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1999-593 orsopas.a 31134.1201MONLXISMOSINONSWIEWO 0 0 Certificate of Occu • ancy • Town of Queensbury Warren County, New York . . Date June 2 6 , 2000 • • I I 99593 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 Location LOT 3 RAINBOW TRAIL • Owner TAX MAP NO 5 2 . -5-3 By Order Town Board TOWN OF QUEENSBURY ‘if• or o g& Code Enfornent BUILDING :PERMIT • VALUE. s' 45000..TOWN OF QUEENSBURY No. • 99593 • TAX MAP 'NO.. 52 • -5-3 WARREN COUNTY,NEW YORK PERMISSION is hereby granted to._ _ PROCRAFT, INC OWNER of property located at LOT .3' RAINBOW TRAIL:' - • Street,Road or Ave. • in the Town of Oueensbury,To Construct or oleos 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 Oueensbury,Building and Zoning Ordinance. 1.OWNERS Address is 9. .MANNIS.,RD. QUEENSBURY, NY, 1280.4.: 2. CONTRACTOR or.BUILDER'S Name .,• . - - PROCRAFTINC. 3. N ActOR or BUILDERS Address. 1 , SIG .BAY. ROAD.,, ,.QUEENSBURY,; :.NY 1280.4 • 4. ARCHITECT'S.Name • COMMONWEALTH ELECTRICAL AGENCY • • HAGUE, NY 1'2836'_ • 6: TYPE of Construction (Please indicate,,* by X) SINGLE :FAMILY.,,DWELLING ( I Wood Frame ( 1 Masonry: ( 1 Steel (`1 • 7. PLANS and.Specifiostions•. 148 5-,SQ FT'_ SINGLE FAMILY:-.DWELLING WITH: 2 CAR ATTACHED GARAGE' AS PE PLOT PLAN SPECIFICATIONS B;'P.ioposed;Use SINGLE .FAMILY DWELLING • 199. ..,-., ' September 22 2001. $ ,- PERMIT FEE PAID THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension musrbe made to the.Building and,Zoning inspector of the town-of Oueensbury before the ewpiration date -22 - September 1999 Dated at the Town of Gueensbury his Day of 19" • rN • SIGNED BY fco.? for the Town of Oueensbury ,Buil ding and Zoninpanataeta. 4-47Q -5 Ts • _ ENERGY CODE COMPLIANCE APPLICAT'O f ^• _ TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS SEP 1 3 1999 TOWN OF QUEENNSBURY Comvliance Methods: PART 5 - Acceptable Practic° CODE - 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: la/1.o CQ4FT /A/c • 4 / 3 f 4fiBow PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - Ph/5- square feet 2 . Tv-oe of Heat - Electric . X Oil Gas Other 3 . Is building mechanically cooled? Yes X 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 S H OW'N ON PLANS SUBMITTED: a . Roof R 30 b . Exterior walls R / ct c . Glazed areas R 3 g 5- d. Exterior doors R � 5- e . Floors over unheated spaces R . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R f/ i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140c - WILL NOT BE EXCEEDED Apo ant ' s i atur Date Phone Number /: • ?//D/ 77 u 13 3 3 INSPECTOR' S REMARKS: Application for SEPTIC DISPOSAL PERMIT Town of Queensbury V ,3 Dept. of Community Development Permit NO. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for installation: tc) Ti ( Property Owner's Name: Q O L2/9-f-T 1 JU 4 .IECEIVED Property Owner's Mailing Address: 9/,5 /, /�'47'E . cp4yr. 1-3 7999' Installer's Name:eke) " C'�,9-�=J l u Phone # 79 k Tq 9ISQUEENSBURY /-00 CODF Number of bedrooms (if residential): 3 Total daily flow: *CC' (residential -compute @ 150 gal./bdrrn.) Topography: 'flat, rolling, steep slope % of slope - Soil Nature: 'sand, Ioam, clay, other /depth: Ground water: at what depth? ? feet / Bedrock or Impervious Material: at what depth? s feet Percolation test: not required, required [rate min. per inch J Domestic water supply: municipal, dwell,. other If domestic water supply is a WELL, water supply from any septic absorption is /Da f feet. • PROPOSED SYSTEM Septic tank: //910gaklon (minimum size: 1,000 gal.) Tile field: each trench .S'O feet / Total system length: 02 O v feet Seepage pit(s): number of / size each: , ft.by ft. Size of stone to be used: # v2 / depth or thickness .Z 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 Coda of the Town of Queensbury, any permit or apauval 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: /j� Date: 9//v g, • . Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbuly, NY 12804 /761-8256J BUILDING & CODE ENFORCEMENT NOTICE Requirements prior to issuance r A permit must be obtained before of this permit: PERMIT FILE NO. � ` beginning construction. No inspections -C .ICY will be made until applicant has received 1-1Zonbtg Board Action PERMIT FEE PAID$ a VALID BUILDING PERMIT. All • Area /Use applicants* RECREA770N FEE AI pp spaces on this application MUST be completed and.the signature E]: Planning Board Action 6 KAVIEWEDd BY. of the applicant•must appear on the -./SPR / Subdivision /Other Building Inspector lication form. nix Recreation Fee Payment "Qd 1 J • Applicant: /QO - C,4 T fre- Owner: fti I i= c--- Address: 41/S - /I. f A Q?,Y. Address: 14-/V/V/$ iel 4,8V Phone # (j/r) 291'= 1J3 Phone # (fi fj ) Z 9, 39 Property Location: Lor 3 if/OW/Bold Tiei9.1 L' Subdivision Name:. Ail)/L� "/y,ej Tax Map Number �tfCJ� - -f3 3 Section Block lot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE ''''' New Building: CONSTRUCTION: $ /f S'(Y)r) residence / commercial / Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial ✓ Single Family Dwe ig4 " / VCD Residence Commercial Two Family Dwelling no change to exterior size Family Dwellin • Office St.P 1 3 1999 Other Work (describe below) Mercantile �; Manufacturing -M N:y .OG CFUEENSBURY Other PiJll_DlNU AND COD GROSS AREA OF PROPOSED STRUCTURE: 1st Floor 7•2 sq. ft. If ADDITION, what will use of new . addition be? : 2nd .Floor 75-7 sq. ft J,5 Other Floors sq. ft. (not unfinished cellar or basement. ! ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 14I $ SQ. FT. 1/Attached Garage 1, car / Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other s-e, FEET X 3$' FEET Foundation Type: 4,1//Q62 remAieE"TE Will any second-hand or ungraded ' Number of Stories : , lumber be used? If so, for what? /�d (habitableace only) Height (grade to ridge) : 02.3 feet TYPE OF HEATING SYSTEM: Number///of fireplaces and/or woodstove (circle all ich applies) to be 'inst"alled: ?I VL Electric / / Gas / Wood Forced Hot Air)/ Baseboard / Other Person responsible for. supervision of work as regards to building codes is : c,QA4/V/< K1/Vt/« Y/s .R/1 ,a4y RD, 79? /3 3 Name :-'• Addresss / Phone Builder: ,//v -624- %NC . Ills' 51ej• B47 ,R. • 7cYR'/ 333 Plumber: 1E cF' � S �Lol . Mason: DA41. - if.Lbilthiu 11-3T-Fr i4NN 172. 1 7 1 Electrician: 0o!tau Dmiy qui:b.-Ns-eat= r 19a 6N7/ DECLARATION: Please sign below 4164.you have carefully read the statement. 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 BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: mot' • . (owner, owner's agent, . chitect, contractor) RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive Intgini Depart.,6 le" Town of Queensbury Inspector's I 742 Bay Road Queensbury,New York 12804 NAME 1 K)E.F PERMIT# CACA LOCATION 1...r5T ;3 R 6 DATE (a.- 2, —C� TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"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,landint 8 in.or ore Interior Handrails stairs both sides 3 .r more rise s � Grade 2%away from foundation `' 8"clearance to sill plate / Gas Valve shut-off exposed/regula or 18"abov grade ✓ / Gas Furnace shut-off within 30 fee'or within e of site Oil Furnace shut-off at entrance to furnace ea Furnace/Hot Wat eater opera g Relief Valve(s)ins Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. �/ Handrail exterior stairs both si i es more than 3 risers Interior privacy/trim/doors/ma,+I entrance 36" Floor Finish Bathroom/Kitchen watertigh Interior Handrails Balconie anding 18 in.or more Railing across window in s irwells ✓ Smoke Detectors: every level ✓` every bedroom / outside every bedroom inter connected Bathroom fans / Plumbing fixtures I/ Foundation insulation /ff 3/4 hour fire door/door closer Garage fireproofing ✓/ Garage penetrations sealed J Furnace in separate room protected(in garage) Light ventilation per room ✓/ Safety glazing 18"or less from floor /✓! 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) -., RESIDENTIAL FINAL INSPECTION REPORT 0)9,2? Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive n- Depart Town of Queensbury Inspector's Initia 742 Bay Road Queensbury,New York 12804 NAMEc, -� I J\-P l\� - PERMIT ii , . ---5 LOCATION ( C_ ' 12 0" Ec( DATE Co — j am\ TYPE OF STRUCTURE r �'U N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location ' I' r Fresh Air Intake Plumb Vent through roof / Roof Complete .✓/Exterior Finish Complete .Interior/Exterior Railings 30"to 36" / Exterior Handrails,balconies,landing 118 in.or rriore Interior Handrails stairs both sides 3 o more risers !, Grade 2%away from foundation `// 8"clearance to sill plate / ✓ Gas Valve shut-off exposed/regula4 18"al3ove grade Gas Furnace shut-off within 30 feet or w,tl{n line of site 7 Oil Furnace shut-off at entrance to ace area S Furnace/Hot Water Heater operatin ).// Relief Valve(s)installed 7 \// Headroom,6 ft.6 in._on stair's r/f Basement stairs,6 ft.4 in. 1 V , Handrail exterior stairs both sides ore than 3 risers ti,/ q d-c( Z V-O D i< (=emu 4tj �C.'Eh Interior privacy/trim/doors/main a trance 36" ✓/< a c g �‘ it' r� Floor Finish /J Bathroom/Kitchen watertight 1/ Interior Handrails Balconies/Lan g 18 in.or more Railing across window in stairwe s ' Smoke Detectors: every level ✓� every bedroom /j outside every bedroom inter connected 1/1 w=- CD %ZC�=,`.P 1\0 01���-°( Bathroom fans �PP`VC;�r l=-=�` '�' �D � 3 Plumbing fixtures D v�J\D� Foundation insulation / —.t�E E )--CO DP\' 0 GT. Fi_A 3/4 hour fire door/door closer V CA6 g 13V-� ���A y \rp p Garage fireproofmg7 �C-�9-1�f- or:, F Wpr iNt. D Garage penetrations sealed 1� / Furnace in separate room protected(in garage) / �� ,3k Light ventilation per room ✓/ 1� F t Safety glazing 18"or less from floor V — � Q co t E kz bN�� DC Final Electrical Site Plan/Variance required )(2 Z1-t T'O DOF Q � Final Survey Plot Plan / Z -(11/4 � c As Built Septic System layout required ��1 '-e'I' / 1' O` ' '1C Okay to issue C/C(Certif.of Compliance)QV--AF Okay to issue temp.C/O(Certif.of Occupancy)_ /— 1,,b \ H%C__ B'P--6Y n <.C.- „,,,I 6 L,� Okay to issue permanent C/O(Certif.of Occupancy) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT t � 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIALli CO -- DATE INSPECTION J EQUEST RECEIVED: S ______ _�" NAME ( � if �- LOCATIO �`."<a.. %/i . DATE 6 PE MIT $ 92-_,.r_.,23 TYPE OF STRU UR 1 I it'eL FOOTINGS FOUN ION B FILL 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/RAILI GS RELIEF VALVES', FURNACE/HOT WATER OP RATING INTERIOR TRIM/PRIVAs DO S • FINISH FLOORS: BATH/K-.TTCH.E. ^,T:RTIGHT OTHER FLOORS 'SW PABLE OTHER FLOORS CA:PETED • STAIR CLEARANCE/RtILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURE. FOUNDATION INSULATION ,r GARAGE FIRE PROOFING , DOOR CLOSERS I FINAL ELECTRICA'L SITE PLAN/VARIANCE REQ. NAL SURVEY PLOT PLAN v'/ OK TO ISSUE C/O OR C/C COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL S� Panel Board No.., Cert. 'N9 6528.8 Cut-in Card No yIC,' Owner / P/-O Location /.Or ' gig-ou/'d 7/2, ( is Installation Consisting of... 4 irc-1.4 4• 6 -7-6 61 Vi(672 E / ..� &-' p 3 3-v'S Installed By `J )/ Lic.No. The conditions following govemed 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 I inspections at any time, and if its rules are violated,the Company shall have the right to r vok=(40 tific e. CODate l Z Z INSPECTOR / Mamhar N_RP_A__IAF.I. H14 1--)_-__5%C\--, \-'( ,0 CA-4:5A/1-7 GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury j/ , Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road tO Queensbury,NY 12804. Arrive‘22.:cb a Depart ; er spector's Initi l J NAME: PERMIT#LOCATION: LJ /�:( r - c '-3 VW DATE: / • b /`/J� L14 TYPE OF STR CTURE: f RECHECK N/A YES NO COMMENTS Footings/Piers l 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the place nt of the concrete. / Materials for this purpose on site Foundation/Wallpour Reinforcement ' ,ce Foundation/Dampproo a_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing V 4Tuai3En -- O 'C --1-1_-Fl C) 161_ Heating Rough-In Z w3D FLccg ` isulation 1 2N 0. 0. ���R��- Foundation Walls�terior R- �- To TF�i c���_g-` Foundation Walls Exterior R- c'� 5 , Floors of F_e_Ac R- 3. t b Co\ Q 1T Walls R- t° Ceiling R- ,3D ✓� Duct work or piping in unheated spaces R- Proper Vent,Attic Vent / Framing V/ Jack Studs/Headers ✓� Bracing/Bridging Ib- n R-c01L �// Joist Hangers f/ —�6 \\�, _ „ Jack Posts/Main Beam �/ `�- 1`1 Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT they? (518 ) 761-8256 'r�, Town of Queensbury Dept.of Community Development Date inspection request received: , Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive Depart lb^_.%f %•fin Inspector's Ini ' � NAME: RY-1)(-""f� PERMIT# LOCATION: ' 3 (y0.�-...,l,m i) 3��u DATE : / ' . TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing • . 'on from freezing for 48 ho rs folio, 'i g the placement of the co crete. Materials f.1 this p . se on site Foundatio allpour Rei .rcem nt in P1. e Four.►::.i v a , .roofing- Backfill .z,roval Plumbing U der Slab ' Plumbing nt/Vents in Place / Rough l sing �,/ c.�-�Q�l��� `- D � L E tJCT ceM��tT Heating ion.: -In Insulation f�S3c'' `*1U•,DR`', 6 cM - � Foundatio i Walls Interior R- eJ�T rE t�J P-ooF- Foundatio Walls Exterior R- Floors R- l3Ht�Pt_ t,JEQ MsSSI(z( Walls R- Ceiling R- Duct work\.or piping in unheated spaces R- Proper Vent, Attic Vent "' Framing,, Jack Studs/Headers Brae ridging ✓2 Joist Hangers .//r T'RtE?. t-R w % 2030 tom' /Jack Posts/Main Beam / ✓ -B c_t-1e� 5�"EEtr C o�M V De lb TO Air Infiltration Barrier L � -� b3poD zea!A Fire Separation 1,2,3,hour Penetration Sealed B(2-1 D 6� 13 6 uJt-kr-Q.e Fire Wall 2,3,4 hour z-� restoppingL.Pt tv CO tkPt_E1- Pe-a. -1-©WV 1— e t �-mac_ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT . - 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name R( CIA4A —I— Location 1' RR1�j •TRB\I Date 1 l —cici Pe i t # CIq -OT15 SOIL TYPE: San, -Loam-Clay-\ Results of Percolation Test-p (if applicable) Rate-Minute%Inch TYPE OF SYSTEM: ABSORPTION! FIELD: Total Le ,gth Length of each trench Depth of(trenches Size of {stone SEEPAGE SPITS: Number- Size - Ift. x / ft. Stone size / PIPING: Ix i Size Type Bldg. totTank Tank to D;i st. Box Dist. Box\to Field/. it Openings Sbeal ed? Yes No Partial LOCATION/SEPARATI S: Foundation tto Tan` feet Foundation tp Ab orption feet Separation off Pi, s feet Conforms as periPlot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear -°�I,eft Side - Right Side Middle Front ? Middle Rear COMMENTS: REC C --Z t • SYSTEM USE APPROVED: ES NO Arrived: Departed: AICL-1 '''',,.. Building Inspector . A y._ ` h V G cam 'E- ` IE NOV 3 6 1999 EtIli_Dif a/'irJO CODE . ,$ ,. 6 115- ik)tt,-(: e '._ (� 1rn) ,, ., ,: __ ., -7' ,_,, _ -: (Th 0 C-, I \ 1 t ,ti Mk ` i . Lt7... /.5-.-1-).. , 01 /'-. .5' ./. • • 6 I , 4/•-• 4_,,,,i__, . . GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury 9Dept.of Community Development Date inspection request received: // / Building& Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrivcai epart — nspector's Initi NAME: P7.)---o—ei: PERMIT# LOCATIO _ `N. ,,.• Jl-r/J ,Z_DATE : ///. ; / TYPE OF STRUCTURE: / RECHECK �..,c \3 ; N/A YES NO COMMENTS Footings/Piers„ i! I Monolithic PotkForm n Reinforcement ii lace a The contractor i esponsible for" providing protcctidp from freezing for 48 hours following the pl�emcnt of the concrete. Materials for this purpose t�si'ic Foundation/Wallpour //if Reinforcement in Place Foundation/Dampproofin p )�ackfill Approval ; Plumbing Under Slab_/ ___. Plumbing Vent/Vents/in Place \ Rough Plumbing Heating Rough-In i o. Insulation / Foundation, ills Interior R- "k\ Foundatio .Walls Exterior R- \ Floors / R- \ Walls R- \ Ceili R- N' Duc work or piping in " nheated 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 Scaled Fire Wall 2, 3,4 hour Firestopping 41..i_e,v /a_A c4-- - TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT G C� 742 Bay Road Queensbury NY 12804pro± (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name —A — -4 Location t, ,� C__- Date ///&6/0) Permit ®ck-,9--=‘,—' SOIL TYPE: San4Loam-Clay-, Results of Perco\ ation Testt\,- (if applicable) Rate-Minuted/Inch TYPE OF SYSTEM: \ ABSORPTION FIELD: \Total Length Length of each trench j Depth of trenches \ r Size of stone /' SEEPAGE PITS: Number / Size - ft. x y, / ft. Stone size ', PIPING: , .�A Size Type Bldg. to Tank c_ XH%'b aG Tank to Dist. Box / '-4-� (k1\--) Dist. Box to Field/Pi ' 0 Openings Sealed? e N s - Partial LOCATION/SEPARATI `', Foundation to Tan feet Foundation to Ab orpti on . 0 �Cjfeet Separation of its \ feet Conforms as ppr Plot Plan Ye o LOCATION OF ,SYSTEM ON PROPERTY: (circle o Front e� Left Side - Right Si'"de Middle •,ront - Middle Rea COMMENTS: \\ —'70\V:---7t— a):T\C__ a*, o C1 SYSTEM USE APPROVED: YES Arrive. ' Dep• ' ; /_ °°' c-�C l`uildin. Spector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTE1 INSPECTION Name PRO -- CRAVT Location _ R4,,i)AoGo Date tkikolT1 Permit # N- 593 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate i t/Inch TYPE OF SYSTE1: ABSORPTION FIELD: To al Le gth Length of,,,each trench Depth of trenches Size of stohe SEEPAGE PITS:'`,Numb: r- Size - ft. ft. Stone size PIPING: Size Type Bldg. to Tank ,'uoi Tank to Dist. Box Dist. Box to Field/'it Openings Sealed? Yes No Partial LOCATION/SEPARATIO°S: Foundation to Tank feet Foundation to Abso ption feet Separation of Pits fey Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: uT f /-t- 14CK 46 744-6- P/r9 -. P 4 o t '5 - d SYSTEM USE APPROVED: YES ( !) NO Arrived:Departed: 11 / Building Inspector GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road • �z) Queensbury, NY 12804 Arrive am/pm Depart( ' S am/pm Inspector's Initials NAME: PERMIT# ?�^ LOCATION: DATE : !!mM TYPE OF STRUCTURE: RECHECK N/A YE/NO COMMENTS /Footings/Piers p —I 'I Monolithic Pour Form Reinforcement in Place e- j The contractor is responsible for providing protection from freezing for 48 hours following the placci nt of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin' • Backfill A.. : 1 Plumbing Under Sla. Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls In erior R- Foundation Walls E. terior 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 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name ¢ •- ���,!'l=/ Location eri/x/r�C) Date // Permit # - !-53 SOIL TYPE: Sand- oam-Clay- Results of Percolation -st- (if applicable) Rate-, inu a/Inch TYPE OF SYSTEM: zN . ( ABSORPTION FIELD: T•tal L:ngth ( _ Length of each tren h 1 527 Depth of trenches j Size of stone, ,`" SEEPAGE PITS: _ -r- Size - f . x ft. Stone size PIPING: Siz Type Bldg. to Tank _ Tank to Dist. Bo,, 4u S-in Dist. Box to Fie d/Pit :‘ Openings Sealed? Yes o Partial LOCATION/SEPARATIONS: Foundation to T.nk feet Foundation to Ab orption feet Separation of Pi s f- Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - ight Side Middle Front - Middle Rear COMMENTS: 'c'8 hk `r ,A-5 - U t L j- P � rvv,/ • SYSTEM USE APPROVED: YES 31 Arrived: Departed: ,'� R Building Inspector Orti GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road 1 Queensbury,NY 12804 Arrive am/pm Depart I • am/prp' Inspector's Initials NAME: ic). 1-1 PERMIT# LOCATION: �,� _ DATE : \\=S9n TYPE OF STRUCTURE: RECHECK n N/A YES O COMMENTS outings/Piers `� l� ~� 1 I . Monolithic Pour Fonn Reinforcement in Place g' 3 The contractor is respons c for `ram A)oT Iry v 4 providing protectio►{from frc -.ing for 48 hours following the placment of the concrete. Materials for this purpose on site Foundation/Wall pour Reinforcement in Place Foundation/Dampproc f 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 i „ . .. .• REnFIVED , . 06 SEP 1 3 . _ r ow N oP o..i.,r2F-, ,iwur-ly BUILDNI3 AND CODE i -t‘,. , hqve seen or observed,Of believe I Noir'Mace oft ,ilo Oiects such as houses,wells,bee%flooksicit . , . ,hown on this document I also represent**I hive.- / :H1.3onally measured the distances set forth 0*thediagramr A ._,, __ tt 41 - :. -. • SIGNATURE ' DATE • • \ _.. $ A; . i 41 . ...-• . . 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