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98-645 _ �--• - ;. ^. ': sy.-, rye-- ,.. . . ,..� ,��.,,r�--.. } 1 MMMMMIMM CERTIFICATE OF OCCUPANCY TOWN OF QUEEN56URY WARREN COUNTY, NEW YORK r L3ste no e-gxml�tb v 7 t9 a9 Thin is to certify that work request to be done as shown by Permit Now _ _ SZ CS S 4 has been completed. This structure may be occupied as a SINGLE FAMILY DWELLING , ATT . 2 CAR GARjjj E { I,otation LOT 5 NOVA LANE f C>Wrner f ' DAVID By Order Town Board TAX MAP NC] . 69 . - 1 - 5 . 10 S dr Director of BIdg. tic Code Enforcement 1 BUILDING PERMIT VALUE $ 139900TOWN OF QUEENSBURY TAX MAP NO . 64 . - 1 - 5 . 10 WARREN COUNTY, NEW YORiK PERMISSION is hereby granted to KAZDA DAV ID Street. Road or Ave. OWNER of property located at LOT 5 NOVA LAN S GARA in the Town of Oueensburl To Construct or ptaee a at the above location in accordance to application togett+er with plot plans arld other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. WNER'S Address Is 3398 ANTHONY STI, SCHENECTADYr NY 12308 2. CONTRACTfJR or BUILDERS Nama OTTATIr MICHAEL 3. N ffOMTEL DEFIMRD ddrers Wff LAKE GEORGE , NY 12845 4. ARG"t I r yT i Hama NY BOARD OF FIREUNDERWRITERS 6. ARCHITECT'S Address 6. TYPE of Construction — (Please it hate by Xi SINGLE FAMILY DWELLING ! Wood Ffal l ! Masonry ( i Steel ( ! 7. PLANS and Spccifidtlone SING]�FAMILY DWELLING WITH ATTACHED 2 CAR GARAGE AS PER PLOT PLAN D SPECIFICATIONS It SINGLE FAMILY DWELLING , ATT . 2 CAR GARAGE tt 255 October 23 2000 19 S PERMIT FEE PAID — THIS PERMIT EXPIRES I, Building and Zoning infector of tfie (if a longer Period is required an apptieation for an extension must ba '" I to the gown of OueensbulY before the expiration date.) 1998 , 9 g 8 23 October Dated at the Town of Queensbury this [!ay of 19 for the Town of Queensbury SIGNED 8Y azonlre Ip'C"Iriloyp Building .Perm Application Town of QueI'1ZSbu y - Dept. of Co►rtmwuty Develop pent, 742 Bcry Road, Quvewburv, NY 12804 1761-82561 BUILDING ,& CODE ENFORCEMENT ! Requirements prior to issuance 4e of this permit: PERMIT FILE NO. A permit must be obtained before / bed nnf� construction.. No inspections �� Ord, Action PERMIT FE,E PAID $ �.5%` - will be made until applicant has received 8 a 'V/r►I,.I.T) BUILDING PERMTr. All Area 1 Use RECREATION FEE PA $ applicants' spaces on this application + MUST be completed aad the signature 0 phum[ng (Board Action REVIEWED By: � of the applicant must appear an the SFR 1 Subdivision I Other a"ilding pecxor 6pplication form. n--t , Recreation Fee Payment Applicant: ) - �W i < Q -r 1-^ -rI i X7N S or Owner: TA 4 Q,' �C A x-.DA Address: 2. 01. rn 5 -F -r .= JZ l7 Address: 9S AIV 7A&ws l v �7 . Sc k k .� ke rY Y Phone # ( 5_1FW _) d 6 Est - Phone # ( 5! ) ` Property Location: a`r i ` Tax Map Number Subdivision Name: /-/kc kro +✓ A Section Block int NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ 13% OI _ — residence / commercial Addition to Building : residence / commercial QCCUI?ANGY INFORMATION : Alteration to Building : Primary Building - - - - - - residence ! commercial >C Single 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 STRUCT RRE ; �} TS fi If ADDITIONr what will use 1st Floor . , . . . . . . / 000 sq . £t . tol, �� of new addition be ? : 2nd .Floor . . . . . , . . � /ep oe7 sq . ft . Other Floors . , , ' sq . ft . ( not unfinished cellar or basements ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL, FLOOR. AREA : Z0 ,00 S4 • FT . _� Attached Garage �, �Dcar Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building - - - - Other 219, FEET X FEET Foundation . Type : cnmcaer y Will any second-hand or ungraded Number of Stories : Z_. lumber be used? if so , for what ? ( habitable space only ) Height ( grade to ridge ) : 2 Q feet TYPE OF BEATING SYSTEM : Number of fireplaces axzc� die ( circle all whicW lies ) to be installed : i Electr ' c ,L 0 ? _l / / Wood C arced Hot Air / board / Other Perso�i responsible for supervision of work as regards to building codes 1s : icus. .x c- 4n rrA ri 'i v4d s-rAT IRA *L, 6GS — .S,5- 0 Name Addresss Phone Builder : - c �r-�ra-Ti ' Zvc - � - 6 ire - s s £s 0 Plumber : C 6t "se, ej SO ab r 35' 8 r4 .+� -r raoe + x S i :Sc I' e> y � 7�ir— Y_r83 Mason : two c +ir zlectrIcian • ,srJ �i DECL.ARA77ON 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 I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to fscale, showing actual location of project on premises. Signature: .,, - ( ontractor) k � F � TOWN� OF +Q (J.EE.� `7�Y ►S,B URY 742 Bay Rd., queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Q Bate , 19 Permit Na , 6 ! — APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit j 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 1_ I.tJ� 1 56 c -r :' A► l APPLIANCE (check appropriate boxes) Address 45 Z Fit y S� 141 X Rcl a STOVE: ❑ Wood ❑ Coal o Pellet ❑ +Gas ❑ FIREPLACE INSERT Zip 18''4i+ �' _ ❑ FIREPLACE, FACTORY-BUILT: ❑ Wood %rGas Phone _ �•.+' ❑ FIREPLACE, MASON ❑ Wood r3 Gas Owner �l + "' . a a. v +�► ❑ FURNACE: ❑ Wood A Gas p Oil Address $ Iw, 7 No 5r =` s IF NON-MASONRY APPLIANCE: - ,----- -- Manufacturer: C�� • p I ,ti1 Zip ! 2 1505; Model : _ Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS (5t proposed construction O MASONRY, 13 Black ❑ Brick ❑ Stone ,o= FLUE: ❑ Tile ❑ Steel �- or. �Ca� +r. Size: _ inches FBUILDING STRUCTION f INSTALLATION MUST ❑ FACTORY-BUILT: Model : FORM TO NYS FIRE PREVENTION & Manufacturer: 'Number:. CODE. CONSULT AVAILABLE Listed By : N 4F C,7l:3EENSBURI' HANDOUTS , 0 Double Wall r3Triple Wall A,RDIN{G REQUIRED INSPECTIONS. ❑ Chimney Liner aired Venting Cashier's Department Town of Queensbury, NewCollecAmoted d Amount Refunded Dept: Fire Marshal Code Number Title A 173 3389 (Igo ) Public Safety A 233 2655 - ._ (230 ) Minor Sales Fee oliected FTosii or Refund to: � Addr�esr-_- -._ . Dated : own Clerk or Deputy: White: .4pplicant ree : Fare Marshal Yellow: Bldg, Dept. Pink & Goldenrod: Cashier's Dept. i .. Application for SEPTIC DISPOSAL , PERMIT Towrn of Queensbury Permit No, qL 695 Dept. of CamMunity Development Building a Codes Office Fee Paid $ 742 Day Road Queensbury, NY 12804 JA Location of property for installation: 40 T Property Owner's Name: 32 A v = A Property Owner's Mailing Address: 3 A " fie y 5T-, u ' 0 N, VI ]Installer's Name: Phone # Number of bedrooms (if residential): Total daily flow: 6�b (residential - compute 0 150 gal.tbdrrn.) Topography flat, rolling, steep slope % of slope Soil Nature: )1, sand, .& loam, clay, other I depth: Ground water: at what depth? 3 feet I Bedrock or impervious Material: at what depth? _ feet Percolation test: k+ not required, requsred. [ rato min, per inch ] Domestic water supply: municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. PROPOSED SYSTEM AA A Septic tank: J14 gallon (I ;n;,num size: 1 ,000 gal.) rel. Tile field: each trench $ 0 feet ! Total system length: feet Seepage pit(s): number of / size each: fL by ft. Size of stone to be used: i# I depth or ttlickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of eaclti gallons Alarm eyrsteni and assacisted electrical vAnk to be inspected by a certified agency. For yoU r protection, please note that puzsuarrt to section 136-29 of the Coda of the Town of Queembury, any parmit or approval grmated which is based upon or is granted in reliance up cpn aay msterial misrepresentsion or fv2ure to Make a n ttenal fact or circuTM atance Imown by or on behalf of an applicant, ahall be void. I have read the regu abons with respect to this application and asgrro* to abide by thee* and all z n uv mt+ of the Town of Queeosb r y Sanitary Sewage l}iaposal C7tdmance. Signature of responsible person: Date: r � It4� ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 HEATING DEGREE DAYS 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 : on. _ a mac_ T- 777 1- o -r S Nag a .�-A �' I-F� rc rt v rr x ►Z& PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 , Gross Floor Area - 2 en og? square feet 2 , Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17 % Under 17 % 5 . R-VALUE 'S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS 'SUBMITTED : R 3 �5 a . Roof R - 11 b . Exterior walls R c . Glazed areas R d . Exterior doors R -- e . Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R 90 Basement / cellar walls ( above grade ) R h . Basement / cellar walls ( below grade ) ^ i . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device Conforms to minimum efficiency per code., No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Applicant's si t atu e Date ) Phone Number •����� ► La" ! 6 I l g Lei fi'' " S r� INSPECTOR F S REMARKS : 6V mac.! tAA ENT •fR�s Lill . RIF MAR'Mc, G TTA T" � Lis rt Y ;� : i.e.T"' :: " " 1 A.X per U .Y . :a0 i:x4crr; code dated tareh 1 . lfi �l x a yrt ltttl l�l lxg 1)0 e3 igR by acceptable prfA ice . base* on ?Q00 dedxe a do" Non elactrlc heat tit viLterior 5�onff exeilin� � -..9! �t-:5V Floor rc79.l.ldatlalk Ip$ lI Fti , 1� i 1l slab ei9e ip�suLe� tiou 10 - _ c- 3 . 7 H- . ba summer oi 40 JAL NA a as* to y•nitgrance doors deatin4 unit Aill Nlahael . stance Frofelss ienal Engl w`&O:ill L1e�eas• trio. 29343 t� a s h� if' m wy 5� L ;g m emu- .:Y -^• C1 '�t^ 23 � n Ep15B�1RY �E Sk GO SU-IVDI 'SS371 day Kl&1290A Quee"&b rycy. 4441 pO�L S+�STEI'� INSpEGT1� S,�pTIG 'D1S 14 ame G� } ocati an rmi t it Date a Sand- SflLIVL. per cola on � ut est' nch � 11 ResU-X is of p e Rate" A n ( i f a'p �„J[ ;T to th e TTpE �11 p'iEt'D�enc p1354 t of each t — l.enclth trenches �_-- DePth of stone ber_ �t . Sixpp .E PINS*" ft . x ----�� ---� ` e S-lie Stone s k e pip�li6•to .lank rd d9 • Dist * Box d'p i t arts a ank t 6ox to l es t D� enin95 S. Sealed!, tml 0 f e et flP�pTlflf SEp ank ti on � f e et dati on Pb. Sorg No p o unda tioon t pits pl an SePa off$ as Per-VEA � pRdpER Side con VOCpT�� O� S`� �>Right icA rci a Rear - t e Reaf v rout ` Vront TOW" OF RUEENSBURCEMENT BUIL131UG742'CRAY ROAD QUEENSBURY NY 12804 (518) 761_g255 zNSP : DEPART - _-----"_ ARRxvE : EppRT RESIflENTIA2 rrjNAU IfOSPECTiON R StE4UEST RECEIVED : INSPECTIU14 DATE _ .. �.,.. ,I'+► '7 J^� `,.. V46 NAMC illillik ION "'� PE f DATE TYPE OF STRUCTURE FRAMING BACi[,FILL .._ RFIOCUAN DAT-1IO., N ENOSRU LATION FOOTINGS PL ACE PTIC S ROUGH PL Fm$ WOODT IV N__-�--- f•INhL EI+ � .,. D is VENT ?GfiT SLE IG,,r�--- ---"- PLUMBIV V �--- . it0.OF3N . EXTERIOR FIN S � ING CiC /PORCitISTEp __----- -LLIEf• V LVES OP .r NG FUR�OT -R C S 1. -ER 0 M R y D ER FINxSH G BAT" s'TC1I _ - - O S SW E P ALE OTHER B'L+Q EI7,.__�._�______�_ O, Tf_._,,l£_p,�FLOORS CA �_ ------- CLEARANCE_,(.__ S140K}F ---.— py T,Tlii PLU B NG FO DAr N N U A I O F NG GRRA SIRE — -- F 14 ELEC r VAR At3C'E E -----' 'SITE PLAN __.---- P` - Fx { OK To IS U C R i 1 0 LOT #7 SFr �o LOT #3 90 .;J DEC DEC o CONCRETE ... MONUMENT o UTILITIES LOT #6 I.R.F. UTILITIES - 00 , p0 LOT #4 k w ])HEREBY CERTIFY TO: 1 M & T MORTGAGE CORPORATION, �✓� 's 3pp //034_._. K� ) ITS SUCCESSORS AND/OR ASSIGNS. • ���• /' � yw�/SETBF'•C N 2) CHICAGO TITLE INSURANCE COMPANY. q� 6�9 3) TRACY L. & FRANCIS P. WILLIS, JR. a �' 4) STATE OF NEW YORK MORTGAGE AGENCY, �0 \ �00. IT'S SUCCESSORS AND/OR ASSIGNS. °USF U THAT THIS MAP WAS PRE ARED FROM AN ACTUAL FIELD ND °NS7rNU ea o: SURVEY. 9 36 2\oj n°"' \�0. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE ti/1 s, VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND / \F` ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR LOT #5 `p SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR B EXPRESSLY STATED HEREON, X AREA 1.00+/-ACRES 9c to s _20REgR DAVID J. BOLSTER, LS SET BACK DATE: NOVEMBER 29, 1999. N'g-9 03 0 '� `' — 402.00, LANDS OF PINEVIEW CEMETARY MAP OF A SURVEY OF LOT 5 HICKORY ACRES MADE FOR o�SE9 LAND gU9Go. - TRACY L. & FRANCIS P. TILLIS, JR. A , MAP REFERENCE: TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY °��9 h0.495� `��`�,` MAP ENTITLED "HICKORY ACRES SUBDIVISION MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A <+CE`�•iy� � DAVID J. BOLSTER MADE FOR SIDNEY TIMMS" VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE ""+nuuu+++""� LICENSED LAND SURVEYOR DATED AUG. 2, 1988, LAST REVISED 9/15/91 NEW YORK STATE EDUCATION LAW." PREPARED BY VANDUSEN & STEVES, LS "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 342 MAIN STREET, HUD50N FALLS, NEW YORK 72839 FILED IN THE WARREN COUNTY CLERKS' MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS DAVID J. BOLSTER, LLS DATE: OCTOBER 8, 1998 SCALE: 1" = 50' N.Y.S. UC. NO. 49534 OFFICE IN PLAT CABINET A, SLIDE 192 SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." DATE SEALED I.R.F. = IRON ROD FOUND DWG. NO. 98022 B QUEENSBURY 64-1-5.8 RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement �r Dept. of Community Development Arriv� • 1�"� �P -� ' Town of Queensbury or's Initial --- 742 Say Road /� Queensbury, New York 12804 < NAW. _ L-.�t�'�Lh (_.. i TAT I'ERMFT # �.J_- LOCATION DATE TYPE OF STRUCIMI2tE N/A YES NO COMNIFNTS Chimney Heightr"B 7 VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete 00 Exterior Finish Complete or Intenor/F.xtenor Railings 3W to 36 Exterior Handrails, balconies. landing 1 in. more Interior handrails stairs both sides 3 o more ri Grade 2% away from foundation 8" clearance to sill plate "� Gas Valve shutexposed/regul or l8" ve grade _... .. -GCS PkT ._ � !�j[_�' PE-Gas Furnace shut-o ( within 30 f t or wi line of site �7� ,, } x Oil Fwnace shut-0fT a trance ce area -EAR- I ,f"fC'+u _. � Furnace/Hot Water Heat Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft_ 4 in. Handrail exterior stairs bo sides more than 3 risers Interior privacy/tritrafdoors/ ain entrance 36 'J " Floor Finish a Bathroom/Kitchen wat t Interior Handrails Baleo es/L 18 in. or more -•- [ �j����"� � `'� Raiiing across window i stairwells *� Smoke Detectors: _ every level ` Pt kaI- _ every beciroom ty l3 outside every bedroom inter connected Bathroom fans .... -- v a^:►. Ni�)ZA Plumbing fixture:. , ,,,,,,A�tion invallation 3/4 hour fire doorldoorcloser ��t , 'A1...lr. � QS=L` ►�� � �-.�"�,'�{,�. Garage fireproofmg Garage penetrations sealed X Furnace in separate room protected (in garage) L Light ventilation per room Safety glazing l8" or less from floor Final Electrical Site P1antVariance required Final Survey Plot Plan � -! `'�� V"5-V1 - VtAO As Built Septic Svstent layout required _ Okay to issue C/C (Certif: of Compliance) Okav to issuc temp. C/0 (Certif. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) Nf� RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received. Building ,&, Code Enforcement � Dept. of Community Development Ave=L. p ar Town of Queensbury Inspector's Ini ' s 742 Bay 'Road Queensbury. New York 12804 NAME e� PERMIT # LOCATION � � DATE "TYPE OF STRUCTURE NIA YES NO COMMENTS ChimneyHeightl'B" Vent/Direct Vent tion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 8 in. or ore Interior Handrails stairs both sides 3 o more Grade 2% away from fd\gidation 8" clearance to sill plate Gas Valve shut-off exposed/regulato 18" above grade Gas Furnace shut-off within 30 feet o within litre of site Oil Furnace shut-ofFat entrance to ace area F]SrnarPJHnt Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both side more than 3 risers interior privacy/trim/doors/main trance 36" Floor Finish Bathroom/Yjtchen watertight Interior Handrails Balcomesli. cur g 18 in. or more Railing across window in stairwell Smoke Detectom' every level every bedroom outside every bedroom inter connected Bathroom Can Plumbing fixtures F©tijidatiori insulation 3/4 hour fire door/door closer Garage fsreproof Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safely glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survev Plot Plan As Built Septic System layout required Okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent CIO (Certif. of Occupancy) GENERr1L I1V',�'�►ECTICJN RT Town of Queensbury Date inspection request received' --�-- - Dept- of Community Development Building & Code Enforcement d 742 Bay Rand Arrive �1m Dep ueensbury, NY 12804 Inspector's Initiish CQ PERWr NAIVE: DATE LOCATT TYPE OF STRU RECHECK NIA YES NO CO1 %MwS f FootingS/Piers 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 onsite Foundation/W ieei:.ts Place Fo t'an/D Pero° al Plumbing U Plumbing V ntf Vents in Place Rough Pl Heating gh-In Insulation F on Walls Interior R- Fo on Walls Exterior R- Floors R' ----- Walls R- Ceiling R- Duct work or piping in unheated spaces R- proper Vero, Attic Vent Framin Jack StndslHeaders Bracing/Bridgin Joist Hangers jack Posts/Main Beam Air Ir& tration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2. 37 4 hour Firestoppiri �ERAL msPF MN REPORT Town of Queenshury Dept, of Community Development Date inspection request recei.ned: Building & Code Enforcement _. 742 Bap Road 2 Queensbury, NY 12804 Arrive!! ire--��Depart ' a�spectues Tniti'ial� _ N NM: +•51 C PERMIT # ! LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES AO COMMENTS F ers Monolithic Pour Farm Reinforcement in Place The contractor is responsible for providing protection, from for 48 hers following the p ent of the concrete. Materials for on st Foundation/Wall Reinforcement in Place Foundation/Dam Backliil Approval Plumbing Under Slab Plumbing VentfVents in lane Rough Plund)ing. 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- i rrrer r/ nt, Artic Vent Framing Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack PostsfMain Beam Air infiltration Barrier Fire Separation 1. 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Qaueensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location -- /-�►--,e� � S Date !r- ` R Permit # SOIL TYPE(4 a r�tl� dun- C 1 ay- Resul is 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 f St a size PIP - S ' a Type Bldg . to � � LVO ank to " D I to el d/9401P Openings Se ed? e o artia LOCATION/S ARATI Foundati to Tank \' � feet Foundat ' n to Absorption feet Separ ion of Pits feet Conf rms as per Plot Plan T — L TION OF SYSTEM ON PROPS - ( ircle one ) Front - Rear - Lefl.�de- - �fight Side Middle Front -�i.ddl e Rear.J COMMENTS : _ -----"�— SYSTEM USE APPROVED : YE JIA Arrived : Depart ,�Buiraing Ins a or lei GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Dale inspeclian request received: __�� Building & Code Enforcement 742 Bay Rood _ Depa ` t 11I V 12804 Arrive ar Quecnsbury, Inspector's lniti NAME: ] C PERMIT # LOCATION: ^ N!� V F'�—ti—_ ^ "" DATE TYPE OF STRUCTURE: RECHECK YES NO COMMENTS Footings/Piers. NIA1_.__T .,i Monolithic Pour Form Reinforcement in Place The contractor is respon ' ie fo providing protection fro freeri g for 48 hours 'following c place ent of the concrete. Materials for this purpo on site - Foundation/Wallpour^-- — Rcinforcemcnl in Place Foundation/Dampproofi Backtill Approval Plumbing Undcr Slab— -- Plumbing Vent/Vents in lace_. � �}• � b t Rough Plumbing. Heating Rough-in Insulation Foundation Walls Int rior R- Foundation Walls Ex crior R- Floors R- - -- Walls R- — — - Ceiling R- _—_--- — Duct work or piping in unheated spaces R- — Proper Vent, Attic Vent �� rack Studs/Headcrs-_—. - Brach gin ; — Joist Ha �— \ 43`✓�iRL - !��+.� -�'►� j Va vz� Jack Posts/Main Scam Air Infiltration Barrier^.�_.__ — — � �__"� Fire Separation 1 . 2, 3, hour Penetration Sealed -- Fire Wail 2. 3, 4 hour_--... �- Firestopping_ _ V the L . do ii GENERAL LNxVPECTZ0N REP0RT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: U Building & Code Enforcement 742 Bay Road iIle art m J Queenshury, IVY 12iiO4 Arrive ���-'� �"Ins I Inspector's ln' NAME: PERN41T # Y� LOCATION: DATE : (� Z TYPE OF STRUCTURE: REC14ECK N/A YES NO CoNiMENTS Footings/Pi rs ,— T- l Monolithic or F Rcinforceme in P The contra r i rcecsponsible for providing pr ion from freezing for 49K hou lowing the placement of the concrete_ Materials for this p rposc on site_ Foundation/Wallpo Reinforcement in Pla a __. - Foundation/Damper BackCill Approval_.. _�—� — Plumbing Under Slab_ plumbing Vent/Vents in lace— x % � Rough Plumbing Heating Rough-In. / "lnsulationWt Foundation Walls lilt for Foundation Walls Exterior Floors R-Walls ► Ceiling Duct work or piping in / unheated spaces R- Proper Vent, Attic Vent Frain — Jack StudsAleaders_--_- .—_ Bracing/Bridging.— Joist Hangers Jack Posts Main Beam.. _ Air Infiltration Barrier_ -- Fire Separation 1 . 2, 3. hour Penetration Sealed_ -_ Fire Wall 2. 3. 4 hour___, Firestopping GENERAL IN.'4PECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Dale inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 121304 Arrive i an,6i7n=> Depart lns oror s 1 NAME: I�ST�TI 1 1 ► , per __ PERM1 LOCAT10N: b.. fl___L +► DA�1I . TYPE OF STRUCTURE: RECHECK _ NIA YES NO COMMENTS Footings/Picrs� —� Monolithic Pour Form _ Reinforcement in Place _ The contractor is respo i or providing protection f m fr ng for 48 hours. faylawin the pia ment of the concrctc Materials for this pu on site Foundation/Walipour_- Reinforcement in P1 c _ Foundation/Dampproof ng� _ - Backfill Approval_. _ Plumbing Under Slab_ Plumbing Vent/Vcnts in Place Rough Plumbing_ Heating. Rough-In Insulation _. Foundation Walls terior R- Foundation Walls xtcrior R- Floors R- Walls R- — _ .-- Ceiling. R- — -- Duct work or piping in unheated spaces R- —_ Proper Vent, Attic Vent Frami ng__ -- -- ----- -- - Jack Studs/llcaders Bracing/Bridging.-- Joist Hangers_ Jack Posts/Main Bcarn.—_ Air Infiltration Barrier ,__. Fire Separation 1 , 2, 3_ hour Penetration Seaied. __—_ Fire Wall 2, 3, 4 hour. Firestopping� ,//�k( GENERAL IN.SPEC YIQN REMRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development ©ate inspection request received: Building & Code Enforcement 742 Bay Ruud Queensbury, ANY 12804 Arrive Departj Inspector's NAME: �` PERMIT # A LOCATION: L DATE ADL f; TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Fooli ngs[Piers 1- -T - Monolithic Pour Form Reinforcement in Place The contractor is responsible f r f providing protection from freiin For 4x hours foilor ing the pliace>Ttent of the concrete. Materials for this purpose oi}rsite Foundation/Wallpour.. Reinforcement in Place_ 10 --- Foundation/Dampproofirtg_ -_- -- Backfill Approval___ _ _ Plumbing Under Slab Plumbing VenUVen in Place _ - Rough Plumbing. Ueaon oygh-In 1' Foundation W.alis Intcnor R- Foundation Walls Exterior R- _ Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- _^- Proper Vent. Attic Vcnt� Frami ng _._ Jack-Studs/I-leaders— _ Bracing/Bridging..._� - - Joist I langers___, - Jack PosWMain Beam _.-... .__. .. - - Air Infiltration Barricr _-- . . -- - -- -- ---- - - Fire Separation I , 2, 3. hour__ Penetration Scaled _ Fire Wall 2- 3. 4 hour Firestopping n C;ENERAL INSPECTION REPORir' ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive _�- Depart day inspector's Initi L NAME: PERMIT # LOCATION— TYPE OF STRUCTURE: �� "- DATE ; �F RECHECK N/A YES NO COMMENTS Footings/Picrs_- -- --j Monolithic Pour Form Reinforcement in Place T The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site . Founda(ion/Wall pour Reinforcement in Place_ Founci_ation/Dampproofing - Backfill Approval.. PI bing Under Slab umbing'V Vents in Ph a -- ti * f4L-L 51el Plumbin Heating Rough-in_ Insulation Foundation Walls tcrior R- Foundation Wall xterior R- Floors R- Walls R- Ceiling R- - Duct work or ping in �- unheated s ces R- Proper Vent, Am Vent _ Y'cng._ _ ---- - ----__—.-._� -. - �-. tiw`5 F�r Q�+��1 'aJ� sI►� vim. Jack -St-uds/H ders----- _._.. �1 xl`iolv) Ca C PmL' !Dist Hangc _ ti.`:c Jack Posts/ am Beam Air IInfiltration Barrier Fire Separation I , 2, 3, hour [ Penetration Sealed Fire 11 2, 3. 4 hour stopping __� -- it �C k I►`� car 1�k ` � ` f1 1 ! t ��• 1 ��' � .4 y V j f 7O. WL } l t Q494t CONC. MQ j TO BE SET - ING at FF — _. FF ,p A 10 sq. ft. yr Cfe3 " F.. OF .-f' # Grmr fiD 64-1-5.10 LOT 5 + '� f,Dp ' 43+571 sq. ft. .way r f 'A acres Y 1S . eta 4 .000, _- FOG 1{OAD CRASS— EC 2 a useaul �1� 3,00 A� �- e, elp a } UO q}1a1 tas savisip 4 P uo MOO e umidal ns{e I • II tunaap s�� aney 11 Wt l t ans s1 . u lie 1/2 ASPHALT CON 'saa�} s��aM sa 4q se u Ile TYPE s A.C. T ua s a" I„ LA i. TYPE 3 A4C. 9 ;a aauapIna Mes y anay�aq as PanJas a J9 F PUBVIEN CU . AU eE AT 2% / / } In � 1 � s• TYP1CAt 1 i' Ptlt FOOT SLOP[ ' DO" HILL DRIVEWAYS TO � HAVE HGHPOINT AT OR NE