97-431 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 13 97
Date i 9
.3i;
This is to certify that work requested to be done as shown by Permit No. 97431
•
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied ai a
LOT 72 ' #26 HYDE COURT
Location
Owner MICHA+'LS GROUP, INC.
TAX MAP NO. 148> -3-7 2 By Order Town Board ,
.TOWN OF QUE NSB Y
•
Director of Bldg. do Code Enforcement
•
BUILDING PERMIT
VALUE $ . 129900TOWN OF QUEENSBURY No. 97431
TAX MAP NO. 148. -3-72 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP, INC .
OWNER of property located at LOT 72 #26 HYDE COURT Street, Road or Ave.
in the Town of Queensbury,To 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 Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
1810 ROUTE 9
LAKE GEORGE , NEW YORK 12845
2. CONTRACTOR or BUILDER'S 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
( I Wood Frame ( ) Masonry ( ) Steel ( I
7. PLANS and Specifications
1651N6Q FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
229 August 11 19 99
$ 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.)
11 August 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building a Zoning Inspector
• Building Permit Application
• Town of Qu.eensbul y - Dept. of Community Development, 742 Bay Road, Queensbuty, IVY 12804 [761-8256]
BUILDING & CODE ENFORCEMENT. NOTICE Requirements prior to issuance r�
r of this permit: PERMIT FILE NO.
A permit must be obtained before (�o
beginning construction. No inspectionsPERMIT FEE PAID$ 3-9.
will be made until applicant has received Zoning Board Action
a VALID BUILDING PERMIT. All • Area IUse RECREATTON FEE PAID$
applicants' spaces on this application
MUST be completed vid•the signature n Planning Board Action REVIEWED BY:______.CThl_fj-- .
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
`pplication form. Tank you. i Recreation Fee Payment
Applicant: The MJ.ehae..6 Gnoup, Inc. Owner: Same --.
. • Address: 1810 Route 9, Lake Geonge; .NY 128Aldress:
•
Phone # ( 518 ) 668 - 3376 Phone # ( ) -
•
• _.
. Property Location: Lo1" 1--)a - a @ �j /��
_" -0-J
Subdivision Name: Hu.dJ.,ovt Point Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VAL E �F THE
x New Building: CONSTRUCTION: $ )aLlt 1:k
residence / commercial (1i • r1(. 17Yl
Addition to Building:
residence / commercial OCCUPANCY INFORMATION: •
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family[Dwelling ; - - ,
no change to exterior size ' . Family. 'Dwelling -
Office
Other Work (describe below) Mercantile JUL 2 91997
Manufacturing �r
. Other i '..
(r s, : , tt ,_
GROSS AREA OF PROPOSED STRUCTURE: / L -,
5' If ADDITION, what will use
1st Floor / 5�1 sq• t• O of new addition be? :
2nd .Floor ' t_}S ) sq. f `. c__ s- NSA
Other Floors sq. •
(not unfinished cellar or baseme t, . ACCESSORY BUILDINGS:
• X Detached Garage 1, 2 car
/ 1 SQ. FT. Attached Garage 1,�' ►
TOTAL FLOOR AREA: / Private Storage Bui • - g
—
SIZE OF NEW STRUCTURE: Commercial Storage Building
•
`7 Other
FEET X `7 FEET
Foundation Type: ' Pouned Will any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what?
(habitable space only)
No
Height (grade to ridge) : c � feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle all whit lies)
to be installed: 0 Electric / Oil Gas" Wood
Forced .Hot Air / eboard / Other
Person responsible for supervision of work as regards to building
codes is : Jim Ch.and.Poh, Pno j '-t Mawageh
Name Addresss Phone
Builder: The Michael's Gnoup, I►{c. 1810 R.e 9, Lake Geonge, NY 12845 518-668-3376
Plumber: _Fava P.fumbLna, 16A Pahlz Road. G.eervs Fatty, NY 12801 518-798-4399 .
Mason: JD BOuchen, Box 268, Gnanvit e., NY
Electrician: Fonovoh F.Poetn,iro, 9446''Jc )Ug St. , Schenectady, NY 12308 518-371-9922
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a
Certificate of Occupancyor Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
4 .- in- ."'-iik16.-
. Signature:
(owner, owner's agent, architect, contractor)
•
07/003/95 13: 27 5187454423 TOWN OF QIUEENSBLIR,Y PAGE 01.
4,111 �L. TOWN OF QUEENSUURY Fee Paid'ut • BUILDING & CODES IIEPARiMENT Penal t. # 6M`''1 3 /
ass . 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. TWO SETS OF STRUCTUiUAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION:
Owner of Property: The Michaets Gnoup, LLC
•
P.O. Address 1810 .te 9, Lalze Geange, NY 12845 __Phone # / 668-3376
Property Location LA � �� Tax Map #
Subdivision Name ( If applicable) Iiucbson o.inte _
PERSON RESPONSIBLE ,FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jim ChandCen _Address Same Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square .00tage) : X ra
Foundation Material : Width 8" Concjtete PiNJhickness
Depth of Footing, below grade: To (no)st .Cline pen code
Size of Posts or Studs : 4" x 4" x pen gitadeLong
Size of Floor Joists : . 2" x 8" x 10' Span
Decking or Flooring Material : 5/4 x 6 pnemune .eated
How will Porch or Deck be fastened to building? .Can boP.ted
•
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 erect spacing) : Span
Type of Roof: oiled 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, sho ing clearly and dfstTnctly all—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: ft. x ft.
Existing building(s) : 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 cornea, setback front s de street: ft.
DECLARATION
•
To the best of my knowledge and belief the statements'contained in this application,
together with the plans and specifications submitted, are a true and complete statement
)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
)wner.
)ATE: SIGNATURE C
Owne Owners Agency, rchitect,' Contractor
IEVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIMATURL-
I AO.fU A 1 I.l.i 1.,J.tJ l V tJ_CIL _L 11 A kl rl 1 .f[ I / 1
Location of properly fur ittstallatlou. z0f- :: �-
f
PERMIT NUMBEROwner's Name:
The Miehae,?A 6nou.r,, LLC •
Address: • 1810 Rowto 9, LakP GoongQ,NV 19845 9713
InstalIer's Name: FA-Zedman Excavating . . FEE PAiD
Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): Tivr-ee
•
Total daily flow (residential -compute (al 150 gal. per bedroom): 450
Topography: X Plat 1-1 Rolling 1-1 Steep Slope a, of Slope
Soil Nature: I Xl Sand I-1 Loam 1i Clay El Other ------/Depth:
Ground Water: at what depth? 30 feet. •.
•
Bedrock or Impervious Material: at what depth? feet
Percolation Test: 1l Not Required I^ i Required/Rate 1 min. per inch
Dorn 'tic Water Supply-. [—I Municipal j1 Well E1 Other
If domestic water supply is a WELL: water supply from any septic absorption is feet
PROPOSED 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: It. x • ft.
Size of stone to he used: # 2 4tOne / depth or thickness feet. •
•
HOLDING TANK SYSIEM: (if required) ! i ••
Number of tanks: NSA "'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 o f - -
Queenshury, any permit or approval granted which is based upon or is granted in reliance upon _
any material misrepresentation or failure to snake a material fact or circumstance known by or on - -
belral f o f an applicant, shall he void. •
�s-
•
I have read the regulations with respect to this application and agree to abide by these and all :- _.
requirements o f the Town of Queeasbury Sanitary Sewage Disposal Ordinance. '
Signature o f responsible person: _ Date: ..
•
3 bed home
a./_,,, ),(.,.,n?.L.yJ...%.A,,....J..cl.nS...C.,.... .,.1,,y/Jn.),. \CJ....!I v.1..7il),ti1_.._l_x_<.:J,_l'.I J.".. .?"%.),%....1,1_,_. )_o_n o J.% 1;.....x%:„_.:\UJ_4:..4,...rl.•-l';V.C'._l�_C %::\l_.J..IJ?ti;l..l'1JA1...!,,,C-1,4::}
k THE NEW YORK BOARD OF FIRE UNDERWRITERS $, ,,,GE I_ ,r
7 BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUI 04, ALBANY, NY 12210
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Date I�11���ase;_k Ia1'. 1.1�, i� �•' ApplicationN .on file '�% +lit: i � ,1.:"IFiii.., rY
I=I';341T`i" V.(). U.;--4�-q. 1),i
THIS CERTIFIES THAT "r
only the electrical equipment as described below and introduced b tits-applicant med on the above application number in the premises of ?Y
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9131•1 1-4Tt.1H i-;I.; GROUP, :i, .11V..T 1, .Ifi ;✓' ,, Oi3ITHA4,I,URY, I`5
in the following location; E Basement ® 1st Fl. 2nd FL AP Section Block Lot i`._ r
was examined on NO`,I-41fl I; •i I ,. 199 and found to be in compliance with the National Electrical Code. ,}
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,,--
FIXTURE FIXTURES RANGES 'COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. MAT. K.W. AMT. K.W. AMT. H.P. Y.
'.
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DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI•VATLET DIMMERS 4.
AMT. K.W. OIL • H.P. GAS H.P. MAT. NO. A.W.G. MAT. AMP. AMT. AMPS. TRANS. MAT. H.P. NO.OF FEET AMT. WATTS
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2. }' l .4 n• I. 4
SERVICE DISCONNECT NO.OF S E R V I C E ;r
Mill AMP. TYPE EMOEUIP 1.2 2W 1,B'3W 3;Br 3W 30 4W NO.OF CCLgCOND. OF CC.CO OFND. NO.OF HI-LEG HI-L G NO.OF NEUTRALS OF NEUTRAL
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1 a ' 11 r}sit Crt I 1 1/0 It
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- OTHER APPARATUS: ".
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.i''Ol•i4;VER HI,I�.., D;.:I,I.r EI,Et'°I. . 1 TI ,,,
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Iii.F;i..ITA4 U. !it'.d'.r3l��.` I.0ti •'; .-1". .s .i`4 r 1
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• ,,A.J€} 32. F ?I•a`_�° GT. •I;`7,/i ,..r.�.s_,,,i GENERAL MANAGER '.
- �_'_'#f�111.11:nAEi', HY, .l�'_1 .-1 'rtz. 'd,re: • . : ,{:�
i .• - _ •a Per 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.
- - - -•.- -- - -- __ ----- -- - -- - - - -- - -
',v\i\" (• ".C' C7 "Y\ C'iCY'7YY ( . YY`-\: � (Yf�'. 7 �' ' , Y � �'.Y�fYY .� : •.. ,� _'i',,._ _-•__.'Y,Y`C'IY4'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
/ TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
"`, QUEENSBURY NY 12804
(518) 761-8256-
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT -RESIDENTIAL
DATE INSPECTION REO EST REfEIVED: 11-I 3 7
NAME SAAX7 1,-2 �V1'q
LOCATION _ 7pL ( - ` - "✓U�]t
DATE 1 - + - ERMIT I [ 43/
TYPE OF STRUCTURE
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/ ILIN
Th
RELIEF VALVES ��
FURNACE/HOT WAT,E'R OP TING
INTERIOR IM/PRIVACY DOORS�J
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 )LECTRICAL
SIT PLAN VARIANCE RE .
NAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 A
Building &Code Enforement Arrive: 55Insp:�}
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: it l/0/1.1
742 Bay Road
Queensbury, NY 12804
NAME ikkarm' 6,r, PERMIT Ni. 17' 4-3 1
LOCATION - (p Q►),v�C' CT , DATE // 2(9
TYPE OF STRUCTURE S
N/A NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent Through Roof b
Roof Complete V
Exterior Finish Complete V/
Interior/Exterior Railings 30" to 36"
Exterior Handrails, Balconies, Landing 18 in. or more /
Interior Handrails Stairs Both .'des 3 or More Risers �
Grade 2% Away`E om Found. ., v
8" Clearance To Sill ate
Gas Valve Shut-Off Ex.. ed '-y.1 ator 18" Above Grade
Gas Furnace Shut-Off within :0 Feet or within Line of Site_,
Oil Furnace Shut-Off at Entr. ce to Furnace AreaVji,.. '
_ Furnace/Hot Water Heater •.-rating
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On Stairs
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers
In
terior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish
Bathroom/Kitchen Watertight7 /
Interior Handrails Balconies/Landing 18 in. or more W '
Railing Across Window in Stairwells �"
Smoke Detectors:
every level
every bedroom17,,,If .
outside every bedroom
inter connected
Bathroom Fans
Plumbing Fixtures
1/t/
Foundation Insulation ,r
3/4 Hour Fire Door/Door Closer (g QRS)
ii;
Garage Fireproofing
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage) Vi7/
Light Ventilation Per Room
Safety Glazing 18" r ss From Floor i / -
Final Electrical it it, i ,ir/o
Site Plan/Variance equired /�
Final Survey Plot Plan y�
As Built Septic System Layout Req.
Okay to Issue Temp C/O
ok -r6 /OC cia jdu.4z- , niter Aim.
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ,q, r
INSPECTOR'S REPORT: ARR DEPART/5��INT\,`A
REQUEST FOR INSPECTION RECEIVED:
NAME ,\CLf .. '3 amo,
LOCATION 676 th'�-- c Z
DATE /6 , /7 PERMIT ��7 7463 1
TYPE OF STRUC URE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO•
REINFORCEMENT IN PUCE
THE CONTRACTOR IS RE:•f,NSIBL FOR
PROVIDING PROTE TION :eOM F•EEZING
FOR 48 HOURS FOLLOWI .t '• • PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS °URPOSE ON SITE
FOUNDATION/WALLPOUR --
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BAC ILL APPROVAL
P MBING VENT/VENTS��// IN P CE
_;7/
OUGH PLUMBING 1e/0(�-
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-
41511 - � CC e V!7-- (Di2/__
/44)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ':'s,t; ;u ,,
r
INSPECTOR'S REPORT: ARR DEPART49."'" INT I1-
REQUEST FOR INSP C IONkR CEIVED•
NAME
LOCATION 0 0) l- 6LV
DATE / ! 1 1 PG IT A 9 7 —113
TYPE OF STRUCTURE: _Sc--‘("
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRAC IS RE•PON` BLE FOR
PROVIDING PRO TION FROM FREEZING
FOR 48 HOURS FOL HI G THa PLACE—
MENT OF THE CONC
MATERIALS FOR THIS P *POSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLA E
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
. TINGH ROUGH—IN
\"INSULATION: —
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
FLOORS R_
WALLS
CEILING R—'
DUCT WORK OR PIPING IN
U EA ED SPA ES R •
—
ks L %Lisa . Cul2 6 .0 f� 41-6-
e
t11660& 6 , (fps Gr Pam)
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ._'-.
INSPECTOR'S REPORT: ARR/ /1 DEPAR7 4Mk/e
I
REQUEST IAA
INSPECTION RECEIVED:
fl
NAME I" t Ciif{'C- js 6ZP .
�
LOCATION -6; g�( 6:1
DATE rb //4.] PERMIT R / ) --- � r
TYPE OF S RUCTURE: r
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR ' 0'
REINFORCEMENT IN PL•.•
THE CONTRACTOR IS RE:PONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWI e THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PLUM ING VENT/VENTS IN PLACE
RO GH PLUMBING
UMBING UNDER SLAB
FRAMING:„..
` ACK 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- •
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804 ` •7.
INSPECTOR'S REPORT: ARR1• DEPART1f1 INT L
Y
REQUEST FOR NSPECTION RECEIVED:n
NAME `'�' ci ( S 60.
LOCATION x., . die- C, .. �j-/�3 DATE 9/73 /q7 PERMIT R T/
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POURFORN' ,
REINFORCEME IN P ' CS
THE CONTRACTOR I- iESjPONSIBLE FOR
PROVIDING PROTE T i' FROM FREEZING
FOR 48 HOURS FOLLO,ING THE PLACE-
MENT OF THE CONCRE E.
MATERIALS FOR TH PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
RO GH PLUMBING
P UMBING UNDER SLAB /
RAMING JACK STUDS/HEAD RS�'
BRACING/BRIDGING -
JOIST HANGERS
JACK POSTS/MAIN BEAM :(1
_
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-
Cotik PICT-& �1,4) rr/Cit(x< LIU. g
(!)K T A)SOL
2)
(v (518) 761-8256
TOWN OF QUEENSBURY •.,,
BUILDING & CODE ENFORCEMENT "
742 BAY RD., QUEENSBURY NY 12804 ' ',A... $ -,.
INSPECTOR'S REPORT: ARR DEPART/' ) NT
REQUEST FOR INSPECTION RECEIVED: A. `/
NAME v f -A /.�5� d ieLlifAWit .
LOCATION "L/ L' Cr(�kII V f--iJI r
al= PERMIT A ,° _
TYPE OF STRUCTU•l 4
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS R PONSIELE OR
PROVIDING PROTE TION ZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE/ON SITE
FOUNDATION/WALLPOUR
/
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL _
PLUMBING VENT/VENTS IN PLACE
7 UGH PLUMBING
PLUMBING UNDER SLAB
ING:
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- •
•
/,ti 5r1-6c 4 14 -76 P ki r
IORs4-4A
\r (518) 761-8256
9.-R3,901,-X" (I)Ad
TOWN OFENSBURY -'
BUILDING & CODE ENFORCEMENT -
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR ��„,,,EPART , IN
REQUEST FOR INSPECP N RECE ED:
NAME
LOCATION 7
DATE I - S-�-7 PERMIT fl 9 - J
TYPE OF STRUCTURE: S , //
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS``
MONOLITHIC POUR .'ORM
REINFORCEMENT IN PLACD
THE CONTRACTOR IS RESP• SIBLE FOR
PROVIDING PROTE TION FR•- FREEZING
FOR 48 HOURS FOLLOWING T E PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
R 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- •_�
Csk-e -
TOWN OF QUEENSBURY
'WEEDING" & CODE ENFORCEMEN
742 Bay Road
Queensbury NY 12804
(518) 761-8256 r'
SEPTIC DISPOSAL SYSTEM INSPECTION
Name r. 1 C aX , ( i71LU
LocatiS'n Cam1p �,� , Q,\,, O
=2.1107 II
Date I - • 7 Perri t # `� .7
�.7- 43i
SOIL TYP Sand LoamClay-
Results ol`` Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: / �'
�g�X
ABSORPTION FIELD: Total Ler �
C
Length of each trdnch Iv 3 —
Depth of trenches, S
Size of stone i)f14_;l A' (
SEEPAGE PITS: \NBmber-
Size - It. x ft.
Stone size _
PIPING: if.\, Size Jype ,
Bldg. to Tank , 9" a235
Tank to Dist. ;aBoX; li. >���
Dist. Box to Field/7 ,,+ ex-ki no
Openings Sealed? �; No Partial
LOCATION/SEPYRATION
Foundation t Tank \ l _ feet
Foundation i Absorption •�37 feet
Separation of Pits ' i et
Conforms as per P1ot'P1an ii- No
LOCATION 0` SYSTEM ON',PROPER
(circle •f
Front - j- Left .Si e - Right Side
Middle Front Middle Rear
COMMENTS:
i
/ I
SYSTEM USE APPROVED: YES( NO
Arrived: l0:11.5
Departed: �Gr .. 3
`J
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY • e _`
BUILDING & CODE ENFORCEMENT 7 , /1tt
742 BAY RD., QUEENSBURY NY 12804 ' `i'
INSPECTOR'S REPORT: ARR .`C) DEPART\Qiu,>I
REQUEST FOR INSPECTION RECEIVED: /
NAME \CA-AV \_) C- r \P
LOCATION C6
DATE \ \q1 PERMIT A q7f43I
TYPE OF STRUCTURE: —J
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZIG
FOR 48 HOURS FOLLOWING THE• PLAC'—
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE •
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R— _
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
—
1' i 36 01" 1 (518) 761-8256
_/
TOWN OF.QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., .QUEEN/SBURY NY 12804 ' _,,,+1:a;fin:
INSPECTOR'S REPORT: AR1Q h�DEPARIO'� NTJ.C.>
REQUEST FOR INSPECTION RECEIVED: Ss i
( J _`-7
NAME . (,6,1-g-ee
LOCATION 6a e- ( 'j-( -. j nv „
�j
DATE lJ�� 3��7 PERMIT R
TYPE OF STRUCTURE: ` 2 .
RECHECK APPROVE
N/A YE NO
O INGS PIERS
1ONOLITHIC POUR FORM ,
-27—er
REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FO LO G THE PLACE-
MENT OF THE CON RETE. _
MATERIALS FO• T=POSE ON SITE
FOUNDATION/WALLPOU'
REINFORCEMENT IN PLACE -L
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-
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