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98-388 � . _ CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK October 30 98 14 y r I ti 98388 This 14 to certify that work request to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This . structure may be occupied as a ^5 ^r LOT I8 FIELDVIEW SOUTH Location CERRONE BUILDERS Owner TAR MAP NO . 4 8 . - 7 - 18 By Order Town Board TOWN OF QUEENSSURY Director of BIdg. 14c Code Enforcement BUILDING PERMIT VATAW s 165001OWN OF QUEENSBURY Na. gss88 TAX NAP NO . 48 . - 7 - 18 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CERRQNF JTJ,nKRS OWNER of property located at LOT 18 FIELDVIEW SOUTE Street. Road or Ave. in the Town of Queensbury. To Construct or place a SINGLE F,aMT .Y nwiFT.T. Nrz 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 Oueensbury Building and Zoning Ordinance. 1. OWNER"S Address is 66 SUNSET TRAIL QUEENSBURYr NEW YORK 12804 2. CONTRACTOR or GUI LDE R"S Nam* CERRONE BUILDERS 3. CONTRACTOR or BUILOER"S Address 66 SUNSET TRAIL QUEENSBURYr NEW YORK 12804 f t' 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) SINGLE FAMILY DWELLING 1 1 Wood Frame I I Masonry l i Steel 11 7. PLANS and .Specifications 23 ' SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 301 July 7 2000 $ PERMIT FEE PAID THIS PERMIT EXPIRES 19 (If a longer period is required an application for an *xt*rrlon muse be rtrad* to the Building and Zoning inspector of the town of Chm ensbvfy before the expiration dah.l 7 July 1998 Dated at the Town of Oueensbury this Day of 19 SIGNED BY for the Town of Queenstwry Bu kq and Zon mp*ala► ..-�� Building Permit Application Toupti C?f QIteensbur y - ni Ar. of Civputtwei/y Dess '1uEursem. 742 Jlav Road, +Quecrnburyt N)' 12804 /761-82561 "`-" BUILDING & CODE' ENFORCEMENT NOTICE Requirements prior to issuance A lx rnkit knkxsl lie ohtainecl lx fore of this permit: PERMIT Frf.E NO. [)ginning construction. No in,peclions J'EJ+•Ml"l' JEL 143tL7 X36L will lxe made unlil applicant has received O Zoning Board Acdolr a VALID BUILDING PERIVIrl`. All Area I Use 1rECltl:'A7YDN FEF. PAID $ :il1nticanls.' sPace:s nn Ibis kkpplicxxtion MUST he completed and tie signature Q Plalrning Board .Action REVIEIYED BY:of the applicant mu6t nppear on llle Sri[2 J Sutxlivisinn f 4llkcr Brrilllrrg Inspectorpplicali«n form. axis >... Recreation Flee Payment Applicant* +' Owner: Address: Properly I .ocation: A ` �;ulicliuisiun Name: � !/' Tax Mitp Number / Sca ion 11likA t xil NAT E OF PROPOSED WORK : ESTIMATED MARKET 'VA OF THE New I CONSTRUCTION : 0 residence / commercial -- Add iti.on o ttildIng : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Prlprary Building - residence / commercial ! Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile JUL 02 1� Manufacturing Other GROSS AREA of PROPOSED sTRUCT[lRE : � lst: f Ioor. . . . er r;q If ADDITION , what will use ' of new, add i to ort be ? 2 tt c i . l� .l. ct co r . . . . . . . �/tt?-."�-" s g , C t Other Floors . . . . , sq . ft � ( not unfinished cellar or basemen ACCESSORY BUILDINGS : 32.E Detached Garage it 2 car TOTAL FLOOR. AREA * � �7 L SQ . P T . ✓ AAttached Garage 1 , � IF Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X FEET Other Foundation Type : Will- any second- hand or ungraded NUMber of Stories : ?... lumber be used ? If so , for what ? ( ]tatbitab le space only ) height ( Grade to :ridge ) _ _._ feet TYPE OF HEATING SYSTEM : Number of fireplaces and /or woodstove ( circle all which applies ) to be installed : / Gas / Wood eForced (lot Air / Baseboard / OtherL ✓ t Person respons ,rfor/15rx ervitjrrn of work as regards to btx � f��yng codes i s : �I' G �- ' "' r jirGP L✓ Name AddresseVO Builder : QiI� Plumber : .r Mason : y Electricians -• DEC:'LAJZATTON.• Please sign below q lei- yorr have carefully read the statement. 'I'o the best of my knowle(ige the statements contained in this alaltlicaticon, together with the plans and specifications stilmlitte(l, are a true and coml)lcte statement of all prolx)se(i work to he done on the descrilxed premises and ihat will provisions of (lie linklcling C'txle, the Zoning Ordinance and ail crlher laws fkerlainiirf; to Ihi {xrcklxcxscc! work shall hin coinlxlied willi , whether sltecitted or noted , and that Such work i5 a till korired Ixy like owner. I1,kkrikker , it is kulder5tcxx1 tlk.kt I/wc shall sulmxit ltk for Ica a Certificate of 0ccupaka certificate of Compliance being issuecl , an AS BU1L'I' PLOT PLAN by a licensed surveyor rawyf to scat wing actual location of project on premises. Signatttre: Mnr�vner, owner agent, archilect, contractor) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS JUL Compliance Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi - Family Dwellings ( 3 stories or less ) PART 4 * - Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : I * Gross Floor Area - i72::. square feet i Z.2 . Type of Feat - Electric O l 1� Gas Other 3 . Is building mechanically cooled? Yes " No 4 . Percentage of area of windows and doors Over 17 % under 17 � 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R 349 b . Exterior walls R c . Glazed areas R d . Exterior doors R ICU el Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R g . Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) R i . Heating/ cooling-ducts -piping in unheated space R -- 6 . Service ( domestic ) hot water heating device ,I'� Conforms to minimum efficiency per code ,/ Yes No TE ERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED A 1 ' ant ' ignature Dad / — Pho �u�nbar INSPECTOR ' S REMARKS : / �i r f TOWN F Y r 742 Bay Rd. , Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date r' 919 Tom_ Permlt 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 andlor chimney. Applicant <� oc �Y -� APPLIANCE (check appropriate boxes) Ad d ress , ,,r/ l / fl STOV E: ❑ Woad ❑ Coal o Pellet ❑ Gas ` ,r © FIREPLACE INSERT 2 / / Zip ,?�-C.SE 0 FIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone O FIREPLACE, MASONRY : ❑ Wood ❑ Gas Owner ❑ FURNACE: o Wood 0 Gas a Oil Address _ t� IF NON-MASONRY APPLIANCE: Manufacturer: Zip Mod el : Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction 0 MASONRY: 13 Block 0 Brick O Stone � FLUE: ❑ Tile ❑ Steel Size: i nches CONSTRUCTION / INSTALLATION MUST FACTORY-BUI L CONFORM TO NYS FIRE PREVENTION & Manufacturer• / Model , BUILDING CODE, CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ nple Wall REGARDING REQUIRED INSPECTIONS. o Insulated 2f Direct Venting o Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety r �J A 233 2655 (230) Minor Sales Fee Collected From or Refunded to: ' ja Address: Dated : ? - - 4) 37 _ Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dep . Pink & Goldenrod: Cashier's Reps. N or 4 SOF RY TaW S COFE ENFORCEMENT t pv�xvxea 747 gAYN 12604 ip QUEENSBURY INsp ' FEPART * R£SI�TIAL �� xKs�'vc'�1 F2NAS+ E¢ FA.rE xN5FEC'rIFN p..E4 sT RAC p1AM'� PERMIT � LaC13AATxON TE ApM1ING 'lanCKF TYPE OF S'rRUCTURU IIAU rr O1QI K -..-- FOVNFATION IC INS ErIREFLACE r SEPT VE aR FooTxNGSU�KING FoNAL Ex,ECTRICAS, L U i G V BN 14Gs F f pQ EF VAU S�Rp.Tx G R Rx 4 1V..V T ER QR N S S46 -____-_-____. �— N W _.-- TK K Ham,._-__�'-` ER F ORS SW S Rp,E�EF �_ �------' Tkl R BRAN CI,EA S INR .�- -- CT C - s Su V a c vL Q Ssu MAP REFERENCE: CERRONE BUILDERS, INC. BAYBERRY MEADOWS PHASE 1 &1 A LAST REVISED: JULY 23, 1997 BY: VANDUSEN & STEVES, LAND SURVEYORS LOT 15 LOT 16 I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: DANIEL I. do LAURA L MEADE TRUSTCO BANK NATIONAL ASSOCIATION, IT'S SUCCESSORS AND\OR ASSIGNS UNITED GENERAL TITLE INSURANCE COMPANY CERTIFIED BY 0 W MATTHEW C. SIEVES, LLS NYS 50135 DATED: OCTOBER 22, 1998 LOT 6 +r�l v1 an- D us e & Steve s Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 ,518) 792-8474 New York Lie. No. 50135 UNAUINOR4D ALTERATION OR AOCRDCM TO A SURVEY MAP BEARING A UCEUSED LAND SURVEYORS SEAL IS A VIOLATON OF SECTION 7208, SUB-ONSNON S. OF THE NEW YORC STAVE EDUCATION LAW *OILY CONES FROM THE O IMAL OF IM SURVEY MARKED VEIN AN ORISNAL OF TE LAND SURVEYORS SEAL SHALL SE CONSWERED 70 E VALD TRUE COMM' 'O7l7r1CATO115 NDICATHD MDISai 9ONPY THAT YW SURVEY M4 PI!►AIED N ACCORDANCE MTN I E DMI NO CODE OF PRACTICE FOR LAND SURVEYORS ADO MED BY THE NEW YORK STAYS ASIDOATON p /ROFESSOMAL LAND SURVEYORS. SAD LERINICATIONS !WL RUN ONLY TO TE PERSON FOR VIDM THE SURVEY R PREPARM AND ON HSS MW TO 7E TTE COMPANY. OOVFJRAENTAL AQ! NCY AND LENONO INS"MON USRD HOOK AND To THE ASSN EFS OF THE LETDRO NSRIUTOM.• LOT 14 �JI LOT 17 3 O C C I ►� co 00 Z C.rV.010TEL FIELD LOT 27 N06'31 32"E 7 20.43' � I & bA HOUSE S06 29'20"W VIEW AS PBR RBFBRSIVCB LOT 18 26,228 sq ft 0.60 acres 27.88' soU�x LOT 19 ma LOT 5 • p LOT 4 =� LOT 3 a � yv PART OF 48-3-51.1 c e 5t a el OCTM Map of a Survey made for Scale 1'=3( DANIEL I. & LAURA L. MEADE Town of Queensbury, Warren County, New York S-1 SHM 1 OF 1 MEADE NO. DATE DESCRIP77ON DWG. NO. 96081-18 1 x FYRE MARSHAL !f TOWN OF QUEENSBSRY, NY 2RY QUEE 5804 18)U 61-8205 FIRE MARSHAL INSPECTION REPO I�EpUEST RECEIVED U�U "0 PERMIT 38 NAME .- LOCATION - SCHEDULE INSPECTION ON -' " y AM PM ANYTIME AppROVED { NIA YES { NO EXITS AISLE WIDTHS ---- - - --.-.� - - - EXIT SIGNS - EMERGEAICY LIGHTING ___------ ---- - -j- FIRE EXTINGUISHERS - FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYOI EYu4 .- HOOD INSTALLATION - -- - - -- - INTERIOR FINISHES STORAGE: _-- -- - -- CLEARANCE TO SPRINKLERS - 4 . - ~_ CLEARANCE TO HEATING UN1TS 44 REQUIRED SIGNAGE CHIMNEY - -- - - --- -- - - WOOD STOVE _---- ----- - - RREPLACE - MASONRY FIREPLACE - FACTORY BUILT -- --F1►N - --- - - --- - OK TO THIS DATE REMARKS: INSP t RESIDENTIAL FINAL INSPECTION REPORT J� Office No. (518) 761-8256 Date inspection request received- 1 Building & Code Enforcement Dept, of Community Development Arrive Depart Town of Queensbury Inspector's Ini 742 Bay Road Queensbury, New York 12804 ` NAME — PERMIT # LOCATION , ► r �1l L t s DATE l� TYPE OF STRUCTURE G G-V[7 S N/A YES NO COMMENI Chimney Height)`B&' VentADirect Vent LOcati Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Extenor Railings 30" too 36" Exterior handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 30 feet or within line of site .L 4 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 if Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers interior privacy/trinvdoors/main entrance 36" Floor Finish Bathroom/Khchen watertight Interior Handrails BalconiesnLanding 18 in. or more Railing across, window in stairwells Smoke Detectors: every level every bedroom VIrl outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per mom Safety glazing i 8" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan r + � As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okav to issue temp_ CIO (CCertif of Occupancy) +� Okay to issue permanent C/O (C:ertif of[Occupancy) i COMMONWEALTH ELECTRICAL INSPECTION SERVICE, NC. Main Office 176 Doe Run Roar! - Manheirn, PA 17545 $ - MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Hoard No....0 k _..............Ccn. Fj 6 a Cut-in Card Na. ..«.......». ..................... Owner... . C x?te i .k ....................... Location ................................ .. ......... ....................................... .. .. ii ! ................. ....... Installation Consisting af.... C.. ...,.. �_ .. .,, ifs ~ �� L..-1 .... ..........1..................... ._.......... . ....... f /a L /�t7 C1 C.- G^f'{3 / 4 . i0x- l r�rl i ................ .. .. .........................t......�.......,_�.............,.. InstalledBy..........�r.._�lJ IIJ .................................................................................................................. ........................................................................................ 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 making i etions at any time, and if its I rules are violated, the Company shall have the right to v this te. 3 -` ` � Date..!..M-........... ....«......... .......... INSPECTOR ............... I .... ..I...... ......................................... .............. Member N.F:P.A., LA E.1. ) 0 ( GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive ' JOtn Depart Inspector's Initial _ PERMIT # W LOCATIGN: DATE : TYPE OF STRUCTURE: Y RECHECK N/A YES NO COM]NIENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fret' for 48 hours foli the pla ent of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing _ — Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin LRough-In an s 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, hoar. Penetration Sealed Fire Wall 2. 3, 4 hour Fin stoppi.n GENERAL EVSPECT aN REPMI Town of Queenshury //,,+���� � Dept. of Community Development Date inspection request received: _ Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive It r m� } _ Depsul Inspector's NAME: eller 1 ir. PERN4FR # LOCATION: DA TYPE OF STRUCTURE: RECHECK NIA YES NO 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/Dampproo Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Hough-In �,yafilsulation ' - 0 ,-1-fik'�X. Foundation Walls Interior R- Foundation Walls Exterior R- �r Floors R- '"rWalls 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/Mam Beam Air Infiltration Barrier Fire Sepraration 1, 2, 3, hour Penetration Sealed Fire Wall 2. 37 4 hour Finestopping GENERAL TNSPEC T(JN REMRT Town of Queensbary Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart amfa' Inspector's Ini#lals r NAME: PERMIT 4 [� LC++CATION: DATE TYPE OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Farm Reinforcement Place The contractor ble providing protection ing for 48 hours following placement of the concrete. Materials for this on site Foundationf Wallpour Reinforcement in Place Foundation/DFampp n Backfll Approval Plumbing Under Slab Plumbing 'Vent/Vents in Place yRbugh Plumbin II/ Heating Rough-ln 0 L �C7 f4J S (� -- 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/Bridgin Joist Hangers Jack Posts/Main Beam y ..&irInfiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT Town of Queensbury Dept,. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road + -- Queensbury, NV 12804 Arrive am/pm Depart pna Inspector's Initials �J a NAME: PERIAITT #+� O 4 C7 LOCATION: WR DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COlvnvIENTS Monolithic Pony Farm 11`2�Q'� Reinforcement in Place The contractor is responsible for t �'Y� �j 't/ R �v Co R -ding protection from freezing for hours fallowing the pl eat } Of the ncrete, j '``� Materials fo Foundation/Wallpour Reinforcement in P Foundatia g Baclkzn" Plumbin=UnSlab Pl g VentNents in Place f gh Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duet work or piping in unheated spaces R- P'ra r Vent, 64w mt % Jack Studs/Headers Bracing/Bridging Joist Hangers / Jack PostslMain Beam / Air Infiltration Barrier Fire Separation 1, 2, 3, hour p tiio $ G; �• Penetration Sealed ✓ t Fire Wall 2, 3, 4 hour Firestappin & Sri - Rom- ) >9 A �'? 3 i TOMN OF QUEENSBURY BUILDING & CODE ENFORCEMENT j 742 Say Road Queensbury NY 12804 G518a 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION Nameftary Location _ p Date 919 19 Permit # 7C7 oc) SOIL TYPE : Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM. ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS : Number- Size - ft . x ft . Stone size PIPING : a Type — Bldg . to Tank Tank t ist . Box Dist . Box Fiel Pi Openings Sea es aim r aT LOCATION/SEPA IONS : Foundation to ank feet Foundation t Absorption feet Separation of Pits feet Conforms as per Plot Plan ��es No j LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Might Side Middle Front - Middle Rear COMMENTS ; i °j iC c-fir✓ E SYSTEM USE APPROVED : S NO Arrived . �1'� departed ._ Building Inspector 'I hm STIR w ObU I Wo of bdbW I aa1I�OwAft unk as %Now Wsk "em% book swov via e JUL 2 18 �;i cw Nil f . AV i TOWN OF QUEENSBVRY ]bill BUILDING & CODE ENFORCEM Uff 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name �` � -A- AQJLe� LIPAocationj Date — Permit # � SOIL TYPE : Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/inch TYPE OF SYSTEM: - ABSORPTION FIELD : Total Length 7r Length of each trench '41 � *4;U Depth of trenches 7,7 Size of stoned -' SEEPAGE,. ,PITS : um r- Size - ft . x ft . Stone size PIPING : Size ype Bldg . to Tank "LpG tfp Tank to Dist . B x 'A4 to .� Dist . Box ea F ' 77 Id/Pit �, �� 7 � Openings Seal "'` o artia LOCATION/SEP TIONS : Foundation t Tank feet Foundation Absorption feet Separation of Pits feet Conforms as per Plot Plan es ' LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : t ) h3E� P6 - 160IL'C � E SYSTEM USE APPROVED : YES C�O - Arrived : Departed & . ui1 ing Insp or GENERAL IN FECT'IUN REPORT Town of Queeusbury -7,_. 1 I Dept. of Community Development Date inspection request received: Building a& Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Departs- �um,,. - '`' Inspector's Initials'' NAME- 4e a-�r-Dv%c 31 L,; I G PERMIT # C7 LOCATION: , [ DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinfosccmer+t in Place The contractor is responsible for providing protection from freezing for 48 hours fo wing the placement of the concrete_ Materials for this site Foundation/Wall Reinforcement ' lace Foundati pproofang Approval, Plumbing, Under Slab Plumbing Vent/Vents in Place 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 Frarm 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, 31 4 hour Firestoppin GENERAL .INSPECTION REPORT Town of Queensbury Dept of Community Development Date inspection est e�eces 1 , Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm I)ep Inspector's Initial NAME: C a rrc v. e_ PERMIT # / LC+CATI©N: , r Od t Sr drt DATE : --- TYPE OF STRUCTURE: RECHECK ..eems� NIA YE G MIVIENTS -�ootings/Piers f 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 FoundationlWallpour Reinforcement in Place Foundation/D ampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough. Plunzbin Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping