97-094 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE
OF OCCUPANCY
Permit Number: 97094 Date Issued: Monday, November 27, 2000
30 , ) c)-' ecgit)
This is to certify at work requested to be done as shown by Permit Number 97094
has been completed.
Tax Map Number. 523400-121-000-0008-130-000-0000
Location: 2 CHIPPEWA Cir
62,-4a
Owner. KA ENTE C
This structure may be occupied a:
Single Family Dwelling
By Order of Town Board
TOWN OF QUEENSBURY
Director of Building&Code Enforcement
BUILDING PERMIT
VALUE $ 120000TOWN OF QUEENSBURY No 97094
TAX MAP NO. 121 . —8-130 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SCHERMERHORN CONSTRUCTION
OWNER of property located at LT 130, CHIPPEWA CIRCLE Street, Road or Ave.
SINGLE FAMILY DWELLING W/2—CAR GARAGE
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.
1. OWNER'S Address is
79 MASTERS COMMON NORTH
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
SCHERMERHORN CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
79 MASTERS COMMON NORTH
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction— (Please indicate by X)
SINGLE FAMILY DWELLING
( I Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
22261o.SQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING W/2—CAR GARAGE
April 2 19 99
$ 277 PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
2 April 97
Dated at the Town of Queensbury this D y/of 19
SIGNED BY for the Town of Queensbury
Building and Zo �i�ng I ctor
z Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, IVY 12804 [761-8256J
° BUILDING & .CODE ENFORCEMENT
NOTICERequirements prior to issuance -r
A permit must be obtained before
of this permit: PERMIT FILE NO. 7-091(
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEi i $
MUST be completed and.the signature 7 planning Board Action REVIEWED B
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
4pplication form. Thank yv. J . Recreation Fee Payment
Applicant:� S'caner,nne_r kar,U Co,Asirocd;C J Owner:'-
. • Address: 1() M a-Sk-e..c S a L..o A) JUo/1-1,, Address:
•
Phone # ( 1 ) /cm - OCo7 L/ Phone # ( ) -
Property Location: Lot /io Chi/'Petac-
Tax Map Number `\---k / / On
Subdivision Name: ,IVeSL.1ooci _ • — Section Block Tot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
7( New BuildingL CONSTRUCTION: $ 420/ 000
(residence / commercial
Addition to Building:
--
residence. / commercial OCCUPANCY INFO ON:
Alteration to Building: Primary Buildjing ';a • ;;° ' -:;_ 1
residence / commercial x Single Family`Dwelling-.:
Residence / Commercial Two Family D elling
no change to exterior size . Family b-]a.3.n197
• Office
Other Work (describe below) Mercantile\-' °.°BY 1
Manufacur. rigs NC CODE
/ --.)
Other
GROSS AREA OF PROPOSED STRUCTURE: _
5 If ADDITION, what will use
1st Floor /D M sq. ,- of new, addition be? :
2nd .Floor sq. ft./
Other Floors >c sq. ft. o7.a .
(not unfinished cellar or baseme ) ACCESSORY BUILDINGS:
47 ZS Detached Garage 1, 2 car
TOTAL FLOOR AREA: ¢. SQ. FT. ) Attached Garage Lem
Private Storage Bui ding
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
((do FEET X aZ c�o FEET 11 :.
Foundation Type: Conc-reAe Will any second-hand or ungraded
Number of Stories: g., lumber be used? If so, for what?
(habitable space only) A/0
Height (grade to ridge) : P.,(o feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: / _Electric J Oil / Gas Wood
Forced Hot Ag.) / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is : R• Sel.e-c n.e,-'b.orAi -7? /4asfers C.gmrvioni Ala EH) 798-O(o7Y
Name Addresss Phone
Builder: K. Sa..P-r,ve,r4.orA' • 798-o6iY
Plumber: Sie.ve- AJM'J 7z/7-5673
. Mason: Oa.Le.. P)&k\ ;1.3 77 -137i
Electrician: v : ce.. °(ov,•,,skti 2i941 - 5 945
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 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: ,.�.a id. a
dtaae,
(owner, owner's agent, architect, contractor)
MNPROY Coot OMPLIANCM APPLICATION
TOWN Or oUNMIISMURY , WARRMN COUNTY
990U. IINAY1110____DMORMN _DAYS
e
Compliance MeOoda ! PART S Accoptnhle Pt. nct. ton Method -
Iro. rnmIly DwnlItngn (only )
•
PART 6A Thnimn1 Hitting - Componnnt Ttniln 011n
rnmtly DwnllIngo ; Mnitt rnmily
OwnllIngn ntorina or lnnn )
PART - DenIgn by Uomponont Pnuformnnun
Commnrcint Mnildtuga-Ili Rine Rnnidnnlinl
41tnciniron nnhminniun or worksheeLn
R,
i\PFLICROT' N PRoPMRTY I.oCATION !
Loi- 130 ak:ppeLAic
PART 51111:THOU OF cot PLIANCM HY ACCEPTABLUPRACTICF: :
. unn r 100 A 1-(NI - / ngunin [not:
• Typn of Ilunt -- _ _ RIncti lc pit V Utin Olhni
_
I . In bniAding mechnn.ically cooled ? Yon X Ho
4 . Percentage of: area oE windown mid dootn Over 171 Uncle: I / 7
q . R -VAIMNS FOR iNSUIATIoH CIVRN 11PhOW MUST CORRMSPOND TO R -VAhUMS AS
SHOWN ON PLANS SUPHITTMO !
n . Roof 3°
I . Kntori.or umlln " /2
c . (.4.1nzed nrenn R
d . Rxterior dodln U ,1.5
n . rloorn ovor tinheal.nd npncen U ) 9
r . Mdge of nEnb on qindo ( lInntod In: tiding) "
9 . linnement/collnr wnlEn (abovo grndo ) _
It . Hnnemnnt/ce.11nr wnlIn yundn ) It
I . IleaLing/cooling-dnctn- piping in unhented apace
6 . SorvIco (domentic ) hot watou henttng device
Conformri to mlnimnm effictency per code Yes No
TVMVMRATURE CONTROL MAXIMUM SKTTINO .1 ,10° NILL NOT RH EXCEMDEP
Alr•orolif:11/ to Phono Unwhnt
9`7
I
/IFNI;A:TUltin
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,A� TOWN OF QUEENSBURY
' / j APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: 3-a5 -- 97
LOCATION OF PROPERTY FOR INSTALLATION 1.o t /3 0 CA..Afro�2--1 c„
Owner' s Name: R. 5ci, erWl rl.,o e-/J
Address: -79 Mas)-ers 6,1,4,10_,✓ /la,-71--/,
Installer' s Name: R. 5c +et,-,-, r-,o r� Telephone: 798 -o(.07y
Number of bedrooms (residential only) 9
Total daily flow (compute @ 150 gal per bedroom) e,o o
Topography: Circle one: 410$ Rolling Steep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
Ground Water: At what depth? Alp; Feet
Bedrock or Impervious Material : At what depth? "1/} Feet
Percolation test: Circle one: not requir j required
Rate - Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank J 2 S O gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench 540 feet/Total system length 25O feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. Q. /Depth or Thickness / feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks x Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I, have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: . JL- JDATE: 3 -a 5 — ?7
L
lotto System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted co the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance co structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution boxes,
tile fields and/or drywalls
B. No system shall be covered before inspection and approval by the
uuilding Inspuctor. Failure to comply with this requirement may
result in the uncovering of the system by the installer and a fine
of up to '250.00.
Cr An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
rusult .in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
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kemarks:
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date 3 g , ,19 7 Permit No.
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 .iro y"F 0 APPLIANCE (check appropriate boxes)
Address `; y�:�, _, };1,,� 04,44,,.,,0,,:.) , 1-1„ STOVE: ❑Wood ❑ Coal o Pellet ❑ Gas
0 FIEPLACE INSERT
(do Zip FIREPLACE, FACTORY-BUILT:
(1 ❑ Wood ❑ GaS
Phone "> 6> —7 q 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner , , -, ,,,ci �1 l' FURNACE: ❑ Wood ❑rGas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
_ -_ ___ _ _ _ Manufacturer:
Zip Model: -
Phone fie
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
❑ MASONRY: 0 Block ❑ Brick 0 Stone
Li. /_-) 0 ();e.p 0 e FLUE: ❑ Tile ❑ Steel
r Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT: -
CONFORM TO NYS FIRE-P-REVENTION & . " 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
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title �. �. (50
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
',Yee Collected-From-or'Refunded to: \FS, �' .;t'''a �? O.'I -' )1,r:;? +� i' F{ r i
`.
Dated: Z, / Town Clerk or Deputy: ~ 'ti
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
TOWN OF QUEENSBURY
IfilBUILDING & CODE ENFORCEMENT
# 742 BAY ROAD
QUEENSBURY NY 12804
(518) 76Y-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDEN ;AL
DATE INSPECT:ON`REQUEST RECEIVED: / 1.1 allhret)
AME• (► /lJ"_ �iC 1�W�'f//l��^JJ`` ,, __
�� ATIO. [ \ (ivA.yr_6`r-
ATE �l ERMIT $ U
TYPE OF ST UCT RE ,
FOOTINGS_ FOUNDATION _ B CKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
• N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT •
, ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES •
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
• FINISH FLOORS:
BATH/KITCHEN WATERTIGHT'
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL
r
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
,� TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUES IVED ///)//2vaz) PERMIT#
NAME
LOCATION ,L-' "-jam
SCHEDULE INSPECTION ON /��c7V- "�-
//X(AM ANYTIME
APPROVED
N/A YES NO
ITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE T• SPRINKLERS
CLEARANCE To HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASON•Y
FIREPLACE-FACTO7 BUILT FI./M-----
REMARKS: ❑ OK TO THIS DATE
l()&•
�ru �
INSPSUP.PUB INSPECTOR
• ;R
/2/- /3°
• / 1 2 3 O
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 2/7?drib
Building&Code Enforcement
Dept. of Community Development Arrive am/pm Depart i i pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbu ew York 12804 ge earre.4.e..7
N 2 r koP PERMIT# / /'A a! e J
LOCATIO ,,,L,,r/- j 3 a C-ta e.�,--� e..1 i-G&c._ DATE_p4 14e 1J�/_ (9_06
TYPE OF STRUCTIX S Pi)
ow / f/30 N/A YES; O CO S
C���Chimney Height/"B"Vent/Direct Vent Location i/-/ J, `t .;..6 (� rr f
Fresh Air Intake l�l- (J`�
Plumb Vent through roof ,,f//
Roof Complete /r
Exterior Finish Complete if
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more V/
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate f
Gas Valve shut-off exposed/regulator 18"above grade i ✓
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area ///
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs ✓/ i
Basement stairs,6 ft.4 in. �/
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight /://"V;i/ /
Interior Handrails Balconies/Landing 18 in.or more / i
Railing across window in stairwellsVy
Smoke Detectors:
every level -
every bedroom //
outside every bedroom ://
inter connected y
Bathroom fans f
Plumbing fixtures /!/
Foundation insulation .../_./
3/44hour fire door/door closer ✓ y
Garage fireproofing ✓
Garage penetrations sealed
Furnace in separate room protected(in garage) + J
Light ventilation per room , / '
Safety glazing 18"o les UV
o
Final Electrical l 0, 1,() U'v /
Site Plan/Variance uiled
Final Survey Plot Plan
•✓
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_ /
,/ (/ p�
Okay to issue permanent C/O(Certif.of Occupancy) tO 4 0 k U�V+ AFPRO U' 11(_/'
COMMON WEALTH J LEC'1'K1CAL 1NSPEU1ION SERVICE,INC.1
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL l\
Panel Board No Cert. Np 6 8 9 5 Cut-in Card No. OQ. .
Owner 3'e1.1- /1/4 fl7U',3 T
Location L T/3 U to/mil PP "W�4 - e/r2• ®�(.«X
Installation Consistin of �a f eFT� �l����f �l�� f
Pei Darr.{ Iv I- crc 11- ,,
-O d A- S G'�(/! e•
Installed By A ` Oa-nit S 1<:y Lic.No.
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 ma ' inspections at any time, and if its
rules are violated,the Company shall have the right to vo, rti h ate.
Date/6 m 2-.PJ INSPECTOR. "r
Member N.F.P.A.,I.A E.I.
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__a..« __ .-_ : _v_= . 1.
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: /g/)l
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive\� �Depart D m
Inspector's InG ,-,—
NAME: r PERMIT# r 1
�5
LOCATION: , l 30 (4-r`,a ,sc LD t`�4---- DATE: f c24-Q
CTURE:
C K
7 -
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respons ble for\
providing protection fromifreezin
for 48 hours following thel placemelit
of the concrete. `
Materials for this purpose on site d
Foundation/Wal ur /
Reinforcement in lace
. Foundation/Damppr •
Backfill Approval
Plumbing Under Slab •
, Plumbing_V_ent/Vents-in Place_ _ - - -- - -
ough Plumbing' ,.?i''.:_. _ i - --- - = �,._: .--<.._ , ---
Heating Rough-In
Insulation
• Foundation Walls Interi R
Foundation Walls Exteri r R-
Floors -
Walls • -
Ceiling it-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing 1
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
•
Firestopping
__ • - --- \
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- s_C.,, . 7 _pis . K.. .,
2._ 1., -5\-- --C\--'
AA. /IA-7-d--
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GENERAL INSPECTION REPORT 'PitI l
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:4//5 d73223
Building&Code Enforcement
742 Bay Road ✓ �--� --7
1i
Queensbury,NY 12804. Arrive, i7 a pm ---Depart , = -a
Taispector's Initi
NAME:. , PERMIT# . — "
LOCATION: p�4 ( jcW-``1z' `r p&TE: 5
TYPE OF STRUCTURE: "%' LJ/r2 Lj
RECHECK yy '‘rd/4--
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi ,_
for 48 hours following the place lent
of the concrete.
Materials for this purpose on site •
Foundation/Wallpo l r
Reinforcement in P1 ce
Foundation/Dampproo
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing /
Heating Rough-In v
Qisulation t/?-1"-9`�tv� ".47.--
( Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- 19, L''
Ceiling R- 1)0
Duct work or piping in
unheated spaces R- ,�
Proper Vent,Attic Vent /
Framing
Jack Studs/Headers
Bracing/Bridging %.
Joist Hangers /
Jack Posts/Main Beam 1
Air Infiltration Bather
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
4A/ / j„._ z_ '11 ___Cribl.
GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive'lam// lepart f - t�_/�
Inspector's
CInnit'. `0911
'�" (�=
NAME: - 0-0\d- PERMIT# 6G—`` 9 I
LOCATION: I 30 _ DATE : lk-a.0100
TYPE OF STRUCTURE:
RECHECK
• N/A YES NO COMMENTS
Footings/Piers l I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection m freezing
for 48 hours folio • the placement
of the concrete.
Materials for this pu on site
Foundation/Walipour I
Reinforcement in Place
Foundatiom�/Dampproo ng -
Backfill Apr val
Plumbing Under
Plumbing Vent/Vents • Place
Rough PI bing /
in
Heatin ugh-In ? �
In ation 1 6T
Foundation Walls I tenor R-
Foundation WallsExterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipin in
unheated spaces R-
Proper Vent, Attic Vent
Framing Or...r.�v-z sJC� c `7Z,�e 4 ✓�
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
30
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: _3 .NA)
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive I :CaanVpm Depart " ;♦ .
Inspector's Init'
NAME: G �' ® ` ~ PERMIT# r vq
LOCATIO / ) �/r tp —( DATE:
TYPE OF STRUCTURE: � I
N/A YES NO COMMENTS
Footings/Piers I. I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl 'or
providing protection from .eezing
for 48 hours following th- .lacem- t
of the concrete.
Materials for this purpose .n site
Foundation/Wallpour
Reinforcement in Pla
Foundation/Damppro•'fing
Backfill Approval
Plumbing Under S b
Plumbing Vent/V nts in Place.
dough Plumbi
(Heating Rou -In Vj V
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
ming
Jack Studs/H
Bracin ridging
Joist / ✓ PkW E7,1;) t ������ Uu‘
Jack Posts/Main Beam J �—
Air Infiltration Barrier �
' V o T c — ?C= r11-
Fire Separation 1,2, 3,hour 12-0O Ni 60E
Penetration Sealed /
Fire Wall 2, 3,4 hour
2 irestopping 4/
E
AWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 07,3--eitl,
(518) 761-8256
_________
SEPTIC DISPOSAL SYSTEM INSPECTION
Name �;��2
6:4Ls(
Loca ti o _ 0- 136 .
Date 1 -PP Permit # 9/49/7/
SOIL TYP San oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/I• - ,
TYPE OF SYSTEM:
ABSORPTION FIELD: Total -ngt)1
Length of. each t enc t . s 1
Depth of trenche. r
Size of stone e -
SEEPAGE PITS: Nu •er-
Size - ft. x ft.
Stone size
PIPING: M Size Type
Bldg. to Tank • 17/b' �
Tank to Dist. Box • / ' it
Dist. Box to Field P ' c' '^
Openings Sealed? No Partial
LOCATIOii/SEPARATI'i
Foundation to Ta (1 feet
Foundation to 'Ab orp ti on ,j_. fdet .
Separation of Pi s eet
Conforms as per Plot Plan es No
LOCATION OF SY EM ON PROPERT .
one)
Front - Rear Left Side - Right Side
lidd e Front. - Middle Rear
_ Al ENTS: n
.r-14- UtC,• i ��`�
SYSTEM USE APPROVED: YE NO
Arrived:
Departed:
Building Inspector
SCHER M J. R H 0- R
,_. ,
7-099
. CORPORATION CONSTRUCTION . 1/41-
,.._:: .,
79 MASTERS COMMON NORTH•QUEENSBURY,NEW YORK 12804 rt.7""'4."Z--.'1-• • '''(518)798-0674 • FAX(518)743-9653 ; ,-zi,-• .....;t z ..- • i
, MAR 25 1997
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- '
•
At -; 6.60r/
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I
f have seen or observed,or I saw fat I
1! r hIP •••:-. .3: i? a: ,,-4s w I , trees, fences,i .
RECE;14 v a,D
person ily meigu 1 ' di ta s set forth on-.
Pir''
FEB 2 8-2000 ,
t .
scaliest .. . _ . ippipidiparielm% TOWN OF GUE'EBURY
BUILDING AND CODE ;
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APPROVED
, --.
1.-..c rcaticn • -
AFR _:
1. Fro,* YeLrel, vyN; A) 30 )
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Zoning Adrnini 3tOr
TOWN OF QUEENSBURY ge,c\.("" ja.CA ki,"; ,'L) go
GENERAL INSPECTION REPORT
Town of Queensbury
---,--, T\c
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 .:ay Road 16
Queensbury,NY 12804 Arrive am/pm Depart) ,am/pm
Inspector's Initial
nA ,I PERMIT# " V�
NAME • t � , { �i _ i L
LOCATION: 13(� j a•�- _i:.�kki UDATE : a -9 .1 on
TYPE OF STRUC : `
RECHECK
'VN/A YE O COMMENTStings/Piers(tee -a.c ` icir -r ,
onolithic Pour Form
Reinforcement in Place ---
(•( l
The contractor is responsible for
providing protection from -;+ing
for 48 hours following the .la ; •ent
of the concrete.
Materials for this purpose site
Foundatio allpour
- Reinforceme in Place
Foundation/Dampproofin;, -
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Wall: Interior R-
Foundation Wa ;s Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work o piping in
unheatel spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury 3\ 11
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive;jr epart "r, i1•m ,
spector's Initi;
NAME: max` 15-11k.jl 01 rvl cien,.....,:r1
i I PERMIT# ' — 9 1—:
LOCATION: - - f.30 .-�1 j Pc,��,�-iL)-(DATE : -
TYPE OF STRUCTURE: Sc "
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible ,
providing protection from g
for 48 hours following the p ace i ent
of the concrete.
Materials for this purpose on -1 to
Foundation/Wallpour
Reinforcement in Place
Fo tion/Dampproofing4,
ackfill_Approval _.•�
Plumbing Under Slab
Plumbing Vent/Vents in Pl. -
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte or R-
Foundation Walls Exte 'or 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
Firestopping
INEM-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road I
Queensbury, NY 12804 Arrive am/pm Departl I I am/p n
Inspector's Initials �_
1 ,
NAM �` �" ►'� PERMIT
-09 Lf
# P
LOCATION: 3(7 DATE :
TYPE OF STRUCTURE: ��
RECHECK
N/A YES O COMMENTS
F tings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
•
for 48 hours following the placeme it
of the concrete.
Materials for this purpose on site
Foundation/Wallpour�, f
Reinforcement in Place `. 1
Foundation/Dampprooling\
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents 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 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
Fircstopping
SCiIEitMEI , HURN
CONSTRUCTION CORPORATION q7 O i i
79 MASTERS COMMON NORTH•QUEENSBURY,NEW YORK 128Q'4 -�- x •.
(518)798-0674 • FAX(518)743-9653 j ',L--s- r•- ; •_.
MAR 2 5 1997
0
1
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d
•
a- •
,,,_ '/ 1•rvi ..e r,.1 -IiV.. 1�. ,,, Iwo*" .!W 1.rY. .wPr AN., *KW iy
"I have seen or observed,or liege I ss nt�ev i 60' 0/60)1
all c hie t str b a., ou. es, w. .1 , trees, fences, etc.,
show' :n th,:. :c; t .e. ese.nt that I have .
peron lly measu • th di to es set forth on the diagram." . ,
•
•
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APPROVED , . .
Application . .- . ,'.I.�-j....., . . . . , . .
. APR -: I:.�997 .,. ... l)
Frd,i * ttr1 on; 30 r
AlI`••••• 71 •f�T� 5 i ct e, et e d, v : /1) 15
Apr
Zoning Admini. rotor Q���- a(� �; ,� o�O
r
TOWN OF QUEENSBURY i`
MAP REFERENCE:
LAND 0' PINES
SECTION 5
BY COULTER & McCORMACK
DATED FEBRUARY 23, 1984
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON DEC. 18, 1984
� an Du
s e�
8c Steves
Land Surveyors, LLC
37 Chester Street
(518) 792-8474
Glens Falls,
New
York
12801
New York
Lie.
No.
50135
91NA TMOMM ALI MTON OR ADDn= TO A SURVEY
HM WARM A II MNSED LAND S1JRVV= SEAL t! A
MOLATION OF SECTION M& EIM-dM M Z OF 7 E
NEW TOW STATE MXMIM LAK'
'ONLY COPIES FWW THE ORIONAL OF ORS "VEY
N = WIN AN OMOIML OF THE LAND SURVEYORS
SEAL SNAIL SE CONSIDEMED 70 K VALID TRUE COPIES,•
%0"W CATRNS POU120 MEN = 900FT THAT
TM SURVEY !AS FREPARID N ACOMANCE WIN Tog
005IM COOS OF FRAC M FOR LAID SURVrf= ADOPTED
BY THE NEW TOML STATE AWMAI N OF PROFESSIONAL
LAID SRIVLVORS SAD CSRIFX.ATIOMB SMALL RLM OILY
TO THE PENW FOR *M THE SURVEY M PREPARED. AM
of HIS BEHALF TO THE RILE COWAM, OOVEN NENTAL
AOENCY AND LEMM NSRTUMON LISTED HFRECN. AD
TO THE ASSIGNEES OF THE LETMIRG NSIMMON.'
CHIPPEWA
CIRCLE
Map of a Survey made for
SCHERMERHORN CONSTRUCTION CORP.
Town of Queensbury, Warren County, New York
Rtr
R�ctj�
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OV 2 7
r0 wv01Pf%:._
Dater FEBRUARY 11, c
Scale 1'=30'
S-1
$ME" 10F 1
SCHERMERHORN
M. NO. TW-130
I
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N
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-
CI
NO. I DATE
TION
C-235