1999-697 •
Certificate of
•
Occupancy
Town of Queensbury
Warren County, New York +;
Date February 2 c. , 2000
99697
This is to certify that work requested to be done as shown by Permit No.
has been completed..
This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 26 •r47 SURREY FIELD D:?..
Owner _- .MTCHAFT.S.,!-' n TT-.mvT'+. T. T. C'.,
TAX MAP NO. 4 8 . -8-2 6 By Order Town Board
TO F QUEENSBURY
Director of Building Code .Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road;Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 128000 Building Permit No. 99697
TAX MAP NO. 48 . -8-26
Permission is hereby granted to MICHAELS GROUP,THE L.L.C.
Owner of property located at LOT 2 6 #4 7 SURREY FIELD DR.
in the Town of Queensbury,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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
10 BLACKSMITH DR
MALTA, NY 12020
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR
MALTA, NY 12020
• Electrical Inspection Agency:
NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
1315 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
191 November 15 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.)
Dated at the Town of Queensbury this 15 Day of November 1999
i
SIGNED BYAV's.K)-e:tK= for the Town of Queensbury
Code Enforcement Officer
Application tor JtY 1 IC UIJYUJAL Yt1t1V111
Town of Queensbury Permit No. "q (0- 7
Dept. of Community Development i `
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: 104 9,(4,'
Property Owner's Name: Ifft,neitekeiS i.Q
T I
Property Owner's Mailing Address: no kuJe G— Ulu k &t '(
Installer's Name: et1i . Phone It (13d3 1 J n`7
. Number of bedrooms (if residential): ,S Total daily flow: 4sv
(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 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 1cky) gallon (minimum size: 1,C00
Tile field: each trench Li I feet / Total system length: ILO feet
Seepage pit(s): number of / size each: ft.by ft.
Size of stone to be used: # Shr . / depth or thickness feet
•
HOLDING TANK SYSTEM: (if required)
Number of tank: Ai`A- Size of each: gallons
�Akami 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 Queensbury, any permit or
approval granted which is based upon or granted in reliance upon any material misrepresentation or failure to make a
-material fact or circumstance known by or on behalf of as applicant, shall be void.
I have read the regulations with respect to this application and agree to abide and all requirements of the Town of
Queensbury Sanits+ry Sewage Disposal Ondmaace� i r
Signature of responsible person: , I Date: ' 1 I J 91
• uildin x Permit AppliCatiOn
- • •
.,••__•, .
I U IIIII Pl f of eel isblll;)► - Ikj't. q (.irn►nrrrnip+ Develulrrr ent, 742 flay llaad, Q,eeitsbtuy, NY 128U4 1761-8256J
ll l/l L U I N C - ,1 C:O V Is I N F O R C E Al L N 1' 9
PALICL_________1 Requirements prior to issuance r PERMIT KILL NU. —(n-17
�-- —— o this lterntil
A permit must be uhlnincd Wine -----------
Inhibit: , .! /��
construction. Ni inspections - t z!it cliu►r PERMIT PE 'Air 0���
will
1__1 7.cnring llcx r
will be utnJc until nlq+licnnt has tccc ivrcl lit.
r, VALII., I,IIILI)IN(I I'IiltMi I. All A,c•„ / We r(.I1G�177UN 1 Lsls 1��
flpplicnulfe specs on Ihin sippliotttlm . j•
NIUS•I'I4 completed nn Mho signrllute �J Planning 1.10 n(l ijc/lJlr 1s'Lvhrtv,�u vl:�
of the applicant mo s(appear on the Milt / Stit livision /oilier
!1ulGling lrulxctor
l,plicnlion limn. rh•.:.tr.• __mil Itccttnliun I'm Payment
I he Micltru.CA Ght.urll.►, 1►t.c. '( vncr:
Scone
Applicant:
1810 Route 9, l.ctk c;c�u)t�c�, 1‘/St 128A llthess;
•
/lticltess:
Phone.it ( 518 ) 668 - 3316 1'Ituuc II ( )
Properly Luca lion: 9`� -�� �` `�� � '1'�a Map Nutnbcr_, •M--�
Goa _ • Section Block tit
Subdivision Nnntc: SL VID
• NATURE OF PROPOSED YIORK: ES'1.'lt-111'Ti"sU Mlllltl(C'$ VALUE OF TI1I
flew Minding: CONSTRUCTION: ==-c--
�' r.etsideIlm e' / Commercial
Addition to Building: OCCUPANCY IIIirUIlti11'1'xUN:
residence / commercial u AJ. :cr t cn tiu i t Primary Uuil ]1nc�
residence / commercial Single 1e 30
U 14t
teniceCommercial. Two Family Uwelltn.k, L
•
,
--
no change ;o exterior )1 lttil w 3ny
• OfJace �
1999
ULher Work (describe t,vlow) M11 attufacLUIrl,t?fy3-, , Eiq3_-L•R'a"
Other 4.""_'e _ LE
dROSS AREA OF PROPOSED STRUCTURE:: �� what wall use
• �� ] f ' ADDITION,
t,c . f:L. of trews addition be? :
J.sL Floor 13\ eq. fL .�� N A
2ttd .rloor ' eq. ft. .
Other Floors . . • .. � . - — •
11Ct:l;S5Ui1X I3UILUINdS:.
(not uitf inielted .cellar or ba elttout: - Detached Garage 1, 2 car
2 nLLaxched Garage 1►
Su� - Private • SL-orage iu r
TOTAL FLOOR AREA: }3�5 Conunercial storage building
SIZE Or HEW STRUCTURE: Other .
45 FEET X 59y FEET
Will anysecond-hand or ungraded
Foundation Type:• 1uu t.� lumber be used? 11 so, foi: wlsaL7
' Nuwbcr. vC Stories ! _�
(habitable apace only) reef: TXPC Ulr ilE1lTIttC� SXS'JCti:
Height (grade to ridge) :: 2� circle all whit --RRpl Wood
to beet of fireplaces attd/vr woocIsLove l ' ,/ � ; oaoo Ol;lte,
l:o i11eLa.11ed: `_ -� drced1tJ1 'r /
for supervision of work as regards ards to P build+ng •
Person responsible or };tic •
codes l.s : 1J1—(�ttrila Ceti.►-11L�� d lresse
flame r__ _ Ph�tt12845 518-668-331G
I he hl i.r.I�uP fA Gr�v t2, 1 ale. 1810 Il,te 9 LetkeGeoru e
• Iltal.l.der. : _ rcv It IZ act, G.C_t?.,iv5 i=a.CC�S, NY 2801 518-798-4399
P1.rnt,er : l'duct 1' :ttJ-(Ait,_1��1-1
t•ia flail ! • _.J2__ktt.clin.,_(l.ax__2k8 rall.4Ltif..C.e..-Y.y Q8�18-371-992
'__Liat alit__Fir liac.,��-ZG'11. .4/Lett'_. ►— (tent gsl.y —1-23
• I,lecl:rica.att.
VECLARAf lON: Please sigh below cflcr•you have carefully read the statement.
To the best oC my knowiedge the statements contained in this of pail t proposed work ifhe a plans
one on
. sold specifications submitted, are a true and complete star
ane9 and all
the Ilcscm itred !itemises and that all provisions o I.the be complied ng ode, the oninspecified Oill or noted, and a
other laws pet talnlll(� to the proposed work steal
• that such wet k is authurizctl by the owner. I'm thrr1"l is i understood
an��AS 13U1>-:itk'LOTtI'Ltor ANto hY
(;etlilicnle of Uc;culiaucy''or Cettirtcate of Compliance b
a licensed serve or; drawn to scale, showing actual lom lion of project out premises.
Signature: _�,,, ,,,,,,,,r architect, contractor) .
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,=w't TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT. WW
� APPLICATION FOR: PORCHES-DECKS- Permit #
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: Thy INAC c_6_e.`s Q20i
P.O. Address 2N5?,0. vsrs1Rirso Phone #
Property Location Icy ;.(e— 41 St.2 c".\ \�' DDA1/4.5.4, Tax Mail #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Ii:` 1, 1p.ex- - Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch "Deck Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : (X1O
Foundation Material : Width Thickness
Depth of Footing, below grade:/ Li _.-�
Size of Posts or Studs: L x I xoc Long
Size of Floor Joists: ( x l C " x MI Span
Decking or Flooring Material : x x 10 preS_ 'rem-c-eC(
How will Porch or Deck be fastened to building? s cj 611PS
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: l� qcC SIGNATURE OL
Owner, Owner's Agency, Ar itect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date Cr► 'i:1 ,19 GYA Permit No. 1_9101
7
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 ILL Az ,c Gwzpw APPLIANCE (check appropriate boxes)
Address 04.4.4-% r2csi74110, ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
lk Zip
• FIREPLACE, FACTORY-BUILT:
❑.Wood ei Gas
Phone 5\ - $'1-1- j' , 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
4.
Address IF NON-MASONRY APPLIANCE:
_ :_ - ----- „----Manufacturer:-- - - - - --- -- -- - -- -
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
❑ MASONRY: 0 Block 0 Brick 0 Stone
�� "AL "` � °1�. FLUE: 0 Tile o Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST • FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer::. Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 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 �� k, .
A 173 3389 (190) Public Safety .
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: N\n,_ .i. ';�`� ;�. ') 5 /A-A-� /_
Address:
Dated: j 1 , Cr, Ci CA Town Clerk or Deputy:1 '\ ( (±;5'' - . .
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
),!l,l,_l:l!l K n J_•ge,k'..l,.l'J_•62, •_,..l.e_C J_�_l e.C'J_11_1Mk1"J.k!..A IAl' l ..CJ l'.lP_MSl':AlAl':l9_l':l4_l J.Q:MIW 1ol'LLIOZkil J.1ft'. .1!l'J_Q"11'A LAl'Llt Wit'lll:J_•,.1k a�Me.CJ_l_l'i/,,
I' r?=
W THE NEW YORK BOARD OF FIRE UNDERWRITERS > ;~;. P_ .t r
iii 4028789 p>--
, BUREAU OF ELECTRICITY ,h
111 WASHINGTON AVE., S E 70 , LBANY, NY 12210
,r FEBR(JARY 24,2000 4.1.341..�� C�/ � t 4902,Eki
ci Date Application o. on fle y_
jd THIS CERTIFIES THAT YF'hJ2I.°! NI( 969 it
a only the electrical equipment as described below and introduced by e a amed on the above application number is in the premises of i!
Wi THE HICHAELS GIOU)P, 47 SURREY FIELD DR., , c)[IIa;I•;iISlti , .R.IR? Y Pi
in the following location; ff Basement 1st Fl. ❑ 2nd Fl. (�11R Section Block Lot 2(�
f'i was examined on I''};°.hltl• - +`'O �! and found to be in compliance with the National Electrical Code._ kr,
1r r}
•, ,-
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Pi
I OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT, OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rr
ii41 21 "..1 I. 21. 21L .I-, .a 1,. 4
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MI H.P. NO.OF FEET AMT. WATTS
71
•
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� SERVICE DISCONNECT NO.OF -°"- S--"" E R ''V I C E � �N-
�° METER NO.OF CC COND. .W.G. A.W.G. A.W.G. !}
AMT. AMP. TYPE EQUIP. 1 0 2W 3 0 3W 3 0 4Wp 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ,r
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" OTHER APPARATUS: Y
ji G.F.C.!.;-4 i.
Wi SMOKE DETECTOR:-5
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I • FOREVER EEEC'/BOE ELECT, T{ P il
• " I,:':\ . ,�-. i L r4,
, E'WILLIAA ML i). I1CI�ART1.ON . s.
�,7�(- , •
2446 JA.Fa'RSY Sal'. -I.Fr • S1r�F=- GENERAL MANAGER
j; SCHENECT'AD 1', NV 12'�v4�i . ,r ,�a•Le,-.� ,: .. ;;;"1,,, r
-►-re - - :.►.—e r
Per it
j 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. N
Y•.YY"Y .Y YeY .Y SAY Y,.Y 4Y Yi,Y Y.Y 1'..Y 7..Y4Y 4i,s,,k 4�i-Y:Y4Y Y.DYYbY 476 -117r,4lY YiPT;i'..'il?"4.Y 4764e.4oY Y"YY�Y YV6 -4.Y 4 Y 4T,4 T.4-.Y 4Y 4 Y .Y YN 4'6 Y.Y 4.Y4Y 4 4 T.\,
r:OPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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 pi1) am/pm Depart am/pm
Inspector's Inittiials�r}—
NAME: mo5 PERMIT# 1 - 14 I
LOCATION: 1' L 1 t t t -T DATE : q 9-00
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form 7 N.
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place ba
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
r
Plumbing,Vent/Vents in Place •
Rough Plumbing
Heating Rough-In
Insulation V `4
Foundation Walls Interior R to
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
/yJa
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: �3 UU
Building& Code Enforcement
Dept. of Community Development Arrive am/pm DeparO It/pm
Town of Queensbury Inspector's InitialsG/
742 Bay Road
Queensbury,New York 12804 CJ �fNAME k‘‘.-10-dS j , . PERMIT# r /
LOCATION . �y�C, 4- --01- DATE
TYPE OF STRUCTURE P�
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location 1
Fresh Air Intake U Oe u/O U4-? e n,'
Plumb Vent through roof
Roof Complete
Exterior Finish Complete \.
Interior/Exterior Railings 30"to 36" \
Exterior Handrails,balconies,landing 18 . . or rn're
Interior Handrails stairs both sides 3 or m re riser
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18' a e grade
Gas Furnace shut-off wi . 30 feet or . . line of site
0t urnace shut-off at entran ace area
uo
ce/Hot Water Heater operating
Relief Valve(s)installedi /7/
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in. C2'1o12./26ei'o
Handrail exterior stairs both sides more th 3 risers
Interior privacy/trim/doors/main entrance 3 fi"
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
Bathroom fans
Plumbing fixtures
Foundation insulation
3 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 7.--
Site Plan/Variance.required f
Final Survey Plot Plan +/
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) /
Okay to issue permanent C/O(Certif. of Occupancy) i/
RESIDENTIAL.FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: �,4'. 12
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart9;O pm
Town of Queensbury Inspector's Initials Qi
742 Bay Road
Queensbury,New York 12804
NAME kdill-e7/1 ,1-nicei, /� PERMIT ii -( T ` 7LOCATION . -7 � !?�/ 0S,yC.I �/
• : o DATE ' V.)
TYPE OF STRi1CTU
N/A YE 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 3 '
Exterior Handrails,balconies,landing 1 in. .r more
Interior Handrails stairs both sides 3 or mor: risers
Grade 2%away from foundation7
8"clearance to sill plate f�
Gas Valve shut-off exposed/regulator 18" .bove grade `//''/
Gas Furnace shut-off within 30 feet or wi line of site
Oil Furnace shut-off at entrance to furnace. ea
Furnace/Hot Water Heater operating
Relief Valve(s)installed • Z#0914-Ct__ Pe.10..)rc,SpoU 4
Headroom,6 ft. 6 in.on stairsX.
Basement stairs,6 ft.4 in. '✓
Handrail exterior stairs both sides more ran 3 risers
Interior privacy/trim/doors/main entrance 36" A( TIT" f' -G.5
Floor Finish
Bathroom/Kitchen watertight /
Interior Handrails Balconies/Landing : in. or more V/
Railing across window in stairwells
Smoke Detectors:
every level ✓
every bedroom
outside every bedroom liCj
inter connected ,//
Bathroom fans i/j
Plumbing fixtures t/f
Foundation insulation Vi-
%hour fire door/door closer
Garage fireproofing 4/f
Garage penetrations sealed
Furnace in separate room protected(in garage) /
Light ventilation per room / ✓
Safety glazing l 8"or l ss fro floor J
Final Electrical .1 7,/ cL ,f/j") i /
Site Plan/Variance require J
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) /
Okay to issue permanent C/O(Certif. of Occupancy)
(?6?"--I
.. A FIRE MARSHAL
TOWN OF QUEENSBURY
` j ` QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED w � �-�/ L`2
NAME G; vlS
LOCATION 11-6 fd--PERMIT# 27
SCHEDULE INSPECTO ON 6 b
40PM
`y. APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SY
FIRE SPRINKLER SYST.
FIRE SUPPRESSION S STEM
HOOD INSTALLATIO
INTERIOR FINISH:S
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
)p►6OD STOVE
t/FIREPLACE ❑MASONRY FACTORY BLT.
GH IN
FINAL
REMARKS: OK TO THIS DATE
41-7-
INSPSLIP.PUB INSPECTOR
TOWN OF QUEENSBURY
BUILDING &;.CODE ENFORCEMENT
' VS30
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP: "YJ
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQU T RECEIVED:
NAMEj(1 PCa O____®_
LOCATION 1 dJ , c xc � �� 7
DATE -/ O ,7`C�(jr_ PERM I' N ^6 /
TYPE OF STRUCTURE LS i.
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTCVE OR FIREPLACE
E1
. A Y_E8 NO
giiiilt4EY JIEIGtiT/D VraT/HI IGHT
pL41MHnUG VENT - ___,._ -
ROIMKG
4'I'EJ11PR FINISH j
\ =,==
aggisiP4J3Qtl/STEPS/F , a -
'URNACE/HOT WATER OPERA ING
INTERIOR TRIM/P_RIVAAY DOORS
E11416H FLOOR5j
DATH/KITQHEK WATEHT
_OTHER_FLOoJiS 5WEEPABLE
OTHER FLOORS CAKPETED ,
ITAItt CLEAt2.ANCE/RAILINf It
SMOKE DETECTORS
BATHROOM FANS
—
P'134fMHING FIXTUREH
MUNDAT'IAN INSULATION
GARAGE FIRE PROOFING ,
BOOR CLAIM I
FINAL IELINCT'itlCAL
4IT'E PL /VARIANCE REQ. _ _
L SURVEY POT PLAN O
tilt TO ISSUE GM OR C/C - ,
1.C/ci s1 or
FIRE MARSHAL
,/ ,; TOWN OF QUEENSBURY
j • QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED liq
NAME rn1 CAA 4---CA,S 6 C
L0 LOCATION �I�7 Svrre, C\'ddERMIT# q -c 7
SCHEDULE INSPECTION ON t l g-70o
acl PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHE'
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS -
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY 41iFACTORY BLT.
` ROUGH-IN
❑FINAL
REMARKS: l OK TO THIS DATE
p OK
INSPSLIP.PUB INSPE OR
1 —C Mi: -
''' - — ::::-"- -' 1 W1s0 (-)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement 4.2.))
742 Bay Road• t.
Qucensbury,NY 12804 Arriv tb at mm� _Depart '�Ins ors Initi�is
a O�
NAME: ‘ PERMIT# G=' k �?
LOCATION: DATE : 445(age)
TYPE OF STRUCTURE
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respoo a: e for
providing protection fro freezing
for 48 hours following t a pla ement
of the concrete.
Materials for t its purpose in site
Foundation/Wa ••ur
Reinforcement in 'lace
- Foundation/Dampp •olio g -
Backfill Approval •
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating 1-ln
ation h FL,-4
Foundation Walls •nterior R-
Foundation Walls xterior R-
Floors R-
Walls R- n /6�/
Ceiling R- a) V
Duct work or p sing in
unheated sp ces R- //
Proper Vent, Attic Vent �/
Framing •
Jack Studs/Headers
Bracing/Bridging
Joist Hangers _
Jack Posts/Main Beam — I
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
i_
GENERAL INSPECTION REPORTe::? (2
11\A•
( 518 ) 761-8256 —
Town of Quccnsbury
Dept.of Community Development ' Date inspection request received: `
Building& Code Enforcement / T\
742 Bay Road , • O`)
Quccnsbury,NY 12804 Arrive_ am/pm Depart- am/pm
c Inspector's Initialsa9A-e9/
k--
NAME: r �CJ�C Our PERMIT#
LOCATI N: `7 NCl �' -;N-P'\`c) DATE : / -/L/. -a(j 7
TYPE OF STRU�TURE: .����
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsib a for\ .
providing protection from reezing
for 48 hours following the lacement
of the concrete. I l
Materials for this purpose onf site i
Foundation/Wallpour I I
Reinforcement in Place\ / . /
Foundation/Dampproofi‘g/
Backfill Approval /
Plumbing Under Slab i /
lumbing Vent/Vents inPlace //ru ib I - s
P'rambing i d N
yl e ti g Rough-In I ;+-
insulation
Foundation Walls It tcrior R-
Foundation Walls ..terior R-
Floors R-
Walls R-
Ceiling R- •
Duct work or piping i\
unheated spaces ' R-
Proper , file Vent
ttirng ��tt�ti �`r� 7
acic tuds/Headers 7 / Roth VC- A-o t ii t��i-- �PP' p€f c I`40
Bracing/Bridging • 4%
Joist Hangers f v .
/ Jack Posts/Mai_ Beam J /
V Air Fnfii,ttralion 13�arn'er V/C:,(r&/4)7 164-ja tC f2. GL.,) 6' /i EAi>
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour ,/
t Firest ping V (9 (C____ !�!_(<— i� �
-Tay
TOWN OF QUEEN BURY /(71
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name MA1p0Gra .(y
Locat44 ECG
Date Permit # � — L7-1 7
SOIL TYPE: Sand,-Loam-Clay-
Results of Prcolatior\ Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Tgtal Length
Length of each trench
Depth of trenc\kQs 1 )
Size of stone
SEEPAGE PITS: Number-
Size - ft. 1 ft.
Stone size _
NG. Size Type
Bl d4. to Tan /
/ °c 9)-- 1yj
Tank to Dist. Box
Dist. Box to Field/Pit
`-Openings Sealed? / Yes No Partial
LOCATION/SEPARATIQNS:
Foundation to Tangy 6 j-k-feet
Foundation to Aborption feet
Separation of P'ts feet
Conforms as per Plot Plan Y No
LOCATION OF SY TEM ON PROPERT .
(circle-one)
Front ear Left Side - .Eight Side j
Middle Middle Rear
COMMENTS:
•
SYSTEM USE APPROV . YES NO
Arrived: Z=
Depa
ildi gI secor
j4-.9te-
91-1P. /1L-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ` /���Dept.of Community Development Date inspection request received: Waiik-<
Building& Code Enforcement
742 Bay Road i r Queensbury, NY 12804 Arrive am/pm Depa pm
/;t-Aa Inspector's Initials
NAME: �Iek2 i ./�[ � PERMIT# 69 1
LOCATION: l' '!� c DATE : W9 �/ Ci,
TYPE OF STRUCTURE: (¢�
RECHECK E/
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour ••rm
Reinforcement Place
The contrac or is responsible for
providing erotectionj from freezing
for 48 hou s folio%,(ng the placement
of the con rct�
Mat ials fo,,this purpose on site
Foundation/ alipour
Reinforce ent in Place
Foundatio /Dampproofing v `
ackfill •pproval ✓•
Plumbin_ Under Slab
Plumbi g Vent/Vents in Place
Rough 'lumbing
Heatin. Rough-In
Insulat on
F.i ndation 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
(a, 4sd
a brive.
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MAP REFERENCE:
SURREY FIELD SUBDIVISION
MODIFICATION TO AN APPROVED SUBDIVISION
DATED: OCTOBER 27. 1998
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
49�� 97
000? 6 0 63-1
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO -Dexter do Deborah H. Senft
Chicago TKIe hourance Company
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DAZED: January 21, 2000
an- D-u
& Steves
Land Surveyors, LLC
37 Chester Street Glens FaUs, New York 12801
(518) 792-8474 New York Tic. No. 50135
2'7 �
GVO� A
�SahQ�°P �� •so
26
7739.49 sq
0!�
H.O.A. COMMON
GREEN SPACE
ow aev,
Tl►
.� UA I
NAP i A W04 0 LAIC GURWEV= KAL 0 A
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*ONLY aotEi FINK 7NE GRON L W Im SUna
NMO® VM M aMaIAL OF DIE LAID gL4W OAa
WAL MALL tK COINOLKO TO K VAW USN: -*
25
Map of a Survey made for /
M7M M-VAT DEFTER & DEBORAH H. SENFT
ENS S;M,EY tSLS PMA MiO M L#M $U OE TM DIE.
OSSIMO 000[ aF MACIta: Fat IAtD SIIR1lIONS A00►im
tTY 11C IEit 70Mt STALE A,CJgNSaI K FNORfMON1L
L" SuWaR t SAC amvmi aM AHMA ISM OILY
TO DIE FFASON rot M DIE ow" a FI wmm AID
w Na OF W 70 W IOU ~"". OOIOt R=M
AODW AM �,WM � AM Town of Queensbury, Warren County, New York
7o DIE � aF 7NE IAL = 0W==V
NO. I DATE
DESCRIPTION
,. i . ,§
rM VG• Vr'1r�Vflr\�! V.i1 `VVV
;co.le 1'=20'
S --1
SHEET I OF 1
SENFT
DWG. NO. 97061-26