa- - aY)mbenel;mascepmasen#tioa or-fadzna:to .
•
material fact or circumstance known by or on behalf'of aMaiplicant, shall
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: Date: I ?3 ( .1
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
77 Date 44 0f Imo' ` '4" ,19 cY6Permit 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 kcv ,A ifs. r,,,Ne n...1+1 APPLIANCE (check appropriate boxes)
Address Z In STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
C1. Zip C t� 7 FIREPLACE, FACTORY-BUILT:
�. ip Wood, ❑ Gas
PhoneSi, l -� CJS .43 % FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner .0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address - IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT A2'1RES - of proposed construction
❑'MASONRY: 0 Block 0 Brick 0 Stone
' . 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
A 173 3389 (190) Public'Safety ea-
A 233 2655 (230) Minor Sales
Fee Collect Frotn.,oi Refunded to: f I
CZ
Address: `
Dated: 61/ 2},``1 ci Town Clerk or Deputy:
1 f
White: Applicant . Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
Agit ' TOWN OF QUEENSBURY u�RECEE
'Fee Paid
BUILDING & CODES DEPARTMENT 1�� `' /
APPLICATION FOR: PORCHES-DECKS- Permit # -gig_i
DOCKS & BOATHOUSE3EP ° 3 1999 Est. Cost
TOWN OF:QUEENSBL ._.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTLN�-�P'L"CELt: S JER 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: Zs S alia-t5-ie
P.O. Address Vc _ec Phone #
Property Location C..`81.
�G� tr. Tax Mail # ) n-J-(a, (+
Subdivision Name ( plicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jlm (IAN .? Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : \a XLG
Foundation Material : Width Thickness
Depth of Footing, below grade: H e.t+
Size of Posts or Studs: `\ x Le x X Long
Size of Floor Joists: rc; ' x 10° x 1 a Span
Decking or Flooring Material : X(, X ((, preS. A-cre5,-ed
How will Porch or Deck be fastened to building? Lc 9 iVrS
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 (Circl.e 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: 9 1 - � 5 SIGNATURE
Owner, Owcy, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
. ,
. . . . .
Bu i/di l- ,�,G nilr�l' Application - • .
Tom of Qu easb111 y - Dej', go... nunru,ify Development, 7'12 flay Rood, Quecusbuty, NY 12804 1761-8256J
_._..o_-.-- 11 CI11, I"IN(1 -Q CUUIe le NF OUC1?.MI..N1
•
iiO1J1bJ . _.__.. Requiremets prior toplh�l'1'lILL NU.of this permit: 4-Pt.
� V
A penal{ malt be uhtniaed bOinc -••-----
_..____—.--- 1'L"1Zh117'ILIs 1'illU
ill ruing i tsltuclicm. Nu oslx.cliuns i_I Z ring Board/lclioil
will he min nnlil nl,Itlir:nnl lots Icecivrtl Ari.,, /Use . • •
12lsClil:.t'1ruN FEE '
n VALID IJIIILUINO I'I'sRIM I'. All
nl ,licnnls' splices on Ihirr nl+l+lir.nlion (
MUST be cantlticletl nod.the t iKunhnc ( 1 d'hmuiltg Ikxu iCli C. IV REvuswEv DE.
of the nitl,licnnl mural nlrlKnr on the
Urr►rru,rg Lmlxcror
ripplicnlion lies. n.,:,c) __ ... ) Remotion Fce l'nyt lt-
Alllic,ul l: i Ile Plicllue r.A GIW.utt ,, 'Inc. 7Wh°t9.~ClVic;TOLeR Y
BUI-D1Na A 4, t.n.:
/ itless: 18.10 Route 91 I.aite Geultye, NY 128Ari 1ress: _ ,
t 6onc.it ';f 8 _ 68 - 31G ?-6-3-4 t'llutto # ) . . . ...... ... . _. ... ..
Property Local rtik lax Map Nuiubcr _
c„_--:-r--;,14-,-. _ Section flock Lot '
Subdivision Name: J
• NATURE or i'IIorosEU l•I�"' - ESTIMATED MARKET VALUE OF THE
Dew Building: CONSTRUCTION: ^, ____-
residence / commercial
' Addition i.on l:o . Ilul.Ldlnd s OCCUPANCY INFORMATION:
r:ct1 i.clettc;o / c;vnnnclr.'c:,Ltt.L Primary L1u1Ldi.nc�
ttl: i:an to Lti1.Llatncl: rdl 1 Dwelling N
!\.l,l:c,. X Single Family y o0
�- otICi.dollco / commercial Two Family Dwelling
Residence. / Commercial _ Family Dwelling
�~ no change to exterior rJi:zo Office
ily /
MercantileULher Work (describe below) MercanLnufact-uring '
Other •
Gloss AREA OF Fllol:'ost;u S'1'IIUC'P.UItE! l X�� what will u&C
1st Floor 1 4- sq• f t.-10 I I �l `d new addition be7 :
2nd .Floor • ___lie_ gq. l N/A
Other Floors eq. ft. 3(not unfinished teller or basement) ACCESSORY IUILDINOS:•
Detached Garage 1,
. ... 5 L,,l', x_ _ Attached. Garage
T3ui� .
u privaLe ' SLor g
TOTAL FLOOR AREA: Z3� Commercial storage BuildingsTLI OF MEW STRUCTURE: Commercial
'% . .
Si FEET L'1' X FEET L 1'
tii1.I any second-hand or ungraded
Foundation '1'ori 1'uull.ed lumber be used? If so, tol: what?
' Number vC Stories : -_2. — -�
(habitable space only) reef 'I'X U `VF' 1IEI1�INt� SY5'J CIi:
NuMbet (grade to ridge) : �- circle all whit p,Pl es)
.011 Ga Wood
ttutitber ns fireplaces and/or wooc(slfave Electric / Ga �s aboard / Other
Lu be installed: '� 5 Forced Hot Air /
responsible for supervision of work as regardd to building .
Person r.osp or Lric Rice Prod art: • .
codes i.s : _jn(;itatlr.l:f-clr r....na �'�'c'ijAI�
t•liiiite ltddreson. phon128d5 518-6G8-337G
Iiull.de1:: 1Ile Mi.c. .cle Glwu.p, 1ilc. 1810 R. 9r_Lalte Geulu e
Plumber : ravel. i'.fuilkna,..10 Pah float , G.CNiI_ NY I2801 5I8-198-it3- 9
Mallon : _.W.l_UltC.kn.,_13.ox.-2118,G_tL nvif. e.,— i'--- �,18-3Y l-992
I,l e c I:r 1 c 1 a 11:.-f_arLe_v_a.-L 'L Lc.+-C cili- -'`L`IIi'.Lc.441.e ty —,—Sthens.aast J. -1--- 1-2.3
D1(.
1.A1M110N: Please signbelow Oa you have eut'efrrlly read the stale:dent. .
•
s
lica
geth
'['o the best of my knowledge the statements contaiticd in th i l olf1a11 ton, to work to ttho the
plans
on
. and specifications submitted, are n true told complete s
the ilesctibcd 'itemises mid that all provisions of.the ijuilding Code,
the 7quhtg Or t be and all
other lows itcltnining to the proposed work shall be co llipflcd itlh, whethl/wo shalls ified orb noted
t diornd ad
that such wvt k is aulhvrizcd by the owner. I'ml ,
eitilicate of Occupancy.or Cettificatc of Comttli• •e being issued, an AS nUTL'T' PLOT PLAN by
L vie' � foal location of project ou premises.alicensed surveyor; drawn to5'ale, s
Signature: , architect, contractor)..nr .,wnet- s nl_ent,
e.1!J_!XJ� J°l l_�sl'Tt_lJ_� �1J�13��! � J`�_11.A J_._l'0� J��_lJ_.._l'J_� J�� � � J_� J_.11!IJ� Atos,_<,Ak!'1`El' �_l'w. J_��J`�.l, J`� ,AQAQ _l � .. J_�_l �_l��_l �_l'J� �_lX� -A
•
THE NEW YORK BOARD OF FIRE UNDERWRITERS E -i
i-' J'` BUREAU OF ELECTRICITY rj
111 WASHINGTON AVE.; SUITE 704, ALBANY, NY 12210 5
W Date .�.: i33�UARY 03,000 ?61 i34'39,'99 A /S•8640 r
Application No. n file ly_
'�e THIS CERTIFIES THAT 1�a`i1 t' NC' 9! �� l•
j1 only the electrical equipment as described below and introduced by the app z , lamed on the above application number is in the premises of ip.
`.'`.ti!` I11CR LFLS GROUP. .1 lRMONALD DR, • OUEENSI1L1,?I1`, AT I
IKi in the following location; ® Basement ® 1st Fl. 0 2nd Fl. CAR Section Block Lot y
j+ was examined on JANUARY 17,2t' ) and found to be in compliance with the National Electrical Code. it
r
4 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
-G OUTLETS 43 INCANDDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rY
NI IA
N
WI 4
:-<' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT BELL HEATERS MULTI-OUTLET DIMMERS '
=(I AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. 1:21 H.P. NO.OFSYSTEhFEET AMT. WATTS S l'iz r
f
■■■. ... F ._r 2 �.�3� .I. 3�J■■ t .■-■ )..
- ' SERVICE DISCONNECT NO.OF S _ .E- R - -V I . - C - E '
I� r)'
AMT. AMP. TYPE EQUIP. 1 0 2WECM 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. IA
WIPER 0 OF CC.COND. OF HI-LEG OF NEUTRAL }
13 1 150 CB 1 X 1 2/0 _ 1/0 K.
1' rY
•
"; OTHER APPARATUS: '
:SI WI �l �y4 I)!
rcj Otrill S: 'I-�.-s H.P. ,
4)•
i SMOKEJ DETECTOR:-7 ri
W rY
_CIWI c}
i j co.^Add pi 4 414• q+? It" 1):
i4 4 + . `s
Ir'Cr of4.r.ft sR ,} :
K' FOREVER E r/BO L ELECT. .- 1 4... .,17. &WI. 5.4 - �.r +
WI
Ai
11 + :c �.
!(I 2 46 JAF REY ST ..-q ,' - GENERAL MANAGER i}
j; SC E.NE0fD1', NY, 1 309 '':�a�:'I'".o+,�, 7:.3`-T l
W s— --)-,- ° r• .. Per '-
_C' IA.
iil This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
'/,476;W e.,•7•Y 476YWY;4Y 476Y�Y YiYYiY;47-.47,-,Y�Y YiY YiY Yiii Yiii Y4Y Yiii YiY476;Wr YeY YiY4W74Y 4Y iiiii.iiit47114Y Y�iiiVrAMITrAii-..NW'r,476 �Y 4764711476�Y Y�YYiYY,Y
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL.INSPECTION REPORT
received:
Office No. (518)761-8256 Date inspection requestI
Building& Code Enforcement j 1
Dept. of Community Development Arrive am/pm Deparl � _ f)1L
Town of Queensbury Inspector's Initials
742 Bay Road 1101)
Queensbury,New York 12804
NAME ��\C ��Y( PERMITa____1- 5 1
LOCATION \ C . (". �,Z '�-1�.\--Z DATE / ' � ')"
\� c— �
TYPE OF STRUCT2�E\NA • I 31
N/A YE, NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ;/ /'
Fresh Air Intake ►/
Plumb Vent through roof
Roof Complete P
Exterior Finish Complete Interior/Exterior Railings 30"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 exposed/regulator 18"above grade ✓
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furn.•: area
Furnace/Hot Water Heater operating
Relief Valve(s)installed /,
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft. 4 in.
Handrail exterior stairs both side- more 3 risers ✓Interior privacy/trim/doors/main franc: 36"
Floor Finish
Bathroom/Kitchen wate 1 t / 4
Interior Handrails Balconies/L. ding 18 in. or more / , 1/
Railing across window in stai ells
Smoke Detectors:
every level
every bedroom t�outside every bedroom ,
inter connected
Bathroom fanstri/
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door oser
Garage fireproofing V
Garage penetrations ..led
Furnace in separate ,s•m protected(in garage)
Light ventilation ••v room V
Safety glazing 18" r les, mf�om floor /
Final Electrical to 0� .�/ ✓
Site Plan/Variance eq ed /
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)
FIRE MARSHAL
TOWN OF QUEENSBURY
j>~ QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST (l RECEIVED���� �t
NAME M C/t +LS er,
LOCATION PERMIT# j/'5-7C.
SCHEDULE INSPECTION ON lr ,
A PM
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: Z,
CLEARANCE TO SP'+NKLERS
CLEARANCE TO H ING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE El MASONRY FACTORY BLT. i
❑ OUGH-IN
FINAL
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
•
4111.
RESIDENTIAL.FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: \VY\11
Building& Code Enforcement P 111
Dept. of Community Development Arrive am/pm Depart I • pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 —
NAME
h
PERMIT#
LOCATION � � �`' DATE -- — U
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Heightl"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof ()Rev to 5 J e-`G f
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"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 exposed/regulator 18"above grad•
Gas Furnace shut-off within 30 feet or Wit}rkin line of s i• /
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating I
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs /
Basement stairs,6 ft.4 in. J
Handrail exterior stairs both sides more than 3 risen
Interior privacy/trim/doors/main entrance 36"
Floor Finish ds f c3M lid r�ti��AJ/�c-1,r
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. or mo f l ho C.-ice . '� aelc Ca•)r Rit-c T be@
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom N
� K
inter connected l I C w\�
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire 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
/17/.,
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)
n± TOWN OF QUEENSBURY
!!t t�� BUILDING & CODE ENFORCEMENT
+N+► 742 BAY ROAD
' �{ '/' � QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: 615
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION EQUEST RECEIVED:
NAME \ 1 t,
LOCATION i! fr
�I �
DATE I /—�� < 3� PERMIT k ` 'l 1_L9^�
TYPE OF STRUCTURE S'(R)
FOOTINGS FOUNDATION i BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINIS
DECK/PORCH/STE'S RAILING.
RELIEF VALVES
FURNACE/HOT WATER b'ERAIING
INTERIOR TRIM/PRIVACY ilORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEP.BLE
OTHER FLOORS CARP'TED
STAIR CLEARANCE/RA LINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTU' S
FOUNDATION INSULATION
GARAGE FIRE 'ROOFING
DOOR CLOSE S
FINAL ELECTRICAL
r
SITE PL /VARIANCE REQ.
06
AL SURVEY PLOT PLAN 1
OK TO ISSUE C/O OR C/C
3
-( 51°-
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 Deparf P�m
Inspector's Initials
NAME: f. LS &�� PERMIT# 1 G` 7z
LOCATION: V,,,.C-Its c„�1A-(ri lat. DATE : (2)/l.9 09
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi sible fo
providing protection from freer ng
for 48 hours followin_ the pl• ement
of the concre
Materials for this pu .. a on site
Foundation/Wallpour
Reinforcement in Pla
Foundation/Damppro i fing
Backfill Approval
Plumbing Under Sla.
P umbing Vent/Ven s 'n Place
ough Plumbing NV- -gict 12
J4eating Rough-In /
Jlnsulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- lq
Ceiling R- bz>
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
irestopping /
GENERAL INSPECTION REPORT
5/C)
( 518 ) 761-8256
Town of Qucensbury -a- <,
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrive am/pm Depar3 �am/pm
Inspector's Initials
NAME: PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi .ible for
providing protection fr m freezi ..
for 48 hours following he place ent
of the concrete.
Materials for this purpos ► site
Foundation • .
Reinforcement in Place
Foundation/Dampproofi►g
Backfill Approval
Plumbing Under Slab •
Jlumbing-Vent/Vents i Place /G-
ough Plumbing
't HeatingRough-In DkA-\A>5 —co CGC(44t,R.
Insulation
Foundation Walls Interior R-
Foundation Walls E.,terior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attica'�ent 1
%Fr ling k k 'Y Z7 ��R.,
Jack Studs/Headers_ /�
Bracing/Bridging t//
Joist Hangers V
Jack Posts/Main Beam
Air Infiltration Barrier ✓✓✓
Fire Separation I. 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour JJ II
. Firopping f� tr�� ���. g VI✓Deq
065
FIRE MARSHAL
TOWN OF QUEENSBURY
# j,> QUEENSBURY, NY 12804
� - (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME ,�s, AMA,
LOCATION _ t, l• ;1�'ERMIT#I�
SCHEDULE INSPECTION ON ,1( '/ l
AM PM
APPROVED
N/A YES NO
EXITS (.\\
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHED
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP NKLERS
CLEARANCE TO H TING UNITS
REQUIRED SIGNAGE
CHIMNEY Dif 'VG-N 1
WOOD STOVE
FIREPLA9E ❑MASONRY 114TORY BLT.
ROUGH-IN
❑FINAL
REMARKS: V\ CAS 11�-- OK TO THIS DATE
JJII cy
INSPSLIP.PUB INSPECTOR
ClitQA/ OIN V
. TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name '\ C 9\949C 1
Location 1 \ (��
Date/ emit #C)11 -37-S
SOIL TYPE Sand- oam-Clay-
Results of ercolation Tet-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: / "
ABSORPTION FIELD: Total) Len tfy 2_Z I
Length eac ' tr-ench �
Depth of tre ches '3
Size of st0 f�JL"nQ�-j�7�S
SEEPAGE PIT : Number-
Size - ft. x ft.
Stone size
PIPING: a Size Type
Bldg. to ank
Tank to D 'st. Box i;
Dist. Box to Field/P. I
Openings ealed? — No Partial
LOCATION/ EPARATIO`' .
Foundatio to Tank feet
Foundation to Absorption t.� feet
Separation of Pits feet
Conforms as per Plot Plan 0 No
LOCATION OF SYSTEM ON PROPERTY.
(circl -
Front Rear imp ide - Right Side
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: NO
Arrived: .
Departed: -1�__- �-_?
Building Inspector
• 30
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement •
742 Bay Road
Quecnsbury,NY 12804 Arrive%t1D am/ Depart
Inspector's Ini ' s
NAME: PERMIT# 5113
LOCATION: 1, c (� jj DATE : ' -a,ti •
TYPE OF STRUCTURE:
RECHECK
N/A YESfNO COMMENTS
otings/Piers I VI I
Monolithic Pour Form
Reinforcement in Place,i'1
The contractor is responsible for
providing protection'from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpd+s a on silt
Foundalion/Wallpour
Reinforcement in Place
Foundation/Da m pprbo fi:n g
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 I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
A
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MAP REFERENCE:
M AP OF
SOUTHERN EXPOSURE
A SUBDIVISION OF LANDS OF ROBERT E. McDONALD
DATED: APRIL 1981
BY: RAYMOND J. BUCKLEY
PROPOSED MODIFICATION TO AN APPROVED SUBDIVISION
SOUTHERN EXPOSURE SUBDIVISION
DATED: MAY 1994
REVISED: JULY 22, 1994
BY: VAN DUSEN & STEVES
McDONALD
c�a•� o„F
DRIVE
r ''
' �O'• 00 . TEIO
OCTV
n
O
g
PORCH
13.61'
2 STORY WOOD
FRAME HOUSE
32.10'
W
O
a
ca
t K'
LOT 17
o 0o
N N
co
M� LOT 21
LOT 22
Z
LOT 19
20,000 sq ft
0.46 acres
0
100.00'
N74'23'29"W
HUDSON POINTE
LOT 49 \ LOT 48
�{ ,� D u S UAUTHORM ALTERATIDN OR Aoof M TO A SURVEY Map of a survey made for
1 NW SENWO A UCENSW LAND 9MNEIORS SEAL 13 A
SUBDIVISIgNEW,,;.
VIMA1I0N DF SECTION 7M. SUB-MVISM z OF THE
NEW YM STALE WUCAADN LAW
Vim/ Steves SURVEY
RIMD*QKY � THE DF 1HE OF TNIR
NARIO:D 1BTN AN aaaNAt, of THE LAND wxrErORs
S GROUP
�` THE MICHAELS OU
TMS
Land Sur e y ors , LL C' BY THE NEW WL STATE ASSOQA NS DF " RUN WLY
LAND 91RVEYl7iS SAID CERiIFlCA,RMIS 9iALL RUN DILY
TO THE PERSON PoR NNON THE SURVEY IS PREPARD. AND
DN NIS eEM LOOM
THE 811E CQPANr arlaB+N MD Town of Queensbury, Warren County, New York
Aa;NCf AND IFNOBIO wrsTlTUInaN uslEn IKON. AND .
37 liester Street Glens Falls, New York 12801 TD THE ASSIMEES OF 1W LEMM MSTTUIION.'
(51 ) 792-8474 New York Lie. No. 50135
NO. I DA TE
LOT 47 •.a
J AN 1 � ZooO
DESCRIPTION
z
x
"=30'
S-1
SHEET 1 OF 1
MICHAELS GROUP
DWG. NO. SE-19