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1999-621 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 5 19 99 This is to certify that work requested to be done as shown by Permit No. QQgli has been completed. • This structure may be occupied as a SINGLE FAMILY DWELLING LOT 23 #25 BERRY DR. Location Owner CERRONE BUILDERS INC. TAX MAP NO. 48 -7-23 By Order Town Board TOWN OF QUE NSBURY Director of B1dg. & Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 130000 99621 Building Permit No. TAX MAP NO. 48 . -7-23 • A*1 13 h+ CERRONE BUILDERS, INC. Permission is iereby granted to Owner of property located at LOT 23 BERRY DR. in the Town of SINGLE FAMILY DWELLING Queensbury,to construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with.the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. • Owner's Address: 66 SUNSET TRAIL QUEENSBURY, NY 12804 Contractor or Builder's Name: CERRONE BUILDERS Contractor or Builder's Address: 66 SUNSET TRAIL_ QUEENSBURY, NEW YORK 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY 12836 Type of Construction: SINGLE FAMILY. DWELLING Plans and Specifications: 1394 SQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING • 203 - September 29 2001 $ PERMIT FEE PAID—THIS PERMIT EXPIRES (If a longer period is required,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbury before the expiration date.) 29 September 1999 Dated at the Town f Queensbury this \��-� Day of SIGNED BY ✓ W for the Town of Queensbury • Code Enforcement Officer , I 7WN OF QUEENSBURY 742 Bay. Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS, ci\c\ --Ga Date ' (21 11 ,-11944'7) . Permit No " ' ' 61 APPLICATION IS HERETY 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 ee7A:;Zot.e, , 2/,/ _ /441 C • APPLIANCE (check appropriate boxes) IF /11 . 41 Address 12.A. Arel,,y7 /ed./ / 0 STOVE: El Wood o Coal o Pellet o'Gas j : 0 FIREPLACE INSERT/4/1/ Zip /2 /1-010 '-' ? 0 FIREPLACE, FACTORY-BUILT: (.../ 0 VVood dGas Phone 7fr--4/2A6 , , 0 FIREPLACE, MASONRY: -% 0 Wood 0 Gas Own,er -.----- it to FURNACE: El Wood 0 Gas 0 Oil Address ---..........:*--- IF NON-MASONRy/APPLIAVE: IVianufacturer: Aeire it, 6"/Mil Zip ,- -' Model: hia 96 Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction • )---- -' 1 c , CIDNeY , _ 0 MASONRY: 0 Block 0 Brick 0 Stone Z , nriti•AU FLUE: o Tile 0 Steel . __,...,„..,.,. — \...; , Size. inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT/7 / CONFORM TO NYS FIRE PREVENTION & ManufactureriWe'vg4pModel;47 .7g BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ojriple Wall . REGARDING REQUIRED INSPECTIONS. V 0 Insulated 8" Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal V Amount Collected Amount Refunded Code Number Title . ' / c: 17) V. , A 173 3389. (190) Public Safety A 233 2655 (230) Minor Sales , Fee Collected From or Refunded to: \-91 ,\CT\--2,_ ,,,,- -0.....k.. 0, t et)A(:). CP' ) ‘') Address: V. . 7 ---"V"- k I Dated: Cit. -dt-1. - 9 Town Clerk or DeputY: :„`::-.4-r; rk 1---ArA ,,,,....... • - -- White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. • (L611 _ I ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS rr:n 4FC Compliance Methods: . PART 5 Acceptable Practice Method _ SEP 2 4 1g99 1&2 Family Dwellings (only-MN Ur ��e.:us C�avEi�RY ti • PART 6* - Thermal Rating - Component ag gick XOnE 1&2 Family Dwellings; Mul -Fame 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: &#'ggJL g0/11 Z?2 Off r PART .5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - / f9 square feet 2 . Tv-oe of Heat - Electric Oil Gas ✓ Other 3 . Is building mechanically cooled? . Yes No • 4 . Percentage of area of windows and doors Over 17% ,/ Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R -i b . Exterior walls R c . Glazed areas R d . Exterior doors R 7( e . Floors over unheated spaces - R f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R // h . Basement/cellar walls (below grade) R I 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 140° - WILL NOT BE EXCEEDED A•ec- _ s Signature D to Pho e u ' er INSPECTOR' S REMARKS: Application for SEPTIC DISPOSAL PERMIT Town of Queensbury ,� Dept. of Community Development Permit No. a. Building &Codes Office 742 Bay Road Fee Paid S Queensbury, NY 12804 J Location of property for installationZ112 Property Owner's Name: /,.— a/ .,C1 - Property Owner's Mailing Address: 6tt czc ef/ InstAller's Name: i �/ //t �' . �4 F� Phone # 1 .2/ . Number of bedrooms (if residential): Total ciaily flow: Vd (residential -compute @ 150 gal./bdrm.) Topography: ✓ flat, rolling, steep slope % of slope - Soil Nature: sand, 'loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? — feet Percolation test: not required, ✓ required [rate min per inch] Domestic water supply: municipal, ell, other If domestic water supply is a WELL, water supply from any septic absorption is %ea feet. PROPOSED SYSTEM • Septic tank: Gt) gallon (minimum size: 1,000 gal.) 2-1 7 k&t4J. Tilt' eld: each trench 5© feet / Total system length: 414 feet to/Liii05 doff® c/8) Seepage pit(s): number of / size each: . ft.by ft. Size of stone to be used: # / depth or thickness feet . HOLDING TANK SYSTEM: (if required) Number of tanks: : Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queens approval granted which is based upon or is granted in reliance upon any material misrepresentation oril to failure ure make any permit oa material fact or circumstance known by or on behalf of an.applicant, shall be void. I have read the regulations with respect to this :.,.lication and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal • Signature of responsible person: j? Date: ��I,A5 Building Periñit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 1761-82561 NOTICE BUILDING & CODE ENFORCEMENT Requirements prior to issuance r A permit must be obtained before of this permit: PERMIT FILE NO. -\9\ Lai beginning construction. No inspections PERMIT FEE PAID$ � � �C will be made until applicant has received n Zoning Board Action pp a VALID BUILDING PERMIT. All Area /Use 'fi 770N FEE PD$ 7L� applicants' spaces on this application '' 1'"� MUST be completed acid•the signature Planning Board Action ®o ' of the applicant must appear on the n g REVIEWED BY: �r` SPR / Subdivision /Other Building Inspector plication form. n Recreation Fee Payment ` Applicant: _ • Owner: -----: "" ^ , ,i� . � '�'I� �'-1�,t� Address: � ,� -• Address: le. _____________, Phone # (fit) xl- - g y6 Phone # ( ) - Property Location: r� r72- /- . _� �// Tax Map Number ! d 7 /. Subdivision Name: ,,e, ietz vl1.l _ Section Block Int NA RE OF PROPOSED WORK: ESTIMATED MARKET V E OF THE New Building: CONSTRUCTION: $ /A/Q fj residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pro, ary Building - residence / commercial (.f Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size . Family DP' ' Office Other Work (describe below) Mercantile SEP �r1. Manufacturing 999 Other TOWN OF C?' 1t= !'o: , -1Y GROSS AREA OF PROPOSED STRUCTURE: /6 6 _BUILDENI4 ;,.ems ; , 1st Floor A(// sq. ft�k If ADDITION, what will use of new addition be? : 2nd .Floor sq. ft. (- Other Floors sq. . Z (not unfinished cellar or baser.;) ACCESSORY BUILDINGS: SDetached Garage 1, cTOTAL FLOOR AREA: / q / SQ. FT. - Attached Garage 1,(2 ca Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building -77 FEET X 6 FEET Other Foundation Type: gliet:Z._:__&4_, C1le Will any second-hand or ungraded ' Number of Stories lumber be uses ? If so, for what? (habitable space only) Height (grade to ridge) : ZZ, feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a.plies) to be installed: tii.c /` OU- /fie / Wood Forced Hot Air)/ =aseboard / Other Person res•• i for supervis, o tof wort-as re rds to building. codes is : / ..L .. ✓a�.c . / c 11./, /,.v,�/, gi� -cc? .. 7 -4/06.6 Name Addresss Phone Builder:. / .41,61zet ° "fry . Plumber: 717m pea( 4,21d. Mason: �i<?✓t ,� e7.1/7e- r �-9 /' Electrician: �a , , 2uL 7qf 7-PZ,A DECLARATION: Please sign below after 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 Occupan 'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyo • dr,wn to sc• e, showing actual location of project on premises. Signature: ''owner, owner's agent, architect, contractor) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518)761-8256 Date inspection request received: / Building& Code Enforcement Dept. of Community Development Arrive am/pm DepairM6anilyn►, Town of Queensbury Inspector's Initials .:9 Q C� 742 Bay Road Queensbury,New York 12804 NAME `--L kiec 6 PERMIT# —CO 2--( LOCATION k l-2 If 0,e DATE . 1 TYPE OF STRUCTURE N/A. YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location _T— Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 . or ore Interior Handrails stairs both sides 3 or mere ri - s Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regul. or 18" bove a .de Gas Furnace shut-off within 30 feet , wi line .f site Oil Furnace shut-off at entrance to furna•- .• •. 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 sides more . 3 risers Interior privacy/trim/doors/main entrance 3 0" 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 jtnes athroom fans JÔ1T (, LoGf(i-G ki5( (�C Vumbing fix I oundation insulation0 V 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required / �� fReoLouSFinal Survey Plot Plan t/ 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) A010106..f Y" TOWN OF QUEENSBURY �+ � � + BUILDING & CODE ENFORCEMENT 33 742 BAY ROAD i QUEENSBURY NY 12804 (! (518) 761- 256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE IN CTIONN REQUEST RECEIVED: NAME LOCATION "T-( 2=3 1 !'l) 04? - — DATE Lk PERMIT b 9q-6 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES I FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACCY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT i OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED l STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL S E PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C Cf -) /54_61-- RESIDENTIAL.FINAL INSPECTION REPORT JP).7 _ Office No. (518)761-8256 Date inspection request received: / Building& Code Enforcement Dept. of Community Development Arrive am/pm Depar am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 \\ NAME Y-f-CSwe L\G1 C�J�1.S PERMIT# C '��� LOCATION 4e, 1)--2i v-Nr,�� Y Y'I�-< — DATE / - O '1 TYPE OF STRUCTURE S CM N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location J Fresh Air Intake Plumb Vent through roof / Roof Complete // Exterior Finish Complete Interior/Exterior Railings 30"to 36" tii Exterior Handrails,balconies,landing 18 in. or ore V Interior Handrails stairs both sides 3 or more .sers f Grade 2%away from foun•.tion 8"clearance to sill plate / ✓/ Gas Valve shut-off exposed/reg :. .r 18"a.• • grade til Gas Furnace shut-off within 30 feet or wi i line of site / /Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating /. Furnace/Hot Relief Valve(s)installed Headroom,6 ft. 6 in. on stairs ✓ Basement stairs,6 ft.4 in. Handrail exterior stairs both sides r ore than 3 risers Interior privacy/trim/doors/main trance 36" Floor Finish / Bathroom/Kitchen watertight it Interior Handrails Balconies/L. ding 18 in. or more/ Railing across window in stairwells i/ / Smoke Detectors: tJ/ every level L' / every bedroom �// outside every bedroom s//// p inter connected V! 1�y rA,L� 0 t, % /�f-�K l�� Bathroom fans I Plumbing fixtures d . 1,-$c. i 5'-1 Foundation insulation / i 3/4 hour fire door/door closer t/ C_C- tp c—R-- as t DG( ' Garage fireproofing i, Garage penetrations sealed ✓ Furnace in separate room protected(in garage) f�s ( -v ,1,5 UL . �, CO,2A)� oc Light ventilation per room Safety glazing 18"or 1 hss fr�m floor a / Final Electrical 12ZZ 1`1. C.1 3 '►/ / Site Plan/Variance requires. / Final Survey Plot Plan o4 r' (,-CJ 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 QUEENSBURY, NY 12804 - (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAMENOCC.)-Y\Q P-X- \-1 �-� LOC, 41+ 0-3 k(V(oL/ PERMIT#1 q 4002 SCHEDULE INSPECTION ON CSC - Uq U� 3 A(PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTING SHERS / FIRE ALARM SY M FIRE SPRINKLER SYST M FIRE SUPPRESSION SY TEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: I CLEARANCE(TO SPRINKLERS CLEARANCE O HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY FACTORY BLT. / ROUGH-IN Si FINAL °f REMARKS: OK TO THIS DATE INSPSLIP.PUB INSPECTOR COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. Main Office 176 Doe Run Road-Manheim,PA 17545 ge-f-6, MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N2 64692 Cut-in Card No Owner C c-t2 46 5-bil1. 672-5 Location 4-or .2-3 E3/1-4,ee72/2-), flt .DaJS 611-U-17 Installation Consisting of 3 Sr leee--67 137 411 8A-11)66- /to 61-/Ci. "•,-4/5 57-11--02-/ e57( PadInstalled By 5 -JO Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the Company shall have the right to revo e tOr ertificate. Date 7 45 INSPECTOR . . , -Mr 1 1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /4/ Building& Code Enforcement 742 Bay Road ` j Queensbury, NY 12804 Arrive am/pm Depart '1 a m Inspector's Initials �a NAME: Ce CLPD 11.f/J .r l l I`� RMIT# LOCATION: I-pf � DATE : J 74 9 TYPE OF STRUCTURE: G RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protcctio m freezing for 48 hours follow rig le placement of the concrete. Materials for this pu se n site Foundation/Wallpou Reinforcement in PP cc_ Foundationd,Damppr ofin Backfill Approval Plumbing Under'St Plumbing Vent/Vcn sin Place Rough Plumbing Heating Rough-In insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- 19 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 FIRE MARSHAL ''4 ` , TOWN OF QUEENSBURY }Kt..a- •QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# , C' 142- NAME :CSC/ZIO - 731,-4 1-r12.S LOCATION k / c>1}-c-- . f 5 SCHEDULE INSPECTION ON I1/ o q 9 0 • AM PM ANYTIME • Y� ,�� APPROVED 4' N/A YES NO EXITS AISLE WIDTHS •• 1 EXIT SIGNS f EMERGENCY LIGHTING , 1'V 41 E, j FIRE EXTINGUISHERS FIRE ALARM SYSTEM;\ I FIRE SPRINKLER SYSTEM - FIRE SUPPRESSION SYSTEM HOOD INSTALLATION 1.; 1 INTERIOR FINISHES : �__ STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE'TO HEATING UNITS REQUIRED SIGNAGE! ,,\ / 'CHIMNEY di 26&- 19 C i WOOD STOVE I F,IREPLACE-MASONRY 'S FIREP E-FAQ TORY BUILT � C �tL AA‘ THIS DATE REMARKS: ?\-- , �. S \1K ue r K�9y :, 1 34 �hE GENERAL INSPECTION REPORT CA ` ( 518 ) 761-8256 -"-.,� ()Town of Queensbury ... Dept.of Community Development Date inspection request received: ) L Z�19' Building& Code Enforccenient 742 Bay Road / Queensbury,NY.,128t14 Arrive am/pin Depart l(c I �n/pm Inspector's Initials ��C(�� y NAME: 2 Plcrc e_ &)': \ 5 PERMIT# ••cs-C U LOCATION: I _el- #a'� (3 /P--01 i('. DATE : / ,M TYPE OF STRUCTURE: RECHECK `, N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour.Form Reinforcement in Place The contractor isresponsible for ; providing protection from freezing for 48 hours following•thc placement of the concrete. \ ,ic Materials for this purpose of site Foundation/Wallpour \ .y \ Reinforcement in Place rti Foundation/Dampproofing \ Backfill Approval \ i Plumbing Under Slab Plumbing Vent/Vents in Place -17/ Rough Plumbing I '' Heating Rough-In ,'f Insulation Foundation Walls Interior R- 1 Foundation Walls ExtcriorfR- 11, Floors R- 1 4 Walls ?'R- ', Ceiling R- \:, Duct work or piping in \ unheated spaces;'' R- /_ , Proper Vent, Attic vent Framing W .41 � Y a • 1� Jack Studs/Headers__ `,' - Bracing/Bridging Joist Hangers " ,< 1L c�� -� • Jack Posts/Main Beam \• Air ln(iltra[ion Barrier V Fire Sep�ation 1, 2, 3, hour / Penetration Scaled ` f6 1 ; Fire'�I1all 2 3,4 hour l V Firestopping TOM OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name c4;' elf v4G. 7x �� c 4 ,„ Location / pZ.�`:,� 7rs Date it Permit #st �j-1— (la SOIL TYPE: Sand+Loam-Clay4 Results of Percolation Test- (if applicable) Rate-Minuli'e/Inch TYPE OF SYSTEM: 1 ABSORPTION FIELD:irTotal L ngth Length of each tre.'nch I Depth of trenches I Size of stone f SEEPAGE PITS: Numbe.,r- I Size - ft. :q I ft. Stone size _ PIPING: 4 Size Type Bldg. to Tank _ Tank to Dist. Box ";. Dist. Box to Field/Pitt Openings Sealed? Yes . No Partial LOCATION/SEPARATION Foundation to Tank / % feet Foundation to Absor?ption N, feet Separation of Pi is! feet Conforms as per Plot P1 an '40, Yes No LOCATIr'• OF SYSTEM ON PROPERTY.: (circle one) / Front - Rear 7/Left Side - Right Side Middle Front Middle Rear COMMENTS: i cr S//-to.A /I-Tie)tJ -- /0 7 SYSTEM USE APPROVED: 111111 NO Arrived: Departed: t `, Building Inspector k )14/ i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �lit�D�-� 561.- ld Location _.c,Lt Date g 5 Permit # 7 SOIL TYPE: Sand-Loam- lay- �Z! Results of Percolation est1 (if applicable) Rate-Min te)Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total L n th 2_1(61 Length of each t nch �. Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Siz Type Bldg. to Tank '! ; 1-40 _ Tank to Dist. Box 4 u Dist, Box to Field/Pit WWI , C_ - P- Openings Sealed? cj-!i;?___ No Partial LOCATION!/SEPARATIO Foundation to Tank r feet Foundation to Absorption , feet Separation of Pits / feet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPER (circle one) Front - Rear - Left Sid e_=—R• ht Side Middle Front_.-- -Midi3le Rear COMMENTS: s.(CPcF-'k u3 ELL ik)gLL 10E03 'TO QF-- N C kt tottAkNA OAF 7-Li' V T?et-\ 6 Ct n SYSTEM USE APPROVED: YES NO - Arrived: tZb Departed• r Bui di g nsped r Application for SEPTIC DISPOSAL PERMIT r Town of Queensbury Dept_ of Community Development Permit No. _ i- Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 L Location of property for installation• 2 , l' , J Property Owner's Name: ����i,� - //. ,i/i -- Property Owner's Mailing Address: Z1 cf? 7 '// , j) s • Installer's Name: ! // 74eeia 6 . Phone # 79 ' /r/ . Number of bedrooms (if residential): Total daily flow: Vile) (residential - compute @-150 gal./bdrm.) Topo phy: ✓ rlat, rolling, steep slope 90 of slope - Soil Nature: sand, /loam, ` clay, other /depth: — Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, ✓ reaui.red [rate min. per nch] _ 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:Aa4.3 gallon (minimum size: 1,000 2.1.) c Til ��geld: each trench feet / Total system length.. feet i Go �iuz 5 L:sofc D 08 9 Seepage pit(s): number of / size each: . ft.by ft. /-1 Co • Size of stone to be used: # / depth or thiclmess feet Z Z-Co7 HOLDLNG TANK SYSTEM: (if required) ` Number of tanks: • Size of each: gallons (Alarm system and associated electrical work.to be i wort by a certified a y.J For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Qesbny, any permit or approval granted which is based upon or is granted in reliance upon any rr, rial misrepreseca or failure to make a t - mate^.al fact or circumstance known by or on behalf of an applicant, aha11 be void. I have read the regulations with respect to this lication and agree to abide by these aid all reeuernenis of the Town of Queensbuuy Sanitary Sewage Disposal • Signature of responsible person: J. --t-----_ Date: /Q/Z- . Z4.9? 4 7,.. -.&/-0:F7j "I have seen or observed,or believe I saw evidence of, all objects such as houses,wells,trees,fences,etc., shown on t ' ocument 'so represent that I have 1 personal m sured nces set forth on the d* gram" I ,Z l ' ---- SIGNATURE DAT '--------T-----,------- 100 or% --6) 4 (31-4qt-- CO i6,0 x 05 Lco -6 __. 6661 g (133 /1 1 / ,.../..;3,4:11:,1 J,..:1,` 1 L j k)t / i-3 r_‘4 1...s.1‘,_,,, ., \i) /1\.,y/1[11::: V , '6---' / ----- 7, I ./ ---iluiti' 4). / (b 6Z7? ' /00 / 241 /- V B(4' ,7z7z‘o peip-c_- 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 Depart n/�p Inspector's Initials �L�� NAME: L 0k—% PERMIT# —Cit( LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers / Monolithic Pour Form Reinforcement in Place The contractor is responsible for . providing protection from freez ng for 48 hours folk ing the plac ment of the concrete. Materials for this purpose on Fou dation/Wallpour R nforcement in Place oundation/Dampprooling ackfill Approval (// Plumbing Undcr 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 1101)) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury 1 / Dept.of Community Development Date inspection request received: U Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive\1ot" im/pm Depart !.r Inspector's In '� NAME: (� PERMIT# LOCATION: 1 a.�j !.695\1 . Ys 1� DATE : 10— l S—7 TYPE OF STRUCTURE: SFJ� v RECHECK N/A YES O COMMENTS `F otings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res nsible for providing protectio fr m freezing for 48 hours follow ng the placement of the concrete. Materials for this pu se on\site Foundation/Wallpou Reinforcement in Pl.ce I Foundation/Dampprp ofing / Back fill Approval „./ • Plumbing Under Sl•'b _. Plumbing Vent/Ven s in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls !interior R- Foundation Walls xtcrior R- Floors _ R- Walls R- Ceiling R- Duct work or piping n 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 141 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury f p Dept.of Community Development Date inspection request received: /CD f l Building& Code Enforcement 742 Lay Road Wpm Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initi NAME: gee J /C1 PERMIT# / /' ‘al LOCATION: ,� DATE : /v 5' TYPE OF STRU�: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from f eering for 48 hours following th place nt of the concrete ;) P/Z e>6 rl Joe i i-A)5, 4,12(-N f / Materials for this purpo on site Foundation/Wallpour � . Reinforcement in Plac Foundation/Damppr ling .egackfill Approval /g&,Ce7A71 /-S Ake alb t Plumbing Under S ab Plumbing VenUV nts in Place Rough Plumbing C9 L f A E. f< Heating Rough-In 'CA /C���(CL 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 'Re GENERAL INSPECTION REPORT ( (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: -'7 Building& Code Enforcement 742 :t ay Road Queensbury, NY 12804 Arrive am/pm Depar/v am/pm i . Inspector's Initials .J r NAME: PERMIT#C1Q\ ^( )."""l LOCATION: a-?) DATE : 1 v—0 F--9' TYPE OF STRUCTURE: RECHECK N/A YE/0 COMMENTS `1 ings/Piers 1 Monolithic Pour Fonn Reinforcement in Place The contractor is responsible • providing protection from f -ezing for 48 hours following t placemc t of the concrete. Materials for this purpo. on site Foundatioi<Wallpour Reinforcement -n Pl.ce Foundation/Damp,rooh ng Backfill Approv Plumbing Un• r Slab Plumbing V, UVents in Place Rough Plu bing Heating !ough-In Insulati o n Fou dation 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 Z-e) -3 -7---zz-t ..1.,)„,..____ qq....&d_, i o d kveseenorobse0 ' all objects such as houses,wells,trees,fences,etch, shown on t ' ocument !so represent that I have personal m cured races set forth on the d' gram" ,Z rA SIGNATURE DAT L__. Mine Sr',,, C i i\110-1117s1r- P 434 16'14L col 6-4)03 Locw 6 6661 p.g d3S 1 1 6 k. / 1 1' / o-cit ii, -.2„0 . g4A1E16: r0.3: „ 6, , 41 I1\` - 1,11>./ aPj'AS'" boo - 7? ' 1 ✓ 1 Ni/ j2s ' MAP REFERENCE: CERRONE BUILDERS, INC. ° m UIli BAYBERRY MEADOWS PHASE 1 &1A LAST REVISED: JULY 23, 1997 BY: VANDUSEN & STEVES, LAND SURVEYORS rn ASPHALT DRIVE 4Q I LOT 24 -T`mN.1, 0..51 '4E 1 74, 7g N o LOT 23 r - 26,226. sq. ft. o0.60 acres U. REMAINING LANDS OF RONALD H. & SHIRLEY L. HARRIS a � 7os O Nf � 0j F vJ 174 86, Slp� 8»W LOT 22 �P� OF NEM, .° E y. . SAND Me. RECEIVED JAN 0 4 2000 'F1Y 4i> .{ alcl D '� e.,� ('� /`Y/`l/V� Steves Land Surveyors , LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 ALTERATION OR AODHWN TO A SURVEY YAP eEANu+o A LICENSED LAND SURVEYORS SEAL 13 A A01- 014 OF SEGTWN IMI, SUB- ASM 7, OF THE NEW YM STATE EDUCA710N LAW' 'ONLY COPIES FROM THE DRIQNAL CF THIS $EVORS S SURE O PI & S U. AN NSI ERE CF 71E LANVALID ° BE CONSIDERED TO AI ORD TRUE TH TH ' 'CEROM CATIONS NDWATED MMON SIGN" 'MAT THS SURVEY WAS PREPARED O ACCORDANCE WTMI THE DIOTED BY THE NEW OF PRATE A SO LAWN �EYM IGNAL BY THE NEVI YOir( SPATE ASSOpAaON OF PRDFESSIDNAL LAND SURVEYORS. SAID CFRTIFICARONS SHALL " ONLY TO THE PERSON FOR *M THE SURVEY IS PREPARED, AND ON NIB BEHALF TO THE TILE COMPANY, ODVERNNENTAL AGENCY AND LFNDNO INSOTUMCIN Li 10 HEREON. AND TD THE ASSQEEs DF Ta LF]Idwc LN.Tumv Map of a Survey made for CERRONE BUILDERS Town of Queensbury, Warren County, New York VUtG. VLLrLMOLf� G/, 1797 ' Scale 1 =30 /� � 1 OF 1 CERRONE DWG. NO. 96081-23 NO. DATE DESCRIPTION