97-042 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 8 19 97
This is to certify that work requested to be done as shown by Permit No. 97042
has been completed.
1 , 264 SQ. FT. TOWNHOUSE
This structure may be occupied as. a
LOT 4:5, #t•72 CEDAR COURT
Location
Owner 1°SICHAELS GROUP, INC .
TAX MAP NO. 48 . _6-36 22 By Order Town Board
° TOWN OF QUEENSBURY
Da/Pill‘r."106
Director of Bldg. do Code Enforcement
f ,
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256]
-o B'UILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance -
of this permit: PERMIT FILE NO.
A permit must be obtained before /
n
beginning construction. No inspections . PERMIT FEE PAID$� 1" �- n
will be made until applicant has received Zoning Board Action _ aG 7
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE P $
applicants' spaces on this application $
MUST be completed and.the signature nPlanning ,.t/
p g Board Action' REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
application form. 7hw,k you. ) Recreation Fee Payment -
•
Applicant: The M-i.Ekaea Ghaup, Inc. . Owner:
Same ---
. • Address: 1810 Route 9, Lake Gean.ge, NY 128A dress:
Phone # ( 518 ) 668 - 3376 Phone # ('. )
Property Location: 43 ---n Cb ,.m1 (�'' - /
Tax Map Number —J----
Subdivision Name: Hu.cbs lg(Pointe Cedan. Count Section Block__Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF,,X4E
x New Building: I CONSTRUCTION_: $ )( ,, 5ir
residence / commercial J('? 0
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial . X 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
"I)11 7v `ADDITION, what will use
1st Floor. . . . . ... .. .a(04 sq. ft. of new addition be? :
2nd .Floor sq. ft. - ? /A •
Other Floors . C sq. ft. .�-as
•
(not unfinished cellar or ba ement) tACCESSORY BUILDINGS:
. Detached Garage 2 car
TOTAL FLOOR AREA: ' j a .t3' SQ. 'FT. X Attached Garag,lir 2 car .
Private Storage :uilding
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
• /a FEET X 60 FEET . .. . .
n
•
Foundation Type: Pouhed Will any second-hand or ungraded
' Number of Stories: 1 lumber be used? If so, for what?
(habitable space only) Na
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whic 1'es)
to be installed: l Electric / Oil Gas/Wood
Forced Hot Air / �eboard / Other
Person responsible for supervision of work as regards to building-
codes is : JimSitand.P_vn, Pna joct Mana0 'l
Nerve Addresss , . Phone •
Builder: The. MLehae-PA Giwup, Inc. 1810 Rte. 9, Lake Geon.ge, NY 12845 . 518-668-3376
Plumber: Fava P.fumbiro. 16A Pan.fz Road. Gems Fattis, NY 12801 518-798-43C 9 •
. Mason: JD Baa.heA, Boi 268, Gnanvitte, NY
Electrician: FanPvpii FiPc-this, 9446 ' 1a44noy St. , Schenectady, NY 12308 518-371.-9922
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 Uwe shall submit prior to a
. Certificate of Occupancyor 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: �M. ."c-c CMG .
(owner, owner's agent, architect, contractor) .
07/03/95 13:27 5187454423 . TOWN OF O!UEENSBURY PAGE 01
•
TOWN OF QUEENSIIURY Fee Paid
Si
;1110.4. BUILDING & CODES DEPAR1MENT Permit #
° 4 APPLICATION FOR; PORCHES-DECKS-
P"` ' ;.: DOCKS & BOATHOUSES Est. Cost
1 PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE-ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description , plans and specifications submitted, and such. special
conditions as may be indicated on the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION. - T
Owner. of Property:. The Mtehaetz Gn.oup, LLC
P.O. Address 1810 R.te 9, Lake Geange, NY 12845 _ ,�_��Phone # 668-3376 .
Property Location _ L43 `^ �'_�iC Cc Tax Map #
Subdivision Name (If applicable) Hud� ointe • )•C4Cf Ct
PERSON RESPONSIBLE .FOR SUPERVIS ON OF WORK AS REGARDS TO BUILDING .CODES:
Name• Jim Chandeen. ___•Address Sarre Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathou e (Circle one)
Size Of Structure to be, built (square -ootage) : X
Foundation Material : Width 8" Conchete Pierhickness
Depth of Fodting, below grade: To .6na4t tine. pen code
Size of Posts or Studs: 4" x 4" x pen gtadeLong
Size of Floor Joists: 2" x 8" x 10' . Span
Decking or Flooring Material : 5/4 x 6 pnez4une tteated
Iiow will Porch or Deck be fastened to building? Caq bolted
If Roof Will Be Ins ailed, nswer I'oll,owing Questions:
Size of Posts or Stucs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-et in Bred spacing) : Span '
Type of Roof: oped Flat Shed Other (Circle one)
Material of Roof.
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably. to scale and attached
hereto; lowing clearly and distinctly alT buildings, whether existing or proposed and •
indicate all setback dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x . ft.
Existing building($) : Size - ft. x ft.,
Size ft. x ft.
Use of Existing building(s) : ,
Proposed structure, distance from property, line:
Front yard ft. Rear yard ft.
Side yards ft. and ft. ' •
If on corner, setback from side street: ft.
DECLARATION '
To the best of my knowledge and belief the statements contained ,in this. application,
together with the plans and specifications submitted, are a true .and complete statement
3f all proposed work to be done on the described' premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
shall be complied with, whether specified or no't, . and that such work is authorized by the
owner,
ATE: SIGNATURE r • ``' .
w r Owners Agency itec ' ontractor
EVIEWED BY CODE ENFORCEMENT OFFICER, DATE 2 IA SI 1
r ,r,.,,,,L,A A.......AV JUL Lv• .
•• Si E P TIC DISPOSAL PERMIT STAMP RrcL'IVLiD -
•
Location of property for installation: l •- 9.5 G.,.
Owners Name:
The Michaths Gkoup, LLC lLI. 7
IT N t >r
Address: • 1810 Route 9, 1 aFzo Goongo,NV 128,45
Installer's Name: Friedman Excavating I'i:1: PAID
Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): Tree
•
Total daily(low (residential-compute (ii) 150 gal. per bedroom): 450
Topography: X Flat r1 Rolling r—i Steep Slope % of Slope
Soil Nature: I h Sand Loam El Clay 71 Other -----./Depth:
Ground Water: at what depth? 30 feet
13cdrock or Impervious Material; at what depth? feet
Percolation Test: r-1 Not Required IX ( Required/Rate I min. per inch
•
• Domestic Water Supply, r -1 Municipal rT Well rj Other
If domestic water supply is a WEL.I.: water supply from any septic absorption is feet
PROPOSED SYSTEM: -
Septic tank: 1 250 gal. (minimum size: 1,000 gal.)
"Isle Field: each trench N/A feet. / total system length N/A feet.
Seepage 1'it(s): number of NSA - / size each: ft. x ft. .
•
Size of stone to be used: # 2 dtone / depth or thickness feet.
IIOLDINO TANK SYSTEM: (if required) . • ' . .
Number of tanks: N/A -`Size of each: - gal.
1
Ll.. Alarm system and associated electrical work to be inspected by a certified agency, '
For your protection, please note that pursuant to Section 13G-29 o f the Code of the Town of . -. - _ -
Queenshury, any permit or approval granted which is based upon or is granted in reliance upon
any material misrepresentation or failure to make a material fact or circumstance known by or on
behalf ofan applicctt, shall be void.
I have read the regulations with respect to this application and agree to abide. by these and all
requirements of the Town of Qirecnshury Sanitary Selvage Disposal Ordinance. ' •
•
.Sienaturc o(rest�onsihle person:
! c r�'Cs Date: •
2 un.it TH
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
- /`
Date - ,19 Permit No. /-01'0 °-
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 additional form if more than one appliance and/or chimney.
Applicant //V //fc/gez, ';' ,�, , APPLIANCE (check appropriate boxes)
Address f f ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
62 it- Ott 7 '-' , , , `E Zip ❑ FIREPLACE, FACTORY-BUILT:
7 . f ❑ Wood 'QGas
Phone r f ', � ,?,�, 0 FIREPLACE, MASONR�Y�
- ❑ Wood ❑ Gas
Owner _ ❑ FURNACE: ❑ W,00d ❑ Gas ❑ Oil
Address IF NO'N-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
�.. .‘ ,- 0 MASONRY: ElBlock 0 Brick 0 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title f,ltt
A 173 3389 (190) Public Safety
A 233 2655 (230.)-Minor Sales
Fee Collected(From..o'r Refunded to: J`--I'k: , ;, > .0 7`
Address: ; ' }it �:1. 9 w� 7. -^ .f"
Dated: //7}"/`) / Town C1e'rk or Deputy.:_ fir'' r:�.a `7/, /L
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
T•/:a•CA.CA!C�J:".:1 4:.I_l'J_.•cC'?%:.1 k7.._l' •._l'J..Ca lze.C,_,,..,,V.91 �._l',1.X1...i:.1"/:7.• :),•_CJ.7,1:A..1 .174:� :),,At:xy,1:� J.0kI.,cxttl'7_A.',I l'Jki_l'a._l'),ti":'..1",?:,•C •_l'9.• •.Cox• 7 ,i:)..•A�.CJN—IltiJ.•_C •.:
THE NEW YORK BOARD OF FIRE UNDERWRITERS Il }'t� .1
I l•9.'4 8"-) ,r
BUREAU OF ELECTRICITY '}
r 111 WASHINGTON AVE., SU 4, ALBANY, NY 12210
2 Ji.IIlN 3, 1.t.)`�7 1.16-`_..i`=••.'!:w": A 1.'25b.15
i'. Date Application o.on file I
!!, THIS CERTIFIES THAT 1'6':I 1_11`1' 11 tC4 ' i••-Cii.',
-,
'•t: only the electrical equipment as described below and introduced by plican named on the above application number in the premises of r
S Tpr1E IIutlrFLS ti t1iii :. t.,1 ; t T (•lll r LOT I9.S; 111I:97 , ) i.:, .Fgg.q . ,
_:. in the following location; 5' 11 1st FL ❑ 2nd Fl. (1.1?)1' Section Block Lot 85 •Y 0 Basement r
was examined on E 1!3`? {{S '`'��f and found to be in compliance with the National Electrical Code. ;
is
!, r
{' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;:
', SWITCHES a
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. ��Y
-. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Ir
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.1:11 H.P. NO.OF FEET AMT. WATTS is: SYSTEMS
! SERVICE DISCONNECT NO.OF S E R V I C E ,
1ki AMT. AMP. TYPE EQUIPMETER 1 E 2W 1,FS 3W 3 2 3W 3 2 AW NO.OF CC.COND. A.W G. NO.OF HI-LEG A•W�'• NO.OF NEUTRALS A.W.TR
EQUIP. PER,B' OF CC.COND. OF HI-LEG OF NEUTRAL G. Y
1 1.C)() CB :1 >i I =,i 0 A. 1 lc, ,r
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�, OTHER APPARATUS: '-
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' �,t.k+s,Idt.,B.1,hwL2Y, NY, 1. ' .J t.(i. at / W i.!
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- IA - = 75 Per pki
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.; 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. ;}
-i-4:''4f'isTrif dl4;: -,rAs'4?-4-c i -,,,ciAf iai-i.-,'iii ii(7. 7.-cie is—iai i.-di le.—i/iYYei'ai'YAYegii'i'ail q'YAfYAY 4?:74-YaYY�.?:lei i'sUii'Y6YYAYY4f'%eUe;iAFYAY.Y�:74?.1'iY'7CC`re:47 iii-Y
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
. I BUILDING & CODE ENFORCEMENT
$ � .��, 742 BAY ROAD
QUEENSBURY NY 12804
0 (518) 761-8256
A V
ARRIVE: /l,-� DEPART: �
((
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: Sf7 /17
NAME � /.In 4-e.(5 � r
LOCATION 101 ( JA-P C)
�}
DATE PERMIT. A
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL RAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B V T/HE 1\GHT
PLUMBING VENT
ROOFING V"
EXTERIOR FINISH
DECK/PORCH/STEPS/RAI NGS
RELIEF VALVES r _
FURNACE/HOT WATER OPERATING v //
INTERIOR TRIM/PRIVACY DOORS 1
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
j1OKE DETECTORS /
BATHROOM FANS It//
'LUMBING FIXTURES V /
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR SS� J
FINAL, ELE(.'7CKICAL w e'
SITE PLANNCE REO.
FINAL S6AtallAT PLAN
OK TO ISSUD OR C/C
TOWN OF QUEENSBURY
4��`�° FIRE MARSHAL
`� QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RE El D
NAME / y%Y� 9..c3.
LOCATION 2 /2 G c 4)„,
DATE PERMI- # rf/ /7 0V7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FI: -MRY `J/
REPLACEPLACE- FACTORASONY BUILT
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB INSP CTOR
•
Y TOWN OF QUEENSBURY
..f BUILDING & CODE ENFORCEMENT
742 BAY ROAD
�"/" '�k QUEENSBURY NY 12804
4,. (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIA; •
DATE INSPECTION REQ ST RECE VED: ci -
NAME C,\ � /VINQ Z)p--7
LOCATIONr`.ek LI Cj 0 a L/[.1 b C
DATE g J '� PERMIT 1 -7,-0 /
TYPE OF STRUCTURE ,S7C --) ) 61_11 1 1
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 FINIS \
PECK/PORC TEPS/RAILINGS.\;�
RELIEF VALVES \l
FURNACE/HOT WATER OPERATING "`���
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
PATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SI PLAN/VARIANCE REO. So''
INAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C _
)2k 47
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 `° 4 ' .=
INSPECTOR'S REPORT: ARR DEPAR /I,I�INTC(Y✓
REQUEST FOR INSPECTION RECEIVED: / -( / /
NAME ' ..6 Pi� /�t� ` 1jY4� e(
LOCATION / }LCC3`7 t �/,
DATE 7 -/ 11 ,- i 7 PERMIT<<< / -e)"]
TYPE OF STRUCTURE: C��/
RECHECK APPROVE
//�� N/A YE NO _
�OOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES NSIBLE OR
PROVIDING PROTE TION rROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-
MENT OF THE CONC E.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE -
ROUGH PLUMBING _ _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ,
AIR INFILTRATION BARRIER _
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- •
-3 i( 4 (518) 761-8256
s
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY
�NY 12804 , cr... .,n:`
INSPECTOR'S REPORT: ARR- i/"-'DEPAR, I ,•
REQUEST FOR INSPECTION RECEIVED: / 7
NAME 1 C/ 64 S 6,z°
LOCATION 72. - .4--,e C.'.T-
DATE fjL 147 PERMIT A 9/ ''O' Z-
TYPE OF STRICTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIE•
MONOLITHIC POOR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESPONSIBL FOR
PROVIDING PROT3 TION FROM F:EEZING
FOR 48 HOURS FO LOWING THE •LACE-
MENT OF THE CON+RETE.
MATERIALS FOR TH S PURPO` ON SITE _
FOUNDATION/WALLP• R
REINFORCEMENT IN • ACE
FOUNDATION/DAMPPRO0FI G
BACKFILL APPROVAL , '
PLUMBING VENT/VENT A PLACE
ROUGH PLUMBING
PLUMBING UNDER S ,AB
FRAMING:
JACK ST DS/HEA' RS
BRACINt./BRIDGIN' —ill
JOIST ANGERS
JACK :OSTS/MAIN %EAM
AIR INFILTRAtION BARRIER
HEATING ROUe -IN
INSULATION:
FOUNDATION WALLS INTERIOR
FOUNDATION WALLS EXTERIOR '-
FLOORS -
WALLS R
CEILINF' R
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
ar (518) 761 8256
fs 1 "tw
TOWN OF QUEENSBURY $. 40
14
:UILDING & CODE ENFORCEMENT ,
7 2 BAY RD., QUEENSBURY N, 12804
INSPECTO' 'S REPORT: ARRZ -3 IEPART21 INTO/
REQUEST :OR INSP CTIION��REECEIV' D:
NAME `mil"\a - S
LOCATION ' (F'a-' CT
-13
DATE 4 ', P"RMIT fl
TYPE OF •UCTURE: •t A
RECHE bk] L _ APPROVED
N/A YES NO
FOOTINGS/PI RS
MONOLITHIC ?OUR FORM
REINFORCEMEN! IN PLAC:
THE CONTRACT' . IS RE-;•ONSIHLE FOR
PROVIDING PRO E TION FROM FREEZING
FOR 48 HOURS ''OLLOHI G THE PLACE-
MENT OF THE CO`CRET-'.
MATERIALS FOR • IS ,-URPOSE ON SITE _
FOUNDATION/WALL'IU'
REINFORCEMENT IN '.:LACE _ { _
FOUNDATION/DAMPP'u.FING
BACKFILL APPROVA
PLUMBING VENT/V:NTS N PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK S UDS/HEADD•S
BRACI /BRIDGING
JOIST HANGERS
JACK ,OSTS/MAIN BtAM
AIR INFILTRATION BARRIER
HEATING ROUG -IN
_
SULATION:
FOUNDATIO WALLS INTERIOR R
ATI• WALLS EXTERIOR R
LOOR3 R-
WALLS R- ,
CEILING R-
DUCT WOR• OR PIPING IN
UNHEATED SPACES R-
. . .
111111
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT '
742 BAY RD., QUEENSBURY NY 12804 s„ ,
INSPECTOR'S REPORT: ARR( DEPART INT J,6
REQUEST FOR INSPECT i'N RECS�E^D: 4-22
NAME • ,o J �1 Y (J LLI /
�7 0 ' ^ �
LOCATION � V v t
DATE -)� � PERMIT A 0 1 i `)
TYPE OF STRUCTURE: -16w p\14) ,2k__
RECHECK APPROVED
N/A YES NO
t
FOOTINGS/PIERS
MONOLITHIC POUR FORM
-
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP NS BLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOW' THE PLACE-
MENT OF THE CONCRETE!
MATERIALS FOR THIS ,PURPOSE ON SITE
FOUNDATION/WALLPOt
REINFORCEMENT IN PLACE _ _,
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
•
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER -/
-
HATING 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- •
/15/ L ��Svc-> T #:rt- A- - Cd'e' /
124-(se, 1 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR/O •� VEPART.'j • IN'r'J/G(..--
REQUEST FORINSPECTION WEIVED:
NAME i''`-`��S coQr.
LOCATION )1
Cc &o - C 0 V t
DATE /*5 977 PERMIT 7_ o12-
TYPE OF STRUCTURE: �Vs
RECHECK VVV APPROVED
N/A YES NO
FOOTINGS/PIERS A
MONOLITHIC POUR FORM ,
REINFORCEMENT IN ACE
THE CONTRACTOR IS RESPO 6IBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR -
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL -
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
P MBING DER SLAB
RAMING /F4P /A L
JACK STUDS/HEADERS y,
BRACING/BRIDGING ` v/
JOIST HANGERS
JACK POSTS/MAIN BEAM f
AIR INFILTRATION BARRIER
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-
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(518) 761-8256
. TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT -,
742 BAY RD., QUEENSBURY NY 12804 •�. -0,•„' ,
INSPECTOR'S REPORT: ARR D PART/D.CJT(/
REQUEST FOR INSPECTION RECEIVED.
NAME ` r C/ls �� •
LOCATION f 1� Ce-v4. c .
DATE / /GJ/ PERM T , g7rO412"
TYPE OF STRUC RE: i'
U
RECHECK APPROVED
N/A 1 YES NO
FOOTINGS/PIERS .!
MONOLITHIC POUR ',ORM ,
1
REINFORCEMENT IN PLACE f
THE CONTRACTOR IS\RESPONSIBLE FOR
PROVIDING PROTE T ON FRdM FREEZING
FOR 48 HOURS FOLLON,ING +}'HE PLACE-
MENT OF THE CONCRETE. Ilt
MATERIALS FOR THIS PURPOSE ON SITEAll
FOUNDATION/WALLPOUR \V
ll •
REINFORCEMENT IN PLACE:
FOUNDATION/DAMPPROOFiING\
\\
BACK ILL APPROVAL
P MBING VENT/VENT IN PLACE 'N,\////:r
ROUGH PLUMBING f 11 _
PLUMBING UNDER SL B
FRAMING: '
JACK STUD HEADERS ',
BRACING IDGING
JOIST HA GERS �
JACK POS S/MAIN BEAM
AIR INFILTRATION BARRIER \
HEATING ROUGH-I/
INSULATION: i
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALLS EXTERIOR R-
FLOORS 1, R-
WALLS G R-
CEILING u R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENS ,.RY ;Y i2804
INSPECTOR'S REPORT: AR'' DEPART 9,5 �dNT c�
REQUEST FOR INSPECTION RECEIVED: q�JRI�9
NAME !�`� (Al S I�c&if
LOCATION f C CLU'✓ ( l
DATE ERMIT.A
TYPE OF STRUCTU E:
RECHECK AP''OVED
N/A YES NO
FOOTINGS/PIERS EI
jlI
MONOLITHIC POUR FORM
�t
REINFORCEMENT IN \LACE
THE CONTRACTOR IS ESPONSIBLE FOR
PROVIDING PROTE TIN FROM FREEZING
FOR 48 HOURS FOLLOSi,ING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS kRPOSE ON SIT
FOUNDATION/WALLPOUR A _
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFIA
BACKFILL APPROVAL \�
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING \ _
PLUMBING UNDER SLAB _ /
FRAMING: 1J,414.1 49J ^% _ V/
- -,. ,CK STUDS/HEADE'S
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE.
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTrRIOR R-
FOUNDATION WALLS EXT`RIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPINt IN
UNHEATED SPACES R-
•
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Co 2e r 4"dcai L 07-114
C)3(
TOM OF QUEENSBURY
UILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury FAY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Mr----KOLOi CAYUltir
Location 7(9CP, 1,41-
Date —g" 7 Permit # 97-011
SOIL TYPE: Sand-L m-Cla -
Results of Percolat n Test-
(if applicable) R e inute/Inch
TYPE OF YSTEM:
ABSO ION FIELD: Total Length
Le th of each trench
epth of trenches
Size of stone
r c SEEPAGE PITS: Number-
Size - ft. x ft.
. Stone size
PIPING: Size Type
Bldg. te�` r (k� a 54; A°
Tank to $�s�. - � '� '� ` A9Z_ 3$—
Dist. Box to Field/P ''►
Openings Sealed? No Partial
LOCATION/SEPAi" TIONS.
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits loilieet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON PROPER,
(circle f, e
Front - •ear - Left Side - Right Side
Middle Fro- - Middle Rear
COMMENTS:
a,3lK rL 4:-(06P l ` Rook`U a
V1kM N -J Cj6164. -
SYSTEM USE APPROVED: /YES NO
Arrived: _1_74(
Departed:
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY �;
BUILDING & CODE ENFORCEMENT `n'
742 BAY RD., QUEENSBURY NY 12804 ��:
INSPECTOR'S REPORT: ARR()' v" DEPART7-") INT v
REQUEST FOR INSPECTION RE/C II�+j/nVED:
7 NAME (G/r/4 v/� �. •
LOCATION 7 2- C5-0.442GT/
DATE 3I //7 PERMIT if I/ - 6g2_
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM "
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLO61ING THE PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _ _
%ACKFILL APPROVAL i//
?LUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS -
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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— •
/esr- 4,c_ 69/e05 •
4./
flemir - .
1 P (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ' ,/rF"'
742 BAY RD., QUEENSBURY NY 12804 -A ,7trr r.+t,
INSPECTOR'S REPORT: ARR`:-CC vEPART - )",z t(/C
REQUEST FOR INSPECTION REC VED:
NAME 1i\1\& I%
LOCATION ACO, ,k
DATE ' `t "'(I -7 PERMIT $ / 'O / :,
TYPE OF STRUCTURE: (� ,
RECHECK _ v APPROVED /
N/A YE ' NO
FOOTINGS/PIERS
MONOLITHIC POUR FO ` _,
REINFORCEMENT PLA f"J - - _
•
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE }--_
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS -
BRACING/BRIDGING _ •
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
379 380
�.n:378 - -_ S 85'15 401,...e- 381 382
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• 3S ;�!��
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Li -I; °i/ $ 84 •
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381 Zoning Administrator
\\j ;' • .TOWN OF QUEENSSURY
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