97-486 -
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -
Date November 20 19 97
This is to certify that work requested to be done•as shown by Permit No. 97486
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a -
LOT 21 BERRY DRIVE
Location
Owner
CERRONE BUILDERS -
TAX MAP NO. 48 e 7-21 By Order Town Board
OWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PER IT°
VALUE $ 125000TOWN OF QUEENSBURY No 974146
TAX MAP NO. 48. —7-21 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CERRONE BUILDERS
OWNER of property located at LOT 21 BERRY DRIVE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY nWFT,LIMG
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
66 SUNSET TRAIL 637 BAY RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
CERRONE BUILDERS
3. CONTRACTOR or BUILDERS Address
66 SUNSET TRAIL
QUEENSBURY, NY 12804
4. ARCHITECTS Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECTS Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
1380 ►BQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT, PLAN SPECIFICATIONS. . ,
8. Proposed Use
SINGLE FAMILY DWELLING
203 September 2 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.)
September 19 97
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspe root Sv
Application for SEPTIC DISPOSAL PERMIT 1 o
V,
• STAMP RECEIVED
Location of property for installalicm:4/ / �' / „%/,• f' O
Owner's Name t1J fe n L._ ,0/444 ilt 1IT NUMI3I?1 10
Owner's Mailing Address: Cg jai
,... ..,• 7____ Lis2
,1J
ril
FEE PAID) Z
Installer's Name/4/7 1:€11,0 t!• Phone #: 0129.Z.-----' Z
to
Number of bedrooms (if residential):
Total dailynow residential -compute cg 150gal. per bedroom): � � '
( I C
Topography: �'lal I I Rolling rn Steep Slope % of Slope
!'lJc 2G 1997
i
Soil Nature: Sand 11I Loam I I Clay I I Other /Depth:
or
Ground Water: at what depth? feet
Bedrock or Impervious Material: at what depth? feet
Percolation•1•est: [1 Not Required I I Required/Rate min. per inch
Domestic Water Supply: I I Municipal I VI Well I— I Other
If domestic water supply is a WELL: water supply from any septic absorption is ,��-1, feet
PROPOSED SYSTEM:
Septic tank: `00 gal, (minimum size: 1.000 gal.) .
'lilt Field: each trench �� feet. / total system length 2419 feet.
Seepage Pit(s): number of / size each: ft. x ft.
Size of stone to be used: # / depth or thickness feet. •
•
HOLDING TANK SYS•TL'M: (if required) •
Number of tanks: • Size of each: gal. .
U� Alarm system and associated electrical work to be inspected by a certified agency.
1•or your protection, please note that pursuant to Section 136-29 of the Code of the Town of
Queensbury, any permit or approval gr•anled which is based upon or is granted in reliance triton
any material misrepresentation or failure to make a material fetct or circumstance known by or on
behalf of an applicant, shall he void.
I have read the regulations with respect I this application and agree to abide by these and all
requirements o f the Town o f Queens try 'atilt y ewage Disposal Ordinance.
Signature of responsih'e persoL: _, -- Date: IF/ 47
Building Permit Application
Own of Queens bury - Dept. tf Community Development, 742 Bay Road, Quee:isbury, NI' 12804 1761-8256]
NOTI° BUILDING & . CODE ENFORCEMENT
CE Requirements prior to issuance .
A permit must be obtained before of this permit: PERMIT FILE NO. [ 7"-Li W 67
beginning construction. No inspections �„ 5F
will be made until applicant has received (� Zoning Board Action PERMIT FEE PAID$�D3;
n VALID BUILDING PERMIT. All Area /Use r0(.
applicants' spaces on this application RECREATION FEE PAD ___ a
MUST be completed and.the signature n Platutiltg Board Action ,
of the applicant must appear on the REVIEWED B3
application form. 7h,,,,t.,., SPR / Subdivision /Oilier Building Inspector
Recreation Fee Payment
Applicant: .4t.�% .— A' '. • LI �. Owner:
' Address: /'�,�_r �.�/ •1; , Address:
Phone # a ) ��_ _ �� , Phone # ( ) - C-
Properly Location:
�//-- 7:7 °
� �1J1 � '1•-Q�
;1uhtllvlalun NIIIIIWI i1�l�l���ro /'s/ �_. 'fax Mnit NunlhPr ....--s..4,---4----..
Mollun Illnelt Id
NATO E OF PROPOSED WORK: ESTIMATED MARKET VAL 0 TIIE'
,/ New B din . CONSTRUCTION: $ /d50a J
residence / commercial
Addi o uilding:
residence / conunercial OCCUPANCY INFORMATION:
Alteration to Building: Pri)d'ary Building -
residence / commercial VV Single Family Dwell? ng --_�
' Residence / Commercial Two Family Dwelling !:'=. -_ - ;-�j 1 ; !-)
no change to exterior size . Family Dwelling
Office I AUG 26 1997
Other Work (describe below) Mercantile
Manufacturing I ;., r' .- -
Other �.�;f, ,l;i,<• < ;`dtD:_,
GROSS AREA OF PROPOSED STRUCTURE: •
1st Floor Ago. sq. ft If ADDITION, what will use
2nd .Floor sq. ft. • of new addition be?
Other Floors sq. fct. e)0
(not unfinished cellar or• basem ACCESSORY BUILDINGS: .
G Detached Garage 1, r
TOTAL FLOOR AREA: - -1 0.) SQ. FT.' ' Attached Garage 1,( ca
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X 3? FEET .
Foundation Type: /f//C 4176/M Will any second-hand or ungraded
• Number of Stories: lumber be used 7i/If so, for what?
(habitable space only) 0
Height (grade to ridge) : feet TYPE OF BEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whic0 ' slips)
to be installed: if ha WM/ Wood
,Forced Hot Air :aseboard / Other
Person respo ib for supervisio f rk a r rds' t uildin
codes is : �7. L ,L� Y / 041.(-ef ./?1/ % x�� �
6e4e0U
Name ! ��_ %0 dress 1Pee,M'6
Builder: � � l/�
Plumber: Le,e .-il_� f/ 79A <35
. Mason: 000 l/ W 3—q 9s4
Electrician: Ste; �. /I 79,1--7lkz6
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 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 ra n to scat owing actual location of project on premises.
Signature: -- - •
(owner, owners agent, architect, contractor)
ENERGY CODE COMPLIANCE APPLICATION
•
. ,
9 -7- (---)43
. 1 , , .
,.
___, TOWN OF QUE ENSBURY, WARREN COUNTY AUG 26 1997.
a 9000 HEATING DEGREE DAYS 1 '
Comm i ance 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 -b-v Component Performance —
Com,mercial Buildings-Hi Rise Residential
• *Requires submission of worksheets
. L I CANT' S NAME: PROPERTY LOCATION:
Z;z.
d' a/'Wee/ ,--,, C- •
Ze ev 09450-ye ii‘Attii.r.
• PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
•1 . Gross Floor Area - f �l
i t) • scuare fees
2 . `ry-ce of Heat - Electric Oil Gas`✓ Other •
3 . Ts building mechanically cooled? Yes V No
. 4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R—VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof • R e)
b . Exterior walls R
c . Glazed areas R
d . Exterior doors • R /o
e . Floors over unheated spaces R �s
f . Edge of slab on grade (heated building) �R ,�/ ,t?
• 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,/
Conforms to minimum efficiency per code • Yes. No
TEMPERATURE CONTROL MAXIMUM SETTING 140° .. WILL NOT BE EXCEEDED
App n ' •Signature V.
0___,17$2,A,7Pho e mb
INSPECTOR'S REMARKS:
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID- FUEL BURNING APPLIANCES AND CHIMNEYS
Date2/4
,19 497 Permit No. q ( 9
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building andtlse"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 Crgp.,74,7 ,t 2i,/ t.4 APPLIANCE (check appropriate boxes)
Address ( f % _% rr, ❑ STOVE: ❑Wood o Coal o Pellet o Gas
j / ❑ FIREPLACE INSERT
1 d" ,,� , Zip / f EvFIREPLACE, FACTORY-BUILT:
. �r� ❑ Wood 0/Gas
Phone , 1 ,'c " 26. 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
-
AddressAa IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
/ 0 MASONRY: 0 Block ❑ Brick 0 Stone
FLUE: 0 Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ®'FACTORY-BUI LTa
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:, fr
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS o Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0/Direct Venting
0 Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title
A 173 3389 (190) Public Safety ,. a
A 233 2655- (230) Minor Sales
Fee-Col-leeted From)or Refunded to: N., (RA( \(c 1� a_ ,La,k_.c:-- 3( 124 '
Address:
Dated: cz ( =-c -j Town Clerk or Deputy: ,
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
RESIDENI7AL ,FINAL INSPECTION REPORT
Office No. (518) 761-8256
Building &Code Enforcment Arrive: • 1 Ins, , c
Dept. of Community Development I e�;,_ I �-
Town of Queensbury Date Inspection 'equest R• ed: C J— ` ' ?7
742 Bay Road
Queensbury, NY 12804
NAME a64A,os__-e__-- PERMIT NO. 9/7-,ve
LOCATION • „J I )+z Z?- c" , DATE //-S7Z -O G%7
TYPE OF STRUCTURE ' ( I rv,h Lei
g--e. 4:9 -.42:4-• 14-e19-t 9-4' N/A XES COMMENTS
A )D- /-/y'Q7
Chimney Height/"B" Vent/Direct Vent Location V
Fresh Air Intake ,�
Plumb Vent Through Roof ✓
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30" to 36" ir�,
Exterior H ails, Balco • s, Landing 1 in. or more •
✓
Interior Handrai irs oth Sides 3 o ore Risers
Grade 2% Away From oundation i/ ,
8" Clearance To Sill ate ;�/
Gas Valve Shut-Off xposed/Regulator 18" Above Grade d
Gas Furnace Shut- ff within 30 Feet or within Line of Site J
Oil Furnace Shy Off at Entrance to Furnace Area 4 /
Furnace/Hot'Water Heater Operating �/
Relief Valve(s) Installed ,/f
Headroom 6 ft. 6 in. On Stairs J
Basement Stairs 6 ft. 4 in.
Handrail Exterior Stairs Both Sides More Than 3 Risers
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish il
Bathroom/Kitchen Watertight ' / i Interior Handrails Balconies/Landing 18 in. or more
Railing Across Window in Stairwells
Smoke Detectors: ✓/
every level V
every bedroom I
outside every bedroom
inter connected •�`
Bathroom Fans 'k//
Plumbing Fixtures V
Foundation Insulation
3/4 Hour Fire Door/Door Closer .
4
Garage Fireproofing
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage)
Light Ventilation Per Room •✓
Safety Glazing 18".or Less From Floor ��
Final Electrical
Site PlanNariance Required J
Final Survey Plot Plan i
"b 1 -`7 Y� QiD
As Built Septic System Layout Req.
Okay to Issue Temp C/O
TOWN OF QUEENSBURY
�•,�t/;�� ', BUILDING & CODE ENFORCEMENT
VIM742 BAY ROAD
� `- QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECE ED: ` l - `�'
NAME ,I1 ., l �\ � �l`� Y
LOCATION `�-e �\ ) Ar
DATE `; l � PERMIT 1 -7 �e(
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 7
DECK/PORCH/STEPS/RAILIIGS
RELIEF VALVES
FURNACE/HOT WATER ERATIN
INTERIOR TRIM/PRIVACY DOORS
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 ELECTRICAL
SITE LAN/VARIANCE REQ.
AL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
-;s•.Y. TO N OF QUEENSBURY
;•�� +A FIRE MARSHAL.
. '� QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED I / "- / /C - J,
NAME 74‹
LOCATION 4,! i
DATE PE'MIT 4 .4°P "gig I /
(' `y'•e /4e . APPROVED
N/A YES NO
EXIT`
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES \
STORAGE:
CLEARANCE TO SPRIN
CLEARANCE TO HEATING NITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT ./
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB PE " 0
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 Vg,6
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. N°' 4 9 9 8 2 Cut-in Card No.
Owner. e-e12/00 Ala" /5ziti e--,e 672-2
Occupant 6--eg
Location 46/r ( efiree7gieti)7671-dina--- AteX
Installation Consisting of 3 2- 514l reAL, 12breee 21- 1-172,73
RA-4)6 ,yy .-A,nA44;
4; mak6,- ,90-04 525--Xtrxezr
Installed By 3 ced-A-IP Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of a ng i pecti ns at any time, and if its
rules are violated,the Company shall have the right to revok c tIgt
Date // 1 INSPECTOR
Member N.F.P.A.,I.A.E.I.
-1` (518) 761-8256
TOWN OF QUEENSBURY x-
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT:_ ARR2�� DEPART?j:
REQUEST FOR INSPECTION RECEIVED:
NAME fir. jll ,�.
LOCATION 7 i (i E ®E
DATE II-4-q7 PERMIT 0 l711-' { )
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS ESPONSIB�E FOR
PROVIDING PROTE TIC FROM FZEEZIN
FOR 48 HOURS FOLLONI HE OLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE •
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STU S/H ADE S
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 -- ----- --
__——- Y
• f • • .. t c r r. ., • j
i 3T f,• \
i+C^t - ;i�. _ - i:, Y �, r: l I''' K --t._.t ti-:T \f
' Kl'.F.i.. ..r.N. • t1:' j 5`d I t ,xj i v ILI
/` f FFrr ` 1t,
cFi --I
1
. :, ',.4-1.'1'''''''.::',.
iJ... . . :-1 II
,
*.
lY
I L
fli i' - r1 III
t
1
L
I
1
I I ,Sa: .
4 1r YI.i., '.1 II. "
Vr:: `l 1
1 _, 5. - •
f i,1 1,l 1__
, 4. '1
r i i4i
. .: .. f 4
I .a .I 11...7 •'1(1 Y:il. - 5M . i __ I. '9_,.. .. I '3'�- _ .y 1
.#4111%
TOWN OF QUEENSBURY ?
IF
742 Bay Road, Queensbury, NY 12804-5902 518-761-8201
November 6, 1997
To Whom It May Concern:
Please be advised that on October 2, 1997, the septic system for Lot 21 Berry
Drive was inspected by this Department and approved for installation for the house
currently on the site.
The septic system meets all the latest criteria for the Department of Health
Sanitary Sewer Regulations and the Town of Queensbury Sanitary Sewer
Regulations, as well as the Subdivision approval granted by the Town Planning
Board.
Should you have any further questions or comments, please don't hesitate to
contact me.
•
Sincerely,
David Hatih, Director
Building & Code
Enforcement
DH/mg
"HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENSBURY
5� FIRE MARSHAL
1)v' QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT •
REQUEST FOR INSPECTION RECEIVED /'4.-�
NAME / e
LOCATION Z„ Ir .
DATE PERMIT # /n 21V C/7-1/1(
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
REPLACE-MASONRY
I° FIREPLACE- FACTORY BUILT
REMARKS: OK TO THIS DATE
274
97140/4
Xi:v..d/ •
INSPSLIP.PUB IDVSPECTOR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED /O/2° ?
NAME 63e
LOCATION U 7'./ '` 2eing
DATE PERMIT # / / ?7 9 -VriC
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISH 'S
AUTO. EXTINGUISH] �
HOOD INSTALLATION
AUTO. SPRINKLER SYSTE'
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
frIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: 0 OK TO THIS DATE
64,/,',76,4„,i2- 4,1
&,)
&e(i,A4d1r.
•
INSPSLIP.PUB I P CTOR
• (518) 761-8256
TOWN OF QUEENSBURY x--
BUILDING & CODE ENFORCEMENT -
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AROL` DEPART34' INT
REQUEST FOR INSPECTION RECEIVED: -3
NAME /
LOCATION lam./
DATE PERMIT
��
TYPE OF STRUCTURE: 5�r-' `�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS _
MONOLITHIC POUR FORM
REINFORCEMENT IN PL• E
THE CONTRACTOR IS 'ESPONS :LE FOR
PROVIDIN PROTE TI•N FRO FREEZING
FOR 48 HOU FOLL• THE PLACE-
MENT OF THE CONCRQTE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPO
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB _ �V
FRAMING: tj� 11�a��
JACK STUDS/HEADERS J
aNgAGE_BRACING/BRIDGING 1'g_0
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATIN UGH-IN
SULATION: a-3LJ
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
WALL R-
CLS
R
CEILING R- ` �
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOWN OF QUEENSBURY
`"`�� ' ? FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Z% l QQ_
LOCATION l C6—m\rq
DATE PERMIT # /()_D q - I� 17-
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING YSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
O'z A074(4/22-1 of-47.)-e--•
A-347
-t 4"/
./2,2(1/X. �.
ryi
INSPSLIP.PUB INSPECTO
Ag�,6,� (518) 761-8256
\l TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT = r
742 BAY RD., QUEENSBURY NY 12804 4 1'-.
INSPECTOR'S REPORT: ARR� �ry DEPART'b; O,�/' -
REQUEST FOR INNSPECTION RECEIVED: /O -
NAME Q 1 v ,l ►-•—J---'�.� I�� Q l�l
LOCATION
N/��c1�(J� a 1 �D/1 V V 111 ()"S.
DATE/0-9--3- CI( PERMIT H \ 1 U\ .>
TYPE OF STRUCTURE: S t
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOW eTHE PLACE-
MENT OF THE CONCREI
MATERIALS Fe* THIS '•URPO•E ON SITE
FOUNDATION/WAL POUR
REINFORCEMENT IN • •,e
FOUNDATION/DAMPPROOFI
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE V
OUGH PLUMBING �t1� ��.1%ri� CiG,�1,0
PLUMBING UNDER SLAB p ,§
MING• `�T Fi ,0 —w@ t-V U
JACK STUDS/HEADERS V
BRACING/BRIDGING -
___V—
JOIST HANGERS j� �
JACK POSTS/MAIN BEAM II
Vt—re CA rF
AIR INFILTRATION HARRIER �i Y .teSi-
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
CA:14° , c.--)r-‘
TOWN OF QUEENSBURY1
BUILDING & CODE ENFORCEMEN
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
1
4, i
Name ll f►,i .44. !, JO_ 10
Location , __r1� 6J. L.e.4 OK
Date /0-2-co Permit # 7
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) ate-Mi to/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: t 1 Length 210
Length of each trenc St
Depth of trenches =3>
Size of stone 3
SEEPAGE PITS: Nu er-
Size - ft xj9g__ ft.
Stone size
PIPING: Size Type
Bldg. to Tank j/' i'llii—
Tank to Dist. Box V4 ,mac
Dist. Box to Field/Pit L f 'Pk_
Openings Sealed? No Partial
LOCATION/SEPARATION :
Foundation to Tank /0 feet
Foundation to Absorption VO feet
Separation of Pits ,v//s- f
,:e.e.3
Conforms as per Plot Plan Yes N
LOCATION OF SYSTEM ON PROPERTY:
(circle
Front - Rear - ,- Right Side
Middle ont - i .. e Rear
COMMENTS:
/
1 c .
/0)-- f____.)
SYSTEM USE APPROVED: YES ir
Arrived: `a w
Departed:
21
Building Inspector
NNA 111i
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ,.
•
742 BAY RD., QUEENSBURY NY 12804
��
INSPECTOR'S REPORT: ARR DEPART i g
/1, INT�2
REQUEST FOR INSPECTION RECEIVED: {�
NAME Qi2r\EN ifl j)/� /7
LOCATION ca—c... t `nl�. / `/
DATE C\ LV i7 PERMIT fl I7-11
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR JRM
REINFORCEMENT IN P AC
THE CONTRACTOR IS R�:'ONSI{LE FOR
PROVIDING PROTE TION aROM. REEZING •
FOR 48 HOURS FOLLOWING I PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU J OSE ON SITE,_
FOUNDATION/WALLPOUR
.d(////://'
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPPROOFING
KFILL'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 •
-
D ,,.w(Thr„..1/4
(518) 761-8256
TOWN OF QUEENSBURY p,
BUILDING & CODE ENFORCEMENT - r:
742 BAY RED, QUEENSBURY NY 12804 .. ,..
INSPECTOR'S REPOT: ARRd r,Z-DEPART .`pp:INT ?/
REQUEST FOR INS CTION RECEIVED: 1�1�
NAME 1� ( 0 /-(/�_Q ( ( I •
LOCATION S �v
DATE IC -7 PERMIT 1 19� r 3/
TYPE OF STRUCTURE: I
fi
RECHECK h. APPROVED
¢ N/A YES NO
OTINGS/PIERS IC V
MONOLITHIC POUR FORM lk 1
REINFORCEMENT IN PLACE _ _
THE CONTRACTOR IS RESPONSHLE FSR
PROVIDING PROTE TION FROM REEjjING
FOR 48 HOURS FOLLOWING THE,PLACE-
MENT OF THE CONCRETE. 1,4
MATERIALS FOR THIS PURPOSE O119
SITE
FOUNDATION/WALLPOUR A
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPPROOFING I
HACKFILL APPROVAL 14 r \ _
PLUMBING VENT/VENTS IN ACE \
ROUGH PLUMBING a
li
PLUMBING UNDER SLAB
FRAMING: k _
JACK STUDS/HE' DERS _
BRACING/BRIDG'ING 1,
JOIST HANGERS Y.
JACK POSTS MAIN BEAM ;
AIR INFILTRATION BARRIER
HEATING ROUGH-IN rrI! \L
INSULATION: l/ i
i
FOUNDATION WALLS INTERIOR R- A_
FOUNDATION WAL11S EXTERIOR R-
FLOORS I R-
WALLS I, R-
CEILING I' R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
- / . \\ '
j
LJ 'G G�J'✓tif �/r- Z i�
•F if l,[.-_ UG/G/ /A- hi;-4/
(518) 761-8256
TOWN OF QUEENSBURY110
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 F+ ' .: 'r
2
INSPECTOR'S REPORT: ARR Jc ' DEPART INT'�L/�
REQUEST FOR INSPEC .ION RECEIVED: /�
NAME icA-t-O.-L )%lGte,7
a LOCATION _
` n CC
DATE ! i7 PERMIT A - P9 /-�/1ri
TYPE OF ST� UCT RE:
RECHECK iY APPROVED
t �'N/A YES f NO
FOOTINGSJP ERS l7ZvjY�1
MONOLITHIC .OUR FORM
-
REINFORCEME IN PLACE
THE CONTRACTOR IS RESPONSIBLE F}OR
PROVIDING PROT TION FROM FREEZING
FOR 48 HOURS F LLOWING THE PLArCE-
MENT OF THE CO CRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLP 1R
REINFORCEMENT IN PACE
FOUNDATION/DAMPPROOBING
BACKFILL APPROVAL \ '�V'/
PLUMBING VENT/VENTS INsPLACE
ROUGH PLUMBING \ _
PLUMBING UNDER SLAB
FRAMING: i"
JACK STUDS(/HEADERS‘
BRACING/BRIDGING \ _
JOIST HANGERS t„
JACK POSTS/MAIN BEAM;
AIR INFILTRATIONrBARRIER
HEATING ROUGH-IN
'
INSULATION: /
FOUNDATION/WALLS INTERIOR R-
FOUNDATION' WALLS EXTERIOR R-
FLOORS r' R- _
WALLS h' R-
CEILING R- \
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
//// N
(518) 761-8256
TOWN OF QUEENSBURY `
BUILDING & CODE ENFORCEMENT ' °z'I►
742 BAY RD., QUEENSBURY NY 12804 Y.r
�t� c ' r
INSPECTOR'S REPORT: ARR EPAR y�
REQUEST R INSPECTION RECEIV : • 15-9 7_
NAME Di 1i a04
LOCATION � �n �
DATE IC) ' i s T� PERMIT A —1481e
TYPE OF STRUCTURE:
RECI[ CK APPROVED
N/A 7,,,,110
F OTINGS PIERS
MONOLITHIC POUR FORM J
REINFORCEMENT IN PLACE '� •!f//
THE CONTRACTOR IS RESPONSIBLE 0
PROVIDING PROTE TION FROM FREEZ
FOR 46 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
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-
7id /242/gg e /7
t 9/7
1 v
iC2Z
1 �� r
o Z I 1 dr.•"' et e if
-—
, 1 ,
i---- . _
d, ----___,...,, i \ ‘ 2,6 1997
... N, J
, I
k l'-'---------.....swormielsomoramosommvsek. t
4, i . ( i . :-.? "I have seen or observe&stimemliraiikarit
Sr 4--------- -"' 1 ) all objects such ,. bounkilleal1111WW11‘
• 4, 4
personah ' /, '- Pri
\+
i' '--.._____ 66 / ‘li ••,,--„,,r,,,,.,-,... ., -
aliiM,_ " t'. • - , .
•____.›Oili /aV
..‹....-- F5 ---
/ '°••,„\-
Li, 1
ct
../
......---,
s.��•IQ'zo•.
I Zg 33' 3
N
O
Lo i 2't-
Z3 -4-7a
N „ o NOV 191997
22, cn W .__ csu�rc
0 tv
�• 33�• rs
eye c. n, eTF �r 1'sc�S
'FANS,
t, �..n'tea.+
a.aw=�a►....s.
fz
D Q`V
:. .ru.r 9esla f-3b
r.w.�urs r+nr u�rxi r oBt-6-t;o
9-r)L Du s en Map of a Survey made for
& Steves John E. & Jeanne U. Cirino
Land . Surveyors
37 Ckosx sh.a Qww ra" "M Txk t=al Tows of c}oEc►�sguay wAaeEN county. N� York
his "2-"74 Nv Tat Ue.No. OUT a sets