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2006-785 la TOWN OF QUEENSBURY row742 BayRoad,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20060785 Date Issued: Tuesday, October 02, 2007 This is to certify that work requested to be done as shown by Permit Number P20060785 has been completed. Location: 63 BOULDERWOOD Dr Tax Map Number. 523400-266-001-0002-041-000-0000 Owner: RONALD & GAYLE LA CROSS Applicant: RONALD LACROSS This structure may be occupied as a: Fireplace By Order of Town Board Garage - 2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. 064 TOWN OF QUEENSBURY 742 Bay Road,Quecnsbuiy,NY 12804-5902 (518)761-8201 ION Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060785 Application Number: A20060785 Tax Map No: 523400-266-001-0002-041-000-0000 Permission is hereby granted to: RONALD LACROSS For property located at: 63 BOULDERWOOD Dr in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: RONALD & GAYLE LA CROSS 201 5TH ST. EXT. Fireplace QUEENSBURY, NY 12804-0000 Garage-2 Cars Attached Single Family Dwelling $200,000.00 Total Value S200,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2006-785 1896 SQ FT SINGLE FAMILY DWELLING WITH 600 SQ FT ATTACHED GARAGE $287.52 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, November 15, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Wednesday, November 15, 2006 SIGNED BY / for the Town of Queensbury. i Dire tor of uildin & ,:�.7T 4,iorcement ... .................2 OFFICE USE ONLY ... r-•-•-•............. 266 TAX MAP NO. ' PERMIT NO. 0 ' uate FEES: PERMIT L-1_41' �' RECREATION -.,___ENGINEERING �. �., =r= (If applicable) ; I PRINCIPAL STRUCTURE: ................... APPLICATION FOR ZONING APP_R O VAL & B LZ APER=MIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION IS SUBJECT TO IL��G PERMIT REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION, APPLICANT/BUILDER: �� L.-�p OWNER: ADDRESS: eci( - (Q• 17 I �"_ r�' ADDRESS: �Ul PHONE NOS._An, 7 q 8 --3 I PHONE NOS, (7.- — CONTACT PERSON FOR BUILDING &CODES COMPLIANCE: b e SHONE: LOCATION OF PROPERTY: ��d v /JcL0b SUBDIVISION NAME: g/e/71.,Vi /2-e S PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z 0 APPLY CO YOUR O o PRET F a LL LLJ • o S SINGLE FAMILYCI. OS TWO-FAMILY MULTI-FAMILY (NO.of UNITS_, TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) 6.00 OTHER IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION COST: 2c c.) d p kin -FUEL TYPE: 71) HEAT TYPE: GJ •HOW MANY FIREPLACE(.�B f?p6 t'f+-v+- :. AND/OR WOODSTOVES(S): ZONING CATEGORY: 6'145 (0,ARE THERE WETLANDS(ON THIS SITE? J �j IS THIS A HISTORIC SITE? ,' f C9 PROPOSED USE OF BUILDING OR ADDITION: p2 Ca/tlz r ` / "Please complete a separate Application for"Fuel Burning Appliances&Chimneys"available in our office B 3-LQL 11-05 Town of Queensbury• Community Development Office • 742 Bay Road, OueenRImri, r\rV 11 ono ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? ARE THERE EASEMENTS ON PROPERTY? I acknowledge no construction actiVities.,shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read and agree to the above. Signed Director of Building , des:..,7.61-8256 kfor questions.regarding Building Permits, construction codes or septic systems Zoning Administrator• 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above This application / proposed acton Applicant to erect or alter the buildingp ton describeddescribed herein in accordance with said herein is found to be in accordance with the Application. zoning Laws of the Town of Queenspury.. BUILDING &CODES APPROVAL ZONING APPROVAL DATE DATE ........................................... QUESTIONS? CALL 761.8258 OR EMAIL C de ueensbury net VISIT OUR WEBSITE FOR MORE INFORMATION ^" t' n b .net • li . Town o f Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 . OFFICE USE ONLY -, '_... .,, . "—, i 66":":77( , VAX MAP NO. —`---• PERMIT NO.___._.-i-- PERMIT FEE--_ ___ , ' , APPROVALS: ZONING-- -- -__ TOWN CL.ERI<----.----- •,— ; ; APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT.j A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. / OWNER: 70`. 410r e• 4- 644(/t'E. Z!c,SS INSTALLER: /D ( . e yP-7_/ e6'? `..I-els ADDRESS: c2°,7r ! J11C7 A • LACI, ADDRESS: PHONE NOS. [ PHONE NOS. _ LOCATION OF INSTALLATION: 6 3 1O Qi eke le CA.-)c)61 ISA I NO.OF RESIDENCE INFORMATION: YEAR BUILT i X I COMPUTATION= = I TOTAL DAILY FLOW BEDROOMS ; { i GARBAGE GRINDER 1980 or older X ':, 150 allon er bedroom I = INSTALLED? ND t, g R 1981 -1991 1 i X I 130 gallon per bedroom = I SPA OR HOT T 1 I �1B. 1992-present J I X 1 110 gallon per bedroom i = 3SC) i INSTALLED? ye PARCEL INFORMATION: ✓ TOPOGRAPHY: FLAT ROLLING x STEEP SLOPE %SLOPE ✓ SOIL NATURE: SAND LOAM)Q CLAY OTHER _ ✓ GROUNDWATER: AT WHAT DEPTH? 64- BEDROCK/IMPERVIOUS MATERIAL: AT WHAT DEPTH? ii ,icy.t .c, ✓ DOMESTIC WATER SUPLY: MUNICIPAL WELL (IF WELL: WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS(-200 FT. ) ✓ PERCOLATION TEST: RATE IS SM%.1/a3Se'd PER MIINUTE PER INCH (TEST TO BE COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each garbage grinder, spa or whirlpool tub. ✓ SEPTIC TANK: I Son GALLON (MIN. SIZE IS 1,000 GAL.) TILE FIELD: EACH TRENCH'()) FT. ✓ TOTAL SYSTEM LENGTH: D FT,. SEEPAGE PIT(S): HOW MANY? N/A / i ✓ SIZE OF EACH '.''M FT. X iU f FT. ✓ SIZE OF STONE TO BE USED: # tc /DEPTH OR THICKNESS FT. ✓ BED SYSTEM SIZE: fin) X Na n ✓ ALTERNATIVE SYSTEM: r,'-S r fX LENGT AND/OR SIZE ✓ HOLDING TANK SYSTEM: (If requir`e/d) NO. OF TANKS: l t /SIZE OF EACH ✓ GALLONS. /TOTAL CAPACITY: p GAL. IIINOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN I. APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. ili 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 QUESTIONS? CALL 761-8256 OR EMAIL Queensbur Sa,'tary Sewage Disposal Ordinance. codes�aiaueensbury.net 40%i VISIT OUR WEBSITE FOR MORE INFORMATION `.i` , 411110 /4 www.queensbury.net Signature of Person Responsible Date ` Town of ueensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 f,�x 93'67 . 37z-(o8 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: �7.:‘ 6m/pm Depart: am/pm Date Inspection request received: Inspectornitials: (/ (_ NAME: LAC-6q0€.;5 PERMIT#: CLQ' 7C'5 n LOCATION: �j4sc L it /ee'U 6 DATE: r'U/7/Q°7 TYPE OF STRUCTURE: Comments ,7L2 N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location . 'j Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches 4` Roof Complete/Exterior Finish Complete ✓ Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet / 6 inch clearance to sill plate ►/� Gas Valve shut-offexposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches v Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector 4 Attic access 30 inches x 22 inches x 30 inches(height)in accessible area ,/ Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft. vents ii Bathroom Fans, if no window Plumbing fixtures tiz Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. ✓/� Emergency egress below grade �/ Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area F ` Furnace/Hot Water Heater operating f Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 7/,/ Enclosed Stairs Sheetrock Underside minimum''Y2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched 171( Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly / Gas Logs in Sealed or Glass .nclosure �` Final Electrical L' "( / Final Survey Plot Plan V ,.., - ,/4-6- — As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required ` Flood Plain Certification, if required / Okay to issue C/C or C/0 [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc rarx - 7,7 4'/0, Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256Arrive: .i%atn/pm",'yyepart: am/pm Date Inspection request received: Inspector'sl Initials: t tf NAME: `—Ac,: D��7 PERMIT#: 0- ' �0 LOCATION: �jt; 't 6/0,)so<1) _ DATE: /.o/---/O 7 TYPE OF STRUCTURE: Comments No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location ��■ Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches i l Roof Complete/Exterior Finish Complete /,- Platform ;Platform at all exterior doors of Guards at stairs, decks,patios more than 30 inches above grade H 1 Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more f Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet +� 6 inch clearance to sill plate I__ Gas Valve shut-off exposed/regulator 18 inches above grade lr Interior privacy/trim/doors/main entrance 36 inches i/i Bathroom/Kitchen watertight V./ Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq. ft. vents Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq. ft. Emergency egress below grade , Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area • / 1 Furnace/Hot Water Heater operating f Low water shut-off boiler Relief Valve(s) installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer r' Duct work Sealed properly / f Gas Logs in Sealed or Glass Enclosure u%. Final Electrical y Final Survey Plot Plan yr "C - .4/41-6-- As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] ,,/ L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/pm Depart: c - - m/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: 1 / NAME: PERMIT NO.: 0(0 LOCATION: INSPECT ON: _ RECHECK: ' Comments and/or diagram Soil Type: Sand/ Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distanceft. Well separation distance ft. Other wells: _ft. Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone - Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field / Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes&Baffles �.Y N Location/ Separations Foundation to tank ft. Foundation to absorption ,_. ft. Separation of Pits ft. Conforms as per Plot P T Y N Engineer Report an As-guilt ._N Location of System on Prope Front Rear Left Side •ight Side Middle Fro Middle Rear Sst-mU - r. U5: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Final Survey Inspection Dept. of Community Development Town of Queensbury 742 Bay Road Queensbury,NY 12804 Date received: C NAME: ' ? , Jct . . LOCATION: 6..7 gcadert..i0.4 PERMIT#: Final Survey Plot Plan Approved Denied The attached final survey has been received by the • Dept. of Community Development. Upon review the survey has b n' Craig rown, Zoning Administrator Notes: L:1Sueliemingway\Building.Codes.Inspection.FORMSTinal Survey Zoning Administrator.doc MAP REFERENCE: GRANT AGRE5 FMASE I DATED DEGEM5EK 2q. 16i7G BY JOHN 5' VAN DU5EN LIGENSED LAND SURVEYOR LOT 16 I HEREBY CERTIFY THAT THI5 MAP WA5 PREPARED FROM AN ACTUAL FIELD SURVEY. NLY To THE PERSONS T1115GERTIFIGAT SURVEY WAS PREPARED. AND ON THEIR FOR WHOM THE BEHALF TO THE T LE COMPANY, TED HEREON. AGENG AND LENDING GERTIFIGATIONSUENOTctUENT OWNERS. TO ADDITIONAL IN5TITUTION OR 55 GERTIFIED TOL RONALD BANK FSB . T'S SUGGE550R6 AND/OR A55IGN5 INDYM PA Y STEWART TITLE IN5U1047 ICE nSa., GERTIFIEDMATTHEW G STEyES. LL5� -50135; F< Y ; DATED, AUGUST 31.2007 �� z LOT 25 se W Ste-ves Lamed Sixr ey®rs New York 12804 Queensbury, lgg Haviland Road New York Lic. No. 50135 (518) 792-8474 IPF' 72.3' r0LO UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED U04D SURVEYORS 2 SEAL IS A YiOLATIPN OF SECTION 7209. $UB—DIVISION OF THE NEW YOP.K STATE EDUCATION LAW. ONLY COPIES FR01.1 THE pRIgNAI OF THIS SURVEY MARKED NiTH AN ORIGINAL CF THE LAND SURVEYORS SEAL SHAD- BE CONSIDERED TO BE VALID TRUE COPIES. 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY "AS PREPARED IN ACCORDANCE WITH THE Ep$TINC CODE OF PRACTICE FOR LINO SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CER THE SURVEYS PREPARED' t, nOgS SHALL RUN LAND TO THE PERSON FOR "NCM COMPANY, GOVERNMENTAL ON HIS BEHALF TO THE T1T1.E HEREON. AND AGCY AND LENDING INSTINITION U57ED TO THE ASSIGNEES OF THE LENDING INSTiNTION." 4(°42'00"- =34 �L 198..87' R;So •0T f t� .00 aORCH ONE STORY WOOD FRAIM HOU5E r CON^p 1 � D �Y L UTIL �o& z f C 0 "T85.7' V LOT 15 AREA 115,E'37.09 sq. ft. 's.65 acres rnco o t,., O h84028'00" 247,17' LOT 26 E�EE D SEP 2'7 2401 TOWN OF QUEENSBURY I BUILDING &CODES 'Map of a Survey made for F LEGEND: IPV -0= IRON PIPE FOUND 49= WELL 0 = UNDERGROUND PROPANE TANK NOTE: FIELD A5 WOR ON005/Zg0/07TION ,November 8c Gayle Ee LaCress SHEET 1OF, C. L'� �;r o S s 2 08 f31 /07 HOUSE LOCATED ON MAP C,10147R, O n al CERTIFICATIONS LaGro55 1 11/29/06 DWG. NO. OG261 Warren County, New York DESCRIPTION Town of Queensbury N0 DATE 22G.1-2-41 / 27 11 -4-15 Cro&s f ��' Ider _'o 0 ire � c 7 -7/s? ) 7. Foundation Inspection Report Office No.(518)761-8256 Date Ins cti r st received: Queensbury Building&Code Enforcement Arrive: am/Rml,fJ Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector s itials: \l/� NAME: CPERMIT#: . LOCATION: ?l�n� � INSPECT ON: • TYPE OF STRUCTURE: Comments Y N N/A Footings Pi Monolithic Slab Reinforcement in Place Z— The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection r'�e,,,,99q�uest received: Queensbury Building& Code Enforcement Arrive/!'LJam/p epart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: V�� NAME: L-4 C 00 PERMIT #: o. 7c LOCATION: cie.-pe-/eivazip ae. l INSPECT ON: /z7(o7 TYPE OF STRUCTURE: Y N N/A PVC: R-1, R-2, R-3, R-4 Drain/Vents Cast Iron, Copper Drain/Vent/ Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates 1 %z inch min. Drain Size Washing Machine Drain 2 inch min. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping ooper,Commercial �C G 1-)1< Cooper, CPVC,Pex One and Two-Family Insulation/Residential Check/ Commercial Check 7 Proper Vent, Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape , COMMENTS: L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspe ' n r quest received: Queensbury Building & Code Enforcement Arrive: am/pr „Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: t NAME: L 2C 5 PERMIT #: C9&' 786"-- LOCATION: uG(7t 100evD - INSPECT ON: o/2- /fr? . TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes ,/,�� — Pressure Test �` ater Supply Piping Air / Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check f:14--)R7(A-C____ Proper Vent, Attic Vent Duct / Hot Water Piping Insulation 1� If required unheated spaces P'`/' - `� Combustion Air Supply for Furnace 1 Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&CodesUnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspe 'on ecest received: Queensbury Building & Code Enforcement Arrive: . am/prp ,epart: am/p 742 Bay Road, Queensbury, NY 12804 Inspect r' ' Initials:�, NAME: L.4-6e00 PERMIT #: (V- i .5' LOCATION: Ale/ o ie-4/40 4,2, INSPECT ON: . 7-d ; 2 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 I/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test or' A4f Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test /2E—G/ ��_ Water Supply Piping it / Head 61 0� G %de 50 P.S.I for 15 minutes ygaec- fe 6412. Insulation / Residential Check / Commercial Check eoue-r5Proper Vent, Attic Vent Duct / Hot Water Piping Insulation : A56--YIf required unheated spaces _ ( Y Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspect•oLn reqt received: Queensbury Building & Code Enforcement Arrive: 'a5am/pm ep/art: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: /"" v NAME: G- 0'®5S PERMIT #: 66—'7 5- LOCATION: LOCATION: "300 c fo64( t/1/4`au kr) INSPECT ON: G, MU' TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test /E c4K• Water Supply Piping /\ Air / Head U ,i%5 O L_ e -O /50 P.S.I for 15 minutes € yytkWCck_ Insulation / Residential Check / Commercial Check Proper Vent, Attic Vent (?) D c c Z"S Duct / Hot Water Piping Insulation If required unheated spaces Ivn c'c Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: /1/16 gc,4 L:\Pam Whiting\Building&Codes\Inspcction Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 fo-ort\ Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection rest received: 6 1e Queensbury Building & Code Enforcement Arrive:/0 .. am/ D am/pm 742 Bay Road, Queensbury, NY 12804 Inspector' Initials: p =er NAME: SSS ! PERMIT #: LOCATI \ N: (p (2 -(Cld f�i,, )6 INSPECT ON: (p 11 , TYPE OF STRUCTURE: Ou 7 Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air/ Head Cil L Y� 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air / Head !-• 5.I •r 15 minutes /. Insulatio. Residential Check / Commercial Check I A)G_!.> • ••er Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces '�'e - '47T1i tri. Combustion Air Supply for Furnace �ivSUL _Duct work sealed properly] No duct tape 11 r'C�-�%� eGi-j. ,v 60 COMMENTS: 45 UL L:1Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing I Insulation Inspection Repo Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pnj) Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: 3 t` " NAME: LA C(vc5 PERMIT #: it - -7 d LOCATION: (p'? &2t)tc-' to offb INSPECT ON: ,, ►-7 TYPE OF STRUCTURE: Y N N/A -4 ough Plumbing / Nail Plates 0 Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum leanout every 100 feet / change of direction Pressure st Drai "1/e t Air Head 5 P. .I. or 0 ft. above highest connection for 15 minutes Pressu est c� Water Supply Piping k� Air / Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report t Office No.(518) 761-8256 Date Inspection,quest received: i ' v Queensbury Building&Code Enforcement Arrive:-2,-05 am/pm Depart: a 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: ,A —. NAME: L C rG S PERMIT#: (5 6 - d LOCATION: '� ,--1L.E_,a pf- INSPECT ON: M TYPE OF STRUCTURE: Y N NSA COMMENTSraming �v/; 1� Attic Access 22"x 333770" minimum Jack Studs/Headers 6 �,:t,d� /z6.,.e.' 776,0. 7- Bracing/Bridging Joist hangers �{ Jack Posts/Main Beams C. - A9i7 7l CID 0 cS(R C Exterior sheeting nailed properly // 12"O.C. Headroom 6 ft. 8 in. ® /P-5514 -`:— v(Eh- �1 ' / c..2G ( Stairwells 36 in. or more _ Headroom 6 ft. 8 in. �'i 5 Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1,2, 3 hour ire wall 2, 3,4 hour / Firestopping k.// Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade .4 Town of Queensbury Fire Marshal FitSol 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Report \;/ Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or er cations is allowed. Permit# 0li /14/ Schedule Inspection 4 07 Time am pm anytime Ins r Name ZAi- el` Address erode-,X-4600210_ Rough In Final_ SDireAppliance Manufacturer C14•AeC f=�R� Model# D�� -f 7/ _ 8< 13---- Direct ct Vent Factory Built Chimney ' Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection � � 7 Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles / r ,,. 11L6,I 6 V eA ► -7---mu eooF 0 Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement (if LP) White—Du lding Dept. Yellow—Customer Pink—Fire Marshal N.N.,, /____ -,,_. -,26.,/ 3 / . /z /O 7( , Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building &Code Enforcement Arrive: am/ epart: g }am/pm 742 Bay Rd., Queensb ry, NY 12804 Inspector's Initials: /�'> NAME: , SI r PERMIT NO.: 06 —77 _ LOCATION: r 3 , 0 - (- �t( t)n,f , INSPECT ON: r�i� RECHECK: Comments and/or diagram Soil Type: Sandie Cla -------\ Type of Water: Municipal/ Nell' ItQr� Waterline separation distance t4=0 ft. Well separation distance ft. Other wells: \Ab ft• Absorption Field: Total length t4 ft. Length of each trench ' ?. ft. Depth of trenches 7-,L-- ft. Size of Stone w? Seepage Pits: Number Size: iL) Ifr x Stone Size: Builds S,�Ze-- �!, Building to tank `'� v Tank to Distribution BoxR..3'C" Distribution Box t field/ Pit ikc 3c Opening Sealed: N/ Partial yr End Cap Inlet/Outlet Pipes &Baffles Y N Location / Separations - 12R-(3 /-(- 1 4$ -9� a- b IA Foundation to tank /7-- ft. Foundation to absorption '/� fQ.r-ft Separation of Pits A.) - \---------- Conforms as per Plot Plan Y !��► , 01-Z___ � Engineer Report and As-Built ..,.�V i'' U__ Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear • System Use Status: Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm p epart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:U/ / NAME: ! A- ,QU,"6 PERMIT#: C-- 2e,----- LOCATION: s�vc-�k ,UO7-1\� ,iii( INSPECT ON: �� /G'7 TYPE OF STRUCTURE: Comments Y _ N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval P1 bing Under Slab PVC ast/Copper �7 e,oo "7/ Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection FormsWoundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p7'"�-- � pepart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: � NAME: 4A-C,zecf PERMIT #: --'z LOCATION: �,e4c u 0 Y, INSPECT ON: 72i . Q7 TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum eanout every 100 feet / change of direction ressure Test OA)i 4 >4. c) ID'n / Vent Air Head � 0/; j' .S.I, or 10 ft. above highest connection for 15 minutes . Pressure Test Water Supply Piping Air / Head 50 P.S.I for 15 minutes Insulation / Residential Check / Commercial Check Proper Vent, Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: L:\Pam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Town of Queensbury Fire Marshal �-" � 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Ligl9m1Ktilt Gas Fireplace/Stave Inspection Report Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifi 'one is allowed. Permit# _7 ) Schedule Inspection (�� Time I am pm anytime InspectorL// Name L.q-(..s&,. p Address en t--C ece40 Rough In Final_ Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air 1& Cliv rite 14-* 621,166 Hearth Extension (if any) Mantel Height above f/p opening W' ess Operation auk Placement(if LP) White—Betiding Dept. Yellow—Contester Pink—Fire Marshal Septic Inspection Report Office No. (518) 761-8256 Date Inspectio,i request received: Queensbury Building &Code Enforcement Arrive:// am/ r�)n Dert: am/pm 742 Bay Rd., Queensbury, NY 12804 inspector's I* 'als: / -/pa NAME: � 4. PERMIT NO.: etf) — 7g4,r LOCATION: 7üL C ales INSPECT ON: S/r-3 /O7 RECHECK: 1 Comments and/or diagram Soil Type: Sand / Loam/ Clay Type of Water: Municipal/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench ft. 4/..r - �n j A Depth of trenches _—ft. Size of Stone _ Seepage Pits: Number Size: x----�-^ Stone Size: Piping Size Type Building to tank Tank to Distribution Box Distribution Box to Field/ Pit Opening Sealed: Y/ N/ Partial End Cap Inlet/Outlet Pipes &Baffles _ Y—N _Location/ Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan T Y N Engineer Report and As-Built Y_N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use Status: Ap oved P rtial Approved and needs to be re-inspected, please call the Building &Codes Office isapproved Last revised 021006 Last revised 1/6/05 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspecti n request received: Queensbury Building&Code Enforcement Arrive: d am/p �Dpart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspectors I itials: NAME: Cly G''S 5 PERMIT#: —17g,5 r�G� LOCATION: r��-'�- 2G;Ian° INSPECT ON: �167d .,) TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 ''A(w '16 gauge(8) 16D nails each side ' / Draft opping 1,000 sq. ft. floor trusses 4-6 /C chor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade 3/VO. Framing / FirestoppingInspection Report Office No. (518)761-8256 Date Inspectio quest received: _ Queensbury Building&Code Enforcement Arrive/0: pm Depart: am/pm 742 Bay Road,Queensbury,NY 12804 Inspect is Initial : 7)- 7� NAME: G ilA(D3AD0 / PERMIT#: 773LOCATION: /d/t INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 'A(w) 16 gauge(8) 16D nails each side -1 Draft stopping 1,000 sq. ft. floor trusses0/1277//9 :0 '?lt. -ss on center Ice and water shield 24 inc s from wall Ftre separation 1,2, 3 hdur Fire wall 2, 3,4 hour !' Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade /0-/P -Tit-or 3/3./.0. /- • Framing / Firestopping I spection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: C:- r_+s•.011 P e•:1': . - -1-1- 742 Bay Road, Queensbury,NY 12804 Inspector's Initi. . OF' _____ NAME: (_<"k,.CrC �`� PERMIT#: = LI 1/4.5"--'LOCATION: v, 5 rc%/�er-i,.:r ,, INSPECT ON: -2i =CT/ TYPE OF STRUCTURE: Y N NIA COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 ''A(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses fpgziritom.olts 6 mess on center Ice and water spiel 4 inches from wall ,?- _-,N7,___ _ L_ ,--‘K--\ \O • aration 1, 2, 3 hour Fire wall 2, 3,4 hour \hL� �� N1^ \� � -C IS\' y Firestopping � Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 'A inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade � -70-6-4)4-/ 3/6-h Framing/ Firestopping Inspection Report� Office No. (518) 761-8256 Date Inspection r e" st rc ce'v-a: Queensbury Building&Code Enforcement Arrive: t-"- a P- P rt: 742 Bay Road, Queensbury,NY 12804 Inspector's Initi . NAME: / C' rS ,g PERMIT#: S LOCATION: ,� - — tet'I. INSPECT ON: - TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate ' (w) 16 gauge(8) 16D nails each side 1 /zg g Draft stopping 1,000 sq. ft. floor trusses j 1 Anch 6 ft.or less on center / Ice and water shiild 24 inches from wall �` I Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade /0 - ) 2 rr;di //17707 , Foundation Inspection Report • Office No. (518)761-8256 Date Ins tioquest received: Queensbury Building&Code Enforcement Arrive: 02 5 am/p Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspec or's Initials: NAME: ( �Ir��J 11 r1 PERMIT#: 06 — ?8:5— • LOCATION: 6 `3 &E)u Ioldfyjrc /X• INSPECT ON: TYPE OF STRUCTURE: Comments Y N N/A Footings Mono i.. c Slab emforceiri-it in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. / V Materials for this purpose on site. Foundation/Wallpour Reinforce ' Place , ry- Footing owels r Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM gocm Foundation Inspection Report Office No. (518)761-8256 Date Ins ectiquest received: /// 7/,:)-gt) 7 Queensbury Building&Code Enforcement Arrive- 2kof��'elam/ part: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspect 's Initials: NAME: ROne-U 4Y/e— E 5 5 PERMIT#: ) LOCATION: (,04 v<---INSPECT ON: 4 6 Chi-- )-3 TYPE OF STRUCTURE: 1.5f7 Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place / Footing Dowels or Keyway in place ' Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing • •.'1 .: • wet areas under slab Backfill A.. . . Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date In 7 ;, equest received: Queensbury Building&Code Enforcement Arrives am/pm, Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspe '- .r's Initials: ---/ � NAME: 44-C,eo J5 PERMIT#: n� _ 2`-' LOCATION: c,v e--0��i2‘0 i� 4.R INSPECT ON: I Pe-410/O '7 TYPE OF STRUCTURE: ! Comments Y / N N/A Footings Piers Monolithic Slab Reinforcement in Place '-j - ii The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 1 it t i i t ;?N.;T ni til XOG ' C tald �4 v'3�Y t�OrStd'y�,�X� �} 4 w { s' r�r/ rr r �- MAP REFERENCE: GRANT AGRE5 FMASE I DATED DEGEM5EK 2q. 16i7G BY JOHN 5' VAN DU5EN LIGENSED LAND SURVEYOR LOT 16 I HEREBY CERTIFY THAT THI5 MAP WA5 PREPARED FROM AN ACTUAL FIELD SURVEY. NLY To THE PERSONS T1115GERTIFIGAT SURVEY WAS PREPARED. AND ON THEIR FOR WHOM THE BEHALF TO THE T LE COMPANY, TED HEREON. AGENG AND LENDING GERTIFIGATIONSUENOTctUENT OWNERS. TO ADDITIONAL IN5TITUTION OR 55 GERTIFIED TOL RONALD BANK FSB . T'S SUGGE550R6 AND/OR A55IGN5 INDYM PA Y STEWART TITLE IN5U1047 ICE nSa., GERTIFIEDMATTHEW G STEyES. LL5� -50135; F< Y ; DATED, AUGUST 31.2007 �� z LOT 25 se W Ste-ves Lamed Sixr ey®rs New York 12804 Queensbury, lgg Haviland Road New York Lic. No. 50135 (518) 792-8474 IPF' 72.3' r0LO UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED U04D SURVEYORS 2 SEAL IS A YiOLATIPN OF SECTION 7209. $UB—DIVISION OF THE NEW YOP.K STATE EDUCATION LAW. ONLY COPIES FR01.1 THE pRIgNAI OF THIS SURVEY MARKED NiTH AN ORIGINAL CF THE LAND SURVEYORS SEAL SHAD- BE CONSIDERED TO BE VALID TRUE COPIES. 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY "AS PREPARED IN ACCORDANCE WITH THE Ep$TINC CODE OF PRACTICE FOR LINO SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CER THE SURVEYS PREPARED' t, nOgS SHALL RUN LAND TO THE PERSON FOR "NCM COMPANY, GOVERNMENTAL ON HIS BEHALF TO THE T1T1.E HEREON. AND AGCY AND LENDING INSTINITION U57ED TO THE ASSIGNEES OF THE LENDING INSTiNTION." 4(°42'00"- =34 �L 198..87' R;So •0T f t� .00 aORCH ONE STORY WOOD FRAIM HOU5E r CON^p 1 � D �Y L UTIL �o& z f C 0 "T85.7' V LOT 15 AREA 115,E'37.09 sq. ft. 's.65 acres rnco o t,., O h84028'00" 247,17' LOT 26 E�EE D SEP 2'7 2401 TOWN OF QUEENSBURY I BUILDING &CODES 'Map of a Survey made for F LEGEND: IPV -0= IRON PIPE FOUND 49= WELL 0 = UNDERGROUND PROPANE TANK NOTE: FIELD A5 WOR ON005/Zg0/07TION ,November 8c Gayle Ee LaCress SHEET 1OF, C. L'� �;r o S s 2 08 f31 /07 HOUSE LOCATED ON MAP C,10147R, O n al CERTIFICATIONS LaGro55 1 11/29/06 DWG. NO. OG261 Warren County, New York DESCRIPTION Town of Queensbury N0 DATE 22G.1-2-41 / 27 11 -4-15 Cro&s f ��' Ider _'o 0 ��(lvvt \.Nwo �A.�jS �wrv� .0 / V` W ! a t► j A- rIZ G stir 0. 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G, 1 r ' }•01n Cj \ ` °j v 3 M I \ f LiNAutMaRt�zco AtitA-t�u.s , ott 1 � N.4 •D � '..�/SORdr�Y P>1AP \S A �to l.A►�' a ows nom" _._._----_- l t $tEa•c�wa "7Zo9 Ci) o+w TH€ 13�w Yortsz °� art= jy o too Loo aro ice"' y Cb ~ { � r \ 3 _r APPN%OV�13 ff E PLANNING BOARD �\A OF THE �( r L.f 4 iY WKI AC Al irrsAinnt tn.. rr3a