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98-282 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW PORK October 30 98 j' Date 19 98282 Tlris is to certify that work requested to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure tnsy be occup ied as a LOT # 83 1TNETTE LANE Location PASSARELLT . GUIDO Owner TAX MAP NO . 1 2 5 . - 9 - 8 3 By Order Town Board. T17W�N OF QUEENSOURY Director of Bldg. 15c Code Enforcement BUILDING PERMIT t7A �,fl fi , �s N OF QUEENSBURY fVa, � oo3ft : TAX MAP NO . 125 . - 9 - WF'14RREN COUNTY, NEW YORK PERMISSION is hereby granted to P OWNER. of property located at LOT #8 04 L Street, Road or Ave. in the Town of Queensbury. To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. O WNE R'S Address is 465 LAKE AVE . LAKE LUZERNE , NY 12846 2. CONTRACTOR or GUI LDER 5 Name LAMONT , MIKE rARCHITI �HERALD RSQUARE EENSBURYn NY 12804 llamaW YORK BOARD AMUk BOARD OF FIRE UNDERWRITERS S. TYPE of Construction — fpfsass tndicste bV X) SINGLE FAMILY DWELLING f I wood Frame l 1 Masonry t l Steel i 1 7. PLANS and Speclficatione 1822 SO FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE A$ PER PLOT PLAN SPECIFICATIONS SINGLE FAMILY DWELLING 227 June 3 t9 21DOO $ PERMIT F£E PAID — TEAS PERMIT EXPIRES 11f a fonder period is required an application for an extensbn rnua be made fo the GuIldint a fetttii o`r of;i'i .._. town of Queenstwry before the expiration date.f 3 June 19 flatatl at the Town of f]ueertsRN,rry this Day of t9 v for the Town of tlueensbury SIGNED BY bra oni Ir+aPeaor Building Permit Application Town of Q"LaC+Eensbury - Dept. of Conununity Development. 742 Bay Road, Queensbury, NY 12804 [761-82561 BUILDING & CODE ENFORCEMENT Requirements prior to issuance of this permit: PERMIT FILE NO. A permit must be obtained before beginning construction. No inspeetiom PERMIT FEE PAID S - will be made until applicant has received F ��'.atting d Action a 'VALID BUILDING PERMIT. All Area I Use RECREA77ON FEE PAID •$ applicants' spaces on this application MUST be completed and�the signature Q Piatuting Board Action REVIEWED BY- of the applicant must appear on the SPR t Subdivision 1 Other Bui&Irng Irupeaar lication form. rrkwA ,n«. Recreation Fee Payment Applicant: C�' ' U t CL a s ✓ , I Owner: - S Address: CFJ JVIC r &:- y +?, Li4 Address: Phone # ( L�7 �? - �1�1 Phone # ( ____-) _____ - ...... Property Location: , A e r s"' Z3 aya G' t! 1 Tax Map Number - Subdivision Name: !/ rovee , Section Block ls}c NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE 1, �New Buildings CONSTRUCTION : $ / 000 esidence / commercial Additi u onilding : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - - - - - residence / commercial L single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office Other Work ( describe below ) Mercantile , Manufacturing other GROSS AREA OF PROPOSED STRUCTURE . 1641 f ADDITION , what will use ist Floor . . . . . . . . Coca3 sq . ft ItX? of new addition be ? : 2nd .Floor . . . . . . . "��f 9 sq . ft . to other Floors . . . . * sq . ft . { not unfinished Cellar or basement } ACCESSORY BUILDINGS : �d� Detached Garage 11 2 car �] TOTAL FLOOR AREA : SSc� SQa FT . ✓ Attached Garage 1 , car Private Storage Bui Ina SI_TE _ OF NEW STRUCTURE : Commercial Storage Building Other .4/ FEET x `off. cjr� _ FEET Foundation Type : will any second- hand or ungraded Number of Stories : _ lumber be used? I € sot for what ? ( habitable space only ) Height ( grade to ridge ) : �q Z feet TYPE OF HEATINGSYSTEM : Number of fireplaces and/or woodstove { circle all which��a--.�p� l ' as ) to be installed : Electric it / 'tea' /Wood Baseboard / Other Person responsible for supervision of work as regards to building codes is : Name Addresss Phone Builder : ti I Plumber : Mason : Electricians DECLAR'A77ON Please sign below after you have carefiully read the .statement. To the best of my knowledge the statements contained in this application, together with the glans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and than 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; drawn/to scale, showing actual location of project on premises. Signature: (owner, own agent, architect, contractor) A Application fox- SEPTIC L] IS'I'U'.S �1 �r I' i�121 I 1 S'1"1'+h11' [Ll'sC_'Fil Vlil? I -tre:llicM <,I' ltrt,l.erly Ir>r ittvS:illalit,ti: ��;'^3 tr ,U) 1^ D fJtvttcr's Nanie k rTI Owner's MaiSiitg Address: ..7, FGC2 c" yr` egag 62t '/ r 1VE F PAID j Coe) Ixistaller's Nantc: �_r;�� 7,�[] 7'AL11 1'Iicsnc #: "� ro "' !o'r?"1�+2 Nuntlicr of ttcdrnctntt (if residcnti got I -1-Otal daily Ilow {residcntia[ - cc,snl.ttic rr 150 gal. leer bcr[rciotlt ): lirlxigrajzliy: ® 1=1a1 Rolling sicelr Slol,c 9"n of, Ntvc Soil Nature• Sand © L .oani Clay Q othcr 1130011: Ground Water: at what dclith'? Ccct Bedrock err lntliervinus hinlcri:tl : a [ what cIelitkt'? Cecl Purcolatioit '['cst: *� . Nt,t Requircxl 0 1Zrtlxiire d11L:slc ntin- lx•r iitclt Domestic Water Stij,ltly: Mutticilr:tl Well Cttltcr iC domcstic water suliliiy is a W FAA water sulil,iy front arty sclitic absorli[ioti is free 1'I2C3F'bS1if3 SY.4'll�hi : Sclxlic tanit' gat, (ntininiutif sire 1 .000 gal. ) lice I;icltl: eaelf lrcttclt L;:@'2 rect. / total Systcxn kength mod feet. Seepage Pits): t:utulrcr of / size each- R. x ft. Size of s[rietc to be uxcd: # / depth or thickness fact. 1101_I31NG TANK SY5113M: (iC required) Mu::tlicr of tanks Sixc 404 Caclf: gal. /llrrrrtt systrrrr rtlrr! rr.ssveirsreel rleerri,crrl work ro hr ifrsprctrd fiy rt errrifrrd rrlr,errcy. favor your prorrefirrrt, please rrtrte shref pro r iirrrsI ttr Seclirrrr 13r- 29 ofthr C'orfe cif III r TO11-,Or of 7urrresheery, troy^ permit rir a p prrrvrrl Sportsrerl which is brisen tr pon ear is granted in relirrrrr.e rr fever urry nt a lerirtl ire isrr p re seer rttfiorl a ffr ilrr re to trt to fee arrxnrrri rtl fact or r:irctrnt•rinrrtr krter aver by or r]It Itelrttl f or f ait it frplicrrrrt, sit rrll Fee voirl- 1 harve read tlrr re•i ulntiurt.r tt-ith respect to this rrpplicrrriott tenet rt,grce In nhirle by these and all {)rrrerrr.Tboor�yy� Strlriftrry SewagelJi,sposr+! Orrlimonce. rerin ire rr:nuts ofthr. 1"ut+^+! of Sigrrntrrrr ofrc.sfrnre.silr 'r persow w6;. Li N1raltGx c r >�r; C "PLIA " CE: APPLICATION growNl ()I; (ZUI�: 14: N Sr3llltx , Wl\Iticr,N c outcry MAY 2 7 1998 grog_DAY S Coltip1lance Met ktcLQU };'11RT '_a c.ept: cabla E' ]: avkilve McLliold - • l, rr ? I}'tt �n.I. l. y r)wt3 ,t1111c,1er ( only ) I'llRT 6 a -- '1' llInrilltaI Itaullty - C:ompolleaitL '3' +- 1ecta V, tf? 1. &2 ralItlly Dwel. 11119ri ; Mult 1 - 11'allIi_ l. y Dwo1J. lttyea ( 3 e3Lor1es or 1innf3 ) l'I\ RT 01 * D"O J. ylt by Culliponell l 1' orLva;yt�rllrc: n Comma c. 1al Buildi :igo - 11 .1. Rine 1Zes1de11Llal " Itc34� lt _1• i' ef3 r3ctkaiulsslvtt of wcra 14sileeLra APPI_. :I: CAN•l.' ' F3 N1tMM : — I.rIL[ 1i' I!:lL'.S' x 3..L7i l►'1' 1[3N : -- 4s �.z%'_C•71 C! e'7 J �+�� t9 YC�' L-•Li,G.►__-_-- --- � e'�s-�' �CI C� Y•c'S7 l C5L t.J 9P VV_yo, -- PART 5 1ACT1100 Or COMPLIANCE BY ACCEPTABLE 1: RACTICl_ : 1 . Gross Vo1vor Area - � �� ,� �. _ _ toquax.•eg feet~ 2 . 'V y p e of l l e to L -- � f.. .{. ca c: I. a.- Ai c: --- Q 3. 1 _v'� Gas 3 . 1tt kaul .l. cJ ,i. lty tttec ltait .i_ c ta .kJ. y c. vv .l. cat_l7 — Yes Nv h . percent age of: area of w1istlowl.1 . and elvvrn over 17 % � � Ultckeat 101 5 , lt--Vlri. UZS FOR 1NSUL.IiTIU11 GiVEIJ BELOW MUST CORKE, SPOND '1Y? lt- V11LUI318 AS S11OWNr ON PLANS SUF3141 "11'111D : a . Roof I1 _3Q ka . LxLea: lor wal l tj c . GICkno J =aa. can cI . I�x. t: ea' ltar ticatia_• rt IL _,/„Q. �'" e . Floors over: 1. nheuL- ed lglraces IL I r . Edge of slab Batt yunde ( ilneaLed bulld11tg ) !t _�- - - ' y . Dasen1erlL / quoll. €aa: walls ( above yr. ade ) li It . Basement / cell " r Walla ( b alow yrade ) 1 . ] leaf lllyJ +covlasty - cent Ls -• Ey :a.VIjig In utslaeaL- e d space It G . SerrvIce ( tlornes.41c ) ] tat wetter heal: 3_ rag device �, Conforms to m1111mu111 er. l: lcxl. e llc:y per code c/ Yae No '_t EME' LI#.ATURC CCJN'1:1101J N111k3i1MUM i uix'1' 1tro 1. 4ou — WILL NwX Du rimCGC17E+`.1) App .1. 3 ,quilt- " s ; ` tJIta ra I)a t: n Pholta Ntelfth n r 1. 14 PC,CTOIt ."a REMARKS A RES,IpENTO& FINAL INSPECT110N REPORT Office No. (518) 761-8256 Date inspection request received- i 10)11 Building 6c Code ityEnforcement Dept.Dept. aa of Community Development Arl"lve �1pg Town of Queensbury or's fitittal -� 742 Bay Road Queensbury, New York 12804 NAME + PERMIT # t d— LOCATION DATE C2 _ TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeigbtPvB" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Co Interior xtenor lings 3 " to W4 Exterior drails balconi , landing 18 in. or more Interior ils tears bo sides 3 or more risers. Grade 2°!0 a rn four on 8" clearance to s Gras Valve shut exposed/regulator 18" above grade Gas Furnace sh -off within 30 feet or within line of site Oil Fun;tace sSh�Iu -off at entrance to furnace area / F'rsrnacr_J ot_I3� ter Heater operating; Relief Valves installed Headroom, 6 6 in. on stairs Basement stairs, 6 It_ 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trimldooisr'main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconieslLanding 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 3/4 hour fire doorldoor closer Garage fireproofing Garage penetrations sealed Furnace in separate room prprequired garage) Light ventilation per room Safety glazing 18" or less fr Final Electrical Site P1anfVariance required Final Survey Plot Plan As Built Septic System layo Okay to issue C/C (Certif.layout okay to issue temp. C/O (C: cupancy) Okay to issue permanent CIO (Certif. of Occupancy) TOWN C7F QUEENSBURY BUILDING cooK 742 BAY ENFORCEMENT QUEENSBURY NY 12004 1 (51s) 761-8256 ARRIVE : DEPART : INSP : FINAL INSPECTION REPORT - RYd S/I DEPiTIAL ,.� i'y DATE INSPECTION ReQUEST ' CEIVED : NAME LOCATION _] _ PERMIT / DATE TYPE 4F STRUCTURE BACKFILL FRAMING _ FOOTINGS,,._,,. FOUNDATION INSULATION ROUGH PLUMBING SEPTIC FINAL ELECTRICAL� W©'ODSTOVE OR FIREPLACE N A YES NO CH N ; VEN G T o 11C1 F T Nf O N SH iC O H s E s LING^a E A V S A P N E P VAC O S E G s R CA P T D STAIR gLgA N E ING K E O S DbXHR ING S T O S ON GE F E PROW01FING PQQB. CLO A E T A SITE P AN ANC SU T L N OK Is U O R C C RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building ,& Code Enforcement Dept. of Community Development Arrive "Town of Queensbury Inspector's Initial 742 Bay Road o1 Queensbury, New York 12804 NAME _ �-r C"e PERMIT 30d�- L OCATION � _ 61e, 0 - DATE TYPE OF STRUCTC .1 NIA YES NO COMMENTS Chimney HeightP'B" Vent/13irect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complet Interior/Exterior Rail W1 Exterior Handrails, ba g ] gin. or mor �_ _,....._.. Interior Handrails stairs both 3 or more ni Grade 2% awav from foun Lion $" clearance to sill plate Gas Valve shut-off a regulator 18" above grade _..__ Gas Furnace shut-off thin 30 feet or within line of site, Oii shut-off at entrance to furnace area ' / e urnac� _TWater Heater operating Relief Valve(s) installed _3�s3 �.'L 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' t' Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomc /l..anding, 18 in, or more Railing across window in stairwells SY Smoke Detectors, every level every bedroom outside every bedroom VIA inter connected Bathroom fans Plumbing fixtures VA Foundation insulation 3/4 hour fire door/door closer Garage fireproofing - - 1 Ali/ 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 Final Survey Plot Plan As Built Septic System layout required _ Okav to issue CIC (C:ertif of Compliance) Okay to issue temp. C/O (Cmlif. of Occupancy) Okay to issue permanent CIO (Crrtif. of Occupancy) 807319:3 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE BUREAU OF ELECTRICITY III WASHINGTON AVE., SUIT LB Y NY 1221Q DateOCTOBER 22g 1998 y i1409 5981998 H 451117 THIS CERTIFIES THAT o't9 `�219 only the electrical equipment as described below and introduced by a named on the above application number it in the premises of GU.xDO PASS RELL2, .LUNETTE LANE LOT 830 QUE,LNSBURY, My in the following localN!+OBI=J Bye 1 r�98 ;st FI. fn .Znd FL. GAR Section Block Lot 81 was examined on CC ER ..LL .�} andfound to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEN FLUORESCENT oTHER AMT. K.W. AMT, K.W. AMT, K,W. AMT. K.W, AMT. H_p, 20 44 21 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC,". TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W, 09L H.P_ OAS H.P. AMT. No, A. W. G. AMT, AMP. AMT. AMPS. TRANS. AMi. H.P. SYSTEM$ Nfl. QF FEET AMr. wATrs x F 1 30 1 1 6E+0 SERVICE DISCONNECT NO. OF METER S E R V I C E AMT. AMP, TYPE E61U1P.. I 2W 16 Sw S 0 SW 30 4W NO. dPERC000N[I. OF cc. Como. NO. OF HI-LEG A' W. 6' NO. OF NEUTRALS 'A' W' 'G. OF HI-LEG 09 NEUTRA4 1 1a C$ ? X OTHER APPARATUS: rs. F. C. -5 SM NE DETECTOR -6 .R&T CONST, 27 PLATT ST L 2AKE GEORGE, NY 12845 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 MARINER. GENERAL INSPECTI©N REPORT Town of Queensbury Dept, of Community development .Date inspection request received: Building & Code Enforcement 742 Bay Road , Queensbury, NY 12804 Arrive am/pnn Depart2/13111 Inspector's Initials NAME: PERmrr # LOCATION: _ DATE : L7w TYPE OF STRUCTURE: RECHECK NIA 'YES NO CONIME1dTS FootingslF'iers 1 Monolithic Pour Form Reinforcement in Place The copntractor is responsible for provi '' g protection from ing for 48 h rs followin p merit of the con te. Materials for site Foundatio 1pour _ Reinfo t in Place Founda ' nlDampproofn B Approval Flurn ng Under Slab Plumbing Vent/Vents in Place Rough Plumbing, ,Yeating Rou -In /insulation VZ Foetndation Walls interior R- Foundation Walls Exterior R- Floors R.- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- rr'ruyc..r V�.11Ly AWC `Vent Framing Jack Studs/Headers Bracing,Bridgin Joist Hangers Jack Posts/Main Beam Air l.nfltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL Zn SP CTl NN REPORT Town of Queensberry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials NAME: rAe75 4R &,ku . PERA/IIT # d -C J • LOCATION= DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforceme +E in Place The contractor is responsible for providing protection from freezin for 48 hours foll g the pl en of the concrete. Materials for this se site Foundation[Wallpour Reinforcement in P Foundatio oofmg BackCll Appr6val Plumbinge0nder Slab Plumbing Vent/Vents in Place Rough Plumbing v�eating Rou In ation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Psoper Vent. Attic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 37 4 hour Firestoppin GENERAL IN pE I(7N REP RT Town of Queensbury Dept. of Community Development Date inspection request receiveds Building & Code Enforcement 742 Bay Road /© • f Queensbury, NY 1280 Arrive am/pm Depart Inspector's Initials NAME: PERMIT # LOCATION: DATE TYPE OF STRUC RECHECK NIA YES NO COMMENTS Footings/Piers 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 Foundation/Wall ur Foundation/Dampproo Backfill Approval Plumbing U Plumbin nt/Vents in Place Rough umbin Heating Ron -In anon �e Foundation Walls Interior R- Foundation Walls Exterior R- Floors R� Walls Ceiling R- Duct work or piping in unheated spaces R- -Proper vent, Atiic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers jack posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled. Fire Wall 2. 3, 4 hour Firestoppin t ft - E GENERAL INSFECTION REFf)R"T Town of Qoeensbury Dept. of Community Development Date inspections request received: Building & Code Enforcement 1 742 Bay Road M6d Queensbury, NY 12804 Arrive am/pm i to As in• i; a t+Jow� NAME: F PERMIT # L(>CATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from ing for 48 hours following the went of the concrete_ Materials for this purpose on site Foundation/Wallpour R ei,nforc ement_in P_Iace Foundati onfDampproofin B Approval pping Under Slab g Vent/Vents in PlacelumbinRough-In ArR , 14 l ,r Z )on �• Foundation Walls Interior R- �rU,5 �5 Lc: Foundation Walls Exterior R- "oe Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- _ r^T., _ __ _I V C.'IYt 43C- Vent rarnin ck Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour. 1 _ � �%�� e�r► Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping FRCA'i HARVEST HCMTr=S 1bIC. PHO14E P117, 5166952287 P03 1 Ivrrs Cesm Type 4N' pry l Q �- '�i`i S �+ x- 1 �' sj PINK i .' may ',� t 913i1 rIe +.,aywd.., 1",0. Mon ice "lS ora:.aul;sl t D415 Aagw t i 7-3o 14 s-+s-2 n.a ,2 za-,a i 1 � &aa{z ' 4 I milli I oil lip A v F 2002 �Q=ITIQN SC 28C TRUSS ON DRAWING 10239,5. IS TO BE MODIFIED FOR A 2' CANTILEVER. "r i 7AD'0 2X6 #2. CUT TO FIT AS SHOWN" 1 COVER EACH FACE WITH 1 /2XZ4X96 pLyWOOD GUSSETS. POSITIONED AS SHOWN. 3. SECURE GUSSETS WITH GLUE P,ND 320 MAILS SPACED 3"cc IN ALL MEMBERS COYGR'E©. TMq orWAIR 12 SAX= PM 1"oo*hV410H RMtr4f= 6VTOJ I'"=14WFA.CMIUmMtSFRO FROM 1RAAYW Irt MIL ff 19 THS REP014 ilt 917 OFTtNRI SUX.GNG IMP=OIt AND COMTRACTOR to VVWrf 7HI1 ACCUJI►A=f OF TIM P"AIAi 10 Till Ill" APPMATIOPI. I T040 6 A SPfCIAO REPAIR DVAII.TO aE Lmm ONLY Polk (M t3MMMAL 0"NIM110641. � { Tma RIMAut doss NQTiMrLYTmTTmw xaoAmmmo 1'+DR1'10N OFTHETRL6t It UNDAMAGED. 1 ruC &mRIS txuss mnIL od wartmAYM740. vt*Uly*4ULT► O a tsle MM OJEFA S A" gyp_ RMUIRM WHdN Tiff R1fju1RB.'! 4"AIN AXE r3tCP ttY "FLM T116 TIMS WILL Iq ���,� O i m 4 CAP'^$(3 OF su"oi nN THE LmAw tl ICATED ON 0111CI► AL D131CK. AI,I, 7A%MSFNt Masi ale RL"Mft" ) TO rAOR ORIO*"L 1CISIT1 HS UIMRSAPrLY1NC M I..st�d" k11P,u4 A*+D 1,Ea.131N PLAGT.Di}AJ►d[3 .1'J"tUZ'i.T14N QP II>oPA1R.TS+E �D aRfTANCG. E OF bWANGE. AHM SrAC11443 Of MAUS UtAXL SC MCH AS TO AVOID SPLITT040 WOOD. W1tM "Ll"O lml PLYWOOD w." M ,AND/4R SCARS T► l! IM OF A aACVJP WC OM IS RECOMMIIINDED TO AVOID LOOSEt14N47 QPTH! CONNECTOR M,d►M ATTHR JOIKM PLYWOOD CUtIEM ARf TO SS C-U oabolURE 1. AAA SIRUCruwAL I RATED SHIIA1141HO, PoZMo" r%,,yWo o WM4 PAGE *RAIN P.O-ALM'tO wWn rXMWMIUVI CoHrmucnatt QUAam Wca(a Aan13{Y@ cc APrum To ALL PACM OF WFAsot cavlaal:D IT exR4sExs, nuSiExs ARE AJ'RJ M] TO EAcm IAA$ wMRR S'HoVYW 00 AJl rssr.CVFl= v+fUll ti 120 CONVAON vnstS NA10 MI4r me_ . Ir1�d) aRrv9+ FROM OHR PACS AND cuMr.6 � atQ1'rR 91ti} FPtQM W& UreOl g PACE 4�v ' (A)04 GENERAL WSFECTIQN REFQRT C� Town of Queenslrary / Dept, of Community Development Dale inspection request received: Dept, �/' !l// CJ Building & Code Enforcement 742 Say Road ` Queensbury, NY I28U4 Arrive am/pm Depart PPI Inspector's initials s+_ ..a Sit C J ,�,t " NAME: PERIMIT LOCATION: A St DATE : -- -- TYPE OF STRUCTURE: RECHECK NIA YES NO CON1 MFWrS tonoh4tWh c Pour Form rcement in Place contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose site Foundation/Wall,ur uwin�fiYm�mrnt in P Foundation/FJampp Back6fl1 Approval Plumbing Under Slab _ Plumbing Vent/Vents in P _ rD �R Gr" °� o Plumbing Heating Rough-in © { Insulation Foundation Walls Interio R- Foundation. Walls Exterio R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- _ Propernrient, Atiic vent i"l�d fJG� ,2� �•tjfi . ,�-P,/�.2•� �/ -�'d�'_ ��' C9 55 Jack Studs/Readers, ea<-_ 'k s Bracin&Mridging Joist Hangers Jack Posts/Main Beam ` +ar Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppitt ' TOWN OF QUEENSBURY BUILDING S CODE ENFORCEMENT 742 Bay !toad Queensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION i i Name ,Eck Location Date '?Pernit # SOIL TYP � ►r�...�.-dam-Cl ay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch x TYPE OF SYSTEM; ABSORPTION FIELD : Total Length Length of ach trench CC Depth of 11 enches Size of st ne { SEEPAGE PI Numbe - Size - ft ft Stone size PIPING• 5 ' ype B to Tanis 111dh ank to Dist . Box - r� �� Dist . Sox to Field/Pjt, Lit Openings Sealed ? Yes o artia ' LOCATION/SEPARATIONS : Foundation to Tank ] L feet Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan - 0 LOCATION OF SYSTEM ONPRgPERTY : ( circle one ) Front Right Side Middle Front _ Middle 7 ear COMMENTS SYSTEM USE APPROVED: ..._--- `"qLS^-�.- 1[p Arrived. Depa Bui7 in r peCtar 115, QQ ' ,tl � rIE �o TOWN OF QUEENSB 1RY 24' SUIIj)ING & CODE ENFORCEMENT 742 Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name y ''' 4 Location I A yy Date Permit # _ ? C SOIL TYPE(j: am-Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: r ABSORPTION FIELD: Total Length Length of each trench _ N - Depth of trenches Site of stone SEEPAGE PITS : umber-_ ft . Size _ � ft x Stone size _ PIPING: Size ype Bldg . to Tank Tank to Dist . Box fit , Dist . Box to Field Pit ►� Openings Sealed? — o ar is LOCATION/SEPARA ONS : feet Foundation to nk feet Foundation to bsorption feet Separation o Pits yes o` Conforms as er Plot F1 an LOCATION OF SYSTEM ON PROPERTY : ( circle on _ Right Side Front Middle Front - I e ear i COMMENTS SYSTEM USE APPROVED : YES < � i Arrived: Depa Sui d ng I s ec or GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: ` "" Building & Code Enforcement 742 Bay Road Queensbury, NY 12844 Arrive o Depart' Inspector's ><niti NAME: G* Y'o rE C.k.•' PERMIT ,# LOCATION: �3 ATE : TYPE OF STRUCTURE: ------ RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection frpm freezing for 48 hours following p7ment of the concrete. Materials for this purpose an Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backf ll Approval Urlumbing Under Sl l Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foun.d,ation Walls Exterior R- Floors R- Walls R- Cei.ling R- Duct work or piping in unheated spaces R- Pryp,-r Va,-nt� Attire Vent Framing Jack Studs/Headers Brewing/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 ,NSPEG"�7Ci1V REPORT Town or Qaeensbnry on request received: Dept. of Community Development Date inspection Building & Code Enforcement 742 Bay Road Depar, Queensbury, NY 12804 Arrive Ins Inspector's�ilniti�sls �� Ly "PERMIT # _ NAME: r ` DATE : =gC — LOCATION: TYPE OF STRU RECHECK NIA YES C3 CON vIENTS Footings/Picts Monolitivc Four Form Reinforcement in Place The ,contractor is responsible fo providing protection from freez for 48 hours following the placem # of the concrete. Materials for this purpose on site Foundation/W allPpour Reinforcement i►, Place Fou ndatian/Damp'Pr'oofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla e Rough Piumbin Heattpg Rough-In elation Foundation Walls Interior R- _ Foundation Walls Exterior R- Floors R- Wal.ls R- Ceiling Duct work or piping in unheated spaces R- Proper Vent, Attie Vent Framing jack Studss/Readers ' Bracing/Bridging Joist hangers Jack postsfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed — Fire Wall 2, 3, 4 hour FirestoPPin GENERAL IAWPEG'TI01V REPORT Town of Queensbury Dept.. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road R Queensbury, NY 1280�4 Arrive DepA , �- Inspec tor's Initials NAME; PO PERMTr # LOCATION: I nJ 77�G- DATE : TYPE OF STRUCTURE: RECHECK NIA S NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The Contractor is responsib for providing protection from ing for 48 hours following the P Ment of the Concrete_ Materials for this purpose on site Foundation/VaWallpour ReirSorminent in Place Foundation/I)ampproofin J Bacidill Approval plumbing Under Slab Plumbing vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exteri r R- Floors - Walls R- Ceiling R- Duct work or piping n ` unheated spaces R. Proper went, Aitic Ve t Framin Jack Studs/Heade _ 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 Firestoppin,g — GENERAL MAE&C.TIQN REPORT Town of Queensbury f Dept of Community .Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive art is 11niti NAME: PERMIT # - -� L©CATIdN: n u' 3 a_ ir�r.•% ' ,.� BATE TYPE OF STRUCTURE: RECHECK NIA YES C©NIl+uiENTS �__ --Footings/Piers � Monolithic Pour Fo Reinforcement in Place The contractor is respo 'ble for providing protection from ing for 48 hours following the In t of the concrete. Materials for this purpose on site Foundation/Wall pour Reinforcement in Place F 6uridaEian/13amp�proofiaLPIace Backfill Approval Plumbing Under Stab Plumbing, Vent/Vents in Rough Plumbing. Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Hearn Air Infiltration Harrier Fire Separation 1 , 2, 3, hour. Penetration. Sealed Fire Wall 2, 3, 4 hour Firestoppin,g