1999-668 (1) ra6
fi Certicate of Occu • ancy
Towniof Queensbury
Warren County, New York
February 10, 2000
Date
99668
This is to certify that work requested to be done as shown by Permit No.
has been completed.
SINGLE FAMILY DWELING
This structure may be occupied as a
LOT 68 421 HYDE COURT
Location
Owner HUDSON POINTELINC
TAX MAP NO. 148 -3-68
By Order Town Board
TOWN OF QUEENSBURY
direaOr fffuiidi & Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 184000 Building Permit No.
9 6 6 8
TAX MAP NO. 148 . -3-68
HUDSON POINTE,INC.
Permission is hereby granted to
Owner of property located at LOT 6 8 #21 HYDE COURT
in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELING
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:
300 ERIE BLVD. WEST
SYRACUSE, NY 13202
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR . 282 USHERS ROAD
CLIFTON PARK, NY 12065
Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
2641 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELING
321 - October 28 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.)
28 October 1999
Dated at the Town eensbury is Day o
SIGNED BY ✓ :::......,... e Town of Queensbury
ode Eiifor ment cer
TOWN OF QUEENS {; U V
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
(77
Dates' °,t"' VF ,19 ()1° Permit No. ® ,
4
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant TC.A. IseLlAwas. rAas)VL,3 APPLIANCE (check appropriate boxes)
Address Tel (\,�,,kejtc, ❑ STOVE: ❑Wood o Coal ❑ Pellet in Gas
0 FIREPLACE INSERT
CIA-NA aft. Zip 1,24)(e2S 1p,FIREPLACE, FACTORY-BUILT:
❑ Wood 13 Gas
Phone 1 - 671- C`S 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
r� 0 MASONRY: CI Block 0 Brick 0 Stone-� , t Cm' FLUE: o Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST N 1‘,FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title _-.
A 173 3389 (190) Public Safety (Th'
A 2 3 3 2 65-5--(230),Minor Sales
Fee Collected xoor-`Re" untied to: r_ er's ( r ') r
A"d'dress:
Dated: /._ cJ/`j 1 Town Clerk or Deputy: "" kk-4,., / A.LL )
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
. y
'' . TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit # qq 620?
.. APPLICATION FOR: PORCHES-DECKS-
•
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: - .e_ v\?c )vtpL\7
P.O. Address 2(2)l• J Phone #
Property Location `p-k- (o— Z` +a_. C Tax Map' #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: FLA 61, N'r Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span
Decking or Flooring.Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing . Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft.
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete statement
of all proposed work to be done on the described premises and that all provisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
shall be complied with, whether specified or not, and that such work is authorized by the
owner.
DATE: SIGNATURE
Owner, Owner' s Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
• . . . .
Building in Permit. Application - • . •
To I)!! of Qiieel!Sb111;)J - Ike'/. of Community Develolrnu•nt, 742 flay Road, Ouecnabu►y, NY 12604 /761-8256J
MID,
11U11,1,IN(; • t.Q COUIs IsNFORCLAi1 N7't '
Requirements prior to issuance i .� ��
---`—� (►I IIiis I►erlllil; PERMIT ILL NO.
A Ix;mill must be obtained Wine -•-•------'- 32�-� �S
beginning conalmelion. No inspections 1'tlblll1'fCL PAID$
Zoning Board Action will Inc nrndc until nl�I�licnnl loin rccr.ir•rd 1-1 P
n VALID IIIIII,I)IN(.1 t'liltt,tl I'. All Awn /Use RIsCRE,A7ION Fe, "PAID$
oppliennln' spleen on Ihie npplicntion . _
MUST'l>v conyrlclet! nnd•lho signature Planning Board Action REVIEWED I11:
of Ilia applicant must nplienr on the Silt 1 Subdivision / Other Building 1rulxcror•
ripplienIkm liner. ra.,+tr• i Itccrcoliun i'cc I'nynrcrrl
I he bft char.(!c GJLU1t .1 i Itc . Same
Applicant: I , Uwncr:
Addiess: 1810 Route 9, Luke G('.u)i9P., NY I28gldross:
•
Property Ludt lion: � .S2 ---- .__J.--.—J .
.Tax Mop Number
� Section Block Lot
Subdivision Name:. .._L1ushim. I'u.ial• " • " i
HUM or PROPOSED WORK: F.STIMATED MARKET VALUE OF Tim
x.- [low Building.: • CONSTRUCTION: •$ i&Ac � -
residence / commercial
Addition to Building: �ccut'nlicx xtlrottFtn'rxort:
t:ect.i.clonc;r. / commercialpi.3,nicary Building -
1\.l,t:et:rr 1. i.c�n toLtt1.L.Lc1 i.ncl:residence / commercial X Single Family Dwelling
Residence / Commercial Two Family Uwe ari
n -)
Family llv�"eRlltr
no change to exterior sizeofLIce OCT 2 �.Qe,
9
Other Work (describe below) Mercantile Manufacturing ;.a,.t,OF(�
—__ — other•
GAUSS A l?IJIr L7i14LzI i :(t;s,.AREA Or PROPOSED STRUCTURE:12AI1 �� ADDITION what will use
lot Floor 1320 eq. fl:10� 13/ new addition ben
2nd .Floor • 12,2 k vq. it. N A "7
Other Floors sq. ft.
(not unfinished Cellar or basement) ACCESSORY t3UILUInGS:. . Z Car
.. __ Detached Garage
a(oFT. .• -\ SQ. Y . AL tacked• Garage 1, •
TOTAL) FLOOR AREA: v� private • Storage gut
SIZE OF NEW STRUCTURE: Conunercial Storage Building
Other
- FEET 3?) FEET . .
W' Ill any second-hand or ungraded
Foundation Type:ri 1'uu7. ,Whet be used? If so, Sot what-? -
' flumbcr. of Sl:orlrs : � � • _�
(habitable space only)
l (grade Lo ridge) : fee ' LXIC UF iE1TIt7 SYSTEM
Humber of fireplaces and/ - woo ve ( circle' all whic aRpl
es)
Lo be installed: Electric / 011GaeWoo d
forced Hot Air / la- oard / Other
Person responsible for supervision of work as Eric regards t p build'building
codes i.s : _._,L-i11LU.)tcti i..f-P it��ol-p ci hattU.Lj ► �t
•r D 87y'O
Willie 1>,dclreeocl PNl�ttl2��15 518-.� 6"
1ite. 1810 R. 9 Lake Geo1u e�,„ 5
liuumber. : the tit 1.Cu bi GJ16 Pao EZuad, Gtvt/s Nabs NY 12801 518-198-4399 .
1.'i.untber : Fcttlit I'funLb4►ll,_.
11aaolt: _.UJ CLc_iieke.11._i1.Ux.._20 aai .f.C_e.,--141.——i a NY 1 i-0}--518-371-992
I,1 e c L•r i c:i.a n:J_all.E.tL Ji_EfteD Le., 9 4 4 6 '1 ctl>�iew- = -�--�tet tl? (all
VLCLAlM 1ON: Please Alga below rflc?.•you hove carcfrilly rcad the slalctucal.
h
'ib the best oC'nty knowledge the statements contained
slatemctlnt ofllication,all pro{toscJgwork otlbo doncaon
and specifications submitted, area true and complete
d all
the ilcscr ibccl In curiscs mid that aU
provisions
Building
Code, the
Zoning-Ordinance
OlCtf
other laws per tabling to the proposed half be complied with, whether specified or noted, and
m tiler,.
is
I/we
o
that such walk is authorized by the owner. ,I• rlistnco being issued,understood an I3UsLl:ill'LO1'submit
I'Lprior
ANIbYt
(;crliliat(c of Ucculrnncy'vr Calificalc of Compliance
on premises.
a licensed stay r; drawn to scale, slowing
Signature:
nun r.r's ;went, arcltilcc , 'vulraclvr) . •
--Application for 'SEPTIC 'DISPOSAL°PERMIT
Town of Q„Ppnsbury
Dept. of CommunityDeveloPment Permit No.
�
Building &Codes Office
742 Bay Road Fee Paid $
QiePnsbury, NY 12804
Location of property for installation: 1 Ck ((2s— %
Property Owner's Name: 'rQ C}1 il.ILS 151r01449
Property Owner's Mailing Address: 010 q
Installer's Name: ,,(,IS1Q_ C 1(YQ,T Phone # t a log
Number of bedrooms (if residential): Total daily flow: LOOL)
(residential - compute @ 150 gal./bdrm.)
Topography: V flat, rolling, steep slope % of slope
Soil Nature: sand, loam, clay, other /depth:
Ground water: at what depth? 4./ feet / Bedrock or Impervious Material: at what depth?_feet
Percolation test not required, j required [rate I min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
•
PROPOSED SYSTEM
Septic tank: j gallon (minimum size: 1,000 gal.)
• Tile field: each trench Sq" feet / Total system length: 24 lD . feet
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: A3 1/f-1— Size of each: gallons . .
`I la=sistem and associated electrical woric:to be inspected by a certified agency-7~':Ky „_;:_ ;:(;:r•:`
J.
your protel�,:pleaseixto;that:ponmaut:brSeoti0ni 6y29;of IB�0?cle,Of.tbeiowa
:. .... ; For nfQaeeasbury,iany.patinit44:440"� s
.:* -approval granted wlnch:isbased, or.ia: 'anreli : 3 ;mia or•failure:tomaloe,Ya ';+ ':
material fact or circumstance known by or on behalf'of an!app c mt,-•i.shal1'be oid:'^ Tx .€ air n+-�ai 4 [v�? „,z t e ^z•r .r
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of •• •
Queensbnuy Sanitary Sewage Disposal Ordinance.
Signature of responsible person: Date:
Sent 9y: The Michaels Development Grp; 5188774679; Oct-27-99 9:09AM; Page 1/1
8-20-1.997 I2:28A?.1 FPOM STEYES,'NACE/MILLER 518 792 851 1 P. 1
•
:�.t.. C Ii.\GINE''. INC;. I'_C ' •
37 Chester Street, Glens Falls,NY 12801
Phone-518-745-4400 Fax -518-792-S5.
August 20, 1997
Mr.Jim Chandler VIA FAX 668-4523
The Michaels Gtoup •
1810 State Route 9 •
Lake George,NY 12845 •
RE: Hudson Pointe PID•Phase 111 •
Construction Services
File 0#46I09
Dear Jim,
On August 200, 1997, I performed percolation tests on lois #19, 68, 69, 70, 73 ct 74 in Hudson
Pointe FUD. These tests were performed in the approximate location of the proposed septic
systems. All tests were performed between 24"and 30" below existing grade. I had previously
done a percolation test on lot*9$.
• On lots *,69 &470 I encountered cobbles mixed with very fate loamy sand, on all other lots I
encountered fine loamy sands.
''.Stabihized:Te v,olatia nlates were
Lot i*29 1 misautes,01 seconds
tmutes,-08 seconds " • -
I,oi 69 _ 1 azii>;tutes T seconds'
Let i370 1 minutes,43 seconds/
Lot#73 1 minutes,08 secotacs •
Lot#74 1 minutes,05 seconds
Lot?1s95 1 minutes, 15 secosids
Please cell rue if your have any questions.
Siinnc�erreely,
'Thomas W.Nace,P.E.
10/20/1999 16:38 15187987562 SURREY FIELDSG 1 'rt;1¢tFAGEi OQ -;, i1''
evi 3/1996 13:be 71ri/aortia, _. _.
1� I I ,yt a ;rt
Yfiil .,,i 11i11 I d)11;1 j f I? .
•, • its ti �I!�• ..II �4 0;,,r'
y ,d� I t 1 a
/ TOWN OF QUEEHSet)RY Fee Paid 1 '•s y ,; )' , '`1 i P !;
r 0 BUILDING CAT & CODES UEPARTEENT perms,. P iI ll �� t{ ;'
APPLICATION FOR: 'PORCHES-DECKS- I I -.,
DOCkS & BOATHOUSES Est. Cost ,i I j rfi tiE 3 g " ,
•
•
frf4 f li v
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSY`RUCTION. PLEAS- AN5wEA ALL OF THE FOLLOWf1FiG r t ,° itc. v. ; j
The undersigned hereby appl ies for a Building Pert.+,t to do the following work which•, w1.;YP e k fit' u s. ,i- 4.
i?.
dune in accordance with the description. plans and sgeci floe tiohs aubmit tad, an: su n, sp, aia 1tg- E3. ,
conditions as may be indicated on the permit_ TWO SETS OF STRUCTURAL PLANS SHALL BE:4U_PliIIlMi-, l'i I' � ;k P,kii;
SIITN This APPLICAT>ON. • ' 7 ` .. 1` „
•
Owner of ProperCJ' 1T-4_ MV_\131,236. --- r ,i
Z � � ' ,;>' • n
P.O. Address ..K. r-es.ci'� Phone i. Hlrti rti14 �; i•A •
• Property Location \cAr Cd�:.r as.N"�— _Tsx Mats k — { i, 4`g'1 ,'yr,, I ,'` l..
Subdivision Nagle (If applicable) -- - -' —._._.. I 1 'I4 i ;:
PERSON RESPONSIBLE FOR SUPERVISION OF'WORK. AS REGARDS TO BUILDING CODES: t I Y, ,•
; ,It x ,. ,
Name: P ?L1 Yl -- — Address•
,_ --- --. •--- tj ,{{ h r
BUILDING SPECIFICATIOI , I I, i
i ,I,Iil; i
•
Type of work to be done! Porch Deck bock Boathouse (Circ• le one) •' " ' '
Size of Structure to be built (square Footage): `1
Foundation Material. Width Thickness ��_ !i I',•', '
Depth of'Foeting, below grade: 4.Q.'4° j II !S '!., !'r.'
•
Size of Pests or Studs; __ x ., a _ ..,.,, Long (1P L 'd :rr,
Size of Floor Joists: a _ , x ^ - x -I_Q, Span
Hl I ,
Decking or Flooring Material: 1j. i I
Now will Porch or Deck be fastened to build•ing? 1� j
If Roof Will Be Installed, "Answer Following Questions: N,30,
Size of Posts or Studs: _ `_ _ x x.__ Long { 1', I
Roof Rafters: x Spacing -- Span • 4' ^ ;+
Roof Trusses (pre-engineered ..pacing): '_ • • Span
Type of Roof: Sloped Flat Shed Other• • (Circle one)
material of goof: - j
ZONING INFORMATION: 'i. '';!. s
i :e an • l'' s ,
TWO PLOT PLANS t!UST DE PREPARED AND SUBMITTED, drven reasonably to scc d ?:tached
I,orety,ss ofi wi-rig c1"ear-75 and disTFFc-t1y 'all buildings, whether existing or prcuosed ar.d '!,,
indicate all set bdr_K dimensions from pi'opert,y lines. Show boa tier, of water supp'I' atRcl'! ' .,; !' ;I„
1oce".ion and configuration of septic •disposal area. ,; i'js' ; I' '"I
Size of Property: ft. x ft.
I
. Existing huilding(s): Size ft. x -_ ft. "I • .
Size ft. x ft. j
Use of Existing building(s) �� is:, '
'1
�oposed struelure:, .Titance from pr —el5 ISne • ••':.I ..,.
Front yard _ ft. • Rear yard ft. •1 (; ,,1,
• Side yards ft, •acid ft" : r, .
If on corner,setback from s da street;• __�_ ft. !i,
DECLARATION
To the best of Any knowledge and belief ,e statements contained in this appli
t•' cation, ,�
togetrier with the plans and specifications submitted, ,:re a true and complete statement. I !', ;,i '.'
of all proposed work to be done on the described •premii,ec and that all pray'Sions of the', -;!; ; i,' ;yr
Building Code, the Toting Ordinance, and all other laws tiertaining to the proposed ..ork ' •i' ! !l
shall be complied with, whether specified or not. and T`,at such work- is auth'ort;ee, by t c ,.,j ',"l,i ;1i ;
owner. I
' Y
PATE: SIGNATURE 'I " ' •
0.aner, GWner sL.gent.y, a _rc-, tact,Ccntr c*o Ii'
I,.
REYIFWED BY CODE ENFORCEMENT OFFICER. GATE S;DIATURE -_.
:L. , s
,• ,,'
lI i .
',. , ;:.1, • $
" I;
'elV.A! !_l' 01!').0i At''Al'ATAUP_0.._l'Al'J_.lrA JM e.Q 0_l' O J_.0_l' 1_lr).0.W l�_l'.0. .0): .M•k J_l_l'AIV.:A J1 •Av.M•:'.A. •_v.A.l'.Al''AlVAl'J_.49;:iiA :'.01.l 0_l'11A JI ti.:%,,
=Ci rY
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 it
WI 402789 BUREAU OF ELECTRICITY i>,
.K1 I- 111 WASHINGTON AVE:; , LBANY, NY 12210
' RUA 'Y' 09 'L l .t i2'/9953l tj tE i`3 ti
�1 Date g= ` Ap cation No. on file j-
• THIS CERTIFIES THAT 's ET NO `fir'--�o I3� J 9 -&4 . g r
!i only the electrical equipment as described below and ii e applicant named on tie above a placation number is in the premises of r R
?<, I
j, THE mrcriiivis GROUP, 21 HYDE COURT LOT 68, QUEENS8URY, NY ,5.
1 in the following location; 0 Basement .V 1st Fl. l 2nd FL GAR Section Block Lot 63 r
i was examined on y 'rtRUi�lc�' 03'=�i and found to be in compliance with the National Electrical Code.00 V!
=G 1h.
• FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1
z<tOUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
rYi-
1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS S it
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. . H.P. NO.FnFEET AMT. WATTS tY
•
. t);„
11 SERVICE-DISCONNECT NO.OF - - - --------5 - E- - R - - -V----- I --- -- C ---E — —rY
METER
-' AMT. AMP. TYPE EQUIP. 1 0 2WMEI 3 0 3W 3 0 4W NO.OF CC COND. A.W G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. 1
-(, PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL
1)
OTHER APPARATUS: y
?<I Iji
iii (L:7,.C.-;r —4tii
i(1 SPOKE DETECTOR:-....6 1}
I
;41 pi:
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1 'r
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(1 Ir
il Ir
• — - 'ii ' 1 r '` �WI J. k, . -r- '6 Y
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K }t1 ` T��.. 'i ,
io FOIIEVFR ELEC./EOM,— LLEC"T. ,
( ( Gw'L ih
W LLI M D D. 11C r�_ TLOaxu ,' ;"�� 'o-;y ',' FV-
WI 2446 JAFFRL'Y ST. 's0, ,'[,i"� `'� 3 GENERAL MANAGER 's
�I S- y r Tf ^.3 4 . '.A J 1J ., t- I�
•<, at a��,1tiE TJ�IU6< i��''t z_.,rtL� S 4' .; i..'-,_ 3- Ir
ii . 74:.':,rr G. )S.-.f". v-- Per 'i
44 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.
It47,14764T.Y�YYiY4YY YYiY47r.476Y.YYiaiiY WIYoYYWIY�YY•Y6'4Y4YY-•YYeYYeYY-YYwYY�YY�Y4Y4Yz wr.;iv-,Y-YYiYY DYYiYY?YY•YYeYY�YY'.YY•YYiYYiYY•YYiYY-YYir.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement 1 ��
Development Arrive am/pm De M am/
Dept. of Community D
art p p p
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME 1 OO ��� PERMIT# -� R
LOCATION d,1 e- _ L Y� DATE ,a j('�-j<l)JTYPE OF STRCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location T t j U'f) SZtpO
Fresh Air Intake -� N.
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18" .bove grade
Gas Furnace shut-off within 30 feet or •i • line of.ite
Oil Furnace shut-off at entrance to fum. e area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stath sides • - than 3 risers
Interior privacy/trim/doors/main • trance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies . ding 18 in.or more
Railing across window in s • ells
Smoke Detectors: p�
every level r)srn(it) 0 L
every bedroom
outside every bedroo,
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical •
Site Plan/Variance required f
Final Survey Plot Plan '24 C i
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 .
Office No. (518)761-8256 Date inspection request received: g -117)Building& Code Enforcement 2..1r2 VOA I‘
Dept. of Community Development Arrive am/pm Depart tamipm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME ‘'\'\ C _ Cl37 PERMIT# tc
LOCATION , tom` '&_ ( :Zt�.+1. DATE .—C9_�
TYPE OF STRUCTURE C�
N/A YES NO COMMENTS
Chimney HeightP'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, anding 18 in. more
Interior Handrails stairs both .ides 3 or mor risers V
Grade 2%away from fo*da 'on
8"clearance to sill plate
Gas Valve shut-off expos•.regulator 18"above grade
Gas Furnace shut-off wi I. 30 feet or within line of site j
Oil Furnace shut-off at ens. ce to furnace area J
,k//)
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. onstairs //
Basement stairs,6 ft.4 i i
Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doo s/main entrance 36"
Floor Finish
Bathroom/Kitchen wat rtight �j
Interior Handrails Bal onies/I,anding 18 in. or more ,�
Railing across windo in stairwells
Smoke Detectors: //
every level I/
every bedroom
Vy
outside every bedroom
inter connected ✓/
Bathroom fans ✓
Plumbing fixtures f/Z
Foundation insulation ✓
3/4 hour fire door/door closer l
Garage fireproofing ✓�
Garage penetrations sealed 1
Furnace in separate room protected(in garage) �/
Light ventilation per room /
Safety glazing 18"or esfrom floor
-it/ C6,,^ �y�"�� A-fq 6R l 06(A
Final Electrical '2� p v
Site Plan/Variance required y/ �/
Final Survey Plot Plan CT 1-/IVPrL- 'vQU0
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) Z
• TOWN OF QUEENSBURY
41 BUILDING & CODE ENFORCEMENT
160%%1F. 742 BAY ROAD
QUEENSBURY NY 12804
(f (518) 761-8256
ARRIVE: DEPART: INSP:
ag I
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSFECTIO REQU. T RECE _--- _
NAME
LOCATION t
DATE c - - OC c PERMIT NCY)-�r j
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 J
EXTERIOR FINISH / `1
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OP ' 4TING
INTERIOR TRIM PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES •
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE P /VARIANCE REQ. �
AL SURVEY PLOT PLAN C 1
OK TO ISSUE C/O OR C/C /
FIRE MARSHAL
TOWN OF QUEENSBURY
$ j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST ECEIVED nn
NAME t`C r0"1),_
LOCATION - e _ 5V PERMIT# '666
SCHEDULE INSPECTION ON 4 -,Ja
jo
AM
APPROVED
/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTINN
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
pr
op STOVE
FIREPLACE ►'MASONRY FACTORY BLT.
❑ +UGH-IN
J FINAL
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement ,
742 Bay Road 7
Queensbury, NY 12804 Arrive am/pm Depart �` a pm
Inspector's Initials J R
NAME: JG�C-5 671 PERMIT# I + 6 8
LOCATION: \ti,, JC— c_i_ DATE . RIR>
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor 1\responsible or .
providing protect on from freezing
for 48 hours folio ing the p acement
of the concrete.
Materials for this pu c on s tc
Foundation/Wallpoup-
Reinforcement in Place
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab •
__.
Plumbing Vent/Vents in Pla e_
R ugh Plumbing
eating Rough In
Insulation VP'Oil . • /
Foundation Walls Int for R- _
Foundation Walls Ex crior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road f
Queensbury,NY 12804 Arrive am/pm Depart l 1' ttivey
Inspector's Initials
NAME: (A•L-C(?,4- j Q-P PERMIT# r 0
LOCATION: . ( • ( r1)/9 CT DATE : I e)-2-5
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place •
The contractor is responsi' e for
-providing protection fro, freezing
for 48 hours following he placemcn
of flip concrete.
Matcria or this purm.e on s'
Foundation/ a
Reinforcement in Plac+
Foundation/Dampproo ing
Backfill Approval
Plumbing Under Slab /
tubing Vent/Vent in Place i/ �� Tt) l
'I.Rough Plumbing. ,
Heating Rough-In
Insulation
Foundation Wall Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- -
oper Vent tt Vent
�A >D
raming "\✓ K Z�"�L°2S /
-Jack Studs/Headers 1/l
Bracing/Bridging ,J/
Joist Hangers_ / iJ
f-Jack Posts/Main,Beam V _/
!Air Infiltration Barrier _ t/
.Fire Separation I, 2, 3, hour
P nctration Sealed
ire Wall 2, 3,4 hour •
Firestopping 111/4) T 1 t'M 12 l)N &2 —1—v6
r , / W
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 NI) am/pm Depart am/pm
Inspector's Initials /7y
1\<(m 7V,
NAME: Cfel± PERMIT# /'
LOCATION: u l iv i �'LS DATE : /' ,9 S
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers F I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or d✓tT hi a�
providing protection from f eezing 'Q
for 48 hours I'. lowing the placcme Ce ✓�°���'✓
of the concrete.
Materials for this p •.se on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo►ng
Backfill Approval
Plumbing Under Sla..
Plumbing Vent/Ven . in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation W lls Interior R-
Foundation lls 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
._ v/vl
, ir,- j
Tb6�1N Oil' QUEENSBURY
BUILDING & CODE ENFORCEMENT k''''''s)f
742 Bay Road
Queensbury NY 128O4_ I.
(518) 761-8256 ff
SEPTIC DISPOSAL SYSTEM INSPECTION
Name i,kGl,,aels(/;
Locationr:/72
(72/ t, le C.i, `4
Date itibln t),, i4 1Permi t # gq-60 •
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation T st-
(if applicable) Rate-Min to/I ch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Le th
Length of each tch
Depth of trench0ren
Size of stone
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: S 'ze jgtBldg. to Tank Lt/
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
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:
,, • . ei,,Z 0L
•
SYSTEM USEOP
: /elh
rAt
Arrived: S) 1
Departed:
25e-
Building Inspector
•
1
•
,,-.1 •
. . .,
• . .. •
TOWN OF' OUEENSE6Rv 1:-4 PAGE 02
02/03/1896 13:94 E197454437
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name S'i\c\\\art GralA.Ae
Locationd\
Date — Permit K\--(0(02
•
SOIL TYPE: aid Loam-Clay-
Results of Percolation Test-
, (if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: f
ABSORPTION FIELD: Total Length , 2�-
Length of each trench k ��
Depth of trenche �a
Size of stone �jor fIRP. pq
SEEPAGE PITS: Numb
Size - ft. x ft.
Stone size
PIPING: ize Type
Bldg. to Tank 2-
Tank to Dist. Box
Dist. Box to Field Lti
Openings Se Yes No Partial
LOCATION/SEPARATION :
Foundation to Tank , eet
Foundation to Absorption feet
Separation of Pits I feet
Conforms as per Pl ort Plan es;• No
SY LOCATION 0_. STEM ION PROPER �
(circle. )
Front Rear ‘ Lef Side - Right Side
Middle Front - Middle Rear
COMMENTS: fo. , r _
1. .•i•/
SYSTEM USE APPROVED: YES N
Arrived:
Departed: -2 :5')
CA
Building Inspector
sf)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road }
Quecnsbury,NY 12804 Arrive am/pm Depart- Vam/ m
Inspector's Initials
NAME: ' \ c-�k Q O GrOAA_1 r PERMIT# cJJ
LOCATION: � � �? Cy,,�r�� DATE : 1 _ _)
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible ft. / ,t ��
providing protection from fr zing l0� G�-
for 48 hours following the p acemen
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Founda ion/Rimpprooli
i 11 Appro
Plumbing Under Slab
Plumbing Vent/Vent; in Place •
Rough Plumbing_
Heating Rough-li
Insulation
Foundation ails Interior R-
Foundation IValls 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 _ .
GENERAL INSPECTION REPORT
( 518 ) 761-8256 •
Town of Queensbury •
Dept.of Community Development Date inspection request received: Ajar I /C00'9
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depart`' am/pm
-./� Inspector's Initials�"�—e�
NAME: !i , PERMIT# q ljl—&(OP
LOCATION: , e C < L1C,'' DATE : kjix—d rig
TYPE OF STRUCTURE:
RECHECK
/ootings/Piers
N/A YE N COMMENTS
Monolithic Pour Form ��
Reinforcement in Place
The contractor is responsible •
providing protection from fr czi
for 48 hours following the dacen ent
of the concrete.
Materials for this purpose o site
Foundation/ allpour
Reinforceme in Place_
Foundation/Da et
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents .1 Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wal . Interior R •
-
Foundation Wa s 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
61q41
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road /
Quecnsbury,NY 12804 Arrive am/pm Depart' 6
Inspector's Initials J �
NAME: � `J `1C�(`\ Q ( ' ±\[ \ PERMIT#
LOCATION: �{�'� DATE : — —
TYPE OF STRUCTURE: .5 c
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible-for
providing protection from trediug
for 48 hours following the placeent
of the concrete.
Materials for this purpose on site /
Foundation/Wallpour
Reinforcement in Place
Foundation/Damp roofing_
Backfill Approval -
Plumbing Under Slab
Plumbing Vent/Vents in Plat,
Rough Plumbing
Heatiyrg Rough-In / j_
�,Insu ation (/ L/'LX�C.iU a (f ,J? 6-hQ t A 1 (36
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 1/'
Ceiling R-
Duct work or piping in
unheated spaces R- /-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier _
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour teF5iW
� / 1� f�f "' —
N,,Firestopping "/ w ..,,�U-6--a -. "
FIRE MARSHAL
, , , TOWN OF QUEENSBURY
r.'' j QUEENSBURY, NY 12804
A=�` , ' . (518) 761-8205
FIRE MARSHAL INSPECTION REPORT /�
REQUEST RECEIVED PERMIT# -`'°6"
59
NAME k.cA 1>r&-5 6PP-
LOCATIONq
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SY 1i
FIRE'S)''" SSIO,1 SYSTEM
HOOD INSTALLA ON
INTERIOR Fl HES
STORAGE:
F LEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS _ _
REQUIRED SIGNAGE
'"CHIMNEY Dt,2C'GT Uc•-.-_&L--u"-- /
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT 't•I,)
REMARKS: K TO THIS DATE
'I k.ao 0
INSPSUP.PUB INSPECTOR
i•
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