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98-111 CERTIFICATE OF C�CCCUPAN C�' TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK November 11 98 I L7ate 14 �. 98111 This is to certify that work requested to be clone as shown by Permit No. i has been completed. ' SINGLE FAMILY DWELLING This structure may be occupied as a 30 CLEMENTS RD . Location KOCH , ROBERT & JACQUELINE Owner TAX MAP NO . 2 7 . - 3 - 1 . 3 By (3rder Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 145000OWN 4F 'QUEEINSBURY No. 98111 TAX MAP NO . 27 . — 3 - 1 . 3 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to KOCH r ROBERT & JAgQUELINE OWNER of property located at 30 CLEMENTS RD . Street, Road or Ave. in the Town of ove,ensbury , To Construct or place 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. t_ OWNER'S Address is 150 RIDGE RD . GLENS FALLS , NY 12801 2. CONTRACTOR or Btll LDE R S Name HEATHr JOHN JR 3. CONTRACTOR or BUILDERS Address RD1 BOX 1219 WHITEHALL , NY 12887 4. ARCHITECT'S Name NEW YORK BOARD s. A1Cg0cTq?&fte%0ARD OF FIRE UNDERWRITERS 6. TYPE of Construction — !Please indicate by xi SINGLE FAMILY DWELLING i Y Wood Frame I I Masonry I l .Steel i f 7. PLANS and SPOCIficstiOns IU3 SQ FT SINGLE FAMILY DWELLING WITH 2 - CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS a. Proposed Use SINGLE FAMILY DWELLING 245 April 9 2000 PERMIT 'FEE PAID — THIS PERMIT EXPIRES # 19 life longer period is required an application for an extenelon muse be made to the Building and Zoning inspector of she town of Oueensbury before the expiration date.} gi April 19 - Dated at %fie "Gown of ❑ueetlsbury this Da of 19 SIGNED By for the Town of Oueensbury Bulldirg and ton rWP6Clar i BuildFing Per trait Application Town of Queensbuly - Delm. rjCtonirnalily Dellelopnerrr, 742 flay Rrmd, Querrr:rlrrrry, NY 12304 1761 -52561 r BUILDING & CODE T: NFORCEMENT NOTICERequiremcnts prior to issuance � . A hermit must be obtained before of this perinit: PERMIT FILE NO. + , lycginning construction. No inspections PERMIT FEE p�{It3 � ,`� will He made until applicant lies received Ztirtlrrg L14�arrl Action a VALID nuiLDINc; PutRmrr. All Amn I L19c RECREATION FEE PAID $ nt,plicanls` %Paces can 00% appliention MU5'r be completed and- Ilse signature (� Planning Doard Action REVIEWED 11K- of the applicant must appear on the sett / Si+lxlivigian I oil�cr 17uffrliarg lnyrnnr aliplication Form. n..ry� L / _ Recrenlion Ftcc Payment 1 /` Applicant: �� ^d/f mot/ f i ' II S J I2.,_ Owner: Address: 1 't'�11 0 L2 `� , ;l 'C YCr-e. 2, _ Address: '' LO I'll 0tic # 1'Ircrstc 9# { �� �' -) �r c1 U -•,`� properly y 1 1 .carntinn . 'frtx Mnii Num{tl'r - ------J- -`—�-`- rlllUti�vlti�tlll Nwtln►: tllautllilt 1111+t�k l sit Nl TunE or PROPOSED WORK t ESTIMATED MARKET VALUE or THE '�. New Hullctis3g ; CONSTRUCTION ; $ residence j commercial Addition to Building : residence j commercial OCCUPANCY INFO"ATIOUM Alteration to Building : Primary Building - residence / commercial Single, Fan►ily Dwelling Residence / Commercial. � Two Family Dwell rag Yu - no change to exterior size Family Dwe ] 1i " � Office Other Work ( describe below ) Mercantile APR 06 Manufacturing Other TC74A.ii� 1F r ..:'= 0Ns �Y GROSS AREA OF PROPOSED STRUCTURE : J i A,MD GppE tear r7 If ADD 1TiON , what will use 1st Floor . . . . . . . ,' �iC? sq . ft of new: addition be ? : ?, nd . Flocar . . . . . . . �^ 4 �f' rsrl , ftSr , Other Floors . . . . _ sq . ft . ` CC ( not unfinished cellar or base nt ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : it SQ • I"1`: t.,-� Attached Garage l , car Private Storage Hui SIZE OF NEW STRUCTURE : Commercial Storage Building Other FEET X FEET Foundation Type ; ; 'c* c-. � vc-!c 4r, Will any second- hand or ungraded Number of Stories : 2 lumber be used ? If sot for what ? ( habitable space only ) zs/ liei.ght ( grade to ridge ) : feet TYPE of 11EATING SYSTEM : Number of fireplaces and / or woo stove ( circle all which applies ) to be installed : Electric / oil / Gas / cod Forced flat Air / Baseboard / other person responsible for supervis .i_on of work as regards to bulletins codes is : _7 / Elaine Addresss _ phone Builder : [ r �/l Vt� k rye ` J f D �t v r /4/ ry 2 7/ s. :`• si f'n 4 .Y G_ f > � c - plumber : l+ r z Masons �"� c °1 r .� L �z ♦ 8 Electricians c ' v Y c3 _� u�' 2 d U. t ��� i[ AA rc - DEC'LARA770N: Please sign lrelo►v af7`er yotr have carefully read the statenrerrt. 'ro the hest of nay knowledge tile, stalcincrtts conUrinccl ill this applicatiot►, together with the plans and specircations stlUlnittcd, are a U-uc and complete statement of all proposed work to be done on the described preises ,xud that all provisions of the Building Ctxle, the Zoning Ordinance and all m other laws pertaining to the. prolx3sed work shall lie complied with, whether specified or noted, and t1,at such work is authoriped by the Owner. ldwurthcr, it is understcxxl tlsat l/we Shall sublull prior to a Certificate of C7ccupancy 'or Certificate of Compliance being issued, an AS BU1L'T PLOT PLAN by a licensed stirveyor; drawn to scale, showing actual location of project on premises. i Signature: {owner, owneCs gent, arcliitect, coiitractor Application for SEPTIC DISPOSA1, PERMIT Town of Qury Dept. 9 ept. of Community Development Permit Na. Building & Codes Office 742 Bav Road Fee Paid $ Que%ensbury, NY 12804 Location of property for installation: G���+ ? �'� Property Owner's Name: _ 16x' / --t'� ( • rc� / '�O r—� 7 Property Owner's Mailing Address: Installer's Name: r✓ , T/' fS P,� _ Phone # `;�� Number of bedrooms (if residential): ``. Total daily flow: 4 G7 ut (residential - com -- P gal Q 15Q gal.Ibdtm.) Topography; flat, • rolling, steep slope % of slope Soil. Nature: sand, ', loam, clay, other I depth: Ground water: at what depth? ` O feet I Bedrock or Impervious - r � � P perriaus Material: at what depth.? feet Percolation test: r`/ not required, required [ rate z5 min, per inch ] Domestic water supply: municipal, ; Z well, other If domestic water supply is a WELL, water supply from any septic absorption is !" Meet. PROPOSED SYSTEM Septic tank: C04' gallon (,minimum size: 1 ,000 gal.) Tile field: each trench S feet I Total system length: �' ~ �' feet Seepage pit(s) : number of I size each: ft. by ft. Size of stone to be used: depth or thickness — feet HOL.DI Ci TANK SYSTEM: (if required) Number of t. 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 Quaensbury, any permit or approval ,granted which is based upon or is granted in reliance upon any material misrepresentation or failure to maim 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 Qveensbury Sanitary Sewage Disposal Ordinance. Siananzre of responsible person. /� DaCe : zz " � �----- ENERGY CODE COMPLIANCE APPLICATION ��p TOWN OF QUEENSBURY , WARREN COUNTY �PR �} � pan. 9000 HEATING DEGREE DAYS . Comnliar_ce Methods : PA.RT 5 - Acceptable Practice Meth.o& 1 & 2 Family Dwellings ( only ) PART 6 * -- Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Fa.-nily Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLIC A.N,T ' S NA/ME : PROPERTY LOCATION : CJ G��3r'✓ '`!"r'�-'dx'/ s'7 `.� � G''.G�,�'.rs":L.?ti'rY"r.:'^ G� � ,+�� t_. 7 ctr�.r�-c.-�� �-s+-"z%', PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . G.`oss Floor Area r 3 square feet 2 . y ;. pe of Heat - Electric C7i I Gas Cl� rar Ire 3 . _ s building mechanically cooled ? Yes No 4 . Pe , centage of area of windows and doors Over 17 % Under 17 % 5 . R-'VALUES FOR INSULAT70N GIVEN BELOW MUST CORRESPOND TO R.-VALUES AS SOWN ON PLAINS SUBMITTED : a . Roof R � b . Exterior walls R f<5;p c . Glazed areas R , 3 d . Exterior doors R e . = loors over unheated spaces R Iq r . Edge of slab on grade ( heated b ' i ldi ng } R c . Basement / cellar walls ( above ram. -- ode ) R Basement / cellar walls ( below grade ) R --- = . neating/ cooling-ducts -piping i - unheated. space R - 6 . S e .`vice ( domestic ) hot water head - g device Co . - orms to minimum efficiency per code X Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1. 400 - WILL NOT BE EXCEEDED Are ' a s S nature Da � e P :mone ti, 7-:' eIf / r NSPE GR ' S REMARKS : : . . w +ry ,y,n.j „'l,,n,T'sF5'eh`w:! F.AFTi.^'.14` ."✓ � ' ^" .., r TOWN OF QUEENSBURY 742 Bay Rd., ©ueenebury , NY 12804 { APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ,r I9 Permit No Date . 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 ap pIlance andfor chimney. Applicant , . i • ; r ' L% i'w APPLIANCE (check appropriate boxes) Address ,� -- 13 STOVE: ra Wood o Coal a Pellet o Gas ❑ FIREPLACE INSERT Zip )d�,FIREPLACE, o Woad R"Y-` GasT. Phone , ` � - ❑ FIREPLACE, MASONRY: ❑ Wood o Gas Owner O FURNACE: ❑ 'Wood ❑ Gas p Oil ,.-• r Address J" �- I { r Y �` IF NON-MASONRY APPLIANCE: Manufacturer; ,�,lt _,• ' Zip r So Model : CHIMNEY (check appropriate boxes) * EXACT ADDUSs of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone .d 5 - , FLUE: o Tile o Steel Size: inches CONSTRUCTION 1 INSTALLATION MU T 0 FACTOR`(-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: NModel : BUILDING CODE, CONSULT AVAILABLE �p�uble 1Nail oTriple Wall TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. © Insulated o Direct Venting ❑ Chimney Liner Cashier' s Department Town of +Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title " A 173 3389 (190) Public Safety ' A 233 2655 (230 ) Minor Sales Fee Collected From or Refunded s `�`' "� ' Address: JJ Q G� 3 ,gg' Ira' ,4 C / .- Dated : — Town Clerk or Deputy: f White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink efe Goldenrod: Cashier's Dept. _ � ti RESIDENTIAL FINAL INSPECTION IMPORT Bate inspection request received: . 4Y Office No. ('318) 761-8256 + Building & Code Enforcement Arrive anrlpm DcpartZ an --� Dept. of Community Development Inspector's Initials � Town of Queensbury 742 Bay Road Queensbury, New York 128i14�y T # NAME k�="�C C� DATE LOCATION TYPE OF STRUCTURE NIA YE NO CO '1'3T8 41 Chimney Heightf'g" VentlDirect Vent Location �a � Fresh Air Intake Plumb Vent through roof kk Roof Complete Exte n Finish Complete IntenorlExterior Railings 30" to 36" Exterior Ilartdrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or, more risers Grade 2% away from foundation 8" clearance to sill Plate Gas Valve shut-off exposedlregulator 18" above grade Gas Furnace shut-off within ail feet or within line of site Oil Furnace shut-off at entrance to furnace area FurnacefHot Water Heater operating Relief Valve(s) installed Headroom. 6 ft. 6 in. on stairs R®r� nt 6 ft. 4 in.l ex or stairs both sides ore than 3 risers privale doorslma' trance 36" Floor Finish LidthroomMitchen wa terior Ilmdrails Balco in. or more Railing across window stairwells Smoke Detectors! every level every bedroom outside every oom inter connecte Bathroom fans Plumbing fixtures �ietr insulation c 3/4 hour fire doorldoor closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical e P1anlVariance required d ial Survev Plot Plan As Built Septic system layout required — Okav to issue CIC (Certif. of Compliance),.__._._.. Okav to issue temp. CICI (Certif. of Occupancy) � V Okav to issue permanent CIO (C:ertif. of Occupancy) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 ( ! (518) 761-8256 ARRIVE : DEPART : INSPtwor FINAL 'INSPECTION REPORT — RESIDENTIAL DATE INSPECTION R C¢UEST RECEIVED : NAME LOCATION DATE ( _ PERMIT 8 ,,,._ r TYPE OF STRU PURE _ I FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE t ^ N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT _ i PLUMBING 1NT ROOFING s 1 EXTERIOR_F_INISW1 i DECK /PORCII / STEPS ILING i RELIEF VALVES F R41— t4AC JHOT WATER FERATING j INTERIOR TRIM IVACY DOORS i i FINISH FL O BATH CIiEN WATERTIGHT OT R FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCELRAILINGS SMOKE DETECTORS _ r 1 BATHROOM FANS PLUMBING FIXTURES r FOUNDATIClN INSULATION GI ARAGE FIRE PROOFING j OOR C OSERS F I:ECT'RICAL PLAN VARIANCE REO FI RL SURVEY FLOT PLAN j K TO I SUE C O OR C C MAP REFERENCE: MAP OF A SURVEY MADE FOR MALCOLM & BETTY BATCHELDER DATED: JUNE 31, 1994 REVISED: AUGUST 4, 1994 FILED: MAP #223 PLAT CABINET A-1, SLIDE 197 BY: VANDUSEN & STEVES 0 IRF x — LEGEND: IRON ROD FOUND FENCE LINE UTILITY POLE ELECTRIC TRANSFORMER WELL 3 o . N b o � 00 N LANDS N/F OF DA\AD BANNON ate` D us & Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 518) 792-8474 New York fAc. No. 50135 GAR. 121,039 sq.ft. 2.78 acres S01'45'30"E LANDS N/F OF ALENE BROWN SEE SUBDIVISION MAP OF LANDS OF ALENE M. BROWN BY COULTER do MC CORMACK APPROVED JAN 22, 1991. FILED MARCH 27, 1991 .� NO5'22730"E HOUSE PROPANE 0 TANK AL1EItl" df A9plq, TO A ' il mU0AU0N�A14 fMlYlldl! =AL M A MOLA 1!t 1C11C 1A01 = W.M- % OF 1W 'aar ifMgD %I111 M A AMFOOD 14[ WARM W Im amwv = AI[ LAID lWIYE10R! !70l1Np ODO[ OF Fp1 M11N M /r 9E IEY/ 1CIOf lG1E /bD00A71pN p Ap llC FW�� am w sir W ne mis oarAN, .DYE1..6i,HL W � A� U I.R.F. YAGA 688' +/- TO NEW YORK STATE ROUTE 9L 77 I.R.F. ---._ �70-5.89p �CRUSHED� E DRIVE S05.24!3" W _ WAP AS OF 2,1, ss Q C a , C POND Sr* ` . 7s7'ARO`� Map of a Survey made for 44" MAPLEIB 48' MAPLEo LANDS N/F OF MALCOLM BATCHELDER HOusE LANDS N/F OF SEVERANCE ROBERT & JAQUELINE KOCH Town of Queenebury, Warren County, New York H z rap oz a # V /a 1998 et S.1 8FE?ET 1 OF 1 KOCH DWG. NO. 92321-3 TAX MAP NO. 27-3-1.3 NO. r DATE DESCRIP nON :11; ill ONE 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITERS t1 BUREAU OF ELECTRICITY NNyy yyyy tt2n� F NC)VEt�'3ER 0.3m lbyaWASHINGTON AVE., E 11 37t3Y98l9 TO A -1 37673 Bate THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the ap amed on the above application number is in the premises of ROBERT & JACK,3 E KOCH, 50 CIX111UNTS RD . , QUEENSBURY, NY in the following ;'�F��a � tocae'ETC+ B � Ise El. El 2nd Fl. GARIATTrC Section Block Lot .��f was examined on and found to be in compliance with rho National Electrical Code. FIXTURE RECEPTACLES SWITCHE5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. :.W. AMT. H.P. 49 57 61 35 6 1 1 . 5 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'FIT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT., K.W. OIL H.P. GAS N.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS Jr F .1 SERVICE DISCONNECT Na. OF S E R V I C E METER NO. OF CC CONn_ A. W. G, A. W. G_ AMT, AMP, TYPE EQUIP, 1 @ ZW 5 @ 3W 3 D 3W 3 @ 4W PER i OF CC. CONp- NO. OF: NI-LEG of XI-LEG lJO. QF NEUTRALS OF NEUTCAL 1 200 C13 1 X 1 4 /0 1 210 OTHER APPARATUS: CEILING FAN 1 110TORS: 2—F H. F. G. F. C. 1. -- 7 SMOKE DETECTOR .w —8 JC3HN HEATH JR, 1 4� RDI BOX 1219 � hffHITEHAT..L, NY, 1 258 7-9 71 1 GENERAL MANAGER 239 per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. . �. , FIRE MAR AL `3 TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST Rr=cEl PERMIT #NAME � LOCATION --_ � SCHEDULE INSPECTION ON - � AM PM ANYTIME APPROVED EXI S - - + N/A YES + NO AISL D S EXIT SIG - EMER NCY LfGHT-I Nc~��__ FIRE XTINGUfSHERS ��- FIRE RM SYSTEM - - - - - - - - - - FIRE SPRINKLER SYSTEM - - FIRE SUPPRESSION SYSTEM - - - - -HOOD INSTALLATION - INTERIOR FINISHES - '--� STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS - -- REQUIRED SIGNAGE - -- - -- _ - - - - CHIMNEY y - - --- WOOD STOVE ff FIREPLACE - MASONRY - FIREPLACE - FACTORY BUfLT - REMARKS: -�^- - -_-- -- --- - Ox TO THIS DATE iNSPsup_p H INSPECTOR ----- RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 hate inspection request received- Building & Code Enforcement // � � Dept. of Community Development Arrive am/pm bepi vpm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 {� NAME PERMIT # " C y l LOCATION DATE TYPE OF STRUC N/A YES NO CON[1AENTS Chimney Heightf"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Int,enor/Exterior Railings 30" to 36" 004 Exterior handrails, balconies, Ian 1 $ in. more Interior Handrails stairs both si 3 or more 'sets Grade 2°fo awaI frarn founds S" clearance to si plate Gas Valve shut-o xpo regulator 18 ve grade Gas Furnace shut-off 30 feet or - in line of site Oil Furnace shut-off entran ace area Furnace/Hot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Dctertors ra j every level / `v every bedroom lk'_ �- uy outside every bedroom ,. inter connected Ze ` Bathroom fans 7 r4,reg!(=:Az� Plumbing fixtures Foundation insulation 3,/s hour fire doorldoor closer Ae Garage fircpToofsn Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or ie h7o flchxr Final Electrical I G oz, C? Site Plan/Variance required Final Survey Plot Planv ,bt 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 (Certif, of Occupancy) � rRY TOWN OF GIUEE FIRE MARSHAL. s QUEE ISSURY . NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTIQI`I REPORT N RECEIVED REQUEST FOR INSPEIIIIIIII 2�, NAME 7 I.00.ATION DATE PERMIT # ,a�1' APPRC3VE ) 01 rb C.-�[. ecl' . `` NIA YES E)CITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING I FIRE EXTfNGUfSHERS AUTO• EXTINGUISHING SIT Hoot) INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TQ SPRINKLERS CLEARANCE TO HEATING UNITS REQUIREt7 SICaNAGE i CHIMNEY wO0DST0.rE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT OKTd THIS BATE REMARKS: INSPECTC7R 1t1SPS�iP.PUa ERAL iNSPECTIf N GEN Town or Queensbury Dept. of Community Development Date inspection request received: Building. & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pin Depar ptt} Inspector's InitTiais� � •' NAME: PERMIT # y LOCATION: DATE : TYPE OF S CTURE: RECHECK NIA YES NO C NOAENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following placement of the concrete. Materials for this purpose on 'te FoundationJWallpour Reinforcement in Place Foundation/Damppraofin Ba+ckfill Approval Plumbing Under Slab Pf unxbing Vent/Vents in Pl v'Raugh Plumbin Heating Rough-In I tion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R_ Ceiling R- Duct work or piping in unheated spaces R- Prroper Vent, 6pik Vent ✓Frar�n Z — {- '5 . 1,47 + Jack Studs/Headers GF. r2a rJ 3 cinl;I'D U, in Koist Hangers t qg:;k PostwMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour � 6� Penetration Sealed Fire Walt 2. 3, 4 hour Firestoppin I qr. GENERAL INSPECTION PORTQA.C) %I Town of eeasbury received= �— Tow Qu Date inspection request Dept. of community Development Building & Code Enforcement r7 r 742 Bay Road �� Departg +Q ; ueensbury, NY 12804 Arrive Inspector's Initials l NAME. � D LOCATON: IN TYPE OF STRUCTURE: RECHECK NIA. 'YES NO COMMENTS I FootingsJl'i� Lvlonolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the place ent of the concrete. Materials for this on s' /� f c �� CZ� Foundation/Wallpour ` J ���� �/ lc Reinforcement in Place C r�'�+ •t l t1f ; 1"'c� Lax �' K Foundation/Dampp BackftH Apprar�al Plum g Under slab +I ng VentfVents i Place i ugh Plumbin Heating Rough4n Insulation FounClation Walls Interior R- Fournddation Walls Exterior R- Floors R- -- Walls R- Ceihng R^ / Duct work or piping in unheated spaces R- 57r� /{ t A.) � ��� Vent, Attic Vent ng 4 ti Jack StudslHeaders � esw C'L4TE g� 4 �Q Bracing/Bridging /`?` P Joist Hangers Jack Postsimain Beam N i.ta c� --IIII Air infiltration Barrier Fire Separation 15 21 3, hour i Penetration Scaled Fire Wail 2, 3, 4 hour Fl to r25 /,y TJ$ c c ¢ 1� FirestoPp'r.ng ,/r�� -� f l nJC p�_ t11 +Ek 1 [.r rf�•- P`s Y T TOWj OF QUEE"SSUR d i (L7 to BUILDING A CODE ENFORCE 742 Say ROad NY 1Z80 4 Queensbury (5t8) 761-g7.56 SYSTEM INSPECTION SEPTIC DISPOSAL 4 ame 4 Locati a� � F; Permit Date SOIL TYPE: San Loam-Clay ati on T st- Resul is of Perco te� Inch�___-- ( if appl i ca�bl e} te-Min TYPE OF SYSTEM otal ength .-----~ ABSORPTION FIELD: Length of each tren h Depth of trenches size of stone Kum be ft . SEEPAGE PITS: ft . x . Size ype Stone size _ _ �—� — �— size PIPING: -- r— Bl dg • to Tank r- - -- Tank. to Dist .ox to FSieldlPi art� a gist . SYE ppeni ngs Sealed? s o feet LOCATIONISEPARATIk Tank feet Foundation to Absorp ion f Foundation of Pits yes Na Separation per pl of Plan .�Y ' conforms asp PROPS LOCATION OF SYSTEM - R ght side ( circle one) Side Front - Rear - Lef F rant _ Mi d le Rear Middle cowwNTS04 N� ODCp< U �W``� Y " SYSTEM USE APPROVED & Arrived= /D Departed: � Sul ding nsp'ectar urn I0-9E WED t 1 5C KRUGER CONCRETE 1NC FAX NO, 5I8 ?5c^^�,CpE _KRUQER CONCR,$TE, RNC• . 8 "AROLLI HARRIS ROAD QUEENSauny, NY IPW4,1244 pH. b}0-]W-5707 • �I' 3...: ..'l_4 M�PD5A1 SUGb}+7TCL7 TO f =A� A �i y � Y L R� . M1"� re by a .f yf alittNJ ern KI s,1 rn:+[.s Fv.: A r' rx ' �� f 1 rd toe Air iNe PrDPOSO hereUY try 1umt h rr l�rA31 �Izd laUw — ConaVl[3t9 n arcarrJanc F}jy!!'+Cr1f 10 UO Rill d6 aS 4olla:va.•�.• i I !rI .aN .rwlwrW ix L',+:yu,xwd � �~. .•-•__� . • .. . . ..- r All V";r h7 Lb �.� �¢' 0,4, b4WnJfhkl P[a' ti1.vv!ry-1 CG} '�l+J xr � ar4M ej'rxr tl v+ak s crN/A'+8 r+T2.vw1y la LF Cns15 wrN be Va -tz+crJ rw CWr i Ar>'j GFfC✓r,!F.» m}d !7, Y N»P'i Vwilrcul r1glrt.vr Rrp•n A{llhf7r;rpq rk r.lyi: In-i^"fC Pec '" C!y fcWly IR- .4N $'r'•X'r`+C u'0'ej ex+ c dt,e4nr8 $rii'tu!`WQ car'<rri1. P.LnN !O cld,% fuC, fC+:l:.rkl .srd a ctpr!Ir,�yk. bICtT"1 i91klS, hcGCer=:! Y 4 �Cv7 by 4'.Qvrry;l�'Yy CdJ rX++c rw,L'C.s.:.yY +nsl+'g17Cd U.X' .Vp1d8.te � /� l�,p iaMF,bfi[k�J kbyr.,vls. Not6' This ._.. — Arr ri W!F!r r v n by �"� ooraCfu����� Of 1'7raposal - Tneabcrvruncras SUccr/,C71+'b„$o`.e we+rk ss 310CCitrctl. FJy1rJ i! kvr !+e rrie occc�bfw you as out), d nlxwr�" authm'I to da . . . oGtl� �iY�'Pf.97'flr8 000 TOW 41fr QLyEEM58URY . E gjFORCEM"T gy�ILDYNG 4,2 Bay y Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTIOII Name Location e y"'l t r Date - .r r' - SOIL TYPE: Sa d-Loam, Cl ay- ercol at' On Test- Resul is of l e� Rate-Minute/I t i f appl i s Tom` ng h TYPE OF SY FIELD: ABSORPT Total Le I trench " Length of each K t Depth of renches Size Of s one {lum�� SEEPAGE P TS ' Size - ize ype Stone s t. PIPING. nk 'r Bldg . to Di t . Box .t Tank. t field O art- a Box Dist . led? Ye Cpenzngs Se I � - feet LOCATYQN IS E RAT AbsOnp'Tank feet Foundation tfeet Foundation to ion Separation of ' ps t Pl an - �es conforms as pe OR PROPERTY : LOCATION of SY _ Right Side ( circle Rear - L ft Side Front Me Rear Middle F ron - C MIS Pam ` SYSTE" U APPROVED Arriv Depa u� d ng c r TOOK Q C E�IF� T�IIpIll6142 Bay Road QueensburY "1 '"04 f5181 761-8256 SEPTIC DISPOSAt- S�STEl� IRSVECTI� a flame 1r Locati on q97Permit # J f Date �' � Cl ay- E; and-Loam- SIAIL T`n' ti on Test- ercol a M� note! nch r� --- Resul is °f Rate- of applica lei h -"PE OF 51 Etfl : Total Len ABSOR hT eac trench Leng tree es Depth of stone umber" Size ft . SEEPAGE PIS' t . YPe Size stone size PI1PIRG00 anv Bldg ' toD� st Box T ank to to F Lie ., d it f!o arty a Di st . B SxSealed? a feet ope ings11SEPARATI[� �� feet LQC to Tank ti on on ---� feet Foundation to P6SO P Yes No Founds Fits rat n a p Sepa of rm P QPERT'� : Confo SYS ht Side I-OCAVIO14 o e� Side Ri 9 ( circle t Rear - L e di a 'Rea Front wont - 4+1i Mi ddl e C" ue-6-rl � S Zo 5 S t� qMs KQ g�STD usi APPf wed -_ 1 p,ap art nspeotor 1` Bui dln4 GENERAL LNSPECTION REPORT Town of Queensberry '--=-•- Dept, of Community Development Date inspection request received: ?n �� Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depan _ p f�.�" / Inspector's Initials NAME: ce C7`�- ° �1 PERMIT # LClCATIC+N: d h. TYPE OF STRUCTURE: RECHECK or- NIA YES /0 CO S ootings/Piers Monolithic Pour Form �^ Reinforcement in Place The contractor is responsible for providing prote:lion from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing V'ent/V=ts in Place Rough Plumbing_ Heating Rough-Ir 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/Ma in Beam Air infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed_ Fire Wail 2. 3, 4 hour -- 1H Fi restopping GENERAL IN3PEC 10N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road 4 Queensbury, NY 12804 ArAA am/pm Depart? am/ Inspector's Initials NAME: , PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS t Footings/Picrs 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 FoundationfWallpour Reinforcement in Pl _ Founda ' �yamppr fing_ V,AWSE61 Approval � -- Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbing Heating Rough-In Insulation_ Foundation Walls Interior R- Foundai ion 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 , 21 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL IN.SPECTf©N REPORT Town of QRueensbury J D*PL of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive �< 'tI6 am/pm Depart atq/ pim Inspector's Initials NAjvtE: e c LOCATION: PE —�,/��,/ TYPE OF STRUCTCmg: ATE RECHECK, otingsmicrs I'°' YE O + COMMENTS Monolithic lour Form Reinforcement in Place The contractor is responsible for Providing protection from freezing °x�y�C ,rZ for 48 hours following the placement Of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing r Backfxll 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 dent 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 Jam 71 CT kb S �r .k C . K Y^ V ,. j ~ �hs cam' "v � � � �•3 •J,ay;; - , y , C w, • - T w v v _ i - - rr y t0 y