97-726 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK •
Date February 23 19 98
301. I
• This is to certify that work requested to be done as shown by Permit No. 97726
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
SHERMAN AVE.
Location
Owner KELLY,, ROBERT & JOANNE
TAX MAP NO. 120. —2—4 By Order Town Board
TOWN OF QUEENSBURY
GG� •
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY ' No
VALUE $ 66000
TAX HAP NO. 120.—2-4 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RDLLY. ROBERT & JOANNE.
OWNER of property located at SHERMAN AVE. Street.Road or Ave.
in the Town of Oueensbury,To Construct or place a LE �
at the above location' in accordance to application togetherswfaGpTot planes otne nuwE�'rormat in`hereto filed and
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is .
SHERMAN AVENUE
- QUEENBURY, NY 12804.
2. CONTRACTOR or BUILDERS Name
ROYAL CLASSIC. HOMES .
3. CONTRACTOR or BUILDERS Address
.a, 21- HICKORY,::._
GANSEVOORT;. NY .:;
4. ARCHITECT'S Name .
COMMONWEALTH: ELECTRICAL AGENCY
5. ARCHITECTS Address
;..;..P0. BOX 706.:-:__:;
, HAGUE NYre: ;a2836—.,:,.
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( )Masonry ( 1 Steel
;
7. PLANS and Specifications .
1,:“.11909?SQ. FT. SINGLE. FAMILY.. DWELLING WITH:. 2-CAR;.:."A.TTAGHEDi:,NGARAGE�d$
AS PER.".;PLOT-_PLAN•SPECIFICATIONS'
8. Proposed Use
S-INGLE:1'FAMILY.<DWELLING .
t 3 _ ''"` 'q""
sit-FE-w - PERMIT
i44'�-°,:,.o- a.+fa.aSfihD�C.w,�rT �erYi G --':�: raJ6
$ PER Mil' FEE PAID —1'�11S PE�iAIjiT t=)�Cf�Ifi�E'S=--� � - -,.. - -�
(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.) ..
Dated at the Town of Queensbury this _ Day of i'
l .
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Contnrunity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance ~M
of this permit: ' PERMIT FILE.NO.q97---- )7(:)-W
A permit must be obtained before /
beginning construction. No inspections FPAID , `i
PERMIT
will be made until applicant has received n Zoning Board Action ��- r 1997
a VALID BUILDING PERMIT. All Area /Use RECREATION FEE PAID$ %1
applicants' spaces on this application 9�-�
MUST be co Ieted and.the signature �' i,'•�u.
�' n Planning Board Action REVIEWED-BY. `-= ✓)
of the applicant must appear on the SPR / Subdivision /Other Building Ins cror application form. Thank,ow J
Recreation Fee Payment ��77
Applicant: S S t d S Owner: ` O b-2 Ck on evi2 le ik
' Address: 2( H I c o 7 e • G VCDO Address: '�7� ' k td P_ / n �y
Phone # (fig c& )79 ' - f 6 85 11-- Phone # ( 5/7 ) ` -
Property Location: L 1�. I. y Sr,-et-mA,\ Abe_
Subdivision Name: Tax Map Number_1 �d r. / 4
Section Block T.nt
NATU E- OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 6'6� O c7e5
residence commercial
Addition o ilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercialSingle 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
STRUCTURE:
1st Floor ( ( q v sq. ft. If ADDITION, what will use
of new addition be. :.
2nd .Floor ---- sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement)
. ... ACCESSORY BUILDINGS:
Detached Garage 1, 2 car15;15
TOTAL FLOOR AREA: ii 96 SQ. FT. Attached Garage 1, car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
' �4u- Other
26 FEET X 111 FEET
,.._/ ( �,
Foundation Type: (Poore Occe`<' Will any second-hand or ungraded
Number of Stories : i lumber be us_ecl? If so, for what?
(habitable space only) //� �N(
Height (grade to ridge) : ) ' feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which ae.lies)
to be installed: Electr' . 1 dffEEW Wood
orced Hot Air Baseboard / Other
Person respgnsiWe fo upervision of work as regards to buildin
codes is : ` i�tc / V (01kcc) r:l Pt( Gjtovy C Gates VoOr `7q7-I6z
game Addres s s Phone
Builder: S'am.g-
Plumber: �Q me-
Mason: -c1� in1' s-ir f i
Electrician: i - ( V j�aii k t/
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 Certifi to of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dra n to scal owing actu location of project on premises.
Signature:(/�- to ./-__.
(owner, . / er's agent, architect, contractor).
- Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No. 7� / we,
Dept. of Community Development (f., " aLM1
Building &Codes Office
742 Bay Road DEC 0 9 1997 Fee Paid $
Queensbury, NY 12804 gg
,J�NL:
Location of property for installation:, J 1 2 t"M a r I\V . o • ( -
Property Owner's Name: )Q I\y 2 tR o b e� 4 -7a e�'vl-Q o s
i I ae? v's Mailing Address: PcvrQ s
Installer's Name: k)• \-0• l y` a! I ' - Phone # �7 % Z - (90 g 9
Number of bedrooms (if residential): 3 Total daily flow: 150
(residential - compute @ 150 gal./bdrm.)
Topography: �t, rolling, steep slope % of slope
Soil Nature: 1/ sand, loam, clay, other / depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? feet
Percolation test: >'not required, required [rate min. per inch ]
Domestic water supply: Vmunicipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: 1 00°gallon (minimum size: 1,000 gal.)
Tile field: each trench yo feet / Total system length: '.cab feet
Seepage pit(s): number of CD / size each: ft. by ft.
Size of stone to be used: # Z I depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
CAI11 system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval 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 read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury Sanitary Sewage DisposalOrddiinance..J,
l ►////� Q f
(:_ 4._ .F �.... :L.1. .... ...1 iml/L/•. 1/C12 _I.0 Tl.,ro
(,/ , ?)(6,
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY DEC 0 9 1997
9000 HEATING DEGREE DAYS
J TO1,V.
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:e-R 1�
0f4 C[o€ lC_ �� °rhos S�� C �n of) '- 1- l �o- l ,�( •
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 9 b square feet
2 . Type of Heat - Electric Oil V"Gas Other
3 . Is building mechanically cooled? Yes -1/ ' No
4 . Percentage of area of windows and doors Over 17% Vnder 17% -
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 3D
b . Exterior walls R I /
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces .R
f . Edge of slab on grade (heated building) -
g. Basement/cellar walls (above grade) R 1 )
h. Basement/cellar walls (below grade) R I,
i . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device -
Conforms to minimum efficiency per code 1,/"Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
A 1 an ' ign ure Date Phone Number
- 9 - 97 -79B - 16s5
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Fe / ,19 Permit No.
Date
APPLICATION IS HERE?:Y MADE to the Building Dept. for the issuance of a Building and Use 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.
( eat ,
A liicant , � (6 -3 e 0/ QAPP IANCE check appropriate boxes)
6,16.11
PPS (
Address �--��
f ( 0 < 1-� �- �� ® STOVE: o Wood o Coal o Pellet r vGas
-, 0 FIREPLACE INSERT
C ' J `J.DLI 1/ Zip S 0 o FIREPLACE, FACTORY-BUILT:
_ c~6 3 l ., ❑ Wood ❑ Gas
.�Phone l 7 9 16 75 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner (n 0 4q .r°� Q \ %f 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address kA,-, C,.} IF NON-MASONRY APPLIANCE:
_ _ r Manufacturer: ! i € ifY'm r-
_ _
- — - 'ueepr oc Zip p l' Model: (* V -d= 5. - •
Phone `7 7 Z - 7 ✓ 6
CHIMNEY (checkappropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST D°FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Hen 0v Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected , Amount Refunded
Code Number Title � - . , ,
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to:
Andress: �. ', 7! _ `.. �'.,;�r .:.a 1 .1�,. ;W . ; �c.,. . '. ,.V
Dated: -)/hid<y k Town Clerk or: Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
451.16r. '
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART:. INSP: CiL
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME \K`R-\`, ` l
LOCATION 1N.,\
DATE 33 PERMIT 1 9 1 17 JAL
TYPE OF STRUCTURE �.S.i-t
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/➢ VENT/HEIGHT
PLUMBING VENT •
ROOFING
/// 1<ill:\t
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
FINA ELECTRICAL
PLAN/VARIANCE REQ.
INAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
Plii
ik—' RESIDENTIAL FINAL INSPECTION REPORT
Date inspection No. (518)761$256 request received:
Building& Code Enforcement /• • I •part
Dept. of Community Development Arrive
Town of Queensbury
1 1.rector's Ini • ,c
742 Bay Road
Queensbury,New York 12804 r�
NAME �Zi .i PERMIT#
LOCATION CV �� DATE
TYPE OF STRUCTURE `� �..t / Ire • 1 �- / ^
fli N/A YE: NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake J
Plumb Vent through roof /'
Roof Complete 1//
Exterior Finish Complete �'///
Interior/Exterior Railings 30"to 36" vj
Exterior Handrails,balconies,landing 18 in. or more J/
Interior Handrails stairs both sides 3 or more risers W
Grade 2%away from foundation 18"clearance to sill plate \ l
Gas Valve shut-off exposed/regulator 18"abo = gra i e c'I
Gas Furnace shut-off within 30 feet or within 1.t e o%site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating I ,/
Relief Valve(s)installed / ' f
Headroom,6 ft. 6 in.on stairs '✓!
Basement stairs,6 ft.4 in. >/
Handrail exterior stairs both sides more •. 3 risers V/
Interior privacy/trim/doors/main entrance .6" y
Floor Finish t///
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lana. g 18 in. or more / ,
Railing across window in stairwells �J
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 ;II
Garage penetrations sealed II
Furnace in separate room protected(in garage) , '
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
I
Site Plan/Variance required \(
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
`14� �F " ; FIRE MARSHAL. .
• QUEENSBURY, NY 12804
(518) 761-8205
•
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR IN ECTI N RECEIVED (;--
NAME
LOCATION
DATE PERMIT # `�j / 97` `cc`
APPROVED
•
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGH .NG
FIRE EXTING -ERS •
AUTO. Exr GUISHINe SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTE
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY DRIJLT,
J7 t zs
REMARKS: OK TO THIS DATE
INSPSLIP.PUB IN PEC R
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 q-2_77,6
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
•
Panel Board No. Cert. 5 2 5 6 2 Cut-in Card No...
Owner /20 6=72-r yre-z,6-
Occupant
Location S 4 01i 4J (124.1.0r.
g m-rr
Installation Consisting of 3-?i -e-f 3 ye.47-es
6 rfr-Af s_e-gplee.,e,—
/
Installed By .R eh, Ai A-oki Lic. #
The conditions follotiving 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 ma inspec ondat •ny time,and if its
rules are violated,the Company shall have the right to revoke
Date 2-/ INSPECTOR
Member N.F.P.A.,I.A.E.I.
RESIDENTIAL FINAL INSPECTION REPORT (PL1
Office No. (518)761-8256 Date inspection request received: --1, / -�i '
6
Building& Code Enforcement F -D. U-)
Dept. of Community Development Arrive 1 i an ipm Depart ' ain
krn
Town of Queensbury Inspector's Initials_ .e
742 Bay Road
Queensbury,New York 12804 G. `
•
NAME ,4 e DATE PERMIT# 7 e
LOCATION e.'- ! K
TYPE OF STRUCTURE
N/A y E7 NO COMMENTS
Chimney Height/"B"Vent/Direct Vent L• •••n VFresh Air Intake ,r
Plumb Vent through roof ` J " pie, e 72644
Roof Complete - ` �, A'� ('O�`I s)/�i0� Lvian i-P
Exterior Finish Complete ��1� / i7H )
Interior/Exterior Railings 30"to 3,"
Exterior Handrails,balconies,1. .. g 18 in. or more V.
Interior Handrails stairs both ski.: 3 or more risers
f -;N iS R �y Otjr Pe>/L[.(4 ,4 - P�
Grade 2%away from foundation (�� f� G/��
8"clearance to sill plate f� 1
Gas Valve shut-off exposed/regul.tor 18"above grade "��/'
Gas Furnace shut-off within 30 fee or within line of site i V
Oil Furnace shut-off at entrance to ace area_.__ /�
Furnace/Hot Water Heater operating v
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft_4 in.
Handrail exterior stairs both sides more ' . 3 risers / /
Interior privacy/trim/doors/main entrance ." ✓�
Floor Finish V
Bathroom/Kitchen watertight e
Interior Handrails Balconies/Landing 18 in. or v 6re v///1
Railing across window in stairwells / /
Smoke Detectors: /
1/
every level
every bedroom
outside every bedroom V
inter connected / f�
Bathroom fans p
Plumbing fixtures 1.-----1�C— pt}C' Ke 'r ei-K- -"t''`
Foundation insulation I t� �, C�'�v�y �,
3/4 hour fire door/door closer ✓
Garage fireproofing
Garage penetratiorsealed u 5 it`L P�1�lQ6k�0
/
Furnace in separate room protected(in garage)
Light ventilation per room ` � � L
Safety glazing 18"or 1 ss o floor ‘✓ (, ikcr \1 p
Final Electrical .� /8 C G� l S \C � �-c�Cv u G�U' l
r
Site Plan/Variance re uir d
Final SurveyPlot Plan
I
As Built Septic System layout required \
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
C_Nq 0
5 (518) 761-8256
0 Yin .
TOWN OF Q1.7EENSBURY
BUILDING & CODE ENFORCEMENT fr,
742 BAY RD., QUEENSBURY NY 12804 "°.011 '
6 INSPECTOR'S REPORT: AR % DEP Zr INT J .
REQUEST FOR IN PECTION RECEIVED: D `" _
NAME X-{, , \_ c c
LOCATIONrc1'\ i 'R
DATE -g-T I \ --OOT
PERM A r.,,,.....,2—7 c
TYPE OF STRUCTURE:
RECHECf APPROVED
N/A YES NO
FOOTINGS PIERS
JIONOLITHI POUR FORM
REINFORCEMENT IN PLACE
-
I
THE CONTRA4TOR IS RESPONSIBLE FOR
PROVIDING P�OTE TION FROM FREEZIN'
FOR 48 HOURS FOLLOWING THE PLACE-I
MENT OF THE 'CONCRETE. /
MATERIALS FOk THIS PURPOSE ON SI E
FOUNDATION/WAr POUR _
REINFORCEMENT IV PLACE / •
FOUNDATION/DAMPROOFING _
SACKFILL APPROVALS, ,
PLUMBING VENT/VENT IN PLACE
ROUGH PLUMBING \ / _
PLUMBING UNDER SLAB \
FRAMING: V
fl
JACK STUDS/HE ERS
BRACING/BRID
JOIST HANGE % `
JACK POSTS! IN BEAM
l ` 1
R INFILTRATION B'RRIER
HEATING ROUGH-IN ' \i.,
INSULATION: , •
FOUNDATIONILLS INTERIOR R, _ _
FOUNDATION/WALLS EXTERIOR R-\
FLOORS / R- \ - -
WALLS R- \
CEILING / R-
DUCT WO K OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
7 ,1
INSPECTOR'S REPORT: AR DEPAR 2 '✓ I 06'
REQUEST FOR NS ECT fiECEIVED: I r `
NAME h"`_ C dQ�
LOCATION
DATE ( - L(
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES•®NSIHLE FOR
PROVIDING PROTE TION F'OM -•EEZING
FOR 48 HOURS FOLLOWING TR PLACE-
MENT OF THE CONCRETE.MATERIALS FOR THIS PURL, j�
ON SITE
FOUNDATION WALLPOUR 4 -.
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 IN ILTRATION BARRIER _
HEA ING ROUGH-IN
SUL-ATION: '
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
LS R
ALLLLSe5
CEILING R- ,
DUCT WORK OR PIPING IN
U EATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT xr '
742 BAY RD., QUEENSBURY NY 12804 r z:'< l
INSPECTOR'S REPORT:, ARR DEPART AO INT(Jg
REQUEST F R INSPECTION RECEIVED:
NAME ����LLi
LOCATION o.cF•
DATE 1 1 •ZC.t PERMIT A ?/7 72- "
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC OUR FO
•
REINFORCEMENT IN PL E
THE CONTRACTOR IS ESP S BLE FOR
PROVIDING PROTE TI N FROM FREEZING
FOR 48 HOURS FOL WING THE PLACE-
MENT OF THE CONC TE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
SACKFILL APPROVAL
LUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING ,/ -MV- /9LIT65
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 r�
BUILDING & CODE ENFORCEMENT +r,
742 BAY RD., QUEENSBURY NY 12804 to .#,AR.
INSPECTOR'S REPORT: ARR DEPART" INT
� C/fG
REQUEST FOR NNSPECTION RECEIVED: Y
NAME At
LOCATION %'o r✓/-4 A6
DATE 1 2-10 q 9 PERMIT R -71-6
7
TYPE OF STRUCTURE:
RECHECK ' APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM'
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES•ONSIBLE FOR
PROVIDING PROTE TION 'ROM FREEZING
FOR 48 HOURS FOLLOWING TH • A -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU'PO'E ON S E
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-
Cowir6471 1'60 G!V c+
ziie
C -cc, We £c*c'K
G% (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT -&°..
742 BAY RD., QUEENSBURY NY 12804 " ' ,-
INSPECTOR'S REPORT: ARR DEPAR� IN11 (!--
REQUEST FOR NSPECTION RECEIVED: 72[[[[!!!!
NAME '. GOLLY LLLL
LOCATION . fi, itivkAA) 4-/
DATE , A14918 PERMIT//T� $ �7`7ti�?
TYPE OF STRUCTURE: 5///"!J
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIONtiFROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS UR SE ON SITE
FOUNDATION/WALLPOUR l
REINFORCEMENT IIN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
NI/
P MBING VENT/VENTS IN PLACE
OUGH PLUMBING 4
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-
I A-Av_ NPrNC- PL.4-T 5
(94 (518) 761=8256
TOWN OF QUEENSBURY t ' 4
BUILDING & CODE ENFORCEMENT a4
742 BAY RD., QUEENSBURY NY 12804. %..tom` kxe,' ,,a,
INSPECTOR'S REPORT: ARR ' J DEPAR. $ 'INT
REQUEST F INSPECTION CEI E : ; ,� .1 124g
NAME . ) -(<� _ e 1
LOCATION \ / , 00 ` V API`
DATE 1 �'�' IA PERMIT fl
TYPE OF S RUCTURE: r7 b
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 PURPOSE ON SITE _
FOUNDATION WALLPOUR •
REINFORCEMENT IN P
FOUNDATION DAMPPRO F NG
BACKFILL APPROVAL
PLUMBING VENT/VE/TS IN PLACE
UGH PLUMBING)
PLUMBING UNDER SLAB
FRAMING: Rr / rGR R . t(''''
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- -
TOWN OF QUEENSBURY
i0 3
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
\f\Name e), �� p,�,\
Location Qiln flV`�
Date J -�0 _'0/U Permit #9 7 `_--1(-*
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Len.' h of eac re , h
Depth tre ches
Size of s' :—
SEEPAGE PIT' : Number-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to ank
Tank to--Dist. Box
Dist. Box to Field/PM
vOpenings Sealed? ( Yes' No Partial
LOCATION/SEPARATIi(S:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
V- � C
)14
SYSTEM USE APPROVED: YE NO
Arrived: 91 )
2 !!?
Departed:
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location 4J. , e'de iv &
Date / , Permit # 9/7_7
SOIL TYP : San - lay-
Results ercol do Test-
(if applicable Rate- lute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: ot: en? ,
Length of each. tren,
Depth of trenches
Size of stone
SEEPAGE PITS: Number
Size - ft. x, ft.
Stone size
PIPING: Size Type
Bldg. to Tank /4 -5e�'I Ye)
Tank to Dist. Box a —
Dist. Box to Ffeld/Pit Jam. it
Openings Sealed? Yes o Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption r/ feet
Separation of Pits _ doet
Conforms as per Plot Plan No
LOCATION OF SYSTEM ON P.;OPERTY:
(circle one)
Front - Rear - L-ft id- Right Side
Middle Front - Mi .. - 'ear
COMMENTS:
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: /rD ./4)
Building Inspector .
16 , J (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 _I"x + ,5
INSPECTOR'S REPORT: ARR'�"�yh h DEPART\ 1471. �/
REQUEST FOR INSPECTIONTI RECEIVED:11 a �J (97
NAME 2() L'r *
LOCATION
DATE 1 -J 2 - 1 1 PERMIT A 9
7--
TYPE OF STRUCTUR : R
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRE
MATERIALS FOR THIS U OSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLA
-- r
FOUNDATION DAMPPROOF NG
_ _ _ --" .///
CKFILL 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-
Dp ( 1 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
_ I
INSPECTOR'S REPORT: AR • 7j PART2 2 ?I,N1
REQUEST FOR INSPECT ON RECEIVED: [ c' Da 7
NAME �, ) b ,-/
LOCATION 51, ('v--�-
DATE -- a--- � PERMIT Aqi
TYPE OF STRUCTURE: .
RECHECK APPROVED
N/A YES 'NO
OTINGS PIERS 1+ v--)ri b k(14 _
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE V
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM E ING
FOR 48 HOURS FOLLOWING E P E-
MENT OF THE CONCRETE.
MATERIALS FOR I+ YS P POSE 0 SITE
FOUNDATION/WALLPOU
REINFORCEMENT IN PL E
FOUNDATION/DAMPPROO ING
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 HARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R- -
WALLS R- _
CEILING R- _
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT 4r
742 BAY RD., QUEENSBURY NY 12804 -,..;h :.a,,.
1
INSPECTOR'S REPORT: ARR2i IREPART // IN'f-A I"
REQUEST :- INSPECTION ECEIVED:
NAME `Ra Rl � • �ez.-
LOCATION , - W.-eV/WO
DATE ,L, PERMIT # 7 / -?
TYPE OF STR CTU•E:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE g.' r
THE CONTRACTOR IS RESPONS BLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON\ TE _ r_
FOUNDATION/WALLPOUR \ .
REINFORCEMENT IN PLACE ___
FOUNDATION/DAMPPROOF,ING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTSJMAIN 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
Mi-\(1)(\
TOWN OF QUEENSBURY '°
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ,"!>. ..4,
,�1� / f1 J���/i
INSPECTOR'S REPORT: ARR�,J P• DEPARRT 1f ` (,IN'.
REQUES',FO•�INSP CTIO SCE ED: /
NAME 6 t' ri
LOCATION S Qjl-mrI y- _
DATE 1D, I i -qi PERMIT S R--)1 -i-) a 1p
TYPE Of STRUCTURE:
RECFECK APPROVED
N/A YES NO /
FOOTINGS/PIERS v/
MONOLITHIC POUR FORM
•
REINFORCEMENT IN PLACE -#16 V
THE CONTRACTOR IS R SPONSIBLE FOR .
PROVIDING PROTE TIO FROM FREEZI
FOR 48 HOURS FOLLONI 'THE PLA
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE-0 SI
• 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
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
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FEB 23
TOWN oi°:Qf,,;!�E+��38t1RY
►LDIRi �N� E MAP OF SUR V
D -
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':. A , ,
. 2. .
of lands.
to
be conve ed to
Y
L EGEND:
ROU ER T V.
JOA NNE M. KEL L Y
• FOUND IRON MARKER;=` ,, " CERTIFICATION r"''r♦ ::,, f
=s ..'
it � � � _ :r
O SET IRON ROD W/TN CAP I hereby certify t o Robert V, and JoAnne M. ,
O POINT Kelly, Trustco Bank, N.A.
TOWN OF QUEENSBURY, WARREN COUNTY NEW PORK
Nf�jr
and Stewart Title
t— POWER L/NE Insurance,ieawpany that this snap has been =' :
,.
in SCALE:: 1 = 30
JAN. 22, 1998
STONE WALL , . . -
-09—t— FENCE
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY •
MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S
EMBOSSED SEAL OR INKED STAMP SHALL BE
e CONSIDERED TO BE VALID TRUE COPIES•
Unauthorized Alteration to this map is a
o violation of Section 7209, Subdivision
_ 2 of the New York State Education Law♦
prepared in, accordance with the existing cod•
of practic' W-J4� Land Surveyors adopted by the i
New York to Assoc: of Professional Land
Sur veyor � P ' '`
S-< _ ,y :,
' *- � ''
i _ , ,
F
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41/22/99 Wi11iaA J. Rourke' LS 49098�. ;
. ,.,
. #'I
WILL/AA/ -4 ROMRKE• L VEWSEV LAND SURVEYOR ,VP t9ese
W♦ ✓• ROURKE, ASSOCIATES
Licensed Land Surveyors
10264 Saratoga Rood, P• 0. Boer I434
_S'n•rth /?/ei►e Aisle IV V /9Rrl;
JOB Ns
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