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1999-735 . . . Certificate of Occupancy Town of Queensbury Warren-County, New York Date March 3 , 2000 9975 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 17 #1:90 SURREY FIELD DR. Owner ,'141E L L . . TAX MAP NO. 418 . -8-17 By Order Town Board 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. 997'Li TAX MAP NO. 48 . -8-17 Permission is hereby granted to MICHAELS GROUP,THE L.L.C. Owner of property located at T,oT 1 7 #9 0• SURREY' F T F.T,T') nR _ • in the Town of Queensbury,to construct or place a INGLE FAMILY DW r.T.ING 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 DRIVE MAL TA, NY 12020 Contractor or Builder's Name: • - ;IIICHAELS GROUP, INC. Contractor or Builder's Address: JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR MIALTA, 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 AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING $ 191 PERMIT FEE PAID—TRIS PERMIT EXPIRES December 13 2001 (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 13 -Day of December 19 9 9 SIGNED BY -. for the Town of Queensbury Co Enforcement Officer 1 Application tor Jtr l ll: U16fU611L YtKLV11 I Town of Queensburyyy �a —��� Dept_ of Community Development R F- fl y E D Permit No. Building &Codes Office „ 742 Bay Road D C V - 2 1999 Fee Paid $ • Queensburv, NY 12804 ( fC ,r�i OF 01_52El JELA.rl1 BLHL.DiNG AND CODE. Location of property for installation: 10-k- uli Property Owner's Name: Midae,LS E u n L C Property Owner's Mailing Address:. lQ 1:312ckSmtivIDRIvE Maltz �1. t s 9 Installer's Name: atig - fkaai-Tilj Phone I# 1/0-�-a n q Number of bedrooms (if residential): 3 Total daily flow: 4S7) (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, i/ 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 tunic l= gallon (minimum size: 1,000 Qa1 ) Tile field: each trench- Lif feet / Total system length: I(p feet Seepage pit(s): number of ,�iO / size each: . ft. by ft. • Size of stone to be used: #a St u )C., / depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Ai IA- Size of each: gallons Alnffi system and associated electrical aoxi to be inspected by a certified agency. J -. For your protection,` please note that pursuant to Section 136=29 of the Code of the.Town of Queeasbury, any per 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 an applicant, shall be void. I have read the regulations with it aj .t to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Cl Signature of responsible person: te'v Date: l.a-iry f-e Building Permit Application Town. of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561 • ° BUILDING & . CODE ENFORCEMENT NOTICE Requirements prior to issuance ` r 1 of this permit: PERMIT FILE NO. A permit must be obtained before beginning construction. No inspections QO PERMIT F PAID$ will be made until applicant has received n Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREA E FEE PAID$ S applicants" spaces on this application MUST be completed aftd•the signature El Planning Board Action REVIEWED BY: CA Ik of the applicant must appear on the SPR / Subdivision /Other Building Inspector ,implication form. nme�,,. J Recreation Fee Payment Applicant: Tir4E leticirve 1s CagoAlP Owner: G6'rnt• ' Address:16%e(Lnrn*E .tka. 16.vlq.rit526 Address: n r-a� eL.J..47,ii E,D Phone # (BIS ) S'n -(p?j1,1 Phone # ( ) Gc,C-��k -ss Property Location: �- �a�t.Mln��1,2���ii:=0.. .,'�- ',� - - 71V. / S) (`-] Subdivision Name Sutztly Vte�.vs `��`TY1U �.�Dspt4, Tax—Mapp Number, ,—/ - 1 1 �-Section Block Tot NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X New Building: CONSTRUCTION: $ 12eTCc- residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial X Single Family Dwelling (---0 Residence / Commercial Two Family Dwelling no change to exterior size Family Dwellin Office /� / 55 Other Work (describe below) Mercantile (� Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE: lk:-.3p. 1a-Y 13 If ADDITION, what will use 31 1st Floor v5 sq. ft. J of new addition be? : 2nd .Floor sq. ft. WA. Other Floors — sq. ft. 7-)Th (not unfinished cellar or basement) ACCESSORY BUILDINGS:• Detached Garage 1, ‘,T TOTAL FLOOR AREA: t;45 SQ. FT. A Attached Garage 1, ,, Private Storage Buil. - g SIZE OF NEW STRUCTURE: Commercial Storage Building 44 FEET X 5a FEET Other ' Foundation Type: . ?�9REYj Will any second-hand or ungraded ' Number of Stories : ( lumber be used? If so, for what? (habitable space only) NAp Height (grade to ridge) : As feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a.plies) to be installed: C • Electric / Oil / / Wood e Hot Baseboard / Other Person responsible for supervision of work as regards to building codes i s : 9at k 1.- rn eat CAZ $RA A 1.reeek1A4Z 1NaTe Ap�1dre$$ss Phone Builder: -[In:...V(tch S eaup. tO ca2�cksektt>1' 4v�. t lk ‘zei -(cat t Plumber: CAC— leltbrrtic,tru5 l?:t!.C .A\C_' .,eel 2LA‘cPartt% 1220 P 4(4n-2 . Mason: 11 -A.s.-VveNc Conc. 443 tlattx_ IleeN► t�12 2 0(03 Electrician: 'Ekat4tR..� Rod ( - Cr *.1r4e_t S , gc1nL+. %Z30es 3`1i -9 -z-i- 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 I/we shall submit prior to a Certificate of Occupancy•or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; awn to scale, showing actu ation of project on premises. Signature: &-a 0.-I_1 9 (owner, owner's agent, architect, contractor) THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE-FOR OFFICE USE ONLY BUILDING PERMIT NO. TEMPI DATE I , i t- J-. ✓) CITY OR VILLAGE ZIP CODE TOWNSH P\/ �i �� COUNTY r STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOC ED? SECTION BLOCK LOT VA OCCUPANTS NAME 1\ANC-es` ., �\�( BUILDING OCCUPANCY \ - OWNER'S NAME AND ADDRESS ` ac.L— ^\�� ` � HOME TELEPHONE NUMBER CURRENT SUPPLIED BY ````A`v1 \\ FROM THEIR' OFFICE WORK TELEPHONE NUMBER 1\ C\ BUILDING IS 1�y NEW t� OLD ElWORK IS NEW ADDITIONAL CI DEFECTS REMOVED Elf LIST BELOW ALL EQUIPMENT WHICH YOUINSTALLED • NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT 1st FL. 2nd FL. 3rd FL. - REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. COS} e`. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS � � pS'- Applicant affirms that there is not an application for electrical CHARACTER OF WORK ` ❑EXPOSED ❑CONCEALED inspection pendingwith a qualified electrical inspection DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year- SERVICE ENTERS BUILDING from the date received by the Board. ❑ OVERHEAD 0 UNDERGROUND , DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S Il� I� I I I � IDENTIFICATION NUMBER> AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FIL ED IN OR APPLICATION MAY BE RET RNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION XSIGNATURE OF APPLICANT STREET ADDRESS 24 L . /-(�v _ , y - TELEPHONEiNO. 9/ �CITY OR POST OFFICE �'� C••-k- �J\� ZIP CODE LICENSE NO. APPLICABLE ❑ 85 John Street 111 Washington Ave. NE 3291 Lake Shore Road ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 SUITE 704 I BUFFALO, NY 14219 I ROCHESTER, NY 14608 SYRACUSE, NY 13206 (212) 227-3700 ALBANY, NY 12210 (716) 827-1155 (716)254-0141 (315)463-8552 (518)463-2122 THE NEW YORK BOARD OF FIRE UNDERWRITERS - -....11111111111 • •):J,,Q • �6.1'J_�_ ...)•_l'J!ti •� l!').*�!l ._l'5.0.:eA J.0_l'AU' l''AQ'AU AP;'AQ:Cl_l'Al!'AU 5.0_l'A Al''AU Al'Al'5.4 A A:A!5Ak'AII)' :J_.,l 1,Q 5AQ 5A1 J0l''P, ..1 AUUse,Q V, THE NEW YORK BOARD OF FIRE UNDERWRITERS• ' PM.1I I r 4028789 BUREAU OF ELECTRICITY , ' 111 WASHINGTON AVE., SUITE 704 ALBANY, NY 12210 • Wi NARf.'1.1 0il 2000 46.3 ,530i0/0O El 149242 r (r Date Application No. on a 1.).,,=cr P aRI11T . 0, '.t9'l3!-) ' ,�= !k$ THIS CERTIFIES THAT i>' 41 only the electrical equipment as described below and introduced by t licant na d on the above application number is in the premises of A A I:`NE NI G:RO t.1E', 90 SUR1tE;Y F'1 1:;LDSQUEE;i :31, -1t1RY, Y P• j; in the following location; ® Basement 1S 1st Fl. ❑ 2nd Fl. GAR t Section Block Lot y zt+ was examined on 1"1'ttiF{lal�l4fY `� • ': O}t3 and found to be in compliance with the National Electrical Code.. 1 zi � : _4 Ir c FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS • OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. hi AI AI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS i AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. Cil H.P. NO.OF FEET AMT. WATTS 14 _<' SERVICE DISCONNECT NO.OF S E R V I C E 'r =G rY: • _-' AMT. AMP. TYPE EQUIP. 1 0 2WmEN 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. I j PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL rY OTHER APPARATUS: Ir- r •y-,: -ir r SMOKE DE1'!IL'C 1'OH:-•4 4, 1i rY ij! i -(, rY t(I h 1 — ,. .... Wf . .r. ��(i • 4 r 4� •r h 1 FOREVER ELEC/B0M ELECT. F j u R"�' tr U}LL1AU ii. UCPt1RTDO1� a 4. ` .(}�:.t' , '' .1 I 2446 J_AF1.'REY. ST. ('� `�: S- f' N'• GENERAL MANAGER I • t! , yt ss I9. •K, �C.1aEfi>11'�I-.tA1.)"Y, td�,. '1'1.'{ply 7 � r, %:'I'� (}? ►+�d ~`° .` Per ' I IA 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. 5 /,4Y.76Y Y.1�476 Y�Y.Y.Y Y.Y Yir,Y•Y Y.Y,Y•Y Y•Y 4i1:4Y ysY 7�Y Y4ir,Y•764Y Y•Y 46 Y.Y Y�Y Y�Y Y••Y,;Y•Y Y�Yr4Y Y•Y Y•Y 47r,41;47,ri YiY4Y4-t,Y4Y 4Y Y�YI'iY Y.764Y YV4 474YiY 5i.76476S 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 Dept. of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 � NAME W k\C14 A-6 L S 1- /PERMIT# ' ` ~73 5...— LOCATION DATE .-5(9) /a TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location 4 ' Fresh Air Intake V // Plumb Vent through roof i1/ Roof Complete Exterior Finish Complete ✓/ Interior/Exterior Railings 30"t 36" i// Exterior Handrails,balconies,lan • g ; .'. : more �✓ Interior Handrails stairs both sides 3 o more risers / Grade 2%away from foundation ✓ 8"clearance to sill plate ✓ Gas Valve shut-off exposed/reg for 18"above grade / Gas Furnace shut-off within 30 .-t or within line of site / / Oil Furnace shut-off at entran • to furnace area / Furnace/Hot Water Heater o ating J� Relief Valve(s)installed ` ,/ Headroom,6 ft. 6 in. on .tairs ,/ Basement stairs,6 ft. , in. r Handrail exterior . s both sides more than 3 risers ✓ Interior privacy/ . doors/main entrance 36" f Floor Finish Bathroom/Kitc+,en watertight ,� Interior Handr ils Balconies/Landing 18 in. or more ../ Railing across window in stairwells I Smoke Detectors: ✓ every level every bedroom 11, outside every bedroom inter connected ,// Bathroom fans ,1 Plumbing fixtures / Foundation insulation „/ %hour fire door/door closer �/ Garage fireproofing �/ Garage penetrations sealed / V Furnace in separate room protected(in garage) ✓ Light ventilation per room f Safety glazing 18"or less from floor +✓ , Final Electrical Site Plan/Variance required / Final Survey Plot Plan /7 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) t TOWN OF QUEENSBURY BUILDING_& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Mlc t-w 6PIP, Location &ieeLG;' hrG—c.0 Date ' 5 3 \CO Permit # SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total L- g h Length of each trench Depth of trenches Size of stone Aiiiiir SEEPAGE PITS: Numb Size - ft ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box t• Field/Pit Openings S• .led? Yes No Partial LOCATION/4EPARATIONS: Foundat'on to Tank. feet Founda ion to Absorption feet Sepa .tion of Pits feet Con 'orms as per Plot Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: ri&-LD /4_c_y_...riGc__ — SYSTEM USE APPROVED: YES NO Arrived: Departed: Building Inspector TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION A lc Name /"/--/ 6/- �f� � °Zf/Locati di#' qO -,, I4 G Date j/c /atoaPenflitV99- 1 5 SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Lengt. Length of each trench Depth of trenches Size of stone SEEPAGE ' S: Number_ Size - ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. lox Dist. Box t Field/Pit Openings S,aled? Yes No Partial LOCATION/ EPARATIONS: Foundat'on to Tank feet Found. ion to Absorption feet Sepa ation of Pits feet Co orms as per Plot P1 an Yes No LO ATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: . , r--- _ ,„ C u/i-r G1=r. LPo CniLic �le Co G RA-oC 00612 F i&c:a ' SYSTEM USE APPROVED: YES NO Arrived: ` , A Departed: " ( 1 le,, Building Inspector FIRE MARSHAL TOWN OF QUEENSBURY ift ,,, j QUEENSBURY, NY 12804 " , (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT#It7; NAME \AN.t tW LOCATION SCHEDULE INSPECN AM PM ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING ,\ FIRE EXTINGUISHERS FIRE ALARM FIRE SPRINKLER I EM FIRE SUPPRESSION SYST' HOOD INSTALLATION INTERIOR FINISHE STORAGE: CLEA•7'NCE TO SPRINKLERS CLE: •.NCE TO HEATING UNITS REQUIRED •IGNAGE CHIMNr WOO a STOVE F r PLACE-MASONRY FIREPLACE-FACTORY BUILT I,`V REMARKS: K TO THIS DATE INSPSLIP.PUB INSPECTOR TOM OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date 4) d7.) Permit # 99 — 755' SOIL TYPE: Sand-Loam-Clay- Results of Percolation Te (if applicable) Rate-Min to/Inc. TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of tre' .hes Size of stone 111111, SEEPAGE PITS: ber$PI Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank _ Tank to Dist. Box Dist. Box to Field/'it Openings Sealed? Yes No Partial LOCATION/SEPARATION' : Foundation to Tank feet Foundation to Abso tion feet Separation of Pits feet Conforms as per Pitt Plan Yes No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS: C /4-P ce, it& — ivt) 01+01 SYSTEM USE APPROVED: �0, . - NO Arrived: ` Departed: 3iZQ- Building Inspector -,41' RESIDENTIAL.FINAL INSPECTION REPORT 1.t.K Office No. (518)761-8256 Date inspection request received: Building& Code Enforcement 27,V • Dept. of Community Development Arrive am/pm Depart"` ff am/ Town of Queensbury Inspector's Initials %J 12. 1� ` l 742 Bay Road Queensbury,New York 12804 C� �jy NAME t—Y�ULCQv ��l`' or, PERMTI # l L � LOCATION 1NcrseA% DATE i — ,r X•erC i TYPE OF STRUCTURE • "4- -� N/A YES NO COMMENTS Chimney Heightl"B"Vent/Direct Vent Location //- + Fresh Air Intake Vr- Plumb Vent through roof VV/ Roof Complete V// Exterior Finish Complete ,// Interior/Exterior Railings 30"to 36" ✓/ Exterior Handrails,balconies,1•, •k:•g 18 in. or more ✓ Interior Handrails stairs both Q,des 3 ► more risers Grade 2%away from founda :on ,// 8"clearance to sill plate �// Gas Valve shut-off expose'/ regulator 8"above grade ,/ Gas Fi3rnace shut-off wi 30 feet • within line of site Oil Furnace-shutoff at ei a, -- o furnace area Furnace/Hot Water Beat;r operating Relief Valve(s)installe• Headroom,6 ft. 6 in. o stairs 7 f Basement stairs,6 ft. , in. Handrail exterior sta. s both sides more than 3 risers Interior privacy/trim/ oors/main entrance 36" Floor Finish / Bathroom/Kitchen .tertight / l9 Interior Handrail Balconies/Landing 18 in. or more •✓/ Railing across dow in stairwells f Smoke77- Detecto s: every leve every be• oom outside,•very bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closervr Garage fireproofing 7 Garage penetrations sealed / Furnace in separate room protected(in garage) �f Light ventilation per room Safety glazing 18"or le s fro floor / Final Electrical IS IV /1/j6' �" Site Plan/Variance re uire Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif. of Compliance) ldl uk. _Ke 46', Okay to issue temp. C/O(Certif. of Occupancy) Okay to issue permanent C/O(Certif. of Occupancy) 1(NQ\reC ) o��' - —. t-vbda, 2c, r a,, TOWN}OF QUEEN (URY ,,-o�0,,Q' BUILDING & CODE ENFORCEMENT 742 Bay Road , Queensbury NY 12804 '`' ' l V• 3 C (518)761-8256 G - SEPTIC DISPOSAL SYSTEM INSPECTION Name M � O Gi )k, Location 9c) )c\- '- ,e_A _., , Date -' , t # _�, AC SOIL TYPE: Sa; • Loa Cla - Results of Pe.colation Tes' - (if applicabl : ) Rate-Minut'/Inch TYPE OF SYSTE •: Q i ABSORPTION FIELD: Total Le gtil /(®U _ Length of each rench • . . _ Depth of trencte., Size of stone It P L-- l2/2._ SEEPAGE PITS: Giber- Sizei- f , ft. . Stone size PIPING: Size Type Bldg. to Tank T 3e:13 p Tank to Dist. Box ' ii Sae_ 3C Dist. Box to FieldRit iz 5Lr) (90 Openings Sealed? No Partial LOCATION/SEPARATION ,. Foundation to Tank feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot P1 an CP No LOCATION OF SYSTEM ON PROPERT (circle Front Rear - Left Side - Right Side Middle • - •nt •- Middle Rear COMMENTS: ‘_- A - - elCL-� POi-A) /Itri�-6 - t e y Sk,iic o 6Li'5 . L e s IL f /7 11 i,i= 011= Fi6.i-fJ f.N'iir9-cam[ U 4-7- rh t- 'Tii �� t o iz_067 iSii1-o t3 it,>> 4G e L-'r-r�'t ram. SYSTEM USE APPROVED: YES NO Arrived: Departed: �- `t7 Building Inspector TOWN OF QUEENSBURY 1!' l,,, ., BUILDING & CODE ENFORCEMENT 742 BAY ROAD � ' QUEENSBURY NY 12804 (! (518) 761-8256 ARRIVE: DEPART: INSP: v , FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST ECEIV D: NAME LOCATION DATE �� ''���� PERMIT 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 RAILIN S RELIEF VALVES FURNACE/HOT WA .ER OPE TING INTERIOR TRIM/P IVAC DOO S FINISH FLOORS: I BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPEETED STAIR CLEARANCE/ ILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSUL TION GARAGE FIRE PROO ING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. V L SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C jr—ZAIKA -ta7, • GENERAL INSPECTION REPORT .vr ( 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 a pm Inspector's Initials NAME: c 4 PERMIT# LOCATION: I = llY DATE : S 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 freezing for 48 hours following h ie placement • of the concrete. Materials for this purpose on site Foundation/Wal(pour_ Reinforcement in Place • Foundation/Dampproofiing Backfill Approval • Plumbing Under Slab Plumbing Vent/Vents in Place Rough PI bing caU ough-In .lat""{io oundation Walls Interior \(- Foundation Walls Exterior R- / Floors R- Walls / R- ' 1 +t, Ceili ng g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing • Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam _ Air Infiltration Barrier Fire Separation I, 2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour of rc`stopp�cng _ :#11111111N13P :7-9 er'-\- GENERAL, INSPECTION REPORT ( 518 ) 761-8256 • Town of Queensbury ( 1? _ „\) Dept.of Community Development Date inspection request received: C/� t ��"_ Building& Code Enforcement 742 Bay Road z ' / Queensbury,NY 12804 Arrive am/pm Departs • !�am/t�m / Inspector's Initials 99-----q,-) NAME: 6E1-41C;`� PERMIT# LOCATION: tJ 7 U DATE : `lCe-,_ 'd-- �� TYPE OF STRU URE: 51142 i RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is respons'.le fo . providing protection fro freezin for 48 hours following t e placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement if i Place ' - Foundation/Daneroofi g Backfill Approval . Plumbing Under Slab_ / plumbing Vent/Vents i Place h1Pl utnbing z eating RoughtF1 k/ Insulation Foundation Walls I iterior R- Foundation Walls t xterior R- Floors R- Walls R- Ceiling R- Duct work or pi. ng in unheated spaces R- . oper Vent, Attic Vent n . • Jack Studs/Headers / Bracing/Bridging U Joist Hangers iJa ck-Posts/MainBeam _ Asir Inf Itration 13a[ricr _ `' Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2 3,4 hour 4,3.r4a:_4.•Fir€s P i 1"!ts&c. Ajcr 8 — clC—/i 1 , -Li. Gvi(e_ j.t,cc— �. L u, ;2li.c.. TOWN OF QUEENSBURY BUILDING.& CODE ENFORCEMENT 742 Bay Road • Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION • Name -cVW' C.J26 Gyl Location ��p 2-M? rSUrir (0)� • c 2 Date j, '.) /Permit #T •- _ SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIEL : Tottl Length Length of each rench ) Depth of trench s 1 Size of stone / . SEEPAGE PIT S,•N u t r- Size - . x ft. Stone size PIPING: Size Type Bldg. to Tank ;..f"-5tArg L-c: -i— ",va)i Tank to Dist. Boa . Dist. Box to Field/Pit Openings Sealed? Yes No _ .Partial LOCATIOt1/SEPARAT ONS: Foundation to Tank. V 5 .feet Foundation to Absorption • feet . Separation of Pits feet Conforms as per Plot Plan Yes No .LOCATION OF SYSTEM ON PROPERTY: (circle one) • Front ERear = Left Side - Right Side Middle Front - Middle Rear COMMENTS: \ 1 ,: L. SYSTEM USE APPROVED: YESc ,_O•y......_.,_ Arrived: ,,._ V/' .1 1 Departed•. Ct;0-5_, , )/ // -•�... / "7 �,.7 /.B'uilding Inspector 0-------., GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road rt/Z 5)Queensbury,NY 12804 Arrive am/pm Depa ' mn/pm Inspector's Initials NAME: PERMIT# f \C LOCATION: �• ( ` e, �� DATE : � O\ TYPE OF STRUCTURE: 7-2 RECHECK N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place �`� 1� (j\-- /The contractor is respos'ble for \CG�{�V" ,� 1 providing protection rom freezing Plo% 1 for 48 hours fo11o% th placement of the concrete. Materials for this urp9 eon site Foundation/Wall _ u Reiitforcomenfli Place Foundation/Da pproofing_ ill Appro al Plumbing Under Slab Plumbing V nt/Vcnts in Place Rough Plu bing Heating R ugh-In Insulatio Foun lion Walls Interior R- Fom •lion Walls Exterior R- Floo s R- Wal s 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 /01-‘, 6 GENERAL INSPECTION REPORT ) ( 518 ) 761-8256 Town of Qucensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road // Quccnsbury,NY 12804 Arrive am/pm Depart ' a m Inspector's Initials NAME: f\S t PERMIT# .(1)q" 7t 1 LOCATION: DATE : i /Co—Ct TYPE OF STRUCTURE: RECHECK • N/A YE NO COMMENTS .:F __ings/Piers I • Monolithic Pour Form • Reinforcement in Place The contractor is responsi!le for providing protection from freezin for 48 hours following th placcm nt of the concrete. Materials for this purpose o i site Foundation/Wal 1pour Reinforcement in`'Placc • Foundation/DampprooF Backfill Approval Plumbing Under Slab I Plumbing Vent/Vents in Place Rough Plumbing J Heating Rough-In Insulation Foundation Walls Int rior R- Foundation Walls Est rior 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 FIRE MARSHAL TOWN OF QUEENSBURY ' QUEENSBURY, NY 12804 • ,,., ,• (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# co- 736 NAME ,%CAN/t-5 61Z,i'- LOCATION CO 64062-06' r-l-co $ 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 SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ CLEARANCE TO SP INKLERS CLEARANCE TO HE TING UNITS REQUIRED SIGNAGE %N!� CHIMNEY i�t:e�-i v`' WOOD STOVE FIREPLACE-MASONRY i'FIREPLACE-FACTORY BUILT Rc • 41 1/ f Y4.q-IL- 1 4- tiVR3CGp RA) REMARKS: r. K TO THIS DATE .2_v �o INSPSLIP.PUB INSPECTOR I ,.rL.J. ?C 5L-1. r I,: J a O i /.a` _j IVO .^\14"AD "-`v �/ -8 , 8 ���� �. `,7,323.72 sq. f t. �0 r 8 j `` ti• 5.Op • f�°` ? �, • j ,� �25.� , O Z. 3p.4� , A ' - • ,.. 5 ci : Tc,„,.,-.,, or_-,-.,,:LES::,:::::,'"jir--1Y \ • 0 p - - X S E..;II_I:. �itl, �F'. ��s O , \ea r0 °d 5 sq, f t. y yr -,, �. PRC a c 3 ti '� • u C)/l ji'l y %.• 0#) C ,/ s 1° C\ \, a. :8/, -1 O Y� O� d- SSJ 0j -: , • 4, w ,.., -12-1 _ 0 f 0 S q Y7()1,..A„,9CD /: /6: : ''' \..........„...„------- 0 101441 wIte 1 ..- --I. ':"5 2- \ & f....0°' 0 -14rS174, k\\\\\\OPW,\ A..„..-- i V\\k‘\,\, , . . 0 \ al ` f CP \‘' CP V;'.;., r. 411.‘ 1110 I ki ' ":. -:'... -.::, ‘.(4) ..,\ , 1 \ - --. ' \44% \ rig N . , v Q' \ , % 1, _ n r j— 6" E 73 <_, S2'26 3 It co 105.a�_� alCP .- -— O 1 Z 0 0 5g0te ,pry 424/011. :a'sc+C. _ .