Loading...
98-564 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development = Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number; 98564 Date Issued: Thursday, January 04, 2001 This is to certify that work requested to be done as shown by Permit Number 98564 has been completed. d - 13 0 Tax Map Number, 523400-121-000-0008-077-000-0000 Location. 12 MOHAWK Trl Owner. LARRY CLUTE This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY ( )J4 4 t Director of Building& Code Enforcement BUILDING PERMIT VALUE $ 125000TOWN OF Q!UEENSBURY Na 98564 TAX MAP NO . 121 . - 8 - 77 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to CLUTE r LARRY OWNER of property located at LOT 77 412 MOHAWK TRAIL Street, Road or Ave. in the Town of Queensbury, 7o Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Que:nsbury Building and Zoning Ordinance. #. DwNIrR'S Address is 13 DAWN ROAD QUEENSBURYr NY 12804 2, CONTRACTOR or BUILDERS Name CLUTE ENTERPRISES , INCa 3 3 jTpttW qs Bw DER'S Address QUEENSBUIRtCYJAr NY 12804 4, ARCHITECTS Name COM40NWEALTH ELECTRICAL AGENCY HAGUE , NY 12836 8. TYPE of Construction — (Pleese indicate by XI SINGLE FAMILY DWELLING I Wood Frame I I Masonry I Steel 1 l 7_ PLANS and SPecificatiane 190Q,_SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS R PLOT PLAN SPECIFICATIONS B. Proposed Use SINGLE FAMILY DWELLING 233 September 18 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES . 19 (If a longer period is required an applicetion for an extension must tw made to tfie Building and Zoning inspector of the town of OueeniburY 4efore the expiration dete.l 18 September 1998 Dated at the Town of Queen fly this Day of k 19 4 for she Town of t�ueensbury SIGNED BY Building and Zoning I nfpeetor Building Permit Application TQWIY of QUeenSbUry - Dept. of Consnrurrity Develo wPient, 742 Bay Road, Queenrshury, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT � E Requirements prior to issuance _ A permit must be obtained before of this permit' PERMIT FILE NO. -i` beginning construction. No inspections PERMIT FEE PAID .$ J will be made until applicant lots received Zvtd tg Board ACtlott a VAI,,m SUiLmNG PERMIT. All Area Use RECREA770N FEE P applicants" spaces on this application MUST i�a comrpFl sad-the signature Pkrnntrtg Beard Action REVIEWED BY.' of the applicant must appear cn the sPR I subdivision I Other i r Ing lnrlvarw lieatirsxt farm. , +� Recreation Fee Payment Applicant: L .G-t'r--t ', - Owner: rx f Address: C��-- , Q 0 i 'o*' Address: Phone # ( ��) }7 _ - T -_y 7 + Pho c # Property Location: u nibcr Tax Map N Lai 1� ! 7 .7 Subdivision Name: ..+ - Sr� - Section Block 1 jot NATURE OF PROPOSED WORK : ESTIMATED MARKET VAI,UE OF THE New Building : CONSTRUCTION : $� l��s7 no residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : priinary Building -- residence / commercialSingle 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 . lst Floor . . . , . . . q �i _0 ft . � If ADDITION , what will use q - of new addition be ? : 2nd .Floor . . . . . . . . cro0 sq . ft . Other Floors . . . . . � ° sq . ft . op ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1r 2 car TOTAL FLOOR AREA : s4 . FT . Attached Garage 1 ■ car Private Storage Buil Ing SIZE OF NEW STRUCTURE * Commercial Storage Building ^ y Other FEET X FEET Foundation Type : Will any second-hand or ungraded Number of Stories : _ lumber be u e ? If so , for what ? OWL ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ woo stove ( circle all which lies ) to be installed : El Oil Ga / Wood arced Hot Aa / aseboard / other Person responsible for u e s .ton of work as regards to lauilding? codes is : Name Addresss Phone Builder : Plumber : "'�' Mason * to Electrician: DECLriRrlr,roN. Please sign ►beknv 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 r sed work shall be complied with, whether specified or noted, and that such work is author by th owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occu cy'or Certi cat€; of Co anc ng issued, an AS BUILT PLOT PLAN by a licensed sv ure drawn to e, sho g a u oc tion of project on premises. Signature: (owner, own is agent, architect, contractor) ENERGY CODE COMPLIANCE APPLICAT aN TOWN OF QUEENSBUR'YO WARREN COUNTY 9000 HEATING DEGREE DAYS COMPfiance 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 submissiosn of worksheets APPLICANT ' S NAME PROPERTY LOCATION : '�--� .�.�..x..--•�.�e _ t�-mil.-.c1• •,�. :._�._.��' s�- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : - Grass Floor Area - 1,E 0 square feet 2 . Type of Heat - Electric Oil Gas other 3 . Is building mechanically cooled? �)15::: yes No 4 . Percentage of area of windows and. doors Over 17 $ ?,'�. Under 17 % 50 R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a - Roof b . Exterior walls R C - Glazed. areas R do Exterior doors R 1=444S e . Floors over unheated spaces R "I !V 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 Confo to minimum efficiency per code �yeS ? No PERATURE CON MUM SETTING 1400 - WILL NOT BE EXCEEDED plican - gn tur D Ph Number - �+ 7� 7 � INSP EC'TOR ' REMARKS : Application for SEPTIC DISPOSAL PERMIT r Town of Queensbury Permit f Dept_ of Community Development Building & Codes Office Fee Paid $ 742 Bay Road Queer sbury> NY 12904 C Location of property for installation: " - 1^�.G '� � Property owner's Name: Lw �. property 'Owner's Mailing Address: ''`. . Installer's Name: Phone # 7r3 T. yli 7 Number of bedrooms (if residential): _ Total daily flow: �' (residential - compute 0 150 gaL/bdrrn.) Topography: flat, rolling, steep slope 170 of slope Soil Nature: sand, loam, clay, other F depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? . feet Percolation test: not required, required [ rate min, per inch ] Domestic water supply: municipal, well, other if domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSES] SYSTEM Septic tank: gallon (minimum size: 1 ,000 gal.) Tile field: each trench fVO feet I Total system length: feet Seepage pit(s): number of l size each: ft. by ft• Size of stone to be used: # J Z I depth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each.: gallons A]arnr sysWm and assorxir electrical wrnk to be inspected by a certified agaocy. For your protection, please rota that pursuant to Section 136-29 of the Code of the Town of Qu8msbury, any permait or approval granted vA=h is based upon or is granted in reliance upon any material �xarepreseabtion or fw7ure to make a material fact or eirc umatame ]mown by or on behalf of an applicarlt, "hall be void. I have read the regulal cAm with respect to lie n and agree and all require� of the Town of Queensbury Sanitary Sewage Disposal Signature of responsible per Date: 1I � TOWN OF QUEENSBURY 742 Bay Rd., Clueensbury , NY 12804 APPLICATION FOR SOLID FU L BURNING- APPLIANCES AND CHIMNEYS { Date -- , 19 Permit Na . APPLICATION ISLE*REBY 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 �_.3..� ; APPLIANCE (check appropriate boxes) Address .� -- ` ❑ STOVE: to Wood o 'Coal o Pellet o Gas ❑ EA REPLACE INSERT Zip FIREPLACE, FACTORY- 1LT: p Wood Gas Phone ❑ FIREPLACE, MASON p Wood o Gas Owner - r- - (, ❑ FURNACE: p Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: ~ Manufacturer: Zip i Model : Phone =2 S " 7 1 :1 .f CHIMNEY (check appro A te�oxesy * EXACT ADDRESS of proposed construction MASONRY: l3 Block ❑ Brick ❑ 'Stone ``�� ' . x FLUE : o Tile o Steel Size: inches CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall 1J T ' pie Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated "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 A 233 2655 (23 nor Sales Fee Collecte From " efunded to: Address: " Dated : -i Town Clerk orDeputy: + oldenrod: Cushier'sDept. White: .Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink do G FIRE MARSHAL TOWN OF QUEEENSBURY QUEE:NSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME �� LOCATION -AZ M H� i vERM IT # 9 5 � F FSCHEDULE71NSPECTION ON AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYS FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINK RS CLEARANCE TO HEATIN UNITS REQUIRED SIGNAGE CHIMNEY _ WOOD STOVE FIREPLACE U MASONRY ACTORY BLT. ❑ ROUGH-IN ❑ FINAL. REMARKS. ❑ OK TO THIS DATE IMSPSURPM INSPECT 4_,% FIRE MARSHAL TOWN OF QUEENSBURY Q.UEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME. LOCATION —�� SCHEDULE INSPECTION ON M M APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM -- HOOD INSTALLATION INTERIOR FINISHES STORAGE. --- CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY FACTORY BLT, ❑ ROUGH N ❑ FINAL REMARKS: G' OK TO THIS DATE >w4s asuc.pue f INSPECT r' RESIDENTULL F"1[NAL INSPECTLON REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive Depart Town. of Queensbury toe<'s Ini ' G 742 Bay Road Qiueensbury New York 128t14 PI7 ZMU A # ICATiON ]SATE TYPE OF S C MRE N/A YES NO COMMENTS Chimney HeighlMs Vent/Direct Vent Location Fresh Airintake Plumb Vent through roof Roof Complete Exterior Finish Complete InteriorlExterior Railings 30" to 36" Exterior Handrails, balconies, lan 18 of mare Interior Handrmis stairs both sides 3 risen Orrade 2% away from foundation f�p S" clearance to sill plato Gas Valve shut-off exposedfregulator " above grade Gas Furnace shut-off within 3d feet. thin line of site M Furnace shut-off at entrance to area Furnace/Hot Water Neater ng Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs _.— Basernent stairs, 6 ft. 4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/wain en 36" Floor Finish Bathroom/Kitchen watertight interior Handrails Balconies/Landing 18 or more Railing across window in stairwells Smoke Detectors: every levet every bedrex�rn outside every bedrooxis inter cormectexl Bathroom fans Plumbing fixtures, Foundation insulatioar 3/4 hour fire door/door Garage fireproofing.. Garage penetrations Furnace in separate room protected (in garage) Light ventilation per room Safety glazing Iv or less from floor. Final Electrical Site P1ardVariance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (Certif: of Complianoc) Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue penuanent elf) (Certif of i?ccupemcy) ONWEALT14 ELECTRICAL ii-,SPV't- i s ' 1754: Y C4gV1awwwwwom M EC-Y it1 Pp OVAL ti yVtain office 1'76 Doe oll Rol PPP LECT17.'.ICAi. AP'PN. MUNICIPAL g.9....5.. 5 2 5 in Cara T+la. ........... ....... ,...... Panel Boasd NO..........�....�..�.,.r............t ert. Kb ...... I. ........._... ... 2�... ?F s -....,.. nsi Locazsort ..... ......... tic .... .,..�............... ............ ......�,:.. .. .....-... �7 �,.. Installation Casttng ! ` .. ,�a i(� {....f. �� � .... Lic. No. .-.-......... ..... . /^ . � issued is Pam' .......4r.? .... ............... .. ... ..... ..•. ... . certif�catc previously Installed �Y..............i""........ on the The conditions following goveT7ed the issuance of this certificate, an any promptly made for inspection• eanceiled: - corers the electrical equipment and installation conditions as of date. P licatloo shall 'L P ections at any time, and if its This certificate only ui ment or aiterat ens aPPge of makrn P introduction of of this C m P shall have the p ycc tlli titer inspectors of this Company Yshall have the right to re -. rules are violated, the CornP ` �-" INSPECTOR .... ............. . . . Me mher paSe..1.f......... . ................ +GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community 'Development Date inspection inquest received: Building & Code Enforcement 742 Bay Road Queeusbury: IVY 12804 Arrive am/pm Depart n Inspector's Initials NAME: C PERMIT * LOCATION VAS 44AIt2X� e44 DATE : �. ► 3 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo le for providin ion fro freezing for 48 ho llowing a placem t of the concrete. Materials for this Foundation/Wallpour Reinforcement in Place Foundation/Dam" n Backfill Approval Plumbing Under Slag Plumbing Venz vents Place gh Pluxnlairrg eating RouglyfIn Insulation R Foundation Walls 1 rior R- Foundation Walls E rior R- }pors _ WV R- R- eiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarnin Jack StndsJiieaders Bracing/Bridgin Joist Hangers .lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. .Penetration 'Sealed Fire Wall 2, 3, 4 hour, Firestoppirt PfV) I VS'PRCTI N fiEBURT ( 518 ) 761 - 8256 Town of Queensbury l� Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pmDepart Inspector's Initials PEF'MIT # NAME: DATE LOCATION: TYPE OF STRUCTURE: RECHECK _ I NIA YES NO COMMENTS 1 Footing&(Piers Monolithic Four Form Reinforcement in Place The contractor is nm for providing protection ing for 48 hours follawin the ent of the concrete- (— or �+ Materials for this puspo an ite F ndatioW B ceo ]a m ckfill tnp Poularc e Plumbing Under Slab Plumbing VentfVents il Place Rough Plumbin rling Rough-In uladan Traundatian Walls It tenor R- Foundation Walls 14denor R- _ Floors R- Walls R- Ceiling R- Duct work or piping .n unheated spaces R- proper Went, Attic Vent Franki Jack Stud&Ueaders ]BracingBri Joist Bangers Jack Posts/Main Beam Air Infatration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppping GENERAL LNSPEC7'I©1'� REPORT Town of Queensbury Date inspection request received- Dept. of Community Development Building & Code Enforcement �J r 742 Bay .Road Arrive amlpM Depaw! _ `J �m/l Queensbury, NY 128" Inspector's llniti PERWHT d# A)O NAME: v'1T" DATE LOCATION: TYPE OF STRUCIVRE: RECHECK NIA YES NO COUNTS l Footings/Piers bAonolithic Pour Form Reinforcement in Place The contractor Is responsible for providing protection TU freezing for 48 hours follo g theacement of the concrete. Materials for this p on si Foundation/Wallpour Reinforcement in Place FoundationlDam roofin BackFll Approval Plumbing Under Slab Plumbing Ventfvents in Place Rough Plurnbm /eating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- F rs R- s iTu o Ga*r4'S R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarm Jack StudslEieaders BracinglBridgin joist Hangers Jack Posts(Main Beam. Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin 0o 9 01 C:ENERAL IN.S'FEC TIUN REPORT ( 518 ) 763. - 8256 Town of Queensbury Dept. of Community Development Date inspections request received, Building & Cndc Enforcement 742 Bay Road Arrive `� am/pm Depart wpm Qiueensbury, NV 128414 Inspector's Initials _� PERMIT # r` 1 ,l LLB NAME: 01 '. (?� DATE ? , LOCATION: 7 TYPE OF STRUCTURE; RECHECK _ ----- ---- - NIA YES NO COMMENTS Foou ngs/Picrs_ Monolithic Pour Form _ . -- -- Reinforcement in Place The contractor is responsible for providing, protection from frecAng for Oft hours Following the placement Of the concrete. Materials for this purpose on silc�, Foundastion/Wallpour_,- Reinl-orcement in Place _ --- — 1.oundation/fDampproo ng,-_ _ — Backfill Approval--_- , ---- ---- — Plumbing U ndcr Slab_ Plumbing Veni/Vents n Placc — Rough Plumbing _ — .--- — - Heat` Ro h-in _ ulation. Foundation Walls nterior R- Foundation Walls Exterior R- -� Floors R- Q { Wails R- I> T-��i' v 5 Ceiling R- -ram—' — G u ,ir� /�I �,+AI M2 j Duct work or Pi ng in -�i unheated spa s R- Pro _----. — �] Attic cnt C ac y/ack Studs/Hea rat�c�k�-1 .A l '-- Ciracing/Bridg - Joist lack Posts/Main Beam —--- Air Infiltration Barrier_ - - _- ..-- . - -- -- - - — Fire Separation 1 , 2. 3 . hour-� Penetration Scaled^ - Fire Wall 2. 3. 4 hour--.,. F i restoppi n g—�—.-- f;E1V IN.SP (IN RE RT ( 518 ) 761 - 825 +6 Town of Quccosbury Dept. of Community Develo ent Date inspection regu. t received: Building & Cade Enforce nt i 742 Say Road 'n Arrive ---- uinfpm Dcpart � � ., Quecnsbury, NY i 284 Ins toes lniti'i �J .- '• P I T # NAME: _. *tjti C� r _ LOCATION, a ✓l '� t �.- ' TE TYPE OF STRUCTIJKE, RECHECK --- NIA YES CO NiENTS Footings/Piers Monolithic Pour Farm _ - Reinforcement in The contractor is responsible for providing protoction from freezing for 48 hours following the placement of the concrete. Materials for this purpose on Foundation/Wal[pour---_____-- —. Reinforcement in Place_._ _._ - ` 1'oundalianfl7:►mpproofing _._ - O'`h. a i3ackfill Approval Plumbing Under - Plumbing VentfVcuts in Placa-____ Rough Plumbing_-- --- Heating Rough-In.__._.__ insulation _ Foundation Walls lntcrior R — Foundation Walls Exterior — Floors R- Walls R- Ceiling R -- uct work or piping in unheated spaces - oper Vent Attic Vent _ l Fra hack StudslHcadcrs_ Bracing! €�" lamBrid in _ -- Joist Hangers -- _ -- ------- --_— __ Jack Posts/Main Bcam __ ___-- -- —. -- -� -- -- Air Infiltration Barrier_-- -- .--- -- -- -- - Fire Separation L 2. 3, hour Penetration Scaled._ _ Fire Wall 2, 3. 4 hour_.. Fi resiopping AJ- GENERAL IN,S'PECT I()N REpt)RT ( 518 ) 761 - 8256 Town of Queensbury Dept_ of Community develop t Date inspection request eived: 0 Building & Code Enforce nt 742 Bay Road � , ��m Queensbury, NY 1 4Ar 'vc am/pm part GJ Inspector' Initials— c PERMIT NAME: _ DATE : LOCATION: Lew ry C/ G1 TYPE OF S -TURE: -- RECHECK P - NIA YES NO COMMENTS Footings/Piers — T_- �i Monolithic Pour Form Reinforcement in Place The contractor is responsible providing protection from frce✓in for 48 hours following the placement of the concrete- Materials for this purpose on site—_ Foundation/W al 1pourv_-� Reinforccment in Foundation/Uampproofing - Backfiil Plumbing Under Slab-. -- Plumbing Vent/Vents in Placc--_ 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 - �— Proper Vent, Attic Vent Framing Jack Studs/Hcaders w Bracing/Bridging� .� . . ..—_ - -- C7 /"� l Joist Hangers__. —. Jack Posts/Main Beam Air Infiltration Barrier _-__. —_ . _ . -_ -- Fire `.separation I , 2, 3, hour__._ Penetration Scaled -- Fire Wall 2, 3. 4 hour -- _�— Firestopping__ GENERAL IN.S'PECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: / Building & Code Enforcement 742 Say Road ' Queensbury, NY 128i14 Arrive _ __ am/pnt Depart amlp Inspector's Initials _ c M q 'c NAME: � �n' PERMIT # (yr-s LOCA'i'ION: Lr, y 7'"'1 �r !' �-- DATE TYPE OF STRUCTU�RE-- REC FLECKN/A YES YES NO COUNTS Footings/Picrs Monolithic Pour Fortn Reinforcement in Place _The contractor is responsible for \ providing protection from freezing for 48 hours following the placement of the concretc- Materials for this purpose oil site___ Foundation/Wallpour—_-- __--_---_ _ Reinforcement in Place Foundation/Dampproofi ng Backfll - Plumbing Under Stab_--- 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- v Proper Vent, Attic Vent---.--- y ,., I RC , 14P&PR0LIA4 - �e e4amign 1� - -- -- JacTc Sluds/Hcadcrs tIracint;IBridging_- _ Joist Hangers—_ --_ - _----- , -.— _— Jack Posts/Main Beam--- . ..- ----,_--- Air Infiltration Barricr ---- -- _-_ --- . __-- — v Fire Separation 1 , 21 3, hour Penetration Scaled Fire Wail 2. 3. 4 hour _ Fi restopping coo (.ENEIRAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensburr Date inspection request received: Dept. of {Community Development Building & Code Enforcement 742 Bay Road ' Depa Quecnsbury, NV 12M)4 Arrive am/pm ' inspector's Initials NAME: _ - ._ /� PERMIT # LOCATION: �`7` � DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Picrs. ��— Monolithic Pour Form -�- Reinforcement in Place The contractor is responsible for providing protection from 1'=/-ing for 4K hours following the placement of the concrete. Materials I'or this purpose on site -- Foundationl Wallpour__ -_-.-___. -_-__ - Rcinforcernem in Place foundation/Dampproofing�_,-_..�. _ - Backfill Approval --_ ,-- -- _-_._--- - Plumbing Under Stab_ ._ - - - _-•-. - Plumbin V Celts in ,f40ough lumbinf Heatin-• g o ��YC=Tel .-__ Insulation__ Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- --• Ceiling R- / Duct work or piping in / , Ly e"),0 4064i< " unheated spaces R- t Per r Vent. Attic Vc BracinglBridging,—_ - - --- I�nls:,rt�� �isTN g 4,fA.stt; 1AjC> Joest Hangers__ _._ -_ .--------. . . ---- - - - --- Jack PostslMain Beam - -_- -,- ..- _- Air Infiltration Barrier _ - .. - Fire Separation I . 2, 3- hour, _ Penetration Sc alcd • __ _ .� Fire Wall 2. 3, 4 hour.-.. L t�. � J�Ee. i^tC C (.(, Firestopping_ . GENERAL IN.SPE I N REPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12844 Arrive am/pm Depa� 1 inspector's Initials NAME: 70 PERMIT # a LOCATION: e . DATE : 5` 1 TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers QQ � Monolithic Pony Form �U156C� /6-� lo 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 Plane FoundationlDampproofm Back ill Approval'. Plumbing Under S Plumbing VentlVents in P Rough Plumbin Heating Rough-In Insulation Foundation Walls In or R- Foundation Walls E or R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarrun Jack Studs/Headers BracinglBridgin Joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire. Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firesiopping did Z\Q�� kild"I'll I:;-Wl GENERAL 11VSP.L�'GTIUN REP[7'RT Town of Queensbury Dept. of Community Development Date inspection request received; Building & Cade Enforcement 742 Bay Road [} Queensbury, NY 12804 Arrive amid Depart inspector's initials NAME: ~t✓_-- h h � _ PERJVI;T # 1 LOiCATI DATE TYPE OF STRUCTURE: RECHECK NIA YE O COMMENTS f Monoli Form Reinforcement in Place _ The contractor is res Bible fo providing protecuo m freez' g for 48 hours folio g the mcnt of the concrete_ Materials for this p se on ' Foundatio allpo Reinforcement Fa honlT3acnpp � dill Approval Plumbing Under S Plumbing VentlVe is in Place Rough Plumbing. Heating Rough-In Insulation Foundation Waj is Interior R- Foundation Wal s Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spades R- proper Vent, Attic Vent Framing Jack Studs/Headers BracingBridgin Joist Hangers Jack Posits/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fine Wall 2, 3, 4 hour, Firestoppin 1 I1Y,S'FEC?TI N REPORT GENERAL Cl i Town of Queensbury tau Gc Dept. of Community Development Date inspection est received. Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive an /pni Depart'' - amlpm Inspector's Initials - —'` NAME: r PERMIT # 5-7 '� LOCATION: L. DATE TYPE OF STR RECHECK N/A YES NO C+UMh4ENTS actin � Monolithic ur Form Rein€otoement in Place The contractor is respo a for providing protection m free�r_in for 48 hours full g the place ent of the concrete. Materials € this site Foundation/W Reinforcement in Lace Foundation/Dam AgL Backfill Approval [3` Plumbing Under lab Plumbing 'Ven nts in Place Rough Plumbing Heating Rough4 Insulation Foundation Its Interior R- Foundation is Exterior R- . Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PProper 'Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/N ain Hearn Air Infiltration Harrier Fire Separation I, 21 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GEArERAL INSSPECT'ION REFURT' Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 12904 Arrive anVPm Depart V inspeetor's Initials NAME: _ LG�T PERMIT LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Your Farm l,+f�c7 Ulm )0 I�545:'F� n /"� .9 nI Reinforcement in Place �7 The contractor is responsib +rJ C J[G O/'rC fit^9 �t/ ,I��l� •� �7 I r [J•'L� . providing Protection from for 48 hours f owing the t +7 Fa ra�v _ 1Q�,-,�,,) of the concrete, �-) ��r •Fz �f}n) Materials for this on si Foundation/Wallpour 3 C,2e55 T /o �t) Reinforcement in Place FoundationJDampiproofsn Backiill Approval Plumbing Under Slab Plumbing VenUVeats 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 Frarnin Jack StudslHeaders Bracing/BBridgin Joist Hangers Jack posts,/Main Beam Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin --, . P, GENERAL IN PECTIONW RE RT Town of Queensbury Dept. of Community Development Date inspection request received: :j Building & Code Enforcement 742 Bray Road DepartQueensbury, NY 12804 Arrive am/Pm inspector's Initials ,n NAME: � ia_-L� PERMIT # G-cg - LOCATION: y-1 DATE : TYPE OF STRUCTURE: RECHECK NIA NO COMMENTS Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete- Materials for this purpo on site FoundationlWallpour Reinforcement in Flare FoundationJDampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- _ _ Foundation Walls Exteri r R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R. Proper Vent, Attic Vent Framin Jack Studshleaders Bracing/Bridgin Joist Hangers jack PostslMain Beam Aar infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 39 4 hour Firesto[apin 11 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received* Building Bc Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart:).', Inspector's Initials NAME: `+- C-U err PERMIT # LOCATION: DATE : 7 TYPE OF STRUCTURE: RECHECK. NIA "YES NO COMMENTS FootingsJPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for Providing protection from freeing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproofm Backftll Approval EEEI Plumbing Under Slab Plumbing Vent/Vents in Place Rough PI Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R- Ceiiing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fram* Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping Too OF QUEEKSSURY BUILDING B CODE ENFORCEMENT ►+_ 742 Bay Road Queensbury NY I2804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date Permit # SOIL TYPE •;q! Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Le gth Length of each trench Depth of trenches Size of stone SEEPAGE PITS: fiber-____ ft . Size - ft . x Stone size y,pe PIPING: Bldg . to Tank « ~ Tank to Dist . Box �� Dist . Box to Field/Pit artia Openings Sealed? LOCATION/SEPARATI feet Foundation to Tank feet Foundation to Abso ion 7 feet Separation of Pits -- es No Conforms as per P of Plan LOCATION OF SYS ON PROPERTY : ( circle one ) --� -- Ri ht Side Front - Rear - Qf -�'' g ' 'Middle Front - COMMENTS 1 1 i i SYSTEM USE APPROVED - YES NO 1 Arrived: Depa `- 7S I Bu ding ns c or 1 i GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 128W Arrive amlpm part Inspector 11nidals NAME: 4 PERMIT LOCATION: J- 6`r cQ BATE : 1 TYPE OF STRUCTURE: RECHECK N/A NO ONDAENTS Footin f Monolithi ur Form Reinforcement in Place The contractor is responsible for providing Protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationJWallpour Reinforcement in Place Foundation/Dampproofin Bacicfill 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 Frain* Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 21 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL LL% C'Tl & REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road .^ Queensbury, NY 12804 Arrive ai /pm Depart - �5 am/pm Inspector's Initials NAME: 1. V"'C'c PERMIT # 9pe. ` 50L LOCATION: Cif�. 1�3c5 � ""� `(3.F3r t <-- DATE : /P TYPE OF STRUCTURE: RECHECK NIA 'YES NO COMMENTS Footings/Fiers i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours foilo the ent of the concrete. Materials for this I7[n'pose O Foundation/Wallpour Reinforcement in Place undation/Damppr 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 PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration. Sealed Fire Wall 2. 3, 4 hour Firestopping r 2 GENERAL MPECTIOlN REPORT .:2j, r Town of Q+ueenslaury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road r��� Queensbury, NY 12so4 Arrive am/pm Depar� r u'g pm Inspector's lnitiaw NA eg `-S l 0 4 LOCATION: Y ATE : /[' _ - Qi TYPE OF STRUCTURE: ,' RECHECK NIA YES NO COMMENTS Footings/Piers J Monolithic Pour Form Rcinfo in Pha%mx The contract is responSi a for providing pro n fro freezing for 48 hours fol1owi lacaem t of the concrete. Materials for this on site Foundation/Wall Reinforcement in Place Fo tion/Dampproo Ll Plumbing Under Approval L - - i3O Plumbing VentfVcnts in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls lt- 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 Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTICIN REPORT _ Town of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm DepaftL •'" a Inspector's Initials NAME: PERMIT 4 V :J (.0 f LOCATION: I r DATE : TYPE OF STRUCTURE: RECHECK �J N/A O CdMMENTS 1` en I Vl Monolithic Pour Form Reinforcement in Place The Contractor is responsible for providing Pre on front freezing for 48 hours fallo in the placement of the cjet _ Materialss on site Foundatiopour Reinforce Place Foundatiopp raorfinBackfill AlPlumbingSlabPlumbingents in PRough PlHeating Rn 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 Framin Jack Studs/Headers Bracmg/Bridgin Joist Hangers Jack PostsfMain Beam Air Infiltration Barrier Fire Separation. 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin CFI E MARS AL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ NAME cK _ I LOCATION PERMIT # _ SCHEDULE INSPE Y"Ca AM PM APPROVED tNIAYES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING s FIRE EXTINGUISHER FIRE ALARM SYSTE �.�_ — T FIRE SPRINKLER S TEM FIRE SUPPRESSIO SYSTEM�� -- HOOD INSTALLATI N INTERIOR FINISHES STORAGE: _ _- CLEARANCE TO SPRINKLERS _ CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE t CHIMNEYS L/ r3 WOOD STOVE ❑MASI]NRY L+ FACTORY BLT. L�lf ROUGH-IN FINAL REMARKS: * �� DK TO THIS DATE wsasr 1p.ws WSPECTOR i FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPOR,T-.ter REQUEST RECEIVED PERMIT # -�C7 56 NAME C...- ctz72!�— LOCATION �� � cam IC 'lr2A r SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED I NIA j YES NO EXITS AISLE WIDTHS t EXIT SIGNS EMERGENCY LIGHTIN �.--_-- I FIRE EXTINGUISHERS FIRE ALARM SYSTEM - -- FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE [ HOOD INSTALLATION INTERIOR FINISHES - - -- ____-- STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNI . REQUIRED SIGNAGE CHIMNEY �m WOOD STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: _ [r�} R Q OK TO THIS DATE t7�y a f,C C Hj 1"ps IP-PUB INSPECTOR 1 I ' f y .. A. e asa ,S�arr ` sne� sti xc ar - tinaea►i 1 r a. G O .. M - i i MAP REFERENCE: MAP OF SECTION NO. 5 LAND 0' PINES DATED: FEBRUARY 23, 1984 FILED: DECEMBER 18, 1984 BY: COULTER & McCORMACK LICENSED LAND SURVEYORS *Z o 1O JOV 1Q, 0 CIRF 9 � -5�4 JAN 0 3 200f BU Lp N QUEENSBURY G AND CODE ME LOT 74 LOT 77 21,052.02 sq ft 0.48 acres iV6s 3 00, ?y Aw;) DS v �J 81c t e v e s Land Surveyors, LL C 169 Haviland Road Queensbur New York 12804 yf 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB-DMSON 1, OF THE NEW YM STATE MUCA71M LAW.' OF THIS SURVEY ONLY "M A FROM THE OF THE NARIQ:D M17N AN OPoOINAL OF 71NE LAID SURVEYORS SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES' 'CERTIFIcAmNS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED N ACCORDANCE WITH THE R FES ADOPTED By THE CODE OF PRACTICE FOR LAND OF PROFESSIONAL BY D S NEW ORS STATE ASSOCIATION OF LL RUNSO ONLY LAND SURVEYORS SAID CER7FlCARONS 91ALL RUN OISY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TD THE 717LE COMPANY, OOVERIMRFNTAL USRED HEREON, AND TO THE AND LENDING LINE LENDING TO THE AS9N7iEES w TINE LEnaNc INS711Unox' 518) 792-8474 New York Lie. No. 50135 66 3~ 'SO 2 ro'F LOT 78 gSPN` T a RIlt CIRF Map of a Survey made for William & Cindy Anthis Town of Queensbury, Warren County, New York NO. I DATE CIRF 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: W ILLIAM & CINDY ANTHIS OPTION ONE MORTGAGE CORPORATION, IT'S SUCCESSORS AND/OR ASSIGNS COMMONWEALTH LAND TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: JANUARY 4, 2001 Late, January 4, Scale 1'=20' S-1 SHEET 10F 1 CLU TE DWG. NO. 98200 C-405 DESCRIPTION