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inspection slipsa0 (618)761-8256 TOWN OF QUEENSBURY BUILDING &CODE ENFORCEMENT 742 BAY RD.,QUEENSBURY NY 12804 THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING| FOR 48 HOURS FOLLOWING THE PLACE- (518)761-8256 TOWN OF QUEENSBURY BUILDING &CODE ENFORCEMENT 74 BAY RD.,QUEENSBURY NY 12004 nsoncron's nerons:ann]20 scenes [2D REQUEST_EOR INSPECTION RBFEXVE! LOCATION pate ype OF STRUCTURE: TOWN OF QUEENSBURY BUILDING &CODE ENFORCEMENT '531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name Qu0vton) Location Geen)Mak 0. Date Sipe permit #5 ~4, SOIL TYPE:Sand-Loam-Clay- Results of Percolation Test-(if applicable)Rate-Minute/Inch. TYPE OF SYSTEM: ABSORPTION FIELD:Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Size -f Stone size PIPII Bldg.to Tank Tank to Dist.B Dist.Bo)eld/Pit Openings Sealed?Yes No Partial LOCATION/SEPARATIONS :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:Coen Dec STRACK S , Ss MeremmbeREAceSeronckeee SYSTEM USE APPROVED:ee‘30 ‘518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION vane Cree KearLocation2Mn Date X~5~rmit SOIL TYPE:Sand:fox Clay- of Percolation Test-(if appl\cable)Rate-Minute/Inch, TYPE OF EM:i Tank to Dist.Box Dist.Box to Field/P Openings Seated?jo Partia LOCATION/SEPARATIO Foundation to fa /Q_feet Foundation to Absorption 2 feet Separation of Pits ee feet Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPEI (circle fie) Front --Left Side -Right Side Middle ~Middle Rear Kacneck (oeen S eT RKLKS OK To CoveR SYSTEM USE APPROVED:YES (NO alngInspector (518)761-8256 vmorecronss nevonas nwel)-CUoeonndl Son PZ REQUEST FORSINSPECTION RECI 4 D: NAME,b KOON):Nm beCl)Ma,7 oe gla Ufa bend»eT _qyPe OF STRUCTURE? RECHECK aque CONTRACTOR IS _RESPON! PROVIDING PROTE TION FRO FOR 48 HOURS FOLLOWING HE RET Qoltoaeon }+10 row OF QUEENSBURY BUILDING &CODE ENFORCEMENT 7d)BAY RD.,QUEENSBURY NY 12604 INSPECTOR’S REPORT:nn 2beon {TION RECEIVED (518)761-8256 pate aver or smucrone:Se a cy fra(TOWN OF QUEENSBURY gy FIRE MARSHAL QUEENSBURY,NEW YORK 12804 <x ra)TELEPHONE (518)745-4424 FIRE MARSHAL INSPECTION REPORTQeGaG REQUEST FOR INSPECTION RECEIVED.SS Ly NAME.yy 2 ony A cocaTiontehS C\gay Way DATE pernit#_Vlo~4 APPROVED N/A|YES|NO EXITS. AISLE WIDTHS, EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO.EXTINGUISHING SYST HOOD INSTALLATIOI AUTO.SPRINKLER EM, ALARM SYSTEM 1 INTERIOR FINISHES ‘STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS. REQUIRED SIGNAGE CHIMNEY. WOODSTOVE. -TREPLACE=MASONRY. FIREPLACE-FACTORY BUILT. fF Lill ECGSE~Vistalah mye gor fol thing 4 -alofie OR REMARKS 2/015 Myey i aS 761-8256 _gonn oF QueEWsBURY BUILDING ©CODE.ENFORCEMENT 742 OAY RD.»QUEENSBURY NY.12804 INSPECTOR’S REPORT:ARR____DEPAN RAY INSPECTION RECEIVED ‘TYPE OF STRUCTURE: RECHECK THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE-aaeeComPieteBRwaQweKors Fornd Wau Arc Haweers AveneR wr Bern (37S ela ig mee ‘TOWN OF QUEENSBURY BUILDING &CODE ENFORCEMENT 742 BAY RD.,QUEENSBURY NY 12604BeesslSieOi ee REQUEST Ff INSPECTION RECEIVEL Q-So G NAME ‘ LOCATION ‘DATE ‘TYPE OF STRUCTURE: RECHECKiTHECONTRACTORTSRESPONSIBLEFOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PIACE- MENT OF THE CONCRETE. Mow 10:0 "TOWN OF QUEENSBURY qf BUILDING &CODE ENFORCEMENT 531 BAY RD.,QUEENSBURY NY 12604 ere ptr,VDPcries EL REQUEST FOB,INSPECTION RECEIVED:@ NAME Geaiao ‘TYPE OF STRUCTURE RECHECK Care Far Recuecs Der om CoveR, (518)761-8256 ‘rown OF QueeNsBURY BUILDING &CODE ENFORCEMENT 742 BAY RD.,QUEENSBURY NY 12804 : siuicelie:gOS 8°10 REQUEST FOR JNSPECTION RECEIVED: Location ‘TYPE OF oeRECIIECK (RHE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING )LLOWING THE PLACE- (518)761-8256 ‘Tow OF QueeNspuRY BUILDING &CODE ENFORCEMENT 742 BAY RD.,QUEENSBURY NY 12004 smssicedte rot weIOs PO ie Ee REQUEST ieee RECEIVED:"0h,NAME, Locationpare vemt s PE -WY/ ‘TYPE OF aRECIIECK ae et\N OF QUEENSBUR Bitm FIRE MARSHAL QUEENSBURY,NEW YORK 12604 TELEPHONE (518)745-4424 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION recerven"be a (Gordc LOCATION.Q Q DATE.PERMITE,Q Qo {] APPROVED N/A)YES)NO EXITS, AISLE WIDTHS. EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO.EXTINGUISHING SYS, HOOD INSTALLATIOI AUTO.SPRINKLER SYS ALARM SYSTEM INTERIOR pate STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS. REQUIRED SIGNAGE VCHINNEY WOODSTOVE. FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT. REMARKS:q OK TO THIS DATE Kbigh tn LOG,bobs +0K Art ltrfperelLath 2/015 INSPECTOR Qoabivree ait ateAIA30 ‘TOWN OF QUEENSBURY BUILDING &CODE ENFORCEMENT 742 BAY RD.,QUEENSBURY NY 12004 INSPECTOR’S REPORT:ARR. ‘TYPE OF STRUCTURE: RECHECK THE CONTRACTOR IS RES! PROVIDING PROTE TION FOR 48 HOURS FOLLOWING fr COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. ‘Main Office 357 Eheyn Terrace —Manheim,PA 17545 MUNICIPAL CERTIFICATE -ELECTRICAL APPROVAL ce,UNS owen. ccupan eesti A /2 nsyllation Consisting of Ca.PU LCAKAMEE,Dias +PRYCR,PMOeo ie ar ett ec meeeesncoeaaiTrenofshitCompanytllshviesof malig irulerolyansllaveteHeheeeDate..4 TOWN OF QUEENSBURY elFIREMARSHALLourt QUEENSBURY,NEW YORK 128047 °Si TELEPHONE (518)745-4424 AID FIRE MARSHAL INSPECTION REPORT REQUEST :INSPECTION RECEIVED /(-ck2~ NAME. LOCATION.Ss ow Ma.Re pate)0-254 (¢permite u-4 APPROVED N/A|YES|NO EXITS, AISLE WIDTHS, EXIT SIGNS EMERGENCY EIBATIVE FIRE EXTINGUISHERS AUTO.EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO.SPRINKLER SYSTEM, ALARM SYSTEM INTERIOR FINISHES. STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS, REQUIRED SIGNAGE CHIMNEY, DS TOVE. TREPLACE-MASONRY. FIREPLACE-FACTORY BUILT. REMARKS =OK TO THIS DATE 2/015 RRRRRH ATER TT BSSH1N|T SSSNDSSH TTT eee Te Ee eels| Town OF.peeBUTLDING&CODE ENFORCEMENT 742 Armeeey,TYPE OF STRUCTURE EY) FOOTINGS__FOUNDATION__BACKFILL ____ FRAMING ROUGH PLUMGING SEPTIC ___INSULATT FINAL ELECTRICAL WOODSTOVE OR FIRBI (TE PLAN, INAL_SURVEY PLOT 9k 70_18s1 (>ic Commcevé Brecxine ~OK AvemoR Rest Bases —OW Couptete Found.[wsvr.. BERG REn OD AER NY NANT