IM Inspection Worksheet_29-11-2021_15-06-30INSPECTION WORKSHEET (012747-2021)
CC-0144-2020Case Number:Case Module:Permit Management
11/29/2021 PassedInspection Status:Inspection Date:
Zoning-PermitInspection Type:Inspector:Bruce Frank
Job Address:Parcel Number:409 Dix Ave
Queensbury, NY 12804
303.16-1-6
Company Name NameContact Type
Contractor Rozell Industries Inc.
Engineer Schoder Rivers Associates, PC Erik Sandblom
Granted Permission Rozell Industries Inc.
Primary Owner South Queensbury Volunteer Fire Co
Checklist Item CommentsPassed
Code Compliance Notes True November 29, 2021: final inspection revealed the site developed
per the zoning permit (SP 74-2019) and Schoder Rivers
Associates As-Built site plan (October 5, 2021) / Erik C.F.
Sandblom, PE, October 4, 2021 As-Built certification letter.
November 29, 2021 Page 1 of 1