97-104 ••• ••",,,,,--"",
. „
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July 8 97
Date 19
. This is to certify that work requested to be done as shown by Permit No. 971"
has been completed.
SINGLE FAMILY DWELLING W/2-CAR GARAGE;
This structure may be occupied as a
• LOT 17 fl 58 KETTLES WAY
Location
MICHAELS GROUPS INC.
Owner
• TAX MAP NO, 148. -3-17 By Order Town Board •
TOWN OF QUEENSBURY
Director of Bldg. &Code Enforcement
•
. .
BUILDING PERMIT
VALUE $ 11090NOWN OF QUEENSBURY No 97104
TAX MAP NO. 148. —3-17 WARREN COUNTY, NEW YORK
MICHAELS GROUP, INC.
PERMISSION is hereby granted to
LOT 17 #58 KETTLES WAY Street, Road or Ave.
OWNER of property located at
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
ROUTE 9
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDER'S Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE 9
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( 1 Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
1325o.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
191 April 9 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
9 _ April 97
Dated at the Town of Queensbury this . Day of 19
SIGNED BY r for the Town of Queensbury
uilding and o ing Inspector
07/03/35 13: 27 5187454423 TOWN OF i2UEENSFURY PAGE 01
, � TOWN OF QUEENSUURY Fee Paid _ /n�
.;ATAw� BUILDING & CODES DEPARTMENT Permit # `V-7 i ()
P . APPLICATION FOR; PORCHES-DECKS-
'" :.,.. : ;: 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. O SETS OF STRUCTURAL PLANS
fl SHALL DE SUBMITTED
WITH THIS APPLICATION. T
Owner of Property: The Michaea Gnoup, LLC _ .
P.O. Address 1810 R-e 9, Lake Geonge, NY 12845 Phone # 668-3376
Property Location t_ofi 11. — 5 ,.
Hu -i a Tax Map #
Subdivision Name (If applicable) d4on Yonte _ (� )
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Jim Chand m, Address Same Phone#
Name: _ , ___.
BUILDING SPECIFICATIONS:
Type of work to be done: Porch41P Dock Boathouse (Circle one)
Size of Structure to be built (square footage) : fa )( / 3\
Foundation Material : Width 8" Conc,ke-te 19.(41hickness
Depth of Footing, below grade: To Unort £Lne pen code
Size of Posts or Studs : 4" x 4" x pen gnadeLong
Size of Floor Joists: 2" x 8" x 10� Span
Decking or Flooring Material : 5/4 x 6 pnezzane tneated ,
How will Porch or Deck be fastened to building? tag bolted
If Roof Will Be Ins ailed, nswer Following Questions:
Size of Posts or Studs: _ x , x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-et in ered 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;showing clearly and distTnctly air buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ^W ft. x ft.
Existing building($) : Size ft. x ft. •
Size ft. x ft.
Use of Existing building(s) : -
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback From side street: ft.
DECLARATION LL
To the best of my knowledge and belief the statements contained in this application,
:ogether with the plans and specifications submitted, are a true and complete statement
)f all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and that such work is authorized by the
Iwner.
ATE: 211 f s? SIGNATURE - ----
w r Owners Agency r i ' et, Co rector
',EVIEWED BY CODE ENFORCEMENT OFFICER, DATE %G SI NATUR
Building Permit Application
Town of Queensbut y - Dept. of Community Development, 742 Bay Road, Queensbur y, NY 12804 [761-8256j
BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance ( PERMIT FILE NO. 9
. A permit must be obtained before of this permit: 1 �l-
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received . Ti Zoning Board Action
a VALID BUILDING PERMIT. All • Area /Use RECREATION FEE P D$
applicants' spaces on this application
MUST be completed and•the signature •
n Planning Board Action REVIEWED BY:
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
`pplication form. Th,mk yciu. J Recreation Fee Payment
Applicant: The M-i.chaets Group, Inc. Owner: Same -
Address: 1810 Route 9, Lake George, NY 128Aldress:
•
•
Phone # ( 518 ) 668 - 3376 Phone # ( ) -
Property Location: 'r � i S.&Q11.0 61 W
Tax Map Number_ -J l
Subdivision Name: Nudhon Po.%n Cedah outs Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
x New Building: CONSTRUCTION: $ liCD PCXD
residence / commercial I in
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 ,Dwe-l -ng --� 1
Office i <<���T- ` . : ,
Other Work (describe below) Mercantile 1 . `
Manufacturiri'g BAR 2 8 1997
``r • Other
GROSS AREA OF PROPOSED STRUCTU E:/J1/449 - - • ` ''�- " ' ! �
I f ADDITION, w h�t E;:0i 111.�= u-ore--• "y
1st Floor gv sq. ftj q/ ob of new addition be? :
2nd .Floor • sq. ft. N/A •
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
" Detached Garage 1, ar
TOTAL FLOOR AREA: ) 3 a5 SQ. FT.' K Attached Garage l
Private Storage Bui + - g
•
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X 4 4 FEET Other
Foundation Type: Poured Will any second-hand or ungraded
' Number of Stories : 1 lumber be used? If so, for what?
(habitable space only) t No
Height (grade to ridge) : • - feet TYPE OF. HEATING SYSTEM:
Number of fireplacesand/or woodstove (circle all whic 1' es)
to be installed: Electric / Oil Gas Wood
Forced Hot Air / aboard / Other .
Person responsible for supervision of work as regards to building
codes is : Jim Chand.Pen, Pno joct Manageh.
Name Addresss Phone •
Builder: The. M-ichaef Gnaup, IYic. 1810 Rte. 9, Lake George, NY 12845 518-668-3376
•
Plumber: Favor P.2umb.ing• 16A Panlz Road. GPen/s •Fatts, NY 12801 518-798-4399 .
Mason: JV 13ouchen, So.i 268, Gnanvate, NY •
Electrician: Fl,nPUPJ( Ffeo5t)i,i0, 9446_104 nPy St , Schenectady, NY 17308 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 Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; rawn to,scale, showing actual location of project on premises.
Signature: e_--- . .
(owner, owner's agent, architect, contractor)
• 10 lJl" 1 1 l., LI-CO U V tJ ill_. l- L' liiYl 1 1 I
Locatioin of properj.y for installation: 40-4- )-7 .7 S3.-.. . A I
`s ' Ir tMIT NUMBER ,'
Owner's Name: The Mi.ehaths G'coup, LLC
Address: - 1810 Routd 9, 1 aFz' Gpongo,NV 12845 �`
InstalIer's Name: Fx-i-edmetn Excavating FEE PAW
Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): Tivicee
Total daily flow (residential -compute (Sl 150 gal. per bedroom): 450
Topography: X Flat ri Rolling -1 Steep Slope 5, of Slope-y:
I
Soil Nature: [ X Sand F-1 Loam I-1 Clay Q Other [ /D nth•
LIAR 2 8 1997
Ground Water: at what depth? 30 feet •
Y.Olr,,+6 t O„tyt.' r`
13edrock or Impervious Material: at what depth? feet
Percolation Test: rI Not Required IX i Required/Rate 1 min. per inch
•
Domestic Water Supply: I-1 Municipal [—i Well I-1 Other
If domestic water supply is a Wiil.l: water supply from any septic absorption is feet
•
PRO roam SYSTEM: '
•
•
Septic tank: 1,000 gal. (minimum size: •1.000 gal.) _
Tile Field: each trench 41 feet. / total system Iength 162 feet.
Seepage Pit(s): number of N/A / size each: ft. x - ft.
Size of stone to be used: # 2 istOne / depth or thickness feet.
IIOI DING TANK SYSTEM: (if required) ! . ; ••
Number of tanks: N/A "'Size of each: _ gal.
Alarm system,and associated electrical work to be inspected by a certified agency. . _
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of _
Queer:shury; 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 of an applicant, shall be void. • � -
I have read the regulations n•ith respect to this application and agree to abide by these and all ._
requirements oldie Town of Queensbu ' Sanitary Sewage Disposal Ordinance. '
Sienature o(restponsible person: _ . Date: 311--6:. (-2-7 •
3 bed home
HAANEN ENGINEERING
JCHN L . HAANEN. P. .
G. .THOMAS HUTCHINS, P .
•
April 4, 1997
Mr.Jim Chandler
The Michaels Group
6 Century Hill Drive
Latham, NY 12110
Via Fax- 668-4523
RE: Hudson Pointe PUD - Phase 2
Soil Percolation Tests
Dear Jim: •
•
On this date we performed soil percolation tests on lots w 13, 14, and 17 in the area Where the
septic systems are to be located. The stabilized percolation rates are as follows:
;u Percolation
13 (Kettles Way) - 3;50
14 (Kettles Way) 1:20
& 01 etAeaWay,) .05
•
Should you have any questions,please call. •
Sincerely,
� Post•ItTM brand fax transmittal memo 7671 #of pea►
�✓ To C� Front �( \,
G. Thomas Hutchins, PSco. VC.�/1'} co.
Dept. �J phone#
Fax# q L c 37 Fax# •
•
E;\T RACY146146o29S.LTR
254 BAY FIOA0,CIUEENSBURY, N.Y. 12B04
TEL: (518)793.7444 FAX: (518)793-7C61
cE7.%S.n.1,.C:l-ka�/'.t.C%11�:l�.ta'AP,Y.l�.9!:•e,!...._l'JJ.C•-n�•,P,,la,..V,sgVo.C1.�1 A.A149,:•.),„7.�Ax9-A'J,�4��-p„.:\.447..1:),.v../'J.1J....N...c.,.l'J_...pmp./'a./.��4,.4..0 .A��.l'_..C..g.C.).n��.i.„..7",,..."..1..l'J�7,,.tC'
' THE NEW YORK BOARD OF FIRE UNDERWRITERS z 1\°1', , i}
,..o BUREAU OF ELECTRICITY 61,
Y
111 WASHINGTON AVE., SLJ-ITE 7 4, ALBANY, NY 12210 �Y
1; JIII�' I I. 1.`?`-}•;t / f4I't.i:'�3t;, J9'1 1`2,iiit-(5 ar
�, Date Application o.on file
IL,( 1:rT 1 i. 9 1441 �r
!�; THIS CERTIFIES THAT a •
only the electrical equipment as described below and introduced by thiiipplica named on the above application number in the premises of }
lkTHE; ! '� T "a( c� a• a �,r: :t;aaeria i,;• 7 + } p"
3 HE; i C't-6_-t1,..a.._ t.r:f•tOU _,z.a r.,N t .1,4,a,., •1 ,'� LOT 1 t;UE:I:,i+�aiii.}I-6: . A(,V, a
't in the following location; ❑ Basement 1st Fl. ❑ 2nd FL Section Block Lot
T.
was examined on "3l-i1'Y (1.'.,19
7 and found to be in compliance with the National Electrical Code. }
r�
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;li
OUTLETS RECEPTACLES SWITCHES r.
�', INCANDESCENT:FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. aY
r
-' :'.1. '�; ',2 2.1 1' 'Y
,r
-' DRYERS FURNACE MOTORS ' FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET it
�, BELL DIMMERS
�' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SYSTEMS ,
.. ,ICI .. 1 ,�
1.-!4(; SERVICE DISCONNECT NO.OF S E R V I C E 'r
�, -AMT. AMP. TYPE METER. 2W 3W 3 B 3W 9 0 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A G NO.OF NEUTRALS A.W.G, i
1, EQUIP. PER.B' OF CC..COND. OF HI-LEG OF NEUTRAL -
^: SO t.'"H 1, lS 1 :-'. -f�'' I 1/0 T
iiS
, OTHER APPARATUS:
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►:i • 1=1.�.1_,Js Li'I';yy !?. l i °I` I .1.'1a{ j� :�'y f ; ;i GENERAL MANAGER -
j' .'n[�j.f �iiY:',('+`��i S` er.Jrj Yte••a y�`•'a, + T
Si.tll;tfl,;4"l?4(i`L'. NY, I `tz�a — ;1 ' _`• ik es 'r
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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. a
-i-; ...R..i ZY ir,'t i:7.-d'i ii i' -,`'! ' Y'i i91Y('i "%i`iiY?Yi'il—ii) Y,fYY\;'i 2Y iY Y•Y\Y iT iY1-7i—i,iYYY`i Y TY YY.iY YY`KY YYCY 11 .'YY,YYY rC.YYYCYYY YYYYYYYY i9'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
TOWN OF QUEENSBURY
11 BUILDING & CODE ENFORCEMENT
742 BAY ROAD
Me.aCf QUEENSBURY NY 12804
(518) 761-8256
41.
ARRIVE: DEPART':. INSP:
FINAL INSPECTION REPORT - RESIDEN
ciDATE INSPECTION REQUEST •ECEI .:
NAME 110 IA ) ,! P All 1!
LOCATION r��if�1�t ���!/1a_ �� _
DATE / — F. PERMIT I y
TYPE OF STRUCTURE SC
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 FINISH
DECK/PORCH/STEPS/RAILING
RELIEF VALVES
FURNACE/HOT WATER 0 ERATING
INTERIOR TRIM/P ACY 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
SITE PLAN/VARIANCE-REO.
NAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
A
eel- �C
,;�. TOWN OF QUEENSBURY
, 1 lk BUILDING & CODE ENFORCEMENT ,n
742 BAY ROAD /
�` ', QUEENSBURY NY 12804
(! (518) 761-8256
49
ARRIVE: I DEPART: __ INSP:
FINAL INSPECTION REPORT - RESIDENTI L �7
DATE INSPECTION REQU,ST RECEIVE C: -] /
NAME P/�J 1
LOCATION 3( (4 / /LAB
DATE PERMIT # q-/--/,),/
TYPE OF S' RUC URE
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 1
jEXTERIOR FINIS�T*,
DECK/PORCH/STEPS/RAILINGS
I
RELIEF VALVES
FURNACE/HOT WATER OEERATING
INTERIOR PRIM/PRIVA Y DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED /
STAIR CLEARANCE/RAILINGS V/ _
SMOKE DETECTORS \�
BATHROOM FANS V
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLO ER .�
e, \//
FINAL EC RP"CAL A// y/ ki
SIT 71 PLAN/ RIANCE REO. ---/'
FIN L URVEY O PLAN
OK TO ISSU C/O OR C/C
0 ti-- 1
0 /4 (16 VO HA)A-Z--- b t(().
11-f°PiQv)I—
_ _ ) :3ocrr
��� TOWN OF QUEENSBURY
-•- - BUILDING & CODE ENFORCEMENT
'IOW
�� . 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: I
J DEPART:. 1445 INSP: i/
• FINAI. .INSPECTION REPORT - RESIDENTIALSI)
DATE INSPECTION REQUES RECEI D. / �� _9
NAME 11\ \ l
LOCATION Cg I‹, 1171S lam/
DATE -- 3 9-7 PERMIT I Cr)-1 9
TYPE OF STRUCTURE :sc.-lb
FOOTINGS FOUNDATI'. t$ACKFILL FRAMI .G
ROUGH PLUMBING ! INSULATION
FINAL ELECTRICAL °' OV%0ISTE OR FIREPLACE
+` N/A Y NO
CHIMNEY HEIGHT/B VENT/HEIGHT \.
PLUMBING VENT
IV
ROOFING
EXTERIOR .FINISH /
DECK/PORCH/STEPS/RAILINGS \, /,
RELIEF VALVES
%11/11://///:1
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS V /
FINISH FLOORS: Ni
- BATH/KITCHEN WATERTIGHT .
OTHER FLOORS 'SWEEPABLE
\l,
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS ‘11/(
SMOKE DETECTORS
BATHROOM FANS /
PLUMBING FIXTURES '
• FOUNDATION INSULATION
/6 ._______ . .
GARAGE FIRE PROOFING
POOR 0 ERS ft/� 4.
FINA E ECTRICAL ,r8 V
SITE PLAN/VARIANCE RE
FINAL SURVEY PLOT PLAN
OK TO ISSU' -- OR C/CN `P✓/ -
i
47-6
0 Ali_ 'R &cH4C("C
p0)0\
(518) 761-8256
TOWN OF QUEENSBURY .``a
BUILDING & CODE ENFORCEMENT /J�,'''
742 BAY RD., QUEENSBURY NY 12804 11 k•- 'a
]]�ate
INSPECTOR'S REPORT: ARR1\aQ ODEPAR1�1C43?5
REQUEST FOR INSPECP ON REC..VED: 9
NAME N / ]. .4.
LOCATION _ �i ' "�.-�-.
DATE ( -S`1 (7 PERMIT I - !1 lk /OH
TYPE OF STRUCTURE: PC.... Ict
RECHECK APPROVED✓
N/A YESS NO
y/FOOTINGS/PIERS `` 7 1/
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAO;B ._
THE CONTRACTOR IS RESP'' - :LE FOR
PROVIDING PROTE TION F"'' FR ZING
FOR 48 HOURS FOLLOWING HE • 'CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS P,RPOSE ON SITE
i
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-
.„---- ------ TOWN OF QUEENSBURY
BUILDING`& CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name M) .
Location 5S? e e3 (V-21
Date ((-219 7 Permit #00-/ o7
"
SOIL TYPE: Sand-Loam-Clay-,
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length /6 Z_
Length of e: • trench 7p
Depth of,tr• es , -,3�
Size o to - /l1gg,
SEEPAGE P Number-
Size - ',ft. x ft.
Stone size _
PIPING: Size Type ��
Bldg. to Tank yfl d '
Tank to Dist. Box a 1' Sid
Dist. Box to Field/Pi /h 7' S'jL.
Openings Sealed? 4135Pr No Partial
LOCATION/SEPARATIONS:
Foundation to Tank /9 feet
Foundation to Absorption .20 feet
Separation of Pits ,v fe-�
Conforms as per Plot Plan - Yes
LOCATION OF SYSTEM.ON PROPERTY:
(circle o
Front - Left Side -. Right Side
Middle •ront - Middle Rear
COMMENTS:
• .
S b miI tewjei i/ h i
, 1:17
SYSTEM USE APPROVED: YES NO
Arrived: (4124
Departed:
a'r
Building Inspector
(518) 761-8256
TOWN OF .QUEENSBURY s°
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 :• .-
INSPECTOR'S REPORT: ARR�'[/6DEPARI J INTV/42`'
REQUEST FOR
IINSPy6 �+ECTIONRECEIVED: . F'.
NAME •11L",C`ICGf l- Se/49 G
a
LOCATION A� �E//�4j K.J/3s
DATE 4 7 PERMIT A F7�/Of
1
TYPE OF STRUC URE: d'
RECHECK ' if APPROVED.
a N/A YES NO
FOOTINGS/PIERS\
MONOLITHIC POUR\FORM • _
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLIFOR
PROVIDING PROTE TIO1 FROM FREEZING
FOR 48 HOURS FOLLOWING THE FLACE7
MENT OF THE CONCRETE\ <
MATERIALS FOR THIS PURPOSE/ON SITE
FOUNDATION/WALLPOUR \ /
REINFORCEMENT IN PLACE Al
t -
FOUNDATION/DAMPPROOFING'
BACKFILL APPROVAL 1
PLUMBING VENT/VENTS IN PLACE _
ROU i PLUMBING
P MBING UNDER SLAB
RAMING: Cdig(c' b/V4.1S
JACK STUDS/HEADERS \
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATIdN BARRIER _
HEATING ROUGH IN \
INSULATION: - '', :•. : \\
FOUNDATION WALLS INTERIOR R-
FOUNDAT ON WALLS EXTERIOR R- ', _
FLOORS R- i
WALLS J R-
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBjURYYJEP
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INSPECTOR'S REPORT: AR V ` AR O. 1" 'C
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• TOWN OF QUEENSBURY f, �
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BUILDING & CODE ENFORCEMENT '
742 BAY RD., QUEENSBURY NY 12804 -" +a r ;.„,
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 s, xa+"'
INSPECTOR'S REPORT: ARR DEPART - — INT"
REQUEST FOR INSPECTION ECEIV D: 5 -00 - / 7
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(518) 761-8256
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR / DEPART__®wJ INT
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NAME kr \a 9
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TOWN OF QUEENSBURY a„
BUILDING & CODE ENFORCEMENT A .�
742 BAY RD., QUEENSBURY NY 12804 -.. ;,•-. ;
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INSPECTOR'S REPORT: ARR/' J DEPARTG' Ni'JI -
REQUEST FOR I SP//ECT�ION RECEIVED:
NAME /4lC,�4fJ,/� s6 ` D 117
LOCATION 04 \ / nn/ , D e0e� ] i-
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LOT19 U
15, 162• s :oo �..
"I have seen or observed,or believe i saw evidence of. .
fend etc.,
all objects such as houses,wen,
' ,f e thforthat!have '��
�� -� shown on this document.iset enthe dim:
pe ovally
� �-` . . - ured the_
-` �..o DATE
SLAP REFERENCE:
HUDSON POINTE P.U.D.
BY VAN DUSEN & STEVES
DATED MAY 19"
LAST REVISED (LARCH 6. 1995
FILED IN THE WARREN COUNTY
CLERK'S OFFICE ON APRIL 5. 1995
AS INSTRUMENT NO. 44
PLAT CABINET B SLIDE 43
0
FA
•
'1Mu1 SOM AL701A M a 40n M 10 A S fta
UN KNW A NOOMfm L1Ne SWUNNS K& 8 A
MAIM W-NI SOM M% 9AH MqM % 011s
WW VW UM OLVAIM LW
60a Qo IMOIi la am"& W 1w Si"V
MAST® SM AM MOM& W W LN* *ARCO S
KAL DAL K 10 K M" 1NX Corns•
TM SUM %" ra' MW M AOOaOAM all W
MAIMS 00K a/ PUMM M LAID aaALM A00 W
LNG SiMtAVM WAD CO MO UMS 1ULA am a"
10 M rO1 O FM am 1t SiML a a rlitPMW Ale
am No SDULI 1p 1a TM Commit G A N"M
AGOW Ate Le SM11WOOM UM mow% Ale
101s ASKS aI 1s LilM" SISn~
I hereby certify that this map was prepared froze an
actual field survey. This certification shall run only
to the persons for whom the survey was prepared, and on
his behalf to the Title Company, Governmental Agency slid
Lending Institution listed hereon. Certifications i}e
not transferable to additional institutions or
subsequent owners.
Certified To: Chester F. & Winifred Fisher
Chicago Title Insurance Company
Certified By:
Leon N. Stoves, LLS.NYS Lic # 35617
Date: July 3, 1997
MAP OF A SURVEY MADE FOR
CHESTER F. & WINIFRED FISHER
TOWN OF CUEENSBURY COUNTY OF WARREN N.Y.
SCALE l 1'=30' DATE
Varousen & steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y. STATE LIC. NO. 35617