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98-129 rrCERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK July 24 98 {�`^+,..�y t �/^� Date i9 " 15 1J 94129 This is to certify that work requested to be done as shown by Permit No. i has been completed. SINGLE FAMILY DWELLING . 2 CAR ATTACHED ARAG E This structure may be occupied as a z. arit>n '� Y . HOGAN , DANA & MICHELE Owner TAX MAP NO * 4 7 . - 2 - 1 . 3 By Order Town Board �,,.__TQWW OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 90090WN OF QUEENSBURY No . _988129 TAX MAP NO . 47 . - 2 - 1 VMRREN COUNTY, NEVI YORK PERMISSION is hereby granted to HOG OWNER of property located at COUNTRY COLONY DR Street. Road or Ave. in the Town of Oueensbury, To Construct or place a SINGLE FAIKTLY DfaTF T.T.TNIG 2 CAR ATTACHED 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. t. OWNERS Address is 2. CONTRACTOR or BUILDERS Name COLLETTE CONSTRUCTION , INC . 2, CONTRACTOR or BUILDERS Address 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL 5. ARaCHITECT'"S Address 6. TYPE of Construction — (Please indicate by K) SINGLE FAMILY DWELLING { I wood Frame { y Masonry I i Steel { 1 7. PLANS and Specifications NCONSTRUCTION OF 'SINGLE FAMILY DWELLING AND ATTACHED 2 CAR GARAGE AS PER PLOT PLAN AND SPECIFICATIONS B. Proposed Use SINGLE FAMILY DWELLING , 2 CAR ATTACHED GARAGE 235 April 20g 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date i9 20 April Dated at the Tow eensbury this Day of SIGNED BY for the Town of Oueensbury ing and Zoning Inspect*r TOWN OF QUEENSBURY FEE COMMUNITY DEVELOPMENT DEPARTMENT ° PAID ,. `-� .BUILDING & CODE ENFORCEMENT �-� 531 BAY ROAD PERMIT NO . QUEENSBURYt NEW YORK 12804 ( 516 ) 745 - 4447 BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MARE UNTIL APPLICANT HAS RECEIVED A 'VALID BUILDING PERMIT , All applicants ' spaces on this application ,MUST be completed and the signature of the applicant MUST appear on the application form . OWNER OF PROPERTY * _ A -e Mailing Address :Telephone Number ( s ) : qipor Home 7 Ot •. . ` APR PROPERTY LOCATION : Tax Map Number : Section Block Lot s V 1 Y C)F ,,,G�AFr 13 ij Subdivision Name : Lffid* -. NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE CONSTRUCTION : $=1l) lsxra _ NEW BUILDING : RESIDENCE /COMMERCIAL OCCUPANCY INFORMATION : ADDITION TO BUILDING : PRI RY BUILDING - RESIDENCE / COMMERCIAL =Single Family Dwelling ALTERATION TO BUILDING : Two Family Dwelling RESIDENCE / COMMERCIAL �� Family Dwelling ( NO CHANGE TO EXTERIOR SIZE ) 0 Tice OTHER WORK ( DESCRIBE BELOW ) Mercantile Warehouse Manufacturing Other GROSS AREA OF PROPOSED STRUCTU�� : 1ST FLOOR k169 ? SQ . FT - ��,�r�`' a' ( " IF ADDITION , USE OF NEW ADDITION : 2ND FLOOR 1 #; tD S%)FMC/ OTHER FLOORS SQ . FT ." ( not unfinished cellar or basement ) ACCESSORY BUILDINGS . Detached Garage - One /Two Car TOTAL FLOOR AREA : J( F o o SQ . FT . Attached Garage - One /� Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building � / Other FEET X 6 7 FEET Foundation Type : v_r Will any second--hand or ungraded Number of Stories : lumber be used? if so , for what ? ( habitable space only ) A)o Height ( grade to ridge ) : a 53 feet Type of Heating System : Number of fireplaces and/or woodstove ( Circle all which Pasleboard plies ) to be installed : © Electric oil / / Wood T* c 7 of A / / other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NAME OF BUILDER/ADDRESS / PHONE : ' o � �t� ''���7' NAME OF PLUMBER/ADDRESS / PHONE : lCr � � Cx/ter NAME OF MASON /ADDRESS /PHONE : ? NAME OF ELECTRICAN/ADDRESS / PHONE _ ad".e 47Aaec//'r C� c •�/ tr /e~T.e�� DECLARATION To the best of my knowledge the statements contained in this appli- cation , 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 I /we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued , an AS BUILT PLOT PLAN drawn to scale , showing actual location of Q- ject,yn� , ses Signature [. t)- ( Owner , owner ' s agent , architect , ontracto FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE : ENERGY CODE COMPLIANCE APP161CAT N APR Q TOWN OF QURENSBURY , WARREN COUNTY 9000 11CATING DEGREE DAYS TOV'v'#.'BUILDING A,7 :7F .'x. . r. CUD Compliance Methods * PART 5 Acceptable Practice Method - 1. & 2 Family Dwellings ( only ) PART G * Thermal Ratietig - Component Trade Offs 1 & 2 Family Dwellings ; Multi Family Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings - tii Rise Residential * Requires submission of worksheets APPLICANT P S NAME * PROPERTY LOCATION: / j 1p //f' 7� � �t,�' ' L✓L' E �J Get✓ .�__.__._._... _ . .. .• .----- ,P`ART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : I . Gross Floor Area -- square feet 2 . Type of Heat - Electric Uil L Gas Other 3 . Is building mechanically coaled ? 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 � S' O b . Exterior walls R, - rq c . Glazed areas R - 3. .4- d . Exterior doors R _ 3 • r e . Floors over unheated spaces 0 R f . Edge of slab on grade ( treated building ) R — g . Basement / cellar walls ( above grade ) R R - rI 11 . Baseinent / cellar walls ( 'below grade ) R g - of i . Beating/ cooling-ducts - piping in unheated space R G . Service ( domestic ) hot wager Beating device Conforms to minimum efficiency per code ir' Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 — WILL NOT BE EXCEEDED Appl ' c nt " s x a re Date Phone Number INSPECTOR ' S REMARKS : , �, •rya >r, s =�'k� � vim f[ufun u ($ue,ensburg igk�>ix,xx� I.�,ept�r#merit Bay a a iland laada , • = Office Phone 518-,.745 -4460 Queensbury, New York 12801 is RlCHAnC7 A. MISSIFA *i A UC�rkis 1VAYI.CIFf +4�tl' 1 .:i Oepufy Superintendent Highways r.r f w DRIVEWAY PERMIT '41 IV w L. DAZE : t/ - 5 ,�' APR o q APPLICANT NAME : v Ate,.' Gj//c�1� Btarc- `�I'-''• ��t':' �} TELEPHONE NO. : -7 q 3 ADDRESS TO BE INSPECTED: [". Qn.,,,,i-cn. re e -i C O3Jtlt; RETURN ADDRESS • Applicant must show exact 'location and width of driveway( s ) to be connected to the highway by placing stakes at the specified location . The Superintendent of Highways . Town of Queensbury , has reviewed the application of the above named resident to connect a driveway to the Town road . The following action has been taken : STEP 1 : ) Preliminary Approval NEED ' ( ) Slight Swail ( ) Level With The Road { ) Deep Swail Size Pipe to be used ( if necessary ) ( ) 121 ' ( ) 1514 ( ) 1$ "' [ } 241 ' ( } 36 " Preliminary inspection by DATE Approval by Highway Supt . Depty . Supt . After receiving the Preliminary Approval , submit the permit to the Town of Queensbury , Highway Department upon completion for a Final Approval . STEP 2 : ( ) Final Approval ( } Rejected DATE : PA L H . NAYLOR Superintendent of Highways Town of Queensbury . r Application for SEPTIC DISPOSAL .PERMIT Town of Queenshury Permit No. Dept. of Community Development Building & Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: u j&y ] e �na w 7 -7W1 � *, Property Owner's Name: 'omm\ � % 'E '�CK-nip ► :S Property Owner's Mailing Address: V%;X tl 6 `I�—�� � � kovjp}� Installer's Name: C mt L V�� Phone # '?!t-1�l L�j 1� Number of bedrooms (if residential): Total daily flow: (residential - compute Q 150 gal.fbdrm.) Topography: / t1at, rolling, steep slope of slope Soil Nature: e sane loam, clay, other f depth: Ground water: at what depth? J.(�±"'feet f Bedrock or Impervious Material: at what depth? 2111ect Percolation test: not required, required [ rate min. per inch ] Domestic water supply: municipal, ell, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM Septic tank: fef, $anon (minimum size: 1 ,0[](] gal.) Tile fieldeach trench &C) _ feet f Total system length: 1190 feet V-. Cl 1_.CKZ 1MCO Seepage pit(s): number of size each: "" ft. by ft. Size of stone to be used: # "? I depth or thickness feet 14OLDING TANK. SYSTEM: (if required) Number of tanks: Size of each: gallons ------------------ Alm= system and associated electrical work to be inspected by a certified agency. For your protection, please now that pursuant to Section 136-29 of the Code of the Town of (Neensbury, 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 lmowu 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 Qtn bury Sanitary Sewage Disposal Otclinazxce. ignature of responsible person: Date: r5 1I 1 TOWN OF Q UEE1VSB UR' Y � 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date ' , 19 �! �" Permit No . C) 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. I Applicant � " h �. /F APPLIANCE (check appropriate boxes) Address O STOVE : ❑ Wood ❑ Coal ❑ Pellet a Gas ❑ FIREPLACE INSERT Zip ❑ FIREPLACE, FACTORY-BUILT: 0 Wood p Gas Phone -r V . Cad FIREPLACE, MASONRY : ❑ Wood yW Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE : Manufacturer: •��'^ A ` ' f' Zip Model : Phone CHIMNEY ( check appropriate boxes) LLT ADDRESS of proposed construction ❑ MASONRY : ❑ Black ❑ Brick ❑ Stone Sri * {(-xo f , 2 !r /r- FLUE : ra Tile ❑ Steel ) I I Size : inches a CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : _ BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑ Triple 'Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated Direct Venting ❑ Chimney Liner i Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number; "Title e d A 173 3389 (190p Ppblie Safety � , A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: Ares Dated : — Town Clerk or Depu White: Applicant Green: Fire Marshal Yellow. Bldg. Dept. Pink & Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received- Building J& Code Enforcement Arrive �� Dep Dept. of Community Development inspector's initials Town of Queensbury 742 Bay Road Queensbury, New York 12804 p 7� PERMTT # ! !•- NAME DATE Z LOCATION A 5 TYPE OF STRUCTURE NIA YES NO COMA NT-S Chimney HeightP B" Ventlilirect Vent Location Fresh Air intake Plumb Vent through roo Roof Compiete Exterior Finish Complete InteriorlExteiior Railings 3 " to 36" Exterior Handrails, balconi landing 18 or ore _ Interior Handrails stairs both s 3 or ore s Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regul or 18" above grade _ Gas Furnace shut-off within 30 f t or within line of site Oil Furnace shut-off at entran to furnace area F urnacetHot water Heater o ating Relief Valve(s) installed Fleadroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. liandrail exterior stairs both sides more than 3 risers lnterior privacy/ftim/doorsimain entrance 36 Floor Finish BathroonVKltchen 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 fue door/door closer (sarage fireproofing Garage penetrations sealed Furnace in separate room protected ( in garage) Light ventilation per room Safety glazing 18" or lessjrorn �r Final Electrical rz> Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okav to issue C/C (Certif. of Compliance) Okay to issue temp- C/O (Certif. of Occupancy) Okav to issue permanent C/o ('C crtif. of Occupasscv} i TOWN OF QUEENSHURY 80I1ODING 742CODE HAY ENFORCEMENT ROAO QUEENSSURY NY 12804 t ' (518) 76I-825fi r C_ DEPART : ��� �lvSP ARRIVE : : FINAL INSPECTION REPORT - RESIDENTIAL j I DATE INSPECTI N RE+QUEST RECEIVED : NAME LOCATION 02 PERMIT it r ..— DATE TYPE OF 'STRUCTURE i SACKFILL FRAMING �. k FOOTINGS^^ FOUNDATION INSULATION ROUGH PLUMBING SEPTIC RIVAL ELECTRICAL ___„_ WOODSTOVE dR FIREPLACE N x s x0 N G VEN I k i G NT d N SH R D S E S RA LINGS yL VA VES ' FURNACE lHdm WATER O�B� I G i INTERT PR V C OOR ]EINAS I FW S , I T T E F S O LOO C R E D STAIR CLEARANCE/ LI CS K C O U I G X U S D ON g ON i A G F E NG LOSE r yy` T FLE�'TRTC � . E L VA IANCE L U V T FL N R C C f ref l�/L. qf�- b COUNTRY COLONY DRIVE MAP REFERENCE: COUNTRY COLONY A HOW —MAC DEVELOPMENT BY G. C. TRIPP DATED APRIL 1955 FILED IN THE WARREN COUNTY CLERK'S OFFICE MAY 13, 1955 .v an Du s en 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 LOT 28 •URAUn*XM ALTTRAM OR ADDMON 70 A IWAV NAP WAMM A UCDM LAID MAr&'V t♦ W& tS A WOLATNM OF SEC= 72M R� % OF THE NEW YONL STATE PDLIGTNM LAW 'ONLY CO PROM THE ORRMAL K ANS SM Y MAN® IM AN ONDMAL OF TIE LAND ILFAC O WX MWL RE CtSNMEW 10 K VALM VX COIF:• 'fXRRICA71Oli SNICATFD M MWY THAT TW SU WY WAS R@AIM N ACOMAMCE IM TILE COMM UDDE O' PRACIMZ FTRI WD SUReYDRS ADOflPD RY 9E PEW YONL STATE ANDCMIM W PROEINONAL LARD &NtYE M UAD ODTwFlPiIw W DOLL RUN OILY TO NE PE1190M FOt Y&M TIE SURWY R PNYAF= AND ON HS WWF TO wE IM CDT~, YO*MMI ITAL ADDNY AND uD RUw un= LISTED iRlmn AND TO THE AINGNM OF THE LDDRtf 00WA OW w x A ° ° ° ° e e ti ir JUL 2 41M 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 T0: DANA HOGAN EVERGREEN BANK. N.A., IT'S SUCCESSORS MID\OR ASSIGNS FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: JUNE 1. 1998 12- A- .. • I ILate1 .A Map of a Survey made for I I I I Scale 1' DANA HOGAN S-1 Town of Queensbury, Warren County, New York BFEET 10F 1 HOGAN NO. I DATE DESCRIPTION DWG. NO. 98072 ae t 1 4 314 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 BUREAU OF ECTRIC Y 111 WASHINGTON AVE., ITE 704, ALB Y. NY 12210 ,Date JULY 29 , 1998 436 3498/98 H 449699 An lication o- on ��,1Ie THIS CERTIFIES THAT t 'C�RFIIT C7 . 'Ir ��� only the electrical equipment as described below and introduced by plie" med on the above application number is in the premises of DANA HOGAN , G `PEE DR . , QUEENSBURY , My in the following location; ® Basement 1st Fl. ® 2nd Fl. GAR Section Block Lvt was examined on JULY ` 4 t 1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS GIVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLU OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, K.W. 29 41 36 26 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-QGTLET DIFAMERS SYSTEMS AMT. K.W. OIL H.P. GAS H,P. AMT. NO. A, w. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NQ. OF FEET AMT. WATrS 2 F 1 30 � SERVICE DISCONNECT NO- OF S E R V I C E METER AMT. AMP. TYPE EQUIP. 1 EI' 2W 1 0 3W 3 " 3W 3 Ir 4W NO. OPCkGOCOND. OF GC. GOND. NO. OF HPAM OF WI EL G. NO. OF NEUTRi OF NEUTRAL OTHER APPARATUS: CEILING FAN-4 MOTORS - 1 —F H . P G . F . C . I : -8 SMOKE DETECTOR : - 5 9 COLLER`TFa LANE L L HUDONS FALLS . KY 12839 GENERAL MANAGER 7.39 Per This certificate must not be shared In any manner, return to the office of the Board if Incorracf_ Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. RESIDENTIAL FINAL INSPECTION REPORT -� Date in tion request received: /.�-3- Office No. (518) 761-8256 spec Building & Code Enforcement J Mpt. of Community Development Arrive anVptarD's Irritials 4 Town of Queensbury 742 Bay Road Queensbury, New York 12804 L p it�L- PERMIT' NAME DATE LOCATION TYPE OF STRUC NIA YE. NO COMMENTS Chimney HeightP"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete lntcnor/Exterior Railings 30" to 36" Exterior Handraiils, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2Q/o away from foundation 8" clearance to sill plate Gas Valve shut-aff exposed/re for 18" ve gra Gas Furnace shut-off within 30 fee r line of si _ Oil Furnace shut-off at entrance t re area FurnaceJHot Water Heater in - Relief Valve(s) installed Headroom, 6 It. 6 in. on Basement stairs, 6 ft. Handrail exterior - s both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroomilc-itchen watertight Interior Handrails BaleoniesaAnding, 18 m or more Railing across window in stairwells Smoke Detectors: every level every bedrooa► outside every bedroom triter connected Bathroom fans Plumbing fixtures Foundation msulati 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected fin garage} Light ventilation per room Safety glaring 18" or less from floor rt-)& j F1 u ArL � C , Final Electrical Site pianfVanance required d.^s fj44Cf- / 4W Final Survev Plot Plan { J As Built Septic System layout required - Okay to issue CIC (Certif. of Compliance) Okav to issue temp. CIO (Certif. of Occupancy) Okav to issue permanent CID (Certif. of Occupancy) ( RESIDENTIAL FINAL INSPECTION REPORT Office No. (s1S) 761-8256 Date inspection request received- /' } Building & Code Enforcement Dep ri am/fit Dept. of Community Development Are ive motor's Initials i Town of Queenshury 742 Bay Road Queenshury, New York 12804 G� PER11+1TI' H NAME DATF, i LOCATION TYPE OF STRUCT[JRE NIA YES NO C010AENTS Chimney HeightP'B" VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete intenor/Exterior Railings 30 % to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 20/a away from foundation 8" clearance to sill plate Gas Valve shut-off exposed regulator 1 ' above Furnace shut-off within 30 feet or wi U of site Oil Furnace shut-offat entrance to furnace ea Furnace/Hot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft_ 4 in. I landrail exterior stairs both sides more 3 risers interior privacy/trimldoors/main entran 36" Floor Finish Bathroonu'K.itchen 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 y�Pathroorn fans lumbing fixtures Foundation insulation 3/4 hour fire door/door closer Oarage fireproofing t'rarage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room '� _ Safety glazing 18" or Tess from floor ll J V140A �r (Final Electrical Site PlantVariance 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) Okav to issue permanent C/O (Certif. of Occupancy) GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Roadj Queensbury, NY 12804 Arriv am/pm DepartPM Inspector's Initials NAME: L06e d 1ERM1 # LOCATION: DATE : tl ' TYPE OF STR CT ITRE: RECHECK NIA 'YES NO COMMENTS Footings/Piers_ Monolithic Pour Form Reinforcement in Place The contractor Ls responsible for providing protcaion from freezing for 48 hours fol lowilW the placement of the concrete. Materials for this purpose Foundation/Wallpour Reinforcement in Pla Foundation/Damppr 6ng _ Backfill Approval Plumbing Under Slab Plumbing 'VentfVunts in Place Rough Plumbing_ Heating Roughwh, Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated spaces R- per Vent. Attu ent V F raming.,��'if XJek Studs/Headers racing/Bridging Joist Hangers_ ✓lack Posts/Ma in BMhourr Air Infiltration Barri Fire Separation 1 . 2. Penetration Sealed Fire Wall 2, 3. 4 hour Firestopping GEIVERAL INSPEC IoN REPORT Town of Qrueensbury Date inspection request received Dept. of Community Development :Building & Code Enforcement 742 Say Road ' ' " NY 12804 .Arrive am/pm Depart P Queensbury, Inspector's tnitiais NAME: 01&&AI PERMIT # � LOCATION: er/ _ DATE : / TYPE OF STRUCTURE: RECHECK NIA YES NO C[3M11vIENTS FootingslPiers ____ l Monolithic Pour Form - Reinforcement in Place The contractor es responsible for providing protcaion from freezing for 48 hours following the placement of the concrete. Materials for this purpose on FoundationlWallpour Reinforcement in Pla Foundation/Dampproo Backfili Approval Plumbing Under Slab Plumbing Vent/Vents n Place R gh Plumbing_ eating Rough-Ir nsulation Foundation W a s Interior R- Foundation Walls Exterior R- Floors R- Wails R- y Ceiling R- � y Duct work or piping in unheated spaces R- Proper Vent. Attic Vent Framing. Jack studs/Readers Bracing/Bridging Joist Hangers_ Jack Posts/Ma i n Beam Air Infiltration Barrier Fire Separation 1 . 2. 3 . hour Penetration Sealed.- Fire Wall 2, 3 . 4 hour Firestopping TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMWT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM! INSPECTION Name -- Location r �' Date Pe rri t �# SOIL Sand- Loam- C ay- Result of Percolation est- ( if ap licable ) Rate- Mi ute/Inch TYPE SYSTEM: j ABSO ION FIELD: Total Length j Lengt of each trench Depth f trenches Size a stone SEEPAG PITS : Number- Size - fto x ft . Stone si e PIPING : Size Type Bldg . to ank Tank to Di t . Box Dist . Box Field/Pit Openings Se ed ? Ye a Partial LOCATION/SEP TIONS : Foundation to Tank feet Foundation to soropt on feet Separation of P is feet Conforms as per T of PI an No LOCATION OF SYSTE PROPER es ( circle one ) Front - Rear - Lef ide - Right Side Middle Front - Mid T Rear COMMENTS : .[l 4fopr.sV6C:50,E SYSTEM US APPROY YES NO Arrived : Departed : Building Inspector TON OF QUEENSBURY BUILDING & CODE ENFORCEMENT j 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION i Name Locat or n � d Date Permi t SOIL TYPE : nd- Loam-Clay- Results of P rcol ati on Test ( if applicabl ) Rate-Minute Inch TYPE OF SYS ABSORPTION FI rDo Total Le Length of each trench Depth of trench s Size of stone SEEPAGE PITS : N be - ZZ Size - ft . Stone size PIPING : ype Bldg . Tan Tank t D t . B xf Dist . Ba o d/ Openings S e es LOCATION/SEPA TI Foundation to Tank feet Foundation to Abs rption feet Separation of Pi s feet Conforms as per lot Plan Yes No LOCATION OF SY ON PROPER ( circle one ) Front - Rear Left Side - Rig t Side j Middle Front Middle Rear I COMMENTS : C> Tt L* c� SY �A� Y : YES Arrived : s Depart t ding InSpiottdir r i BUILD Tow Y C EENSBURY ENFORCEMENT (?uee742 BaY Road y NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSpECTIOM Name Location `•�.� ��"' "� Date Fermi # SOIL TYPE: San Loam- Cla Resu(if its of Pere lation Te t- pplicable ) ate-MTnu a/Inch TYPE OF SYSTEHM ABSORPTION FIELD: "�-- Length of each e rota ? t ngth 1 Depth of trenches ch Size of stone SEEPAGE PITS . N Size z e umb r_ -.-.___._-- . Stone size f t X ft . PIPING: Bldg , to Tank size pe Tank to Dist . Box Di St . Box to Fi eId/P • Openings Sealed ? LOCATION/SEPARATICJH ; e5 �° a rt i a Foundation to Tank Foundation to Abs -- �_ feet Separation of pi tion feet Conforms as per feet LOCATION OF SYS of Plan `Yes No ( circle one) ON PROpE Fran t - Rear Left Side Middle Front - _ Ri t Side COMMENTS: Middle Rear "Tr bb toot r" a°+Te Q �• © 1J, To SYSTEM USE APPROVED: Arrived: YES e Depa n In r 4 r DF +wEE�+rsrRx1100 BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION � Name -- Location Date Permit # j SOIL TYPE: San Loam- Clay- Results of Per of a ti on Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: r ABSORPTION FIEL Total nfgth Length of each t ench, Depth of trenche Size of stone � _. . SEEPAGE PITS : N ber- Size - ft . x f Stone size ' PIPING: St e Bldg . to Tank � Tank to Dist . Sox Dist . Box to Field/P t Openings Sealed? s oa t a7' LOCATION/SEPARATIONS : Foundation to Tank ,/ ,cry2 feet Foundation to Absorpti - feet Separation of Pits ""* feet Conforms as per Plot la Yes No LOCATION OF SYSTEM PR ERTY : one) n Rear - Le t Side - ight Side ATU'dl e Front - M ddl a Rear 4COMMENTS : SYSTEM USE APPROVED: N Arrived :Departed: 7 i Bui ding nspector r GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road { Qiueensbury, NY 12804 Arriv arnIns Depart in / Inspector's Initials !—suf- - MNAME: _ " CN> �— LOCATION: DATE : - TYPE OF STRUCTURE: RECHECK r r N/ YES NO CO NTS 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 Reinforcement in Place Foti-ndation/Dampproofing. Backfill Approval Plumbing Under Stab Pr,ldmbing Vent/Vents in Place _ +vRough Plumbing Healing Rough-lr Insulation l2S_ Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- � �� �G''✓T ��,� Duct work or piping in unheated spaces R- Prop& Vent. Attic Vent L_-F*rami ng—.__........._ Jack Studs/Headers Bracing/Bridging Joist Hangers_ _ Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation L 2% 3. hour Penetration Sealed_ Fire Wall 2. 3. 4 hour Fi restopping TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �f11) Location DDEE_ C.EA\3E Date Permit # -- �Zq SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test. ( if applicable ) Rate-Minute/ nch TYPE OF STEM: ABSORPTI FIELD : Total ngth Length of ch trench Depth of tr ches / Size of stun SEEPAGE PITS : Numbe - �- Size - XTIONS : ft . Stone size PIPING : Size y ee Bldg . to Tan Tank to Dist Dist . Box to Openings Seallo artia LOCATION/SEPFoundation t feet Foundation t feet Separation of Pits feet Conforms a s Iper Plot PI ab �e� s No LOCATION OF[[ SYSTEM ON PROPERTY: ( circle one Front - Regr - Left Side - Right Side Middle Front - Middle Rear COMMENTS SYSTEM USE APPROVED: YES No Arrive& d Depa g uirl di ng for —" TOWN OF QUEEMSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION NamefY= 7 Location Date _ Permit # SOIL TYPE : Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench Depth of trenches Size of stone - SEEPAGE PITS : N er- Size - f t Stone size PIPING : Size ype Bldg . to Tanis Tank to Dist . B x Dist . Box to Feld/Pit Openings Sealed ? Yes No a� r— t a LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet j Conforms as per Plot Plan -'�es No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS . v�'R1 ©0-v '���►t.�J�.C7 SYSTEM USE APPROVED : YES Arrived : 6 Depart _ U71 ng 17 Y k1 GENERAL INSPECTION REP'OWT'2'--- --' . � -- 1 Town of Queensbury 11 Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12844 Arrivel_ , j art>45iD _ Depart Inspector's Initi NAME: Chi PERMIT # LOCATION: 1ATE : - TYPE OF STR CTURE: RECHECK N/A YES O COMMENTS F n7Form 1 Monolithic or Reinforcemen The contracnsible for providing pm freezing for 48 hourthe placementof the concMaterials for t n siteFoundation/W Reinforcement in Place Foun n/DampproofingPoo ck#ill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In r Insulation I Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling R. _ Duct work or piping in unheated spaces - Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiitration Barrier_ Fire Separation 1 , 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOMS[ OF QUEENSOURY BUILDING A CODE ENFORCEMENT 742 Bay Read 4ueensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �4.0& ►,-) Location Date S to.......158 Permit # SOIL TYPE: Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM; ABSORPTION FIELD : Total Length Length of each trench Depth of trenches Size of Stone SEEPAGE PITS : Number Size - ft . Stone size �----- PIPING. Size We Bldg . to Tank Tank to Dist . Box Lust . Box to Field/Pit Openings Sealed ? Yes4 Nartz a LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet Separation of pits feet Conforms as per Plot Plan 'Fees No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : 0kZ SYSTEM USE APPROVED : YES Arrived : 57ZD ` '---_-� Departed : �� c -- ui d! ng Inspec GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building. & Code Enforcement 742 Bay Road Queensbury, NY 12904 ArAve r pa aL,y Inspector's Cal Nam: PERNUT # LOCATION: ems, D ,TE "TYPE OF STRUCTURE: RECHECK NIA YESeNo 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 Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab � `r 11 t � Plumbing 'Vent/Vents " Place 1, WOOT Rough Plumbing Heating Rau Insulation Foundation Walls Interior R- u 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 Fi restopping