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2000-699 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12$04-5902 (518)761-$201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY • Permit Number: P20000699 Date Issued: Wednesday, December 27, 2000 This is to certify that work requested to be done as shown by Permit Number P20000699 has been completed. Tax Map Number: 523400-074-000-0002-066-000-0000 Location: 28 SARA-JEN Dr Owner: GUIDO PASSARELLI This structure may be occupied as a: Single Family Dwelling Garage - 2 Cars Attached By Order of Town Board Fireplace TOWN OF QUEENSBURY Director of Building&Code Enforcement 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f � - Community Development-Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000699 Application Number: A20000699 Tax Map No: 523400-074-000-0002-066-000-0000 Permission is hereby granted to: MICHAELS GROUP Owner of property located at: SARA-JEN Dr in the Town of Queensbury,to construct or place a Single Family Dwelling 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 Unifoirn Building Codes and the Queensbury Zoning Ordinance. Owner Address: GUIDO PASSARELLI 2569 LAKE Ave LAKE LUZERNE,NY 12846 Contractor or Builder's Name/Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDER 10 BLACKSMITH Dr STE 1 MALTA,NY 12020 Type of Construction: Single Family Dwelling Value : $ 183,900.00 Plans & Specifications 2000-699 1800 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $251.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 13, 2002 (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 Qu sbu Zed d , September 13, 2000 SIGNED BY for the Town of Queensbury. Director of Building& Code E orcement , , Buildingt Permit Application Town of Queensbury - Dept, of Comnn�nity Development, 742 Buy Road, Queensbury, NY 12804 /761-42561 No • BUILDING & CODE ENFORCEMENT OTICE Requirements prior to issuance r of this permit: . PERMIT FILE NO. Z q9 A permit must be obtained before beginning construction. No inspections ZoningBoard Action PERMIT FEE PAID will be made until applicant has received � t„.i;-;•�� a�IAI,ID BUILDING PERMIT. All Area /Use RCCRL'ATII{: ES �~®E applicants' spaces on this application MUST be completed and•the signature n Planning Board Action REVIEWED BY.' of the applicant must appear on the SPR / Subdivision /Other , '1din;Inspector kapplication form. n r,. J Recreation Fee Payment . Applicant: -1-45 geArY28t g_aLT Owner: trAE • = `)1 r•> Address: Adclress'_ Phone # pp,p, _ : , :_ Property Location: 2. ' ' Tax Map Number Subdivision Name: Section Block 1 nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE X New Building: CONSTRUCTION: $ `.437 0td) residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: . Alteration to Building: Primary Building - residence / commercial • X Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile - . nufacturing • 0 her GROSS AREA OF PROPOSED STRUC RE; ;4 i ADDITION, what will use 1 1st Floor sq. ft. of new addition be? : 2nd .Floor sq. ft. ik Other Floors sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDING • Detached Gara e 1, 2 c TOTAL FLOOR AREA: eco SQ. FT. X Attached Garage , car Private Storage Buil ing SIZE T�OF NEW STRUCTURE: • Commercial Storage Building 50 FEET X St FEET Other Foundation Type: IKNIR., , Will any second-hand or ungraded • Number of Stories : 1 lumber be used? If so, for what? (habitable space only) \A Q Height (grade to ridge) : -vt> feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or . e (circle all which a.plies) to be installed: t Electric / Oil / / Wood C;K- Forced Hot Air / Baseboard / Other a Person responsible for upervi of work as regards to building codes is : ?k.A L re .r k cAz l e t . l a' •vCz.1 -_ g �l�r e �s Phone Builder: �Ct6A SCop k0 ,�4 �' S -(�\t Plumber: Gf'Lum m.i , _c .\ 1;40r n 22b� -2 - ; _- M as Qn:- _ � ersxa tt _ Z'rzoy 1y 11',. cpt..- - Electrician: >z - ‘ 'v a a Fr,c•t S}, t►;.=T'SC "-it''-' L'Z' • 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 Uwe shall submit prior to a Certificate of Occupancy''or Certificate of ompliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; dra to scale, ho n actual location of project on premises. Signature: (owne , owner's agent, c utect, contractor) Application for Permit-Septic Disposal System Town of Queens/mg 742 13ay Road Queenshuiy, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ' Office Use Location of installation: 2 eS 5Ave / p +-7 / / .7 File Permit No,,n)---6)� Tax Ma No. � � Fee Paid Owner's Name:�HE �s,� 5 eciROLVl Address: `Q ,7,-ACKy`l4,,\ ,\10E k © 2. INSTALLER'S NAME : G,«C>a PHONE NO. (..0-2" -- \CS2j 3, RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply li of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms - x Computation = Total Daily Flow 1980 or older x 150 gaUbdrm 1980- 1991 x 130 gal/bdrm = 1991 -present 3 x 110 gal/bdrm = "33C Garbage Grinder Installed yes / no X Spa or Whirlpool Installed yes / no • 4, PARCEL INFORMATION: (circle applicable information & indicate measurements) Ippographv Soil Nature Ground Water Bedrock or Impervious Material DomesticSWater Supply 1�lat sand' at what depth at what depth municipal.) • Rolling loam feet feet Sleep slope clay Oval; water supply %slope other from any Septic-system depth:_ absot ption other Percolation Test: (To he completed by licensed professional engineer or architect) Rate: �....._.____minute per inch • 5. 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 COO gallon (min. size 1,000 gal) Tile Field: each trench -4 ft. Total System Length: \La ,. Seepage Pit(s): number of size of each: .ft, by ft. Size of Stone to be used: II 2 / depth or thickness• Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons —Mote: Alanis stem-and`associat`ecfePe rticaTworkmu§t neinspedt7ecf _ electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 T n of Queei ury Sanitary Sewage Disposal Ordinance. Si nature of res nsible person Date Fire Marshal's Office Town of Queensburv.742 Bay Road,Quee.nsbttrv,NV (518)761-8205 Application for Fuel Burning Appliances & Chimneys: applicable to solid fuel & vented gas appliances Date Aurk. 4- .', 20�O Permit No..�!j1�► 41 i Application is hereby made to the Building& Codes Office/or 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. 11* NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: 'A`i1-Cs Comp Stove: wood coal pellet gas Fireplace insert Address: to 13.6t,„3YN,ik-k Ow, Fireplace, factory-built: wood art zti\ k • `t _ 1-LO.7_o Fireplace, masonry: wood ga `f Furnace: wood gas oil Phone: sgq- (p3 ! 1 If non-masonary applicance, please provide Otivner. pmA, Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block .rick stone Flue tile fla, size: inches Exact Address: 2 �.,.�. of construction or installation Factory-Built t{d1—CC Manufacturer name: ?"--11°-( t2.&,/- /A-4.-4v,L?O'QV5Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Torun of Queensbury Handouts regarding required inspections. Double wall ! Triple wall / Insulated / Direct venting Chimney Liner • i Casliiex'Ag. exc x t ertt—Tvwsioz of Queeztsabzxry, Newer York 1 I Fire Marshal Code# S Collected S Refunded c fired fi onr fr. '(tided to):_1 44,'',,y1 . ' adth_sc: _ ^, A 173 3389 (190) Public Safety . A 1 233 265- (23 ) Minor Sales _ q ?-025--- 1V. .tip.. ._ T w.,, 06.44.oi. Del,„.,/:), White(Applicant) i Green(Fire Marshal) / . Yellow(Bldg. Dept) 1 link&Goldenrod(Cashier's Dept.) FILE No.219 02/09 '00 t1 09:16 ID:TOWN OF QUEENSBURY HAX=5125 14t 44i( rHuL TOWN OFF OUt ENSUURY • HIGHWAY GHWAY Richard A.Missita Highway Superintendent �{ Home(518)788-b127 DEPARTMENT • 742 Bay Road • Queensbury, NY 12804 Mkhael F. navis Deputy Highway Superintendent Office Phone: (518) 761-8211 R .,;rVi-(518)768.0413 Fax: (518) 745-4466 i 4 ,, DRIVEWAY PERMIT L'cP f 7. 2000 DATE: 04 { `.1 ')rl ,, APPLICANT NAME: T< E.M,ca4s Cdrrrop • TELEPHONE NO.: 5 -S15c)-co311,_ti ADDRESS TO BE INSPECTED: - __ .... 1-61—6a6 RETURN ADDRESS: ID .r. ekkt `V\f, k-USLU Applicant must show exact location and width of driveway(s)to be connected to the highway by placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP•]: ( )Preliminary Approval NEED: .( )Slight swale ( ) Level with the road ( )Deep swale • Size pipe to be used(if necessary) ( )12" ( )15" ( )18" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt, Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( ) Final Approval • - • ( )Rejected DATE: Richard A. Missita,Highway Superintendent THEN_EW YORK-BOARD OF FIRE UNDERWRITERS c R"t` I.ca iso :5 ' ' - DO NOT WRITE HERE-FOR OFFICE USE-ONLY " ; ,- _ BUILDING PERMIT NO. . - - ti , fir,, TEMPI DATE y\ CITY OR VILLAGE.,"„, [ZIP CODE TOWNSHIP COUNTY STREET AND,�NO.OR ROAD . A POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT f BUILDING OCCUPANCY OWNER'S NAME AND_ DORESS t HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS _ NEW' OLD 0 I WORK IS NE ADDITIONAL DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tiOn Side Attachl H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No- Type Each NO' Each No. Gauge 'JNSPECTION ,,,x� OUT- r . -`._ SIDE - SUB- BASE - ' BASE- - ' MENT 1st FL. . 2nd . FL 3rd ' FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. ' c.,,,,,,,-,s 4 Es, , . • THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER" THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS , ,-aft Applicant affirms that there is not an application for electrical CHARACTER OF WORK 0 EXPOSED inspection pendingwith a qualified electrical inspection 7 ❑CONCEALED P ' DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. 1 This application is valid for a period not exceeding one year , SERVICE ENTERS BUILDING from the date received by the Board. --- ; ❑ OVERHEAD ❑ UNDERGROUND ;,--� DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S I IDENTIFICATION NUMBER> a AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS ,$) , NAME OF APPLICANT.,.. t DATE OF APPLICATION XSlG E OF P Li STREET ADDRESS G � Y T,ELEPis—" 1 1 1 ZIP CODE LICENSE NO.WHEN APPLICABLE 22. CITY OR POST OFFICE 3 { ❑40 Fulton Street 111 Washington Ave. ❑3291 Lake Shore-Road ❑803 West Avenue l ❑202 Arterial Road NEW YORK, NY 10038 I SUITE 704 BUFFALO,NY 14219 SUITE 106 SYRACUSE,NY 13206 (212)227-3700 ALBANY,NY 12210 (716)827-1155 , ROCHESTER,NY 14611 (315)463-8552 . (518)463-2122 (716)436-4460 ' . : THE NEW YORK BOARD OF FIRE UNDERWRITERS . _ ,./.._,..., 9 \8 — RESIDENTIAL FINAL INSPECTION REPORT / C6 Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement /ADept.of Community Development Arrive ' am/pm Depart U ' � Town of Queensbury Inspector's Initials '1 742 Bay Road Queensbury,New York 12804 NAME \' '�QAQ .. j . G - ç:) PERMIT 4 )-' C2 LOCATION\ (-' 'cO �. �.Prvn DATE 6 e °1 TYPE OF STRUCTURE c‹-X:D 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 i/ Interior/Exterior Railings 30"to 36" / Exterior Handrails,balconies,landing 18' . r more a/ Interior Handrails stairs both sides 3 or ore risers ;/,/j Grade 2%away from foundation 8"clearance to sill plate [ Gas Valve shut-off exposed/regulator 1 'abov.&grade / i/j Gas Furnace shut-off within 30 feet or thin line of site V Oil Furnace shut-off at entrance to fuma a area Furnace/Hot Water Heater operating / Relief Valve(s)installed f i Headroom,6 ft.6 in.on stairs / Basement stairs,6 ft.4 in. 1,/ Handrail exterior stairs both ides e e 3 risers ✓ Interior privacy/trim/doors/main entrant 36" A Floor Finish 11 - Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 i .or more i Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom / inter connected I Bathroom fans_ ! Plumbing fixtures 11-Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(ir(garage) Light ventilation per room Safety glazing 18"or ss om floor A Final Electrical 1 \& 07) A) / Site Plan/Variance require Final Survey Plot Plan 12-- I, j[/ As Built Septic System layout requit(/7,ed / Okay to issue C/C(Certif.of Compliance) f Okay to issue temp.C/O(Certif.of Occupancy) / Okay to issue permanent C/O(Certif.of Occupancy) 4111111 . 1'r3o FIRE MARSHAL q1, TOWN OF QUEENSBURY j: QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME Cc\ - \-- 9 Q✓D LOCATIOIP.0(e-M PERMIT# © ~� SCHEDULE INSPECTION ON /,7 - - 0 6 AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM\ f FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION I INTERIOR FINISHES l STORAGE: I CLEARANCE TO SPRINKLE CLEARANCE TO HEATING NITS REQUIRED SIGNAGE CHIMNEY W,pOD STOVE iREPLACE ❑MASONRY FACTORY BLT. / ❑ UGH-IN I FINAL t! REMARKS: ❑ OK TO THIS DATE i INSpSLIP,PUB INSPECTOR TOWN OF QUEENSBURY .t} #U BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (•g518}7 i-8256 ARRIVE: DEPART: INSP: 646 FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUES REC ED: NAME _ S C.��' n LOCATION -5f6l� Q DATE -18--ano, PERMIT #Qb 4 11 TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC _ INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO I CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILI=NGS • RELIEF VALVES ^� FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: i BATH/KITCHEN WATERTIGGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SHIOKE DETECTORS 1I BATHROOM FANS 7 PLUMBING FIXTURES I FOUNDATION INSULATION GARAGE FIRE PROOFING • DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO• UF1fNAL SURVEY PLOT PLAN • OK TO ISSUE C/O OR C/C GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart Carf m� Inspector's Initials ' . CLNAME: \A-\Cfri fi' 'C.) (( f ' PERMIT# ed r i 6 LOCATION: JE'Ai DATE: G TYPE OF STRUCTURE: RECHECK I N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place t The contractor is response sic for / providing protection from . -ezin for 48 hours following the pla : -nt of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac,: Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte-'or R- Foundation Walls Exterior R- Floors R Walls R- Ceiling R Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Bather i Fire Separation 1,2,3,hour Penetration Sealed a� Fire Wall 2, 3,4 hour Firestopping f . Z t GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depar pm Inspector's Initials ' NAME: kkk tC Cam-5 G i2f. PERMIT# id 61 _ LOCATION: '2 ) —3#r2A- AC,-(3 DAI't : a / / rf TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers � I: 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the plac .ent of the concrete. Materials for this purpose on site Foundation/Wallpour l Reinforcement in Place i Foundation/Dampproofing 1 Backfill Approval I Plumbing Under Slab I I PI ing Vent/Ventsin Place I) Ro gh Plumbing / eating Rough-In �/ Insulation e Foundation Walls Interior I= Foundation Walls Exterior If- Floors R-/ ./-� Walls R-/ - ,� Ceiling R1 `. e' v ,, Duct work or piping in � , unheated spaces it- / Proper Vent, Attic Vent f V Framing 9 Jack Studs/Headers Bracing/Bridging I Joist Hangers / Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour / P etration Sealed /ire Wall 2, 3,4 hour i / V �jFirestopping (� ��fe 6 (W i) 6/7,6. zz CI GENERAL INSPECTION REPORT r �l (518 ) 761-8256 „ � /, Town of Queensbury Dept.of Community Development Date inspection request received: — -_ Building& Code Enforcement 742 Bay Road ;'� ! Queensbury,NY 12804 Arrive am/pm Depart a 6(a Inspector's Initials Is ` RV NAME: + 1 CCrori,k.V PERMIT# 1,i r(0 LOCATION: )5 (-.�\c- _ �'`Qi-r--G DAIE : \\-- 10 TYPE OF STRUCTURE: ��^ Q � RECHECK - N/A YES NO COMMENTS Footings/Piers I, I I Monolithic Pour Form Reinforcement in Place The contractor is responsi le for • providing protection from rcering for 48 hours following the lawmen of the concrete. Materials for this purpose on s c Foundation/Wallpour Reinforcement in Pla e Foundation/Damppro ing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in ._ Rough Plumbing `� He dig Rough-In J sulation V A/j 4i-oY Foundation Walls Interior R. Foundation Walls Exterior R Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent__ Framing _N Jack Studs/Headers Bracing/Bridging_ Joist Hangers . Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour • Penetration Sealed Fire Wall 2, 3,4 hour / JT U Fi restopping ,/' ` �'.A�� cfrt-.A> 6t\ l ' _,(-(EtK,, GENERAL INSPECTION REPORT (518) 761-8256 -------- Town of Queensbury - Dept.of Community Development Date inspection request received: Building&Code Enforcement - 742 Bay Road t Queensbury,NY 124. Arrive am/pm Depart : al z- Inspector's Initials k l i-.. -S PERMIT# °i / NAME: K c.. G � LOCATION: 51e.Q p-- €4 DALE: 11 7 .. TYPE OF STRUCTURE: RECHECK ', i' • N/A YES NO //COMMENTS Footings/Piers , [ C Monolithic Pour Form Reinforcement in Place The contractor is responsible forg. f l providing protection from freezing for 48 hours following the,placement ,% of the concrete. �,r/ Materials for this purpose on site, .7 Foundation/Wallpour / Reinforcement in Place 1/-D S () L y Foundation/Dampproofing "5 • N .\LN Backfill Approval I Plumbing Under Slab ,� Plumbing Vent/Vents in Place a " Rough Plumbing r Heating Rough-In / Insulation Foundation Walls Interior It- yes Foundation Walls Exterior R- I Floors R- I Walls R- I • Ceiling R- �/ $ Duct work or piping in r unheated spaces R • Proper Vent,Attic Vent I Framing .� Jack Studs/Headers Bracing/Bridging 6' ,ry • Joist Hangers I Jack Posts/Main Bam - , Air Infiltration Barn r '`�a Fire Separation 1,2(3,hour . Penetration Sealed 3 4 hour • �L`- 0 AA-rd �L0�E- FiWall 2, 1 e trestopping Cf: v 4 7 ()A7,6u& 0,),AtcL,(A) Cce ,_‘-r -, C c,r 'e-c (Au. RI10. (R t-Cl5 tk-0606-- Cc=e.c:."-, % ' C P.t l.t.. (OIL C-6-46.-V- 7,1)5r— GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road \` Queensbury, NY 12804 Arrive am/pm Depart am/p Inspector's Initials .Jtn�, NAME: >t^��Cv S '�Y PERMIT# !,inCI\ LOCATION: -c-G4 ,�`� I Y� DALE : 0- TYPE OF STRUCTURE: .c' RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place • The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi ng Backfill Approval Plumbing Under Slab f plumbing Vent/Vents in Place "/Rough Plumbing V' /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- _ Pro r Vent, Attic Vent F arcing_ V Jack Studs/Headers 1/ / Bracing/Bridging Joist Hangers V f✓41G(:_ 144.-067��✓Z �'`y Jack Posts/Main Beam V _ 7 'Air Infiltration Barrier Fire Separation I,2, 3, hour Penetration Sealed Fireall 2, 3, 4 hour F.''°°topping _ V Co(,,--. t 1 �'�I S%Cat �� tc t off jek., GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: C f Building&Code Enforcement - — 742 Bay Road ! ` 05 Queensbury,NY 12804. Arrive am/pm Depart �ni>l�in Inspector's Initial NAME: i s60-11r. PERMIT it c''' 6 --"6. 57 9 LOCATION: c2��/ .a"x DAM:j fG 6 TYP UCTURE: .4_,.,i2/' , ` CHECK , N/A YES NO COMMENTS r Footings/Piers I; I I Monolithic Pour Form /' i 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/WalIpour Reinforcement in Place FoundationlDa mpproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place • Rough Plumbing Heating Rough-In Insulation , Foundation Walls Interior R- / !\ Foundation Walls Exterior R- Floors R- \,, Walls R- Ceiling R- ;' Duct work or piping in unheated spaces R-, ;; Proper Vent,Attic Vent Framing Vi. Jack Studs/Headers Bracin rid it } Joist Hangers Jack Posts/Main Beam' Air Infiltration Barrier / Fire Separation 1,2, 3,hour • Penetration Sealed Fire Wall 2 3,4 hour-' Firestopping /' (� C6,0,3y . i . • (jrCL,.. -il -- frictç1 liallallialligasm•— ,,.. -7:1-4. TOWN OF tilltENSBURYed-' 71, N.,- BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name /(-- .4 (51 -6--,11- 1--.:.- &-,-D — , dp ,--------, PI Location 4 i , -4,1 A._ ii, Date A d Permit 172106-69, SOIL TYPE: es-Loam-C1 ay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ' ,,,( ABSORPTION FIELD: Total Lenti _Iii) Length of each trencIT i 5-5 t: Depth of trencheis Size of stone , bigiViveivre SEEPAGE PITS: Number- Size - ft , x ft. Stone size PIPING: , Slzfl Type .i, Bldg. to Tank '„N,,, 9- ...;4-iP) 0 Tank to Dist. Box h 4 0 Dist. Box to Field/P 24 t4 '- Openings Sealed? Yei No Partial LOCATION/SEPARATION • .71 Foundation to Tank \ / LI feet Foundation to Absorption s '7.) feet Separation of Pits eet c----Conforms as per Plat Plan es No LOCATION OF SYSTEM_ON-PROPERT . (circle one) Front - Rear - (Left Side - ight Side Middle Front - COMMENTS: . iP t --- 66- 44— D 0 1..- (-- ) ' - ,,- ( SYSTEM USE APPROVED: OTS) NO Arrived: Departed: sof e. Building Inspector ----momail c a•rn • GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: ' lay, Building&Code Enforcement 742 Bay Road Queensbury,NY 12$04. Arriva aai i•) Depa644 . • Inspector's r NAME: rn)G PERMIT# 117;— en 1 C, A� ` LOCATION: MU -o�8', `J«.11�L '"" DATE: '—Z.5—C TYPE OF STRUCTURE: cn col P r RECHECK N/A YES NO COMMENTS Footings/Piers ( I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofini ,/BackCll Approval Plumbing Under Slab Plumbing Vent/Vents in I Rough Plumbing Heating l Rou -In Insulation Foundation Walls Inerior R Foundation Walls Exterior R- Floors i R- Walls Ij R- Ceiling ��` R- Duct work or piping in unheated spaces' R- Proper Vent,Attic Vent r Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping :is() 9 GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road /Ainien Queensbury,NY 12804. Arrive am/pm Depart Innspector's Initials _�j NAME: 11.\&.CAP.(4t-r -5 C PERMIT# 4 LOCATION: `,1 DAI'r,: W ' TYPE OF STRUCTURE: RECHECK N/A YES N COMMENTS ootings/Piers ' I Monolithic Pour Form /y ®��� goo-1-5 leo tiA re" t Reinforcement in Place` -- 1Y The contractor is responsible or providing protection from freezing for 48 hours following the placement = 1 l 4 j -��- D 2 oP S of the concrete. Materials for this purpose on site Foundation/Wallpour viJ j 0 L-- t)POP Reinforcement in Place Foundation/Dampproofng Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation _ Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour . Firestopping L7O GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road j ` or, Queensbury,NY 12804. Arrive am/pm Depart = a Ism Inspector's Initials (� NAME: INkikCi -S 6 l�v PERMIT# r C(C� LOCATION: �P&4— DA:I'h: Z TYPE OF STRUC CHECK N/A YE 'NO COM1VrENTS 1 Footings/Piers I I s Monolithic Pour Form Reinforcement in Place fs 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 Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping c›,), 30 GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road T ' Queensbury,NY 12804. Arrive am/pm Depart Inspector's Initials NAME: `►` 0 PERMIT# �u LOCATIO . c Le( e DATE: C> TYPE OF STRUCTURE: RECHECK ,.N/A YES`N COMMENTS otings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for ,, e-6-fr" providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Walipour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior It- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces It- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping • P.. .. • lidlie Sven or observed, or believe 1 saw e i ?,dence-n • all Qbieets such 9 as hOUSeS, wells, t ers , fences, etc , r i shown on this decum;en?t, 1 also rcp es;nt that G have - ;__� personally measured the distances set forth on the diagram." yt_z/(2a____ - SIGN ! IRE .)ATE S$5'41'2Q-. 41.67' • 99,:• c r ____ FF xi .'t. '051 l \ i It tZxlbP is t .it . • aw .,. . . , ` �� - It s ° a Lil t 1 a' 1 . tos . . \-ci`°- r ill 1 1 1` --.- .... tL.— --- ----1.1 4'e.--:-- 1 te .a_ gs 5 A-P-P7c4-, . .©T 66 ' fi 53 if tcT,t:tii—< 140.97' S. A�RA- - JEN DRIVE - - a000-._f_n. ,..,- 6, 7-y- ci 14.---A,..,izite,p:rit ?. • ..--- - 5 ' g 0 1 C. \ (.7, td. a en or observed, or bygliPve I saw evident j r J y^l:>ti�,,_' all oc;ects such as house$; w& s, tree, fences, etc., `-V.�^� shown on this iccument. i a so rerr esl nt that I have �! personally measured the distances set forth on the diagram." 64 ,64//ieg4_, /ci:c_i___ SfGNA.JRE ATE a 20» 585E „ , 41.67' id) 99•'" :,2),,.. „..-,'"- c.. 1 '�5' :,,,,>-- -,..--' 1 \ /fr� 12x1foP�Tt0 2 , / 7 6 ' 3., : 1 , 6\ `N 110-� .i . .::i jrqc' o N., wntmto. 1 *--1 i •G''' til 1 7 Obais 1 z =5c`—_� ! ` `_ -- . .v., _,g1,5 Ap-erTr4\- il C ImoJ' - -t53 -/� 14-Q.97' f 5"41'20"W I