97-482 .
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, ,NEW YORK
Date December 23 19 97
2c6U
This is to certify that work requested to be done as shown by Permit No. 97482
has been completed.
SINGLE FAMILY. DWELLING
This structure may be occupied as a
LOT 44 COUNTRY COLONY DR.
Location
Owner SCFIDRMERHORN CONSTRUCTION
TAX MAP NO. 4 7 . -1-3. 1 By Order Town Board
TOWN-OF QUEENSBURY
Director of Bldg. at Code Enforcement
BUILDING PERMIT
VALUE $ 80000 TOWN OF QUEENSBURY 97482
TAX MAP NO. 47 . -1-3. 1 No.
WARREN COUNTY, NEW YORK.
SCHERMERHORN CONSTRUCTION
PERMISSION is hereby granted to
LOT 44 COUNTRY COLONY DR.
OWNER of property located at Street.Road or Ave.
SINGLE FAMILY DWELLING
in the Town of Queensbury,To Construct or place a
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.
f• 9VNffl:SAILlknis COMMON NORTH
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
SCHERMERHORN CONSTRUCTION
3.'F9N FTARRSBI tJW€!RN`d11f tTH
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. CIEIWT•S64dress
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
( )Wood Frame ( ) Masonry ( 1 Steel ( I
7. PLANS and Specifications
1288 SQ FT SINGLE FAMILY DWELLING WITH 1—CAR ATTACHED GARAGE
AS PEi' PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
181 September 8 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
8 September 97
Dated at the Town of Q ••nsb ry this Day of 19
I/jL�C ' ' I for the Town of Queensbury
SIGNED BY pis t•�I
Buildi -• • Z•ni •
AUG 2E 1997 .
.ENERGY CODE COMPLIANCE APPLICATION,, -
._ ivzTOWN OF QUEENSBURY, WARREN COUNTY
•
'railiZ,,•,•:r. 9000 HEATING DEGREE DAYS
Corricl 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 -by Component Performance -
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
•
APPLICANT'S NAME: PROPERTY LOCATION:
yvx Q r b o J C o S 4 f C'P, 1..0 q o 1 0 f
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
I . Gross Floor Area - azq scuare 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-VALUES FOR INSULATION GIVEN BELOW' MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 30
b _ Exterior walls R /9
c _ Glazed areas R / Y
d_ Exterior doors R
e . Floors over unheated spaces R /7
f . Edge of slab on grade (heated building) R //
g_ Basement/cellar walls (above grade) ,R /
h_ Basement/cellar walls (below grade) • R //
1. Heating/cooling-ducts-piping in unheated space R 9..
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code x • Yes. No
TEMPERATURE CONTROL MAXIMTJM SETTING 1400 - WILL NOT BE EXCEEDED
Applicant/Is pignatpre Date Phone Number
INSPECTOR'S REMARKS:
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
JD BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
' of this permit: PERMIT FILE NO. _ _ •
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$ O C)
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE :AID
MUST be completed and.the signature n Planning Board Action REVIEWED BY:: J-,
of the applicant must appear on the SPR / Subdivision /Other /Building I pector
4pplication form. Thank,emu. J Recreation Fee Payment
Applicant: S c-k r.r nn 0- c-\Ao rvu Co,5-1-cvc.{;a nJ Owner:
G.ep
' Address: -7 9 WI a Si-e r s Co 0 N No(r-I-A Address:
Phone # ( 5\g ) -in - OG74 Phone # ( ) -
Property Location: Lot ►-{I Cou -t-c _ Co10,-\d. DT. '
-- -
Subdivision Name: Tax Map Number— Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION: $ go/ 000
Ciesidenc� / commercial
Addition to Building:
--
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building_-
residence / commercial x Single Family `-Dwe`Tling,:_ ,,';t
Residence / Commercial Two Family Dwelling` '' :-3- -''
no change to exterior size Family Dwe,lli.ng
Office it‘Ub 2997
Other Work (describe below) Mercantile _ ,,. ,._ 7 „-,%\e,
Manufacturing -.
J Other U _ - .
GROSS AREA OF PROPOSED STRUCTURE: [�� -- ___
1st Floor I9.88 sq. ft. � If ADDITION, what will use
2nd .Floor - sq. ft/ of new addition be?
XOther Floors V sq. ft. �itA
(not unfinished cellar or basement) WACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: )''log SQ. FT. x Attached Garage () 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
58 FEET X la. FEET -
Foundation Type: Corcce,--a. Will any second-hand or ungraded
Number of Stories : / lumber be used? If so, for what?
(habitable space only) N0
Height (grade to ridge) : /7 feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woodstove. (circle all which a plies)
to be installed: D Electric / Oil / Gas Wood
(Forced Hots / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is: Sclneevv- r>1or,1 Co s4-coc_4 0Kt CorO -79 F O6,7 'f.
Name Addresss Phone
Builder: Sc.l-.e(sv-%ec-ho rni • 7?is-0679
Plumber: 4te.)F, AtIP,N 74/7- 5693
Mason: 0ciLr. Rm.\c4, w ;N 79'9 - 117/
Electrician: W1:1�n i,o,M :slt .. 4/91/- 39-0�
DECLARATION: Please sign below otter 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 Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: & .1 e- e, -<--
(owner, owner's agent, architect, contractor)
DEC—2 2—9 7 M O N 1 5 : 5 9 O E Y -H W Y D E P T . P . 01
Fax Note 7672 oca No,ol Paps i TcCaih f O 2 Time q;m„
•To / L, , }')ALT MCC, FronL _ .ct LI�W'
Company G W Company
lccotion ,OP1.Chao
1ocMon
Fax Si n
Tclophono 8 Fax f7 Tolcphono tl
ina
Cornmon�a Dis II;Pre Dccuoy - Pow. 1r]Cal tar p!ckup
pa
•
yWa•
•
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•
Zoaltc of OINceenzburg a ttrtnt
742 pay Road —2 t' ,,CIfilre.y,_49A 1:x r—U ye "L"•"fef' ,( wYork 12804
• i k ....} •r••t� 'fit'•,.lr %•s lit/ l:# 1111:2
PA a'� ���II��l�� ••
PAUL.H.NA �,0j-; <O \ q ?g�► �w \`, it nT/�•�-�Tli. �'r;:,ffAr• •
Superinfondo i, J•�fr '‘�\;\., :$ yob ;AY'tre10..1,r • --.�.... A r:'J:'•'.•a� �d�nl NJgitwey$
DRIVEWAY PERMIT ~
I•
{ SEP 4 1997
• ttl 11,
DATE: 7 • ) ' .17
APPLICANT NAME: `HJ'a r M f r1,„c.✓ (iv,.‘s r.) 0.4,1 e4',_/�
• TELEPHONE NO,: 7 9 • nc,)
ADDRESS TO DE INSPECTED: Ln'I 'I'? C.,..4.1L /)r, •
,�%i•:
RETURN ADDRESS: ,in,v,r,, A/o
•
Aptoptheahighvay byf)pllacingct. loca stakes atnthe and
specifiedof ay(s) to be connected
location.
The Superintendent of Highways, Town of Queensbury, has reviewed the application
of the above named resident to connect a driveway to the Town road. The
following action has been taken:
•
STEP 1: (/) Preliminary Approval to p ' •/o' of /w�
NEED: ( ) Slight Stall•
vn r
7sw�a Sr
Level With The Road o �3r/orw) i
( ) Deep Swail
Size Pipe to be used (if necessary)
( ) 12,t •( ) 15„ ( ) 18" ( ) 24" ( ) 36'
•
Preliminary inspection by f!,�44 J DATE ,/y�,•
Approval by Highway Supt. // / Depty. Supt,
After receiving the Preliminary Approval, submit the permit to the Town of
Queensbury, Highway Department upon completion for a Final Approval.
•
STEP 2: ( ) Final Approval
( ) Rejected
•
• DATE:
•
•
•
PAUL M. NAYLOR'
• Superintendent of.Highways •
Town of Queensbury
•
•
•
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury i '� ` +,
Dept. of Comrnnnity Development I: l- ' Permit No.
Building &Codes Office
7,12 Ray Road !I 2 5 1997 Fee Paid $
Oneenshury, NY 128(}1
•
,ovation of property for installation: Lo' --yr Cot-) I on? 17 ro
Property Owner's Name: Sca,e .r.,.+ e, rl•'o r.v C ,1 I r C.,,r'j? •
Property Owner's Mailing Address: 77 Wi c.3 (-c rc'', CA.-rya b--i o I I.
installer's Name: Sc,1-,P.r v,.i y r 1 c i.✓ (erns f r o c.:1,(.»,-) Phone 11 --7 9 3 0 C, 7 y
Number of bedrooms (if residential): 3 Total daily flow: _.. Y50.
(residential - compute @ 150 gal./bdrm.)
Topography: u flat, rolling, . steep slope 7 of slope
Soil Nature: u sand, loam, clay, other / depth:
Ground water: at what depth?nI/A. feet / Bedrock or Impervious Material: at what depth? — feet
Percolation test: not required, required [ rate min. per inch
Domestic water supply: municipal, v well, other
If domestic water supply is a WELL, water supply from any septic absorption is i 00 feet.
PROPOSED SYSTEM
Septic tank: /oo0 gallon (minimum size: 1,000 gal.)
Tile field: each trench 5o feet / Total system length: a 0 o feet
Seepage pit(s): number of / size each: ft. by ft.
Size of stone to be used: t at. / depth or thickness / feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: • gallons
l Aann system and associated electrical work 16 be inspected by a certified agency.
For,your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
aipnuvnl granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void_
I have rend the reguIntiona with respect to this application and agree o '•'ide by these and all requirements of the Town of
Qbeenshury Sanitary Sewage Disposal Onlinnnc
Signature of responsible person: o t `''' Date: 7 7
;---
# .
sa1 have seen or observed,or believe I saw evidence Of
all objects such as houses,wells,trees,fences,etc.,
shown on this document I also represent that I MVO
—7-ef.) ri--r- 6. P'77 . personally measured the distances setiottli on the diagram"
SIGNATURE 7 '" . • DATE
,
,
_ _ .. ...
• ,
1.4,-,•97-71
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RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 r
Building &Code Enforcment Arrive: Cab Insp
Dept. of Community Development
Town of Queensbury Date Inspection Request ' - eived:j,0—aa_9 1
742 Bay Road
Queensbury, NY 12804
NAME , -)C`' PERMIT NO.
LOCATION DATE - .-c'117
TYPE OF STRUCTURE
N/A YES NO COMMENTS
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"
Exterior Handrails, Balconies, Landing 18 in. or more
Interior Handrails Stairs Both Sides 3 or More Risers
Grade 2% Away From Foundation
8" Clearance To Sill Plate
Gas Valve Shut-Off Exposed/Regulator 18" Above Grade
Gas Furnace Shut-Off within 30 Feet or within Line of Site
Oil Furnace Shut-Off at Entrance to Furnace Area /
Furnace/Hot Water Heater Operating Y
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On Stairs
Basement Stairs 6 ft. 4 in. / 'PetAoJ, � ��oC�� tF
Handrail Exterior Stairs Both Sides More Than 3 Risers bl-ftt(22-7
Interior Privacy/Trim/Doors/Main Entrance 36"
Floor Finish
Bathroom/Kitchen Watertight
Interior Handrails Balconies/Landing 18 in. or more / •
Railing Across Window in Stairwells t/
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom Fans
' � C �„ , �
Plumbing Fixtures , " TOd�e
Foundation Insulation
3/4 Hour Fire Door/Door Closer
Garage Fireproofing ,A�` F`Q C
Garage Penetrations Sealed jbv-N -� s. NI`
Furnace In Separate Room Protected (In Garage)
Light Ventilation Per Room.
Safety Glazing 18" or Less From Floor
Final Electrical
Site Plan/Variance Required m
Final Survey Plot Plan
As Built Septic System Layout Req. j',
Okay to Issue Temp C/O Y Rt �t Z OAS
Okay to Issue Permanent C/O AiN13€,VC3 ai
b 2 G.J Ct 15.3EC i�it.�)
Okay Col+
to Issue C/C .. `' T IC`
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT L 742 BAY ROAD
� �. QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: :22A C DEPART:. 7 - INSP.
FINAL. INSPECTION REPORT - RESIDEN AL
DATE INSPECTION REQUEST RECEIVED:
NAME '`�p R-Z
LOCATION
41-
DATE -% ciV PERMIT / !�`"l
4116
TYPE'OF STRUCTURE �� `IF°
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YE NO
CHIMNEY HEIGHT/B VENT -H GHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAI NGS
RELIEF VALVES /
FURNACE/HOT WATER OPERATING
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 PLAN/VARIANCE REQ. -- /,F
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C -,
TOWN OF. QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
,f t( I
QUEENSBURY NY 12804
M '.t (518)745-4447
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIOENNTIAL
V
DATE INSPECTION ?QUEST RECE ED: J C7Z J�71,2A_
r (� � gin^
NAME S 4 ,V/ 'l���X�l; 1 C ��7
LOCATIONVPC\- -Al Q�
DATE _j -- `( - � 7 PERMIT 7 -f(/Uo�
TYPE OF STRUCTURE SC-1
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/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
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 PLAN/VARIANCE REQ.
AL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
•
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 7 9 g2,
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 5 2 5 3 8 Cut-in Card No.
Owner 511--VeR141-e4 eeius/•
Occupant
Location 40 r vy Co-ti-iuzay eo-Lo--;03( enazi-{X
rche 5 7 ger-6-'76
Installation Consisting of 1 i;2.0 7e5
lehl-A)66" / J.)Prvei 3 er--.-frAf5 4-S-st a
ILsz A Sc/wee—
Installed By , dent I S 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 mak' g ins,•ctio,a at any time,and if its
rules are violated,the Company shall have the right to revo t cer 4• . e.
Date /4 1747 INSPECTO
Member N.F.P.A.,I.A.E.I.
comp111\-,(1„,/
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT *y
742 BAY RD., QUEENSBURY NY 12804 --:^F�"• "ram.`;,
e
INSPECTOR'S REPORT:_ ARR DEPART/" INTC.
REQUEST R INSP�ECTTIInONN�(� CEIVED: �`4/ J
NAME � V 1 1�C! li
LOCATION 02 11 6 �� ` nJ
pli (
DATE ) 1 ( -°7 PERMIT 0 7 6P2'.--
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC PO FORM
REINFORCEMENT IN '.ACE
THE CONTRACTOR IS RE.'ON•IBLE FO
PROVIDING PROTE TION F', FREE2 NG
FOR 48 HOURS FOLLOWING T . P7 E-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOS 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
/I
JACK POSTS/MAIN BEAM
R FILTRATION BARRIER i•
IN
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-
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION.
Name ‘G 1k,e# 102.4)
Location LO 0 &i,f1#' 6c°4-W
Date / 1/�fr'./7 Permit # 97- //2---
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Ra --Minute/Inch
TYPE OF SYSTEM
ABSORPTION ELD: otal\Length
Length of each tre h \
Depth of trenche'
Size of stone.
SEEPAGE PITS: Numbeillill
Size - ft. x 1011, ft.
Stone size -
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Ye. No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption St) feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATIONOF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
& - el°4 4-mil&rU S
SYSTEM USE APPROVED:. NO
Arrived: /a k
Departed: 19: / T
v —
Building Inspector .
1/n k-Iliz a,n f
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT ' `742 BAY RD., QUEENSBURY NY 12804 - C.
�
c
INSPECTOR'S REPORT: ARRc •O) DEPART , \ `y
REQUEST FOR INSPECTION RECEIVED:/ � II //I�G 1
NAME J�/� /W,,�}'��I /�npnV,� �/
LOCATION A '4 C LL1 t a p. Colon `�&
DATE lI iq Jqi PERMIT 9 J / 17
l
TYPE OF STRUCTURE: 64 GI
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCR TE.
MATERIALS FOR THIS PURPOSE ITE
FOUNDATION/WALLPOUR -
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOF NG _
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
ULAT I ON: Y-�FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- ///
FLOORS R-
WALLS R- kV
� _ �/
CEILING R- VIL.,
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY .. ; ,
BUILDING & CODE ENFORCEMENT }', S7•
r
742 BAY RD., QUEENSBURY NY 12804"" '1.1Mt v',�,.a:-,
411111,
INSPECTOR'S REPORT: ARR - EPARP�•r'
REQUEST FOR INSPECTION RECEIVED: __
NAME Y -4-. .`-X_A\Evt-ivF --v v
LOCATION L Lk C000- q QC() )I '
DATE ,\^ 1,—q� PERMIT A \( L—
TYPE OF STRUCTURE:
RECHECK APPROVED •
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FO
REINFORCEMENT IN LACE
THE CONTRACTOR I RESPONSIBLE FOR
PROVIDING'-PROTE ION FROM i FREEZING •
FOR 48 HOUR$ FOL WING T1E PLACE-
MENT OF THE `CONC TE.
MATERIALS FOR TH S PURPOSE ON SITE
FOUNDATION WALL OUR
REINFORCEMENT I PLACE - L
FOUNDATION/DAMPPROOFING
ACKFILL APPROVAL
P UMBING VENT/VENTS IN�ACEC-NS `/
ROUGH PLUMBING VIT cFLL0 Zj•,.
IP UMBING UNDER SLAB
RANING: }'i L rv1—"C: l�,
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _I
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION: 1✓' T \ Q1.1'
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- -
WALLS R •
-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
v iv��S� -'-Ei s
�j�' TOWN OF QUEENSBURY Q
BUILDING & CODE ENFORCEMENT I ,G�C
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
>
Name
Location 1----4°. - ' __..101_44".57
Date 10 i 1 Permit # e! —/F)— 0
SOIL TYPE: Sand=Loam Clay-
Results of Percola . . Test-
(if applicabl -) Rae- inute/Inch
TYPE OF SYSTE 7---1-
ABSORPTION FIELI . Ty . Len.th , 6
Length of each tr- c, , 1 ,A10.
Depth of trenches
Size of stone ; 4
SEEPAGE PITS: Numbe
Size - ft. x ` ft.
Stone size
PIPING: Si ype
Bldg. to Tank
Tank to Dist. Box w 1
Dist. Box to Field/P:. w 1Openings Sealed? No Partial
LOCATION/SEPARATION
Foundation to Tank ‘ feet
Foundation to Absorption ] feet
Separation of Pits _ feet
Conforms as per Plot P1 an -No
LOCATION SYSTEM ON PROPERT
(circl
Front - Rea - Left Side - Right Side
Middle nt - Middle Rear
COMMENTS:
Ckt,L 01 REt,A(Le:k< r4—�=i
�&-z4.._ , S 4/2 c4_t_�/-3
"----- - .1.C A5 _e u i LT 2,9
Ok f12 (ocX,-11(
SYSTEM USE APPROVED: YES C!
. r
Arrived:
Departed: �, �/�
Building Inspector
Re/eXid-i4)01)
(518) 761-8256
TOWN OF QUEENSBURY s
BUILDING & CODE ENFORCEMENT '� j "
742 BAY RD., QUEENSBURY NY 12804 "-,,, '"^#z
INSPECTOR'S REPORT:_ ARR DEPARTI4(C19INt
REQUEST FOR NSPECTION RE IVED: 9-Q-11�-97
NAME 6 Q ` �OUY\ ,
n
LOCATION n J-NL\ L 0` (
DATE �� -97 PERM IT D g q -LiU
TYPE OF STRUCTURE: . -..✓4\-- 1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING •
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PUR'OSE ON SITE _
FOUNDATION/WALLPOUR \ 'f
REINFORCEMENT IN PLACE
FOUND ON DAMPPROOFING
ACK-FIth--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 •
-
(518) 761-8256
TOWN OF QUEENSBURY .+. ��I,.
BUILDING & CODE ENFORCEMENT ',* _ 7
•
742 BAY RD., QUEENSBURY NY 12804 i..7>eJ� .t+t,%4J.•
♦ m �
INSPECTOR'S REPORT: ARa e6) DEPARTa4 I11!
REQUEST FOR ,SPECTION REC IVED: i
NAME _ C- l') fn.J1��15�T\ ' , g?Pt'Pei
LOCH -1 a� A.V ^ __ ,r . •
DATE -g-3—O PERMI P F ,'
1
TYPE OF STRUCTURE:
Sc
''i
RECHECK .' APPROVED
N/A': YES
TINGS/PIERS ./a IMONOLITHIC POUR FORM
f
REINFORCEMENT IN PLACE Z I
4+,
THE CONTRACTOR IS RESPONSIBLE FOR/
PROVIDING PROTE TION\ FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLAC W
MENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON JSITE
all A'
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING - 'p
BACKFILL APPROVAL 1
i
PLUMBING VENT/VENTS INrPLACE _
ROUGH PLUMBING i '.
f
PLUMBING UNDER SLAB " •
_
FRAMING: ,
JACK STUDS!/HEADERS).1
BRACING/BRIDGING r, _
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 •
-
CEILI/NG R- ,
DUCT/WORK OR PIPING IN
UN
HEATED SPACES R-
I
ScAe.r.4,1echol'N ConS4--co c--4 0 /l.i
"I have seen or observed,or believe I saw evidence oft
all objects such as houses,well W ,eh,
shown on this d u ent.i : 77f. that}.e
personally mess r the di. 1 - . al the diagram."
_.. ATURE � _ ._ DATE
YS�e M �� Y,��4� — Q,,
900 1 LF . N ,,,
5 ',Ap2„}' 4 L , '
u() 'ran:N FruM I.0E.LL-
AU G 2 1991
N 1 dU
N 0
0
0
0
/5-0
1
�.I IJ�( ° 11au5E �
3 Z
\I .
CP°S . : •
f- .k l f�li7�rnrTir(��v ypM c�tfrUrwn• wMa�w f(`Ai>Ei v� i A pplzi
V C t=,r
, Application
AUG 2 NW
1"."&(
Zoning Administrator
TOWN OF QUEENSBURY
10-100 00,
P�
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to
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DEC 22 1997
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r Qi yr AOfAJL 19 ss' 7- Land . Surveyors G� X t�`� .� if, i
f--c.ev MAY 0.115 sT aa&UW ra Gk w. FaW.Nis Ywk 1=01 Town of 4ueco5dow•Y, WAf-fE" County, Now York
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