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98-268 C�ERTIFICATE C3F C�►C�%lik ?ANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK October 9 98 (� Date 19 Fasis to certify that llworkl�-requcated to be dome as shown by Permit No. 98268 een completed. Till FAMILY DWELLING This structure may be occupied as a LOT 25 # 8 JACQUELINE DR . Location MICHAELS GROUP Owner TAX MAP NO , 7 4 . - 2 - 2 5 By Order Town Board TOWN OF QUEENSBURY Director of Bldga do Code Enforcement BUILDING PERMIT VALUE $ 110900 TOWN OF QUEENSBURY 98268 TAX MAP NO . 74 . - 2 - 25 'WARREN COUNTY, NEW YORIK PERMISSION is hereby granted to MICHAELS GROUP LOT 2 5 *8 JACQUELINE DR . Street. Road or Ave. OWNER of property located at r, in the Town of Oueensburi To Construct or ptace a SINGLE FAMILY W 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. rIj NICHAELS RGE r NY 12845 OR or BUi LDER'S Name GROUPr INC . 3rl ; NGR1810 ROUTE 9 RGE , NY 12845 MEIJIa. ARCHITECT-5 f+iame NEW YORK BOARD riQEVC��D OF FIRE UNDERWRITERS 6. TYPE of Construction — IPiease indicvt■ by Xi SINGLE FAMILY DWELLING { 1 Wood Frame I I Masonry l l Steel C F Jill 7. PLANS and Specificstians 2090 SO FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PE °PLOT PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLING 263 May 26 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 S lit a )anger period is required an application for an extension must be made to the Building and Zoning inspector of the town of busensbury before the eapirationn "e.l may 19 Dated at the Town of Queensbury this Day of for the Town of Llueensbury SIGNED BY C" irg and Zoning IrwspectOr C uilc ' i�rr., Permit .Application 7j)IVJt U,f" QHCL'11Sf1If1Y - D(7+r. r f t}mrrlrrrnlrp lhxrlulxr+erN, 742 Day Rrxrd, Vtreeresbury, NY 12M4 (7614USGj BU ► LUING t4 c , , e CNpQftCEA1 , ivr 4TIC Requimmenls IIfior to issuance I',EltHIT FILE NO, of [his I► rlldl` �y A lvitilit nstrsi be 1rlNaillecl II(sfirrc pvififi "r�fsv PAID s lrcgineting crtlrsllt,t:liun. No insl,ccli(nrn u ,7aurshig II(xrrd Ar1imi, will 1rc enntle tuilil algrlicanl lrns rcceivr,t A,rs f iJxe Ii!iCltf&rt1JfTN FE+K I'Af a VAI.II) llitll.l)INLx 1`IilRAll 1'. All applicm1W glmcae ,ar Ihis nlr),lirnlitrt, Me15'l' Era cunrlrlclrJ anti t1,o xiknnlrrro � I'fr+r+rrtrrg 13(xlrrl rlerle�l ILEV'1CsWGlt 1JY.' ttf lite nitltliennl nnlst nlrlxar ut, Ilra SI'R 1 S,d><liviskm I r i yrlicnliun tutor. tr.rp.. itlti:rcnlictc, l°cc 1'ayn�Y i /I,lyrilcanl: l ire 1iticlrcleP6 Gauu�, i +le. ow11ct: ' ,/'till(ileSS: I Tc 10 ft()I:.te 9 I.nke (7x?uJl( e" N VV 128A5dIcss; 5J8_) _LfiBµ - Y3316Y � - - Irrollerty Locatioll; Mail r l 2 t r ( j� " Secklo Wvck Ixlt Subdivisiun Name: IITTIMM Or PItOrO5Et} WOlIKt FCCUPANCY MA1t10E'l.' VIILUS Oi�' T1I,EIlex+ 13u3. E.ci.iuy : a $Addition I.v 6trllddny : jurORMI►'1ZONS ( rtl.(3cncc { c(xnrinvrvial tlul.ldlttg h 1. Lc-r.xl-. i.(.n 1:a 1},r .3. ( . : gle Iratn3,ly Dwelling . y renidelice I CornnkcrCiai Two rantily Dwelling Itcal.cleuce / CommelrciM1 rarnily Dwelling rtv Chalryn to exLerlar else 0 Fri:Ca 14ercantito ' Other Work ( describe below ) ltaltufacturiny �_ other - - --- - -"�ttoSS AREA OFF I'1tOPOSED STIIUCTUREt I £ ADDITION , what will us$ s ft . / of kegs addition be? t 1sL rivor . . . . . . . . ay . it . /2Q N +t other .r'lvor . . . . . . - • [ eta , ft . ,y Other C'loor. s ed ACCESSORY MPILDINGISr ( not utxLinieixed Cedar or base1e Detached Garage it ? C Attached Garraye 1 . car 3 '� �� Gt _ SQ • FT ' _Y - private storage Tau ding rt�1"nl >#1,0�Tt netcn : s(e' ` F Colrst+erciai Storage Building SIZE Or NEW S'r ItUC'T[l M: Other �f FUET X rKUT P vurkd.at io,r "1'S'F+ts : I'uu)led luWill auy second-hand or ungraded mber be used? It sor for What? Number oT SL6VIe4n : ( habitable Apace only) feet TYPE; OF' , HEAT NCI &T341GSMS08 ) height ( grade to ridge ) circle all whit I) Number of firefsiacen and/or woo(lgtove glectrio f i�il Goa Wood to be inatalleds rvrced Itot Al / aboard f other ardai to building Perron reepanalble for gupervl0ivn o£ ~croraEric Rio P ^t codea ie �ytleallrL" 14..� -f- T P�}` ni 28A5 518-d6$-337b N 7ine ACRItes 9 T3uil.der : the 7d.tclrae£b Gxvjxp Iitc. 1810 X. 9 Lake NYal2$fl1 _ St. $- y9$- 4399 �l_r14 1'ah Rs(rr� Gool_r F(t plunrlaer : 1auct l lar+_f�t�J.iQ J $- 31J -9922 ltstnon s �J1T [iuelc{LQ1i . 1 lectriciarxl UI CL.rd1z 4l7(lIV. Please slgtr bcfaw rlf7eH ynlr have cus .11y read rJre sralerrrcrkr 7'o like best of illy knowledge Ole staternellW contained bt this applicatiolt, togetdler wish lire plans ,rld spccificsttiorxs suben3llcd, aye a true mud conxltlete slatenient of all proposed work to be done on Illo tlescribc(1 ltrenrises and lltat add provisions or tlxc Building Code, tlxe Zonittig Ordinance and all 1lher sctiInw Itcrl:xining to lsyo}'osed work sixatd bo jurtiler.cotllpBcd will, wilether specified or notcd. and rlrnt sltcl, wurk is sxutlror yeti by tile ti�± owl'aF Call, bci s$ Issued, all AS BUILT pLLOrl'tI' yLAlNtby CcrliPrcntc of C?ccirlrx,ncy"u remises. kt licensed auxvcy Llraw to le, siraw'sng actual isx:atian of project on p Sigrratut'c: trwncr 3 agent, archi(ect, contractor) �. E P TIC D IjS P [J SAE PERMIT SIr\:i•.3P RI_.CL". t VI_.L7 . Loentioix of pcolaerty fur 1aista11aUOW P11- 1t1,Y1Iry NUINII3U. R (� �vller' S Name : TA2 ,M..c�Chae 6 G,rr.ouy, LLC Address : 7310 �,Lto 9u� ho 0o ,r -1,,,a Uv T7td Installer' s Name- T ,v% eu' nan Exc^vc.��;�a Irl:t : Pe\lt7 Plxone # : ( ) 513 - 339 _ 4035 Nunillcr of llcdrooins (iC residcnt'raE ] : o t 640 "t-drat Ll:iily now (rasidcnrtlal - cA.elilrute C' 150 gal , per bcL1rt*OM ) . Iol,c,grn I'll y: fiat IZulling = Stecin Sios ie ArF Sftilrc Steil N,,%turea !—� Sand T .oam clag Other r COround `,'Dater: at what depth? 30 feet p • MAY 13edrack or Inir-ersiotts Material : at wilat depths rcct Pcratslateon Tent-- Not Required Rcquired/Rate ) rtsin. 11cr luels IDellic'stic Water Suppiy ,4funiciilsl Wcfl purer tf doniest'sc water supiily is a �'JI : I .1 water sulrinly Fron, any septic allsurlit'sc111 is Feet PROPOSED SYSI'1 �i : Septic tank: T 2 5 U_ gal . (Tie ini Tie U111 size : 1,000 gal .) •Isle Yield: cacti trench 54 feet. I total systcin1 Iength 216 feet. Secpagc Pit(s) : srunrlice- of N/ { size cacti: Ct. s ft. Size or Stolle to tic used- # 2 S c © ne { dclitir or tliickncss rcet. IIL] 1j) iNG OrANK. SYS'I'lim : (•ir required) Nunilmtcr of tanks: N /A Siz.c nr each: gal_ Alarm_ sysrerrx aytd trssociated etectricat iti•ork to be inspected by a terrified agency. For your protection, please pore that Irt+rsucritr to Section I36-29 of flee Code of dire Town of Qiteensbury , crity perinit err np pro ual grtrrrted rvlticle is based it port oar is granted in reliance erpcx12 airy rnaterial inisrepreserrralion or failure to make a jr: arericrl fact or circurrextance kitrawn by or on . beltalfofan appticairt, dealt he void_ l have marl the regidr, tioit .s ri ir1r respec. to t Seiliccrrinrr tepid crgr•ee try crbide by these and crtt rr. rpuirrrrrents o fthe 1•owil o f []rrr. ensbtrr� Ste irar i crF c JJr'slro,srrt CJrriirretrrce_ *` IT9 � �' ,'Srerratrtrc ofresiro +tsilrte �xersra +t; _ l3crrr.': : 4 bed horse 1 TOWN OF Q U.EENSB' URY 742 Bay Rd. , Queensbury , NY 12804 s APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date 219 :7 Permit No. '79 - APPLICA' ON 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 andlor chimney. Applicant _ A ..r rlt r j„ 4: ( S {�� ,z c APPLIANCE (check appropriate boxes) Address ff ; l ❑ STOVE: ❑ Wood o Coal ❑ Pellet to Gas 0 FIREPLACE INSERT i k fora, Lh z� �F P / � `. C}"Fi REPLACE, FACTO RY-BU I LT; Phone ❑ Wood ❑ Gas FIREPLACE, MASONRY: ❑ Wood ,❑ Gas ©caner .� C_ ❑ FURNACE: ❑ Wood ❑ Gas p Oil i s i Address IF NON-MASONRY APPLIAN6E: j I - - Manufacturer: D1 d .� f t c 4 Zip Model : Phone !� !� S 7 (wow CHIMNEY (check appropriate boxes) * EXACT ADDRESS of prop6ged construction ' r ❑ MASONRY: ❑ Block 0 Brick ❑ Stone G l '� a Cxt1 s' � r .'~`) FLUE: A Tile ❑ Steel Size : inches CONSTRI UCTiON 1 INSTALLATION MUST FACTORY-BUILT: CONFORM TO NY'S FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS © Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS . ❑ Insulated ❑ Direct Venting ❑ Chimney Liner i Cashier's Department Town of Queensbury, New York j Dept: Fire Marshal Amount Collected Amount Refunded 1 Code Number Title A 173 3389 (190) Public Safety _ •ice-! A 233 2655 (230 ) Minor Sales 7 ,� Fee Collected From or Refunded to: Address Dated : S 49 Aev wn Clerk or Deputy: _ I White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink car Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING &� BAY ROAD CODE � QUEENSBURY NY 12804 { (518) 761-8256 ARRIVE : DEPART ! INSP : FINAL INSPECTION REPORT -- RESID DATE INSPECTION Q ST RECEIVED : NAME LOCATION MIT 0 DATE ,✓"" TYPE OF ST U TUR .-� � � .. FOOTINGS FOUNDATIONKFILL FRAMING SEPTIC gAC TIC INSULAT N ROUGH PLUMBING SEP FINAL ELECTRICAL WOODST+DVE OR FIREFLAC N A YES NO VE T G 'T S E D q T P L E VA ES FURN T W T ERAT N {} F RC RS g S • E H O S WE EPA O R R C R E p Q L NG O U R S q T O q NG FINAL. E C C N V ANCE R A S RV T PL N ISIS E O R C MAP REFERENCE: LEHLAND PARK BY: D.L. DICKINSON ASSOCIATES FILED NOVEMBER 3, 1987 CABINET A SLIDE 128 N.aicv D u s eh 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York lAc. No. 50135 LEHLAND ESTATES — PHASE TWO •UNALITH MM ALTERATION OR ADDrIION TO A DDVEY MAP SFMOD A LNiNID tAND SURVEYORS MAL NI A VInAAON OF WMICIN 72M 9M-01VIgI % OF M W!N "M STATE EDUPA7M LAW 'ONLY LTOtQ FROM THE ORIDNAL OF W DIILIEY MART® WW MDAOINAL OF TOE LAND *AtWYTNS WAL. NALL K CONDDOW TO NE VALID TRUE COPIM 'TaLTPCAMIS 911DICA100 NOLEONI DMFY TORT 7NS SURKY WAS POWAIM N ACCOIDAIM WIN M DOiISW OWE W PRAIM FOII LAND DIRUcwRS ADOPM NY TIE NEW YONK STATE AWIDCUTCN OF PROFESSIONAL LAID 91,111IM L SND CERVIGAIM lIALL MAI OILY 10 1W POISON FOR WM 7W D IMAY B PREPAFM AND ON IW NS W 70 THE THE ITOIlANY. SOVM&MNTAI AROLTY AND LOOM NNIM911011 LX= HOWL AND 10 THE AfOMEIII W 1K Lamm NSMRIIW SR5'41' 20"E n N Map of a Survey made for BENEDICT J. LIBURDI & MICHELLE A. SCARINGE Town of $ueensbury, Warren County, New York NO. I DATE I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITI INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Benedict J. Liburdl do Michelle A. Scaring Trustco Bank National Association. its successors and/or assigns Chicago Title Insurance Company CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: October 8, 1998 DESCRIPTION 1 a=30' S-1 81$T 1 OF 1 DWG. NO. 89423-25 FIRE MARSHAL. TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT ,r REQUEST RECEIVED / 7/9 ,PERMIT # NAME LOCATION SCHEDULE INSPEC N {7N M M ANYTIME + APPROVED N/A ' YES + NO AISLE WIDTHS f EXIT SIGNS _ EMERGE e Y LIGHT G FIRE EXTINGUIS FIRE ALARM Sy EM -- - --~— f FIRE SPRINKL R SYSTEM `— — --- — -- — FIRE SUPPRESSION SYSTEM ~-- — HOOD INSTALLATION __----� -- INTERIOR FINISHES 1 STORAGE: — -- - -- --- — CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE --- + -- CHIMNEY WOOD STOVE — FIREPLACE , MASONRY -- FIREPLACE - FACTORY BUILT REMARKS: OK TO THIS DATE AINSo VOW* RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept, of Community Development Arrive Depart Town of Queensbury in 742 Bay Road spector's Initials Queensbury, New York 12804 NAMES PE4RIvIIT # LOCATION DATE Lo TYPE OF STRUCTURE NIA YES NO COMNffiNTS Chimney HeightP'B" VentMirect Vent Location Fresh. Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterio Railings 3 to 36' Exterior Han( 1 , balco ' s, Ian g 18 in. or more Interior Handrails s th side or more risers Grade 2% away from to 8" clearance to sill pla Gas Valve shut-of ex sed1regulator I8" above grade "-- Gas Furnace shut-off 'thin 30 feet or within line of site Oil Furnace shut-off entrance to furnace area FurnacelHot Water H ter opera. Relief Valve(s) instal ed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish E3athroom/K.etchen 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 Fou:,;aria;. "Isaiation 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 187' or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (C.ertif of Occupancy) Okav to issue. permanent CIO Wertif of Occupancy) 4028789 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i BUREAU OF ELECTRICITY III WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 Date SEL I'EMBER 16 , 1998 f51198/9F� IglfgT+ t!E)med A l36462 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by on the above application number is In the pp premises of THE 111CHAELS GROUP , 8 JACQUELIN LOT 25 , QUEENSBURY , NY in the following location, 91 Basement ® 1st Fl_ El 2nd Fir. GAR F• SEPTEMBER 11 1 Section Block Lot 25 was examined on ' '99$ and found to he in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKI OUTLETS INCANDESCEN FLUORESCENT NG DECKS C1YEN$ DISH WASHERS EXHAUST FANS OTHER AMT. K.W. AMT. K_W. AMT. K.W. AMT. N.W. AMT. H.A. 31 44 28 31 ,3 E' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'F?. TIf40E CLOCKS SELLUNIT HEATERS MULTI-OUTLET AMT. K.W. OIL H.P. GAS H.P. AMT. No. A. W. G. AMT. AMR. AMT. AMPS. TRANS. AMT. H,P, SYSTEMS DIMMERS N4. OF FEEF AMT. WATTS 1 F 1 2 SERVICE DISCONNECT NO. OF METER $ E R V_AMT. AMP, TYPE EQUIP. 1 0 2W 1 0 aw 9 0 Awl 30 Awl NO. OF CC CON D. A. W. G. A. W. G. 15Fi CB 1 X �y AER 8 OF CC. COND' NO. OF HI-l1EG A, W W.LEG N4. OF NEUTRALS OF NEUTRAL ] 1 OTHER APPARATUS: 1IL3 POST LIGHT-- 1 G . r . E'. . I : — 5 SMOKE DETECTOR : - 7 FOREV ILLI ER FLEE /SORT, ELECT , L 4 D . bICPARTLflN 2446 JAFFREY ST . SCHENECTADY , NY , 12309 GENERAL MANAGER _2 :39 Per This cerliflcate must not be altered In any manner, retum to the office of the Board if incorrect. Inspectors may be identified by their credentials_ MGM COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERA INSPECTION REP0RT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay 3toad , Queensbury, NY 12804 Arrive am/pm Depart m/pm Inspector's iia time or NAME: Akic I '� I© PERMIT # yn - ' LOCATION- DATE : � TYPE OF STRU RECHECK N/A YES NO COMMENTS Footings/Piers ! Monolithic Pour Form Reinforcement in Plane The contractor is responsible for providing protection from freezing for 48 hours following, the placement of the concrete. Materials for this purpo a site Foundation/Wallpour Reinforcement in Place - Foundation/Darapproofing. Backfill Approval Plumbing Under Slab Plumbing Ventf Vents " Place Rough Plumbing. Heating Rough4n Insulation _ Foundation Walls Interior R- U ( � y Foundation Walls Exterior R- ' Floors R- Walls R- C ' ing R- ct work or piping in unheated spaces R- arr»_r Vent A"ir Vent �Framin 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 Firestoppin GENERAL INSPECTION RErPup.RT Town of ¢ueensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Qkueensbury, NY 12804 Arrive am/pm Depart /�" �-�am/0111 ` Inspector's Initials NAME: PERMI r 0 LC+CAT ON TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footirrgs/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fisorn freezing; for 48 hours following the placement of the concrete. Materials for this purpose on Foundation/W 1 Reinforcement in Pl Foundation/Dam oofin Back fill Appr94I Plumbing Unfler Slab Plumbin ent/Vents in Place Rough P umbing. eating Rough-In (� Irisulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duuct work or piping in unheated spaces R- r 1prcyper Vent, Attic Vent 2 Framun Jack Studs/Headers r k+R o e Bracing/Bridgin Joist Hangers +C? .`� Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour. Firestopping GENERAL L'1NSPECTIQN REPORT - �� ,w•� Town of Qneensbury Dept. Of Community Development Date inspection request neceh ed: Building & Code Enforcement 742 Bay Road Queensbury, NY12804 Arrive am/pm Depart. / 4iinvL Inspector's Initials �. NAME: PERMIT # 9 LOCATION: DATE TYPE OF STRUC _� RECHECK - NIA YES NO COMMENTS Footings/n'iers J MonoIitinc Pour Form Reinforcement in Place The contractor is responsible for providing protection from for 48 hours following me of the concrete_ Materials for this n site Foundation/Wall ur Reinforcement in Foundation/Dam �-- Backfill Approval ,]q Pluming Under Sl f� v Pl ng Vent/V in P gh Piumbinv Heating Rough-In Insulation `. - `� {C yC "s Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spades R- mir Vent -Attic-Vent n 1;i?0.5 5 Jack Studs/Hcaders Bracing/Bridging, Joist HangersL` sL Jack Posts/Main Beam Air In6Jtration Barrier +� A.�k.-7 N Fine Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin [ / _ [`` A) S u GENERAL LNSPECTION REPORT 6=770 �J Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement - 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart pm ([� Inspector's Initials I NAME: PERMIT # LOCATION; DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FoatingslPiers Monolithic Pour Form Reinforcement in Place �� ?' r� C C :"lnn �;� - 1 F1 � J The contractor is responsible for providing protection from freezzin for 48 hours following the p ent of the concrete. Materials for this on to Foundation/Wallpo Reinforcement in Place FoundationlDampproo Backfill Approval Plumbing Under SlaK f lumbing Vcn 6ts in Place Rough Pl Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Duct work or piping in unheated spaces R- Pr r r Vent, Attic 'gent LArr7anfinja Jack Studs/Headers Bracing/Bridging .. ` Joist Hangers Clo w� �' C� 12 Al A- is i A-) ( Jack Posts/Main Beam (IL tkkt<gZoC L At�u,,, r. 7+41► 5 wAir Infiltration Barrier s Fire Separation. 1, 2, 3, hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin TOWN OF QUEENSBURY { BUILDING i CODE ENFORCEMENT 742 Bay Road Queensbury NY 22804 (518) 761-8256 { SEPTIC DISPOSAL SYSTEM INSPECTION Name ou � ..�.+ Location Date p V. # JL SOIL TYPE San Loam- Cl y- Results of c latio Test- ( if applicable ) Rate- inute/Inch TYPE OF SYSTEMS t ABSORPTION FIELD , To al Len__ L_ Length of each t n Depth of trenches Size of stone � ,� SEEPAGE PITS : Mum er- Size - ft . ft . Stone size PIPING : Size ype Bldg . to Tank �� Tank to Dist . Box OW Dist . Box to Fiel /P ' h a Openings Sealed? LOCATION/SEPARAT ONS , Foundation to Ta k D feet Foundation to Ab arp ti a feet Separation of Pi s _ -Feet Conforms as per lot PI n es No LOCATION OF SYS ON P PER ( circle Front !Rear eft Side - Right Side Middl - fiddle Rea COMMENTS )4, SYSTEM USE APPRO _ YES NO Arrived- C) - e7 Departed : Building` Inspector i ' � - r ,� ac �,re �.�r Lc �, l � „� { \ / h �rY 1 GENERAY. INSPECT ON REPORT Town of Queensbury Q,1'' Dept, of Community Development Date inspection request received: fit' Building. & Code Enforcement Arrive Bay Road Qu Depart _. eensbury, NY 12804 pm p specter's 'tials NAME: IY) r c h e. �• c�R v rx PERM.IT # LOCATION- TYPE E TYPE OF STRUCTURE f Q RECHECK NIA Y'E NO C© NTS Footings/Piers_ Monolithic Pour IF Reinforcement in Place The contractor is responsible for providing proteztion from freezing for 48 hours following the placement of the concrete. Materials for this purpose On site Foundation/Wallpour Reinforcement in Place Foundationf Da mpproofing VwoBackfill Approval Plumbing Under slab Plumbing Vent/Vents in Place (tough Plumbing_ Heating Rough-tr Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- ©uct work or piping in unheated spaces R- proner Vent. Attic Vent - - -r Framing____.__ Jack Studs/Headers Bracing/Bridging Joist Hangers_ Sack PostsfMain Beam — Air Irdittration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2, 3 . 4 hour Firestopping GENERAL 17V.SPEt�T'I(3N REPORT Town of Queensbury Dept,. of Community Development .Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart/ am/pm inspector's Initials' NAME_ 5 PERMIT # LOCATION Ou '~ DATE TYPE OF STRUCTURE: RECHECK. NIA YESA40 COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place - � *,^► V \ Y �'- 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/W allpour 01 Reinforcement in Place Foundation/Damrmroofirtg Backfill Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper ''dent, Attic Vent F.timing-- Jack Studs/Headers Braci ngfBridgi ng Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, our Penetration Sealed Fire Wall 2, 3. 4 hour Firestopping rlo lop / Y 27 000 de loo, Ic loo, / . rr� -'--r t � fff op n � iii k � / Y