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98-640 CERTIFICATE OF 0CCUPANCxjLr TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK January 26 99 Date `J 98640 This is to certify that work requested to be done as shown by Permit No# has been completed. ' SINGLE FAMILY DWELLING This structure may be occupied as a LOT 5 # 36 SURREY FIELD DR . Location MICHAELS {GRQUP , THE L . L . C . ovrner TAX MAP NO . 4 8 . - S -- 5 By Order Town Board lroWYN or QVito UR Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 1102Q ' N OF QUEENSBURY No . _ 9131-640 TAX MAP NO . 48 . — 8 -- 5 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to � MICHAELS GROUP THE L I� OWNER of property located at LOT 5 # 36 SURREY F Street. Road or Ave. in the Town of Oueensbury, To Construct or place a S INGLE IF ILY DWELI.TNr. -- 8t 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. s. owNER'Srr 'STATE RT . 9 r SUITE 3 LAKE GEORGEr NY 12845 2. CONTRACTOR or 9UtLOER'S None MICHAELS GROUPr INC . 3 odNTRA,9W 06 l�� nddr PROJECT MGR 181 @ ROUTE 9 LAKE GEORGE , NY 12845 .. wayut'rCr`WI Name . NEW YORK HOARD S. ARCHITVM* Aq"ft BOARD OF FIRE UNDERWRITERS B. TYPE of conssruction — IPias" indicate by X1 SINGLE FAMILY DWELLING ( I Wood Frame i t Masonry i i Steel I l 7_ PLANS and Specifications 1930 S+Q FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE WS PER PLOT PLAN SPECIFICATIONS R Pr—_ _ Use SINGLE FAMILY DWELLING 255 October 16 2000 PERMIT FEE PAID - THIS PERMIT EXPIRES , 19 (!f a tor4W period is required on applicaebn for an axtension rust be milde to tha Building and Zoning inspector of the town of Qusensbury begone the expiration dote.! 16 October 1998 Dated at the Town o ueen this Day of 19 SIGNED By "^ for the Town of (lueensbury Build and Zoning InspeStor Permit .����v�iccxtio►�� lclllali of 1 'lTSjlrlr_)' - rlrlrr_ tit- r ,;roirrr,rrrrrirY 1?rt•r•lrrlxmer+F, 742 11uy 12urtrr, L7rrecrrtLrrr}'. Hr 11 1761-62561 - , -- -^ . --..-. 1Jtl1L1JlN (, SI 1 t' ovi►; Is1V ' U1tCLht1 N7' [ tr� fLcrltlitcn1c1115 lrtit�r ttJ issu.11lf C 1'1s1;A111' HL1; NU. A Ilellrlit tr1U.71 i>c t1l,inirtrrf ln.leirr. - - -- f,Lltd ls" 1'il.ID Itcgirrrrirrlt ctnrt111tclir,r+. iJrt irrslx.clir,rls 1� r'.clrrirlp, 1lrhtr�l r1c11r11! 41 :�R) f)C Swill lie ltiatlrr 91111if nf+ldirs,nt 11n, Nett iwccl 1 1 Asum 1 {Its, 141sCltLs�'[MN FEW 1� )v $ n VA1 ,113 11Ri11JONc1 1•liltAll Y. All t „1,lTlict+r,la` 1+ncr, rill lbitr n , ,lirnrie ut ivl05`1' Ird ctmilllclr,l null Jilin SlP,usfrrcc 'lrtrtrrrrrg lJrxrftl ACtlerfr I�1sV11SW1iL7 11„161 lmlxeror rrr 111c "I'Itlicnrl! to{,sl al,l>crrr [in (INC 5f'It f :,++1rcGvisirnr 1 Ulhcr oilfrlicnlic,rr lin ,lr. iw�1 '' . � __�_- W ftccrGs,titru l t is I'+tyrerasrl Scl rrrc nl°I'fic:rnl: f ftC r3it C:frr{r? F6 llrturrl-t , I ric . L1lwlieI : �titlll:fi5 ! 810 ILr a lwe ? 1.rtftc fis'rl�rr t' , NV 1 28XIiIiiess: --�� - -- --- wwwwwI _ '1"a Mal) NuillberI'IoIyetiY Lucllinn: Scctttrn 13lock 1 All. Sulldivisittrl Nalrrc: VALUE ()F 11ATU1t1 or tiltOPOSEly kityltlC : (:t71.ISTRUCTIONlt '$_tom G00 'Lill [low F3iti- l.tl .itty : rcrt ic-1r� It1. e I t:tJl{111{G' 1_C% J.ft .�- ..- - — Jtc}cl .i- Li. tirt t. [> fill Sl. ti .i. ilt# ' t1GGUPARIL! T IRirulti-IIA.R.'1o11s t c• r; L , Ic +tuts / ccitnrrlrsr_ c. lti ,t tic Ilmnry Efull-ltlrtc� i� 1. 0 C1:rAi . i_till 1 . ,.7 1-11r _i -l-tli. rrcl : Sittylo rallutly Ltwctllitsg r .. s? .i ticsnur. ccttnnlxst. cial Twoalllll y Dwelling lRcsic4c rtuc: / L'vtlrtltarr .i. rtl 1ralnlly 11wel1lltg do c iltitlyn l rJ exLcr. xcix. r13. 7G of- Lice OCT ) �$ • " t`LercattL:lle uther Work ( describe below ) Ida {tulaalurltty Other _ i! a +GItUSG ri1tC11 UP k' NUE'R)5LU F3IItlIG"DING : 7 (� 11 nfJul'1' IC7Nr what: wlll uge NI f or- ttevls ddlLlott be ? I NIA Other ACC la€;C]1t1C 1i3U1LU1Rdtl51 , ( 111I illif .i- nl. she,1 cellar or braseulettt Detached Garage lr 2 car � p � � � At' t- ached Garngo 1 , 2 car - -- - -.�.-1->Z-`''- Sr1 . E I' . _. 1C.— private storage BUIlcl.ilty 'tOTAU t� iLt JwI t+tRBA Contttterc:lal storage Builcling S t 'Lr Op tli1W ST RUCTU �RE otrlter Will anyy eacond- 11and or uogrwl ed II NOLALi" ll '1']' ls 'e : i'ul�fcEcl _.hurter be Issed ? 1Z not t • tlt+ ruLAcr o [ 5t.1 - - Is ( Ilab .iL- ab .le rspace only } } t feet TYPE 0e. 11riA lttC1 5Y5'xGt31 le Ile011 ( yL ,ado Lo rill a circle 01 .1 wlt3 c�E��'� Electric / oil i�FIS I wood Uf hex ldtlrrtber of f .1_ repl aces t{c1 /ot wor�%IsLove �feoarcl / Lu tine i. 11s t.r+ .l lest : t*or ced rlaL Air / erv.l Fp loll of work 89 rIIIIIII III og lrrls a T3u3 lcil:lg Porrtvll rodponnible For Butt rI'm IF tict r csr � e codes J. s : at Jtaltl - t t ei Batt t' 1` ty12845 51 8 - 668 - 3316 7n{el� r_ - fltt I il.e M Echoic" GYl.u{ilJr 111C . 1810 iZU 9 �f^rt ze Q y�cr � -� i' l. utlrfter : _T ° i7�LlM�I ( � 11C �i i in ttrJ n 1 _ ,J�1 U-u_c�C.fterl..�.r3Urc._�ILB�G?car��.�•Ce.. �1a�.rtl�s�(,�t1.��1-. 1J � I � "'�-�5-.—' I & - 3 7 I - '7 '7 2 2 ,,j (1!t us.9r�LCc 1J1sCls.ilir111(Jh! 1'lcrrfc Agri f�cfvtlr r IiIvIII r:rtrcytrlly Icad the staletflcrlt. 'l'o (lie host of lily knatvlccigo the sultellients colitaillccl tit this atsillicltlitlti t osed work to be with tltc Maus t,nc1 st,ccificni's<ar►s sultntittcc4, t1tC n Uuc :NI catniticla sl:xtcrn!nix lc l lilts Its s i+� Oldirla cc dorte oil oil {i1C t1S`scr tLic[I 111 C11Ai4C4 i111t1 01.11 all fir ovisi(m.4 or ills 1S11iltlill k ,ilhcr 1:1tvs l,ctlainirrl arld l t i7+ IILTuf ltaeNj cawrtcrk 1 'all bin rxthcr tttisttied"tide ,stli, Wcwcf 11 stt4l/wa Sim subrltiltfxrAN b �I that srrclt tivvt lc ix atlUrtA Y Ccrlilitr:tic ctl Clo tili:tllcy tlr Cc ific:tic of Cut`'crlts tl ltx atiull ur lirojectty t 111c t�iscs LCl7� PLhI'i y .t 1'scctlsctl strtvcycsr; ell : r to . lc, sit � r, tJw11c*'$ hgcltt, arcltiRcct, contractor} Lacal.inil UC property fur i >.1si.:tiial.i•t� tx_ ..'�..�� �-��.�� , _ _ - . PM S1'I4 NU &M CR Owner' s Name t hz. M Lihawz,ls Gl .ct _ , Lf C Address: /l 't 111 � � �rrr.,, �� a „ r � �^.n � M � s{s� I � 2C , F r7 Vu"�Yi�4- �'.'.^-^'.'�^..'i...:'r?C Ins tlie . s Non site: I, hone 3 ilts.^.t:Tcr of Ezc;Ircatxxs {irresi�crtiai 600 Tntal c{aily Row (rc^.idantiar - entitputc .4' 150 ^ycl. rer be%Iruom ): Zei a+graPhw C . mat lLUliitxg Stc.-,t SiU4'a 9 , trf �it,lrc Sc:ii `t;turn— " Sane; 4 �xat:t 1� c y C] tlxer ![? creSlx: vra4rei ;'JcLc:: at wlxat dcctis? 3 rcc1 BCF!rnCkr or Inifarrious Material : at what dc;l tls? rent Pcrc:.lation Tcst: +tc:t Requircd ` 1 17am.juirc:II1L;tc l tit in. PC isscxt outxtcstic Water Surrly: 1777771 ,muuiciPal wall � Gtftcr Ir domestic water supniy ix a `•t+• I : i .I .: watt: sulx;^i;+ frcxsxt any act tia :fsgarl�tiast is rc-! r' StrJPc75riF3 5'fSI'1;'wf : J// Scntle tank.* A000val. (tit i :' ::turn si-it: ' 16000 I3Ia Irte:cS: cacti trench fcc� I irala! s1stc:xx length fc=t. seepage lnt(s) : nuntlxer of 'N / ! sine cac'.x: ft_ x Ct_ ,%lzo or sicaste to be used: # 2 swtcne I depth or t#t'sc?cttcsa reef. 1ICJUDING "I:ANK SYSZi3M , (if required) Number oC tanks: `I/A Six* or cacti- soil. lllarrn system attd associated erectricar shark to be inspected by a certified agency. For your protection, please retire (flat pztrsurerzt to Section 136-29 of the Code of the 3'0tc•1e of Yz. Qeteenshury, aIt v permit or a p proual graYzted uthFcIz Fs hared " port or is granted in reliance it part . any rrzaterial misreprescittatioit a fir Hure to rrrake a itraterial foci or circuinestaitcc Airnunt by or me _ hrlraIfofan applicrrire, shall he (ford. r have read the regurardarts wick respect to tlti. liccrtirrtt arrci crgr-ee to abide by tlte•se al"' err' reequ rements a f the Tou•f: o f c);reeltsbi S+e'r ri r ett•crgc Disposarl CJr<direerrtCe. { Sicrrattere 0rresuort.rihle i7c' rSa +t: L_ ___ F.) atte: n Z� b d hCr-2 RESIDENTIAL FINAL INSPECTION REPORT 30 �y ' r' jc jC C1 � ,r Office No. (518) 761-8256 Date inspection request received: r ( L c Building & Code Enforcement � pm ��" DepL of Community Development inspector's Initials �` itials ;; Town of Queensbury 742 Bay Road Queensbury, New York 12864 1 ! r ' NAME C DATE LOCATION TYPE OF STRUCTURE _ NIA YE NO CONDAE TS Chimney Height/"B" Vent/Direct Vent Location s Fresh Air Intake ` Y Plumb vent through roof `� 4 Roof Complete �y� t , Exterior Finish Complete fc_, interior/Exterior Railings 30" to 36" ' Exterior Handrails, balconi' , landing M. or ore Interior Handrails stairs both ides 3 more Grade 2% away from £oundati S" clearance to sill plate Gras Valve shut-off exposed/reg for " above grade _ — Gas Furnace shut-off within 30 f 1 or within line of site Oil Furnace shut-off at entian to furnace area 14HF— o . aes a Relief Valve(s) installed Headroom, 6 ft. 6 in. on slat Basement stairs, 6 fl. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/tringdoors/main 'entice 36" Floor Finish Bathroom/Kitchen watertight 18 in. or more Interior Handrails Balcomes/Landing Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage: penetrations seated yuroace in separate room protected (in garage) Light ventilation per room safety glazing 18" 01 loss Tom floor Final Electrical � Site Plan/Variance uir Final Survey Plot Plan As Built Septic System layout req _ Okay to issue CIC (Certif. of Compliance)of (-)ccupancy) J Okav to issue temp. C o C/O (Cerii of Occupancy) Okav to issue permanent TOWN OF S3URoonEENFOKSgURY f31,FSLDING742 BAY ROAD RCEMENT QUEEtISHURy ( 51- 0 Ti45N44BUA 4-7 F 1pp,y, INSPECTION REPORT RESIDE" DATE INSPECTION R 'QUEST RECEIVED * LOCATION f; PERHIT • DATE � M . TYPE OF STRUCTURE FRAT'fING BACKFILL FOOTINGS___ FOU144ATION INSULATION SET'TIC ROUGH PLU14BING F7pp[7STOVE OR FIREPLACE^� FINAL ELECTRICAL 19S C1IIMNEY HEIGHT VEN 11E HT PLUMBING VEN BOO F I 4 EX ERI R FIN S 'bIECK PORCH ST PS IL NGS 99-1.I LF VALV S FURNACE tIOT W T R OP T +G NTERIOR T 114 PR AC DOO S FINIS FLO Rs B T KITCIIE is, RTIGHT OTHER FL O AS -SWEEP LE OTHER oRS ARF'ETED �j,1.A� Ip,CLEARA3iCE RAI *NGS SMOKE DETECTO S ATH OOM FANS �-� LUMSING FI3CTURES FOUNDATION INS L TION 4. GARAGE FIRE PROOFING DOOR CLOSERS FINAL F':.._'EGTRICAL - ---- s�'Ili p=ANLVnRznNCE RE �-------� INAL SUR�=FY PLI7'F PT�AN �y qE'I'C]ISSUE C OR CSC f THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF 1FUrEeC7T1R1l1G4,TV TTT WASHINGTON AWE UITE 704, ALBA NY 12210 t;A11UAR1r ?Li , ? `�99 445,E ' O8r 9H hate Anal Nu. on�f`tle 6 4 0THIS CERTIFIES THAT 4 NU ��`SS only the electrical equipment as described below and introdu d b nt named on the above appliewion number is in the premises of THE HICifAELS GROUP, 36 SUR VY FIELD DR, QUEENSBURY. NY in the following location - ❑ Basement ❑ Ist FL El2nd Fl, Section Block Got 7A�![1ARY ? I , r Usly was examined on and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES I COOKING DECKS OVENS I DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDFSCF FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K,W. AMT, K.W. AMT. H.P. 31 43 .9 ,4 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET LDIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H,P. SYSTEMS AMT. WATTS NO. OF FEET SERVICE DISCONNECT NO, OFI £ R V I C E METER NO. OF GG coND. A. W. G. A. W. G. AMT. AMP. TYPE EQUIP, I i 2W 1 3W S r8 SW S 10 4W PER O OF CG. GOND. NO. OF HI-LE6 OF HI-LEG NO, OF NEUTRALS OF NEUTRAL 1 150 ca ? X OTHER APPARATUS: S1KWE' DETECTOR : -6 FOREVER ELEC, BO-EL ELECT. WII.LTA1I D. 11CPART'LON 2446 JAF"FRE Ir ST. GENERAL MANAGER :'?(✓'ITI�"�.�it"T',r31:� . 1+II`. �r �-��[I r �� Per This certificate must not be altered In any manner; return to the office of the Boord it incorrect. inspectors may be identified by their credentials. COPY FOR ESUILD(NG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL LIN P TI©N REPORT Town of Queensbury Dept.. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road , : f Queensbury, NY 12804 Arrive pm Inspector's Initials +n+ NAME: kC R A&C 5 PERN41T # {o ►� LOC AT1ON: �� '�r.r '�2er G � DATE : Z — TYPE OF STRUCTURE: RECHECK NIA YES NO CONRvfENTS Footings/Picrs I Monolithic Pour Form Reiniforcement in Place The contractorPi re providing pro for 48 hours ft of the concret Materials for thi Foundabon/Wal Reinforcement i — Foundation/DanBackfin Approv Plumbing Linder Sfab Plumbing Vent/Vknts in Place OF 4tin PlumbittgRou -Innnciation Is Interior R- Foundation Wails Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- ,Proper Vent, Attic Vent Frainin Jack Studs/Headers Bracing,Bridgin Joist Hangers Jack Posts/Main Beath Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour. Firestopping ), ��T O A) s cr a S GENERAL IN PE ! N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ��- Queensbury, NY 12804 Arrive am/pm Depart / oilwom Inspector's Initials Of /'R 1 �.. NAME: i PERMIT # LOCATION: ► DATE TYPE OF STRU RECHECK N/A YES NO COMMENTS FootingslPiers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing Ina an fro ing for 4$ hours fall ng e pent of the concrete. Materials for this on site Faundation/Wallpour Reinforcement in P Founclatian/Dam fin Back ill Approval Plumbing Under , ab Plumbing Ven nts in Place Rough Plumbin // ,r-~� \� iting ssulattan�u - n .rAN�l - Foundation Walls Interior R- `C �y,J Foundation Walls Exterior R- O'v C;PC�R ,��1 r 10 4,4� I -9 T Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R� Iper Vet,- Atli C Went Framin Jack Bracing/Bri Studs/Headers Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL LNSPECTION REPORT Town. of Querensbury Dept. of Community Development Date inspection request received: Building. & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive am/pm a lgm Inspector's Initial -'�--' NAME: �N�.�t�IPcE; t `7 (2 PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COA MEN'TS 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 � on site Foundation/Wallpoua Reinforcement in Place - Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P gh Plumbing Ming Rough-In � f Insulation Foundation Walls Interior R- Foundation 'Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping, in unheated spaces R- Praper Vent, Attic Vent Fmmin Jack. Studs/Headers BracinglBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 27 3. hour Penetration Seated Fire Wall. 2. 37 4 hour Firestoplrin GENERAL N" REPORT Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depa farritprn Inspector's Initials NAME: PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMNVIE ITFS Footings/Piers ! Monolithic Pour Form Reinforcement in Place The contracto is responsible for Providing pro on from g for 48 hours g ment of the concrete. Materials for this on site Foundation/Wall Reinforcement ' lace Foundation/Daiikpproofing. Backlill Approval Plumbing Under Slab Plumbing VentJVents 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- I Attie Vent �n Jack Studs/Headers AracinglBridgin Joist I3arxgers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping Illy �E AR4L I�VS'PEG'TIU1V RErPk7RT 1 .. Town of Queensbury Dept. of Community Development Date inspection requeM received: Building & Code Enforcement 742 Bay Road Queenabury, NY 12804 Arrive am/pm Depart Inspector's Initiaal?s M NAE: Gy PERMIT # C] LOCATION : DATE TYPE OF STRU RECHECK N/A YES NO COMMENTS FootingslPiers 1 Monolithic Four Farm Reinforcement in Place The contractor is responsible for POdin€ protection from g for 48 hours following the p ent of the concrete. Materials for thi n site Foundation/Wall ur Reinforcement in Foundation/Dani ling Backfill -- Plumbing U Slab Plungbing, Ve ents in Place gh Plum g Heating Rough4n insulation Foundation Walls Interior R- Foundation Walls Exterior R. Floors R_ Walls R_ Ceiling R_ Duct work or Piping in unheated spaces R_ Pro r Vent,_A i _ en FF min � Z .lack Studs/Headers BracinglBridging Joist Hangers y u �G �' N'� tc_. �Rv55 4ftAjGe E� A. okpZ Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestap g i T OF QUEEKSBUIty Bt1ILDIN6 4C�Y RpiFaORCE�T 2 Queensbury NY 12804 (518) 761-19256 SEPTIC DISPOSAL SYSTEM INSPECTION Name f � Location Permit # sue- -- . Date SOIL TYPESa Cl a - Results of Percolation) pate-Minute nut/Inch�� ( if applicable ) TYPE OF SYSTEM: tal L ngth ABSORPTION FIELD , ch Length of each try Dep h of trench �— Size f stone er ft . - SEEPAG ITS um Size ft . x Stone size size �W e1.�,�._ �a PIPING: \ Bldg . to Ta k �. Q � - Tank to Di t . Sox �4 � ti;P#�Cd�g Dist . Sox o Field/Pit artia openings eal ed? e Lnr&TIOK EPARATlam = feet Foundati n to Tank _, ;�.c- feet Foundation to Absorptionfee Separation op Pits - Yt� Conforms as per Plot Plan LOCATICO OF SYSTEM ON PROPERTY 1 ( ci rcl a on d' Front e Left Side Mi ddl e Front Middle (tear sIPCOMMEKTS �.i - F��i 1 [ �' CC) i .,►�P+ h '+ YES r ' SYSTEM USE APPROVED - Arrf D rt u C r 1 TOWN OF QUEENSBURY BUUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date Permit SOIL TYPE: Sand- Loam- lay- Results of Percol at on ,T t- ( if applicable ) Ra - ute/ Inch TYPE OF YSTEW �C - A I FIE Length Lengthength of C tr nchCh Depth of trenche Size of stone ' SEEPAGE PITS : um er- f E Size - t . x Stone size PIPING: - Size ,ypeA Bldg . to Tank "F - ' Tank to [list . Box IN� Dist . Box to Field/Pit ►% lP 133t+�Ffl � Openings Sealed? c �- s- No arts al LOCATION/SEPANt11TIONS : _ feet Foundation to Tank feet Foundation th Absorption _ eet Separation of Pits Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPE ( circle one ) Front - Rear - Left Side - Right Side i Middle 'Front - Middle Rear COMMENTS i SYSTEM USE APPRO . NO Arri v Depapved n in r GENERAL W,S'PE{'I'I N1 figf ►RT Town of Queensbury Dept. of Community Development Date inspection request receive& Building & Code Enforcement 742 Bay Roan! Queensbury, NY 12804 Arrive am/pm Depart �. Inspector's Initials NAME: PEFLMIT # 4 ., J LQCATICIN: LATE . TYPE OF STR CTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the of the c oncre Materials for this on to Foundation/Wallpaur Reinforcement in Place ampp rM tiopproval Approval Plumbing Under Sl Plumbing Vent/V nts in Place Rough Plumb' 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 'Kent, Attic Vent Framing, Jack Stud Heade.�v Bracing/Bridging . Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1, 2, 3. hour Penetration Scaled Fire Wall 2. 3, 4 hour Firestoppin GENERAL INSPECTI�i 7N REP ORT Town of Queensbury Dept. of Community Development Date inspection request received* Building & Cade Enforcement 742 Bay Road Queensbury, NY 128" Arrive am/pm Depart Inspector's in Wish NAME.- PERMIT # L L.00ATIaSTRUC*TTjRE:i ]►ATE : _ T fPE O RECHECK .-'' p� N/A YES N CONQAENTS Monolithic Pour Farm Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concriete� Materials for this on site Foundation/Wallpour Reinforcement in Place_ i=aunc9 tionivamp9proafuig r-- Backfill Approval Plumbing Under ,Slab Plumbing Vent/Vents in P Rough Pl Heating Rough-In insulation Foundation Walfs Interior R- Foundation. Walls Exterior R- Floors g._ Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,_ Attic 'Vent Framin Jack Studs/Headers. Bracing/Bridging Joist Hangers Jack Posts/Main Beare. Air Infiltration Barrier Fire Separation 1 , 2, 3, .hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GEIVER4L INS pECTf©NREPORr Town of Queensbury Dept. of Community Development Date inspection request received: Building ,& Code Enforcement 742 gay Road Queensbury, NY 128o4 ' Arrive am/pm Depart am/ I nspector's Initials _j� NAME: c S PERMI"1' # LC7CATIC3N: , s `"'� L! `5 BATE TYPE OF sin RECHECI{ NIA N COI&Vffi I'S /Ootingsmiers r Monolithic Pour Form Reinforcement in Place The contractor is responsiha a for Priding protection from freezing, for 48 hours following the placement of the concrcte. Materials for this purpose on site Foundation/Wall r Reinforcement in PI 170tuida ii orvDia mpproof n BaABII Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls interior R- Foundation Walls Exterior R. - Floors ,R- Walls R- Ceiiing R- h7uct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Stud&fHcadcrs Bracing/Bridgin Joist Hangers �~ Jack PosWMain Hearn Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wahl 2. 3, 4 hour Firestopping