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98-302 A rMORIN CERTIFICATE C►F OCCLMA.NCY TOWN OF +QUEENSOURY WARREN COUNTY, NEW Y+OiRK February 19 99 Date 19 _ This is to certify that work requested to be done as shown by Permit iV-o8 3 fb i has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 1232 WEST MOUNTAIN ROAD Location FRANKLIN , DENNIS & Owner AX MAP NO , 7 4 . - 1 - 3 7 . 81 By Order Town Board TOWN CW QUEEN58uRy e D Director of Bldg. do Code irnforcement BUILD ING PER IT VALUE $ 135500 TQWN OF QUEENSBURY No. 9$ 302 TAX MAP NO . 74 . - 1 - 37 . 81 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FRANKLIN , DENNIS & OWNER of property located at 1232 WEST MOUNTAIN ROAD Street, Roar! or Ave. 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 comptiance with the Town of tOueansbury Building and Zoning Ordinance. t. WNE R'S Address is — IATHLEEN R . R . # 3 BOX 735 PUTNE`Y' , VT 05346 z. CONTRACTOR or SUILDERIS Name J IM�#RgI�CpHg CONTRACTING 3.�jT MgA4EVj1 C?AD Addrots MALTA , NY 12020 4. ARCHITECT'S Name 5, ARCHITECT'S Address 6. TYPE of Construction — ;Phase indicate by Xl SINGLE FAMILY DWELLING i I Wood Frame 1 I Masonry I I Steel I i 7. PLANS and Specificatictrs 2695 SQ FT SINGLE FAMILY DWELLING WITH. 1 —CAR ATTACHED GARAGE AS PiV- PLOT PLAN SPECIFICATIONS l5 a a. Proposed Use SINGLE FAMILY DWELLING 327 June 11 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES , 19 III a longer period is required on application for an antansion n"M be made to the IllwNdirg and Zoning Inexecsor of the town of Ckwonsbury before the eKpiration date.l 11 June 1998 Dated at the Town of Queensbury this ay of l9 SIGNED BY ---- for the Town of Oueonsbury Building and Zoning (ntpaelor Building Permit Application Town of QZEE'L'nS+LI u y - Depr. of+Crmmunil y Devekpl sent, 742 Bay Rriir 1, Qurenshur . NY 12804 /761-8Z56/ BUILDING & CODE ENFORCEMENT D� Requirements prior to issuance rAr-:rmit must be obtained before of this permit: PERMIT FILE NO. ning construction. No inspections PERMIT FEE PAfI7 e made until applicant has received $ xz►d .4tir�r+t a VALID BUILDING PERMIT. All Area 1 Use RECREA77ON FEE AI applicants' spaces on this application MUST be completed and the signature Q pkwtln$ Board Action REVIEWED B K of the applicant must appear On the SPR I subdivision I Other xeuGr;ng rnc� rror lication form. - ,., Recreation Fee Payment Applicant. - ' s =t' � Owner: Address: k� Acidress: 1 2 t "1 0Phone # S i P7 i , ( Phone # Location:Property SubdivisxonName: e ,�' lr'�] t7c-c�+--, .1.•, LYc�. Tax Mali Number _ � Scction Block f xat NATURE OF PROPOSED WORK : ESTIMATED MARKS'►' VAT.. F. F THE New Building : CONSTRUCTION : 1 �(F residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial '`'•+ 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 : 1 tiytya 1st Floor . . . . . . . t � s t . � � 0 If ADDITION , what: will use q ' of new addition be ? : 2nd _Floor . . . . . . . sq . fC Other Floors sq . ft . ( not unfinished cellar or baseme ACCESSORY F3UILDINGS : TOTAL FLOOR AREA : G S SQ , FT wr' Atta Attachchees r ,r 2 car � arage 2 car ' Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other CvC� FEET X _` r _ FEET Foundation Type : ` 4J will any second- hand or ungraded Number of Stories : 1 lum er be used ? If so , for what ? ( habitable space only ) hJn_._ >�_......� Height ( grade to ridge ) : Z.. Z,. feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woodstove ( circle all which lies ) to be installed : Electric / Oil / Gas Wood Forced Hot Air / aseboard / Other Person responsible for supervision of work as regards to building codes is i,1- f. L..n Name Addresshgne Slf 58 � �8g Builder : tz.,�.L t"c, �, c _ n . c -i � Plumber : Mason : Electrician : DEGZARA777N.• Please sign below after you have carefully read the vtatement 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 Cade, 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 Uwe 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, owner's agent, architect, contractor} .i-]`YY.LI4QLLVLi Lvt iiJ_,.F X J.L. J!- J u,)J: km,,Ft,3 r-yJ -r-j_..L`CI.W,I.J. ..l. Tovoa of Queensbury Permit NO. Dept of Commtm ry I]evelopn=bat Building & Codes Office 742 Bay Road Fee Paid $ Quaensburr, NY I2SO4 Location of property for installation: Property Owner's Name: Property Owner's Mailing Address: � C z � E���. {� S VIA L c�•c �. Installer's Phone L ', S 8 b ~! „ Number of bedrooms (if residential) : Total daily flow: d SID (residential - compute (a 150 gai.lbdrm.) TopoWnphy-. '`' flat, rolling, sreep slope ;'a of slope Soil Nature- `f sand, loam, clay, otu� I depth: Ground water. at what depth? 2 S feet I Bedrock or Framer.--'cus Material: at wila.t deprh?�## feet Percolation test` not required, requires [ ram?Y�A" %. min. per inch. ] Domestic water sutrpiv: r```y municipal, we?F, c Lr domestic water supoly is a W'ELL, water supply =om any socedc absoratioa Fs ;es� PROPOSED SYSTEM Set)tic [anTr Z CAD tJ canon (�T+inirrrtirrs I ; .00o Z ..) Tile field: each trench. feet ! Toad sy=ern '��b: �'� feet Seepage pit(s): aumbe.^ of I size each: ft by ft. Size of stone to be used: jr �-�-0 ' � 2 I depth or tbcc'=.! = . � feet HOL.DUiTG TANK SYSTEM: (if required Number or tanks: Sire or each gaIlloas AIarm syete=a and associated oloctrical work to tm b± a cezt%fiod ageocf. For your p=otect pleaaa note that pursued to Sectiort. 136-29 of rSa Code of zha Town of Qnaeus'bwy, gxry 1er=jt or approval granted wttich is based upon or is grazed in. =U=*cs upt =7 maxi= x"greseubdioa or Wore as make a nm&r:..el fact or circTt.>rn>anra known by or on behalf of a= 9Wlicacs, aharl be vcid. I have reed the mgaLwmma w%th respect to this application and asrva slide b+ ±iemsa auad &a r6quirements of tho Town of <Zt;eernsbuvf Sanitary Sewage Dialposal CSrdima=a_ S i at:.re of responsible perso - Crr e n } �� t — Date: �'�� ' TOWN iWN OF Q UEENSBU.RY 742 Bay lid. , Queenebury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date ` , 19 ; Permit No. 3 0 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 additio al farm if more than one appliance and,lor chimney. Applicant rj9,&NK4.4 APPLIANCE ( check appropriate boxes) Address y��W P.Z o STOVE : ❑ Woad ❑ Coal e3 Pellet ❑ Gas &)J���i r t) t\I ❑ FIREPLACE INSERT X J� 41 Zip ii 2. �t:7 FIREPLACE, FACTORYY-BUILT:r3 Wood 1 7C Phone Sfi3 S� +3 Z Q �6� ❑ FIREPLACE, MASONRY: Gas Gas Owner ,A S A ❑ FURNACE: p Wood Wood p Gas ❑ Oil Address IF NOWMASONRY APPLIANCE: Manufacturer: "jF,,4T 67 CCwo' Zip Model` _ (00 ) 0 yLx --iTL P Phone HIMNEY ( check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone FLUE: ❑ Tile ❑ Steel Size : inches CONSTRUCTION / INSTALLATION MUST bd FACTORY-BUI LT. K CONFORM TO NYS FIRE PREVENTION & Manufacturer: ode, ' BUILDING CODE, CONSULT AVAILABLE I WListed By : L.- Number: TOWN OF QUEENSBURY HANDOUTS 'A Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS, ❑ Insulated "f>ti Direct Venting ❑ Chimney Liner Ll Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 ( 190 ) Public Safety A 233 2655 (230 ) Mhitxr sales Fee 06fl ted Fypm--or Refunded to : �= 1 Address Dated : 7 .. Town Clerk or Dep ty: -` White: Applicant Green: Fire Marshal Yellow: .Sidg. ep . Pink & Goldenrod Cashier's Dept. k i ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 4a 9000 HEATING DEGR= DAYS Como l iance Methods : PART 5 - Acceptable Practice Method - 1. & 2 F'ami lv Dwellings ( only ) PART 6 * - 'Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi - Fanny Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commerc ? al Buildings -Hi Rise Residential *Requires submissio or worksheets APPLT- C?tiT r S NAME : PROPERTY LOCATION : t ' 5 i7L-1 t Ct tir PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Grass Floor Area - _ square feet 2 . m -pe of Heat - Electric CZI Gas Other 39 _Ts building mecaanicall y cooled ? Yes No 4 . Percentage or area of windows and doors Over 17 % OKI- Under 17 % 50 R -L'":.LUES F'OR INSULATION GIVEN Br.L, 0%I' C'� ST CORRESPOND ?'C3 R-V IUr S AS SHOrvTN- ON PLANS SUBMITTED : a . Roos R b . ?xteri or walls R c . Glazed areas R I ; c . xteri or doors R e . Floors over unheated spaces R _ . Edge a slab an grade ( rceatea nu ' ' ding ) R g . Basement / cellar walls ( above grade ) R i r= 'casement / ceL lar walls ( below grace ) R Heating/ cooling-ducts --piping J unheated space R 6 . Se .r-vlce ( domestic ) hot water- heatina device Co n = o -=s to minimum efficlency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Arolica. n s _Signartu = e ( } Date �y Pnor_ e/ N,,{um7i er^1 V L i �..l.�nw.--d... C1 _ + e6S '`f 0) ,55J. x INSP = C CR . S =MAR{ S : TOWN OF OUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12004 ( 519 ) 745 - 4447 FINAL INSPECTION REPORT -- RESIDENTIAL DATE INSPECTION REQUEST RECEIVED : NAME '�� LOCATION DATE PERMIT • TYPE OF STRUCTUR FOOTINGS_ ,, FOU DATION BACK ILL FRAMING ROUGH PLUMBING SEPTIC I SULATI.ON _ FINAL ELECTRIC L WOODSTUV9 R FIREPLACE Y NO CHIMNEY HEIGH B VENT HEI HT PLUMBING VENT ROOFING E}[TERIOR FIN SH DECK PORCH ST S INGS RELIE VALV S FURN CE HO T E T N NTERIO TR M RIVAC O FINISH LO R AT K TCHEN W TE TI OTHER 'FLOD S -SWE PAR OT1iER FLOORS CARP TE STAIR CLEARANCE RA LI GS SMOKE DETECTORS BATHROOM FAN PLUMBING FIXT RES FOUNDATION INSULA ON i GARAGE FIRE PROD ING DOOR CLOSERS FINAL LECTRIC S ,PLAN VARI NCE RE .�. FiNAI.,. SURVEY LOT PLAN OK ISSUE _ O OR C C 3 I ' I LOT 8 0 FOUND IRON MARKER 0 SET IRON ROD W/Thl CAP O POINT t'-" POWER L /NE STONE W I- -"—'�`— FENCE ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S EMBOSSED SEAL OR INKED STAMP SHALL BE CONSIDERED TO BE VALID TRUE COPIES. Unauthorized Alteration to this map is a violation of Section 7209, Subdivision 2 of the New York State Education Law. West Mountain Road trf _ i a APP Akna a L000tlon o/ O►de round Uliuti" - Exocl Locollon Unknown North End r_ Stockade Fence 0.2' East of Llne 0 N LOT C 1 �o South End 1 Stockade Fence Ni 0.7' East of Une. Z N 23•-56'-00- W 25.00' r N 66•-04 -00" E • e 104.20' Propane Tank o a 1 \\ 14 1- Deck \ Garage < 1. Story. SSep Frame. Approx De tic pecK I -i FRAME GARAGE AND _ STUQ/D. Field REMAIN/Na CERTIFICATION I hereby certify to Dennis C. and Kathleen D. Franklin, M & T Mortgage Corporation, its successors and/or assigns and Fidelity National Title Insurance Company of New York that this map has been prepared in accordance with the existing code of practice for Land Surveyors adopted by the New York State Assoc. of Professiorial Land Surveyors. 02/16/99 Z �++.• 09/15/98 William J. Rourke LS 49098 • MAP REFERENCE 1. MAP OF SURVEY MADE FOR ANDREW HORNE AND ANDREW HOF ENTERPRISES, INC., 'TOWN OF JUNE 10,NE , 1988 BY VANDUSEN & QUEENSBURY, DATED AUGUST 29, 1991. STEVES L.S. LAST REVISED 2. WARREN COUNTY, TOWN OF QUEENSBURY TAX MAP NO. 74-1-37.81; LIBER 1056 PAGE 38. s �Vo �`. Public 3g, Water 3 O•. F LOT D 368f Ac. i S 66• - 04' - 0O.. W S 66•-04'-00'. W LANDS N/F PHYLLIS M. HOL TZ on MAP OF SURVEY of lands, of -30- E 99, "'ECEIVED r E6 18 1999 TOWN OF OUEENSSUFII BUILDING AND C®DE DENNIS C. 8 KATHLEEN D. FRANKi ini 7o w N OF QUEENSBUR Y, WARREN COUNTY, NEW YORK SCALE: I" = 40' SEPT. 15, 1998 UPDATED: FEBRUARY l6, /999 - to show house, UPDATED SEPT. 30, /99.9 and Improvements UPDATED: DECEMBER 23 -rn4v auirY&rpR NM-9909A � e e V o s ow 0.22r4:Ac. to be Conveyed .lo FrannIn W J. ROURKE,- ASSOCIATES L icensed LOnd Sarvej►ors I0264 SO/O/BA/f AnisA An A •- - _ _ _ _ - -, .. — . WA r7.l7 wwafr„ vrags Puffs, /Y. r IZ80.3 vVtf Nx 98•-145 B z v J IQ W 5 a 4 4 RESIDENTIAL FINAL INSPECTION REPORT office No. (518) 761-8256 Date inspection request received` Building & Code Enforcement Arrive t�uprt'► Depart — Dept. of Community Development Inspector's Initials Town of Queensbury 742 Ray Road Queensbury, New York 12804 3 P # — 740 � NAME f An31�-L DA r7 I LOCATION TYPE OF STRUCTURE NIA YES NO COMMENTS ,Chimney Heightl"B" Vent./Direct Vent tion %, Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in, or ore Interior Handrails stairs both sides 3 or more ri s Grade 2% away from foundation 8" clearance to sill plate Gas 'Valve shut-off exposedlregulator 18" above gravid Gas Furnace shut off within 30 feet or within line or t �it Furnace shut-off at entrance to furnace area } umacelHot Water Heater operating v/ Relief Valve(s) installed Headroom, 6 11, 6 in. on stairs Basement stairs, G ft_ 4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrance - 6 Floor Finish Bathroonv`K.itchen watertight interior Handrails BalcomesfLan 18 in. or mare Railing across window in stairwel smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Ylumbing fixtures undation insulation 7 hour fire door/door closer Garage fireproofing vCiarage penetrations sealed Furnace in separate room protected fin garage) Light ventilation per room safety glazing 18" o le from flo�� v Final Electrical I& C ,bite Plan/Variance req red J Final Survey Plot Plan As Built Septic System layout required������— Okav to issue C/C (Certif. or Compliance) Okay to issue temp- CIC) ('Certif. of Occupancy) /1 Okav to issue permanent CIO (Certif. of Occupancy) 1* RESIDENTIAL 1F7NAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: G f Building & Code Enforcement Dept of Community Development Arrive am/prn Depart Pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 � t � ,r NAME � '. 5 PERMIT # �"'��,~ �f � . �' LOCA11ON DATE TYPE OF STRUC01 LW N/A YES NO COIAWNTS Chunney FleightP B Veni(Drreet Vent Location Fresh Air Intake 1 i Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Extenor Railings 30" t 36" Exterior Handrails, balconies, In ding 18 in, or more ✓7�/_. Interior 1-landrails stairs both side 3 or more risers_.{,._ Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulato 18" above grade Gas Furnace shut-off within 30 feet or thin line of si Oil Furnace shut-off at entrance to fiutta area Furnace./Iiot Water Heater operating t0 e-rq( ,,+ Relief Valve(s) installed r Headr(cm., 6 ft. 6 im on stairs Basement stairs, 6 ft_ 4 in_ Handrail exterior stairs both sides more than 3 ri. s Interior privacy/tran/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 1 $ in. or mor Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom 1'� C' <) inter connected Bathroom fans Plumbam ig fixtures Foundation insulation AMA 3/4 hour fire door/door closer (djrage fireproofing ►2 7 C'c�(c s e Ca 8zV Garage penetrations sealed Furnace in separate room protected (in garag ) Light ventilation per room Safety glazing 1 S" or le s fr I oor Final Electrical �;t f� L Site Plan[Variance required ICE S 7 v " V `e Final Survey Plot Plan 1 As Built Septic Svstem layout required _ Okay to issue C/C (Certif. of Compliance) Okav to issue: tamp. C/O (Ccrtif. of Occupancy) Okay to issue: perr'naurmt C/C7 (Certi1'. of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 *. ,� MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board�N-o}. .............................Cert. N? 66257 Cut-in Card No. ..__..................,,........... Clwner......... F ' ?. 1. `~.......1 /2 .?4',.�1�'G... ...................................................... �.f..' Location .1."'�.. ... ...... ...?I's .,........................ .st'........,,_.... Install Pion Consisting of-,_4Y. --�... r. � . .�+ ' .! t...� ..... T�` �' �.......... sue.• G;U„yf�..! !f../d.W.... c'z..t' !�5► rt! �� ..f.... ?" . ?.� � .. ................................ ...... .............................................................................................. ....................... ,...., -....- �y ., , I-ic. No. ........ ..................................... Installed F3y........,,../T.,""�' . . "ts..1!19 . .. The conditions following governed the issuance of-this certificate, and any certificate: previously issued is cancelled: - This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin N - spections at any umc, and if its rules are violated, the Company shall have the right to rrc.7voke tl7i crt i4:1t f � Date..............................F .......... INSPECTOR ..1/41........ ....-.,......_.......................'. -�.,.................. Member N.F.P.A., LA E.I. FIRE MARSHAL TOWN OF QUEE �N SBURY2804 GIUEE 5iB)761-8Z05 INSPECTION REPORT INSPEC FIRE. MARSHAL PERMIT # REQUEST RECEIVED NAME LOCATION SCHEDULE INSPECTION ON � _-� � � M ANYTtMt± l APPROVE[) NIA YES ` NO AISLE. WIDTH$ r-- -- ~~--~ ---- --- EXIT SIGNS EMERGENCY L4GH-fAKe __--- - -- - - FIRE EXTINGUISHERS \--- -- - -- - FIRE ALARM SYSTEM FIRE SPRIt4KLER SYSTEM FIRE SISPPRESSIONSYSTEM - - HOOD INSTALIA - - - - �_ - INTERIOR FINISHES STORAGE: --- - - -- CLEARANCE To SPRINKLERS - CLEARANCE TO HEATING UNITS _ _ - RFQUIRED SIGNAGE __�- - -- - - -- - CHIMNEY _-- waoD STOu'E - �F PLACE - MASONRY - 41REPLACE 'FACTORY BUILT - - v- -- TO THIS DATE REMARKS: ' ' [ � L �- INSPECTOR �µ,^,P9LSP.pN6 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST PERMI � NAME �ti LOCATION _ -_-- SCHEDULE INSPECTION ON10- ' ANYTIME APPROVED NIA ! YES NO EXITS AISLE WID�Hs _ - - - - EXIT SIGNS` EMERGENCY LI TING ti FIRE EXTINGUISHERS FIRE ALARM SYSTEM - - -- --- - FIRE SPRINKLER SY M _ FIRE SUPPRESSIO SYSTEM HOOD INSTALLAT N INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS -- _-_ CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE _ -- - CHIMNEY -iZ q_<v VC�nx j WOOD STOVE FIREPLACE - MASONRY FIREPLACE - 'FACTORY BUILT - - - — l� REMARKS: © OK TO THIS DATE Vg!!� A rT fifes. INBPSLkp.p418 INSPECTOR GENERAL INSPECTION 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/0" Inspector's Initials NAME: r PERMIT # 'C� LOCATION: DATE : TYPE OF STRUCTURE: RECHECK. NIA YES NO COI K4EWNTS FootingsMiers I Monolithic Pour Form R.einforceme tin Place The can r is responsible f providing pro an frarn g for 48 hours folly ' place t of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Pi Foundation/Dampproofing Back" Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough PR7 ugh Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- I p Walls R- Ceiling R- _ Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent r k,� �e /3 ► yR * i �- Fram* Jack Studs/Headers Bracing/Bridging, Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, Dour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERd 1• INSPECTION REPORT Town of Queensbury Dept, or Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive amlpm Depart Inspector's lnitiala NAME: c t- PERMIT # LOCATION' Ut) . i,U., ---- DATE TYPE OF STRyiL` rURE: RECHECK N/A YES NO COMMENTS Footings/Pier,,- Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fx ee ' for 48 hours following the pla nt of the concrete. Materials for this purpose to FoundationlWallpour Reinforcement in Place Foundation/Uampproofin Backf'ill Approval Plumbing Under Slab Plumbing Vent/vents i Place Rough Plumbin;,:::::,:a tang Rough- nsulation �4 '-T it ac P AA Foundation Walls Interior R- � Foundation Walls Exterior R- NAt t Floors R- � h Walls R. Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin ,lack Studs/Headers BracinglBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin TOW OF QVE'EHSSl6RY BOIlDIN6 A CODE ©IFORCEM W 1742 gay Road Queensbury KY IL2804 {sis� psi-s2ss SEPTIC DISPOSAL SYSTEM INSPECTION Name Location { Permit Date SOIL T4j San 0 -Cl ay- Resul is of Pere°Rate_Mi nutelIncn._-----� ( if applicable} TYPE OF SYSTEM: Total Length � - ABSORPTION FIELD: Length of each trench Depth of trenches *V�h % Size of stone umber- SEEPAGE PITS: x t . Size - -- Stone size --- 3z 1 pe PIPING: Bldg . to Tank Tank to Dist . Box Dist . Box to Field/Pi s arti a ppeni ngs Sealed? s LOCATION/SEPARATI feet Foundation to Tank feet Foundatio to Abso tion —�� fe n f pits Separation o per Pl t Plan Conforms as SYSTEH OK PROPERTY : LOCATION OF Side ( circle one ) eft Side - Right Front Mi ddl e rout - Middle Rear SYSTEM USE APPROVED YES Arrived: Depa n n ec r GENERAL IM PE NI REPORT Lf Town of Queensbury (J Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive am/pm Depart pm Inspector's Initials NAME: PERMTT # `3 LOCATION: s"�] DATE ; TYPE OF STRUCTURE: RECHECK NIA YES NO CQhivIENTS Footings/Piers E Monolithic Pour Form Reinforcement in Place The contractor is respo 'ble for providing protection fre z ng for 48 hours following place of the concrete. Materials for this purpose on sr _ Foundation/Wallpouur _ Reinforcement in Placer Foundation/Dampproo Backfill Approval Plumbing Under Slab Plumling Vent/Vents in Place Heating u - ri~ 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 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 Firestoppin GENERAL INSPECTION REPORT Town of Queensbury Dvsr�C3 Dept. of Community Development Date inspection request received: Building & {Code Enforcement F o � c' 742 Bay Road ' .,o4 Queensbury, NY 12804 Arrive am/pm Depart am/pm Inspector' Initials � .. NAME: PERMIT LC+CATI[ N: r DATE : - /O TYPE OF STRUCTURE: ------ RECHECK N/A YES NO COMMENTS Food ngtlPlers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing Protection from firming for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Damppr oofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls or - Foundation Walls E R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro enL Attic Vent Jack Studs/Headers Bracing/Bridging Joist Hangers _ Jack Posts/Main Beam 15i43ew n kAfte Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPECTION REPQRT ^4 Town of Queensbury Dept. of Community Development Date inspection request received.: - �,,� Building & Code Enforcement 742 Bay Road � Queensbury, NY 12804 Arrive arn/pm DepxrP 2 oe Ww Inspector's IuritiaLs NAME: N F—Z' N" I S PERMIT # f �` LOCAT71ON: ) 7!1+a w,e sT M TV Ro A r:> DATE : TYPE of STRUCTURE: RECHECK NIA. YES NO CONDAEENTS gs/ c I analithic Pour ur 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 Foundaalion/Wal 1pour Reinforcement in Place Foundation/Dampproo5 Bacl�illA* Umbing Plumbinin Pi Rough PHeating Insulatio Foundation Wall Interior R- Foundation Wall Exterior R- Floors R- Walls R- Ceiling R- Duct work or ping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Mangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 21 3, hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestopprin. GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive AVO Am/pm Depart ` r Inspector's Ini#ial NAME: _ [ y1'r. v4 i S Lim PERMIT 4 LOCATION- ► DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers 1 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/Wallpour Reinforcement in Place Foundation/Dampproofing. Baciftll Approval -*Plumbing Under Slab Plumbing Vent/Vents in P ugh Plumbing. Heating Rough4n Insulation Foundation Walls In R- Foundation Walls nor R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Post&/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL PE ION REPORT Town of Queensbory Dept_ of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 Arrive b am/pin Depart Inspector's In . NAivIE: ��� a LOCATION: ATE TYPE OF STRUCTURE: RECHECK NIA YES NO CQ S Footings/Piers I 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/Wallpour Reinforcement in Place Foundation/Dampproo5n X, fill Apprcrvai Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Plumbing. Heating Rough-In Insulation t Foundation Walls Interior R- ' 1 Foundation Walls Exterior R- 'p 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 Firestopipin GENERAL INSPECTION REPORT Town of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive ' epart - pector'a(Inn,' ' NAME: PERfvflT # - 1 LOCATION: _ DATE TYPE OF STRUCTURE: . - - Lf RECHECK NIA YE NO COMMENTS tings/Piers I nohthic Pour Form inforcement in Place The contractor is responsible for providing protection from freeing C--c)''' 1 t► r jTj P11�� for 48 hours following, the placement of the concrete. Materials for this purpose on site Foundation/Wallpour ' Reinforcement in Place Foundation/D�ampproofin BackFill Plumbing U Plumbing Vent/Vents in lace Rough Plumbin 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 Framing. Jack Studs/Headcrs 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. Firestoppm FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT �r�r REQUEST RECENED pERMfT # FCJ d! NAME - LOCATION SCHEDULE INSPECTION ON -- AM PM ANYTIME APPROVED NIA YES NO EXITS _� ---- - AISLE WIDTHS _- .-- -- - - - -- - - -- -- EXIT SIGNS - - - - - EMERGENCY LIGHTING .-_-- - -.- --- - I FIRE EXTINGUIS S - -- -- .-- _-- - - - FIRE ALA STEM ----- -- - - -- -FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM - HOOD INSTALLATION INTERIOR FINISHES" .. - . . .. . l� - -- STORAGE: - - -- - --� CLEARACE TO SPRANKLERS __. - -�. -- -- �•- - - } CLEARANCE TO HEATING UNITS REQUIRED SIGAAGE CHIMNEY _�llR WOOD STOVE FIREPLACE - MASONRY -- - -.__ ..----- L - -- - FIREPLACE - FACTORY BUILT REMARKS: - -- - - - -� OK TO THIS DATE C ,, P R � ` h s t r. � TVs f ac-c_'I-T' v �J INSPECTOR INSP3L1P.5st16 FIRE MARSHAL TOWN OF QUEENSBURY +QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # NAME , LOCATION SCHEDULE INSPECTION ON -_- AM PM ANYTIME APPROVED NIA YES NO EXITS .__.... - I AISLE WIDTHS __-- EXIT SIGNS ----- EMERGENCY LIGHTING FIRE EXTINGUISHERS _ .- FIRE ALARM SYSTEM _ FIRE SPRINKLER SYSTEM _ ..- FIRE SUPPRESS SY EM - - --- ---. HOOD INSTALLATION -- - --- ----- .- - - -- INTERIOR FINIS - -----• STORAGE: _ - - --- -- ---- • -- - - - CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS _ _- REQUIRED SIGN(`AG, E CHIMNEY .ice... ... .AJ - -- - WOOD STOVE - _ - ----- __ .._. FIREPLACE - MASONRY ---..---�- .--- - - - FIREPLACE - FACTORY BUILT I REMARKS: OK TO THIS DATE A)d ; ,NWSL,P_PUB INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 CL (516) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # y `� NAME72 - LOCATION -- SCHEDULE INSPECTION ON _ AM A4 'i ME APPROVED A YES NO EXITS - -- AISLE WID S -- ---- -------.-_- � - _ EXIT SIGNS EMERGENCY IGHTING FIRE EXTINGUIS ERS FIRE ALARM SYS M _---._ - -- - - -�- FIRE SPRINKLER S TEM FIRE SUPPRESSION YSTEM HOOD INSTALLATION INTERIOR FINISHES _ . . STORAGE: __ I CLEARANCE TO P KLERS CLEARANCE T HEA G UNITS _ -- - - -- - REQUIRED SIGNAGE CHIMNEY - - WOOD STOVE - FIREPLACE - MA NRY FIREPLACE - FA ORY BUILT REMARKS; OK TO THIS DATE "kf ' INSPSLIPPIIB INSPECTOR rAk SDPDo. � co 111 �.y 1 o4.2vflJ LG�Oq� �, T�Dr,4 ,T,p LI L•So G �tncG. arct 104.so lA LA W SBgo c9� . 2e4r- V- .4 -7 (, q q" s r. ca O o 41 Lj howl ► i . n a Mlit d0Iw111" i ON }nab NOTE: LEACH FIELD DESIGN BASED ON A 2 MIN 30 SEC. PERC. RATE AND A 420 GPD FLOW RATE - 420/1.2/2 it - 175 ft. 4' P.V.C. PERFORATED 60' LENGTH 5180' TOTAL) SLOPE 1/16 /FT. MAX. I 50X EXPANSION DISTRIBUTION BOX I r-£______________________________________ 11 1000 GAL SEPTIC TANK II II __ 4" P.V.C. ;CHD. 40 ip FROM 13UILDING- I -------------------------------------- 4" P.V.C. SCHO. 40 PLUG ENDS 2' TRENCH WIDTH LEACH FIELD N.T.S. MOurDED TOPSOIL f'OR SETTLING N 9' MIN. 2'-0" CROSS SECTION UNTREATED BUILDING • PAPER OR STRAW I FM:*q FIFI n TPi Kj 'kl P117". Ah LONGITUDINAL SECTION 6' MIN TO 12' MAX 4' MIN 9" MIN 6" MIN CRUSHED STONE NOMINAL SIZE 3/4"-1 1/2" N. 1.J. !cc In 21T an M � s Fra 4AIq � 2 ',A AEI, I. 1g46 1 1.37 Plvi- PIaL„ ScaiL I" = 3ca'