2001-288 TOWN OF QUEENSBURY
i1/4frigs
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010288 Date Issued: Tuesday, May 11, 2004
This is to certify that work requested to be done as shown by Permit Number P20010288
has been completed.
Tax Map Number: 523400-289-013-0001-059-000-0000
Location: 6 NEVER REST Ln
Owner: PATRICK & SALLY RUSSO
Applicant: PATRICK & SALLY RUSSO
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Single Family Dwelling
Dire t AO 'ng C •cement
1
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010288 Application Number: A20010288
Tax Map No: 523400-039-000-0001-043-000-0000
Permission is hereby granted to: PATRICK& SALLY RUSSO
For property located at: 6 NEVER REST Ln
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: PATRICK& SALLY RUSSO Single Family Dwelling 170,000.00
63 TANGLEWOOD Dr Fireplace
S. GLENS FALLS 12803 Total Value 170,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
DAVID FULLER ATLANTIC INLAND
793-6130 NY
10 JEROME Ln
NY
Plans &Specifications
2001-288
2274 SQ FT SINGLE FAMILY DWELLING WITH 2 FIREPLACES AS PER APPLICATION
$272.88 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,May 29,2003
(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 To I eens ; Tu a May 29,2001
SIGNED BY c. / 4 for the Town of Queensbury.
Director of Building& ode Enforcement
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Quee„sbury, NY 12804 [761-8256J
BUILDING & CODE ENFORCEMENT
`,:NOICE Requirements prior to issuance r R
of this permit: PERMIT FILE NO. 01-d•
A permit must be obtained before 4_ -
beginning construction. No inspections ? ` ac
will be made until applicant has received Board Action PERMIT FEE PAID
Sima VALID BUILDING PERMIT. All A'ed / 3e�n-� )/ RECREATION FEE $
applicants. spaces on this application `
MUST be completed sad the signature E] Planning Board Action REVIEWED B : . (-
Of the applicant must appear on the SPR / Subdivision /Other Building Inspector
lication form. Thrnik yuct. Recreation Fee Payment J
Applicant: 2, Owner: Pal-fccl• saiiii Po_cso
• Address: 10,-)fi n►-(0 � om,),0 Address:
6' A) a-L3f-�Via.r/6
Phone # ( _if ) 7J • 13 0 Phone # ( ) j 3- :I/ 6i ficeillva
Property Location: (PIP.t/j 4 39 l �
Subdivision Name: A) Tax Map Number _
Section Block I nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Buil. ' e CONSTRUCTION: $ J7QJ600
esidence / commercial
Addit e : ilding:
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
Manufacturing
•
Other
GROSS AREA OF PROPOSED STRUCTURE: 7
1st Floor //``tt
� a_,,/ sq. 5 Op If ADDITION, what will use
ft. . of new addition be? :
2nd ,Floor. . ., i O Do sq. �S. o�
Other Flouts sq. f . or,
(not unfinished cellar or basement. 664 ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: t� a,7 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
}� Other
30 FEET X /� FEET ')
Foundation Type: l" Y ' Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space oryly) 2 iv
Height (grade to ridge) : 30- feet TYPE OF HEATING SYSTEM:
Number of fireplaCe?s and/or woodstove (circle all which applies)
to be installed:_ 3_. Electric / Oil / Gas / Woody ro '
Forced Hot Air / Baseboard / Other
Person responsib7,e for supervision of work asregards to building
codes is : e- o1J_F FtLG.I ow to ` A i' —fpl3 0
Iiam� Addreisss ` phone
Builder: ,4 U ici • 1� �tLt„ �K- 7�� in.e i A£ Co F 83--01
Plumber: en c.l'ttz,r- k.pan el ?9,,F=07
. Mason: ti 44,, 4110(-1 )D r3a/in ft1,7.4i gd a f 7,✓ -3- el
Electrician: J-y,int1 ')corn . iWou.,h7lat .t VI e.J .C6 F `7cd —i/77
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 Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale showing actual location of project on premises.
Signature: _ •* Of
i- (owner, owner's agent, architect, contractor)
601
Y \ 1~
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Comnl i an ce 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:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - square feet
2 . T-_rpe of Heat - Electric Oil Gas O;her PrOpaii6
3 . Is building mechanidally cooled? Yes tt/ No
4 . Percentage of area of windows and doors Over 17% fX.inder 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls
R
c . Glazed areas R
d . Exterior doors R �T
e . Floors over unheated spaces R U7
Edce of slab on grade (heated building) R J
c. Basement/cellar walls (above grade) R /./
h . 3asement/cellar walls (below grade) R
1 . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device Xes
Co forms to mininum efficiency per code No.
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
App c i D =e Phone Number
ri ',ye" o / :7iv?-0„/ L� 0
INS?EC=CR' S REMARKS:
Y
Fire Marshal's Office • • Town of Queensburv, 742 Bay Road,Quecnsbur}, NV
(518) 761-8205
•
Application for Fuel Burning Appliances & Chimneys .
applicable to solid fuel & vented gas appliances
n
Date ` r 2Q Permit No.e .,fit; f. ,'.�;
Application is hereby made to the Building cf: Codes Office far-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 allot,'all inspectors to eater premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Nam•e ( ; 1---./ ,;r . Stove: wood coal pellet gas
.4,...., t , > ` Fireplace insert
Address: /C•µ i p ,,---4-- . Fireplace, factory-built: wood Jcts , . ,
'c, --a,,,/f F�z f. `ra l l Fireplace, masonry: wood0as
Furnace: wood gas oil
Phone: ._1 f 2,1 ,
' '' -•
If t on masonary applicance, please provide
r f 0 I i' %1
Owner: i if jr flt, tt r Manufacturer Name:
4 .
Address: ,,, t piv, -
. %A- , . Model Number:
u,';, $ f
r/ } .. _:, I .,; a''
Chimney Information '
Phone: (circle appropriate words)
Masonry block brick stone •
,, ' Flue . tile steel size: inches
r
Exact Address: ( /1 'kit) l~(, AT :tt e.
or construction or installation Factory-Built
• Manufacturer name:
Model Number:
;Vote: Listed By: Number: .
Construction/Installation must
conform to NYS Fire Prevention &Building ?Indicate (circle) chimney material:
Code. Consult available Toit'n of Queensbury
Handouts regarding required inspections. Double wallTriple wall / Insulated (Direct( renting-
Chimney.Liner
j Catia iei- ',Gt X epaa exit— Toatscrix or Quaeexzigaripzarrsr, Neaar Yox'kr 1
Fire Marshal Code# 5 Collected S Reliutded Received.front freliarded tq).„ '', t N. * I c_ L
address:"
1173 3389 (i90) Pubic Safety t.` s.. -- ----- - .._
.4 233 2655 (230)Minor Sales
- �
. latArt�, a . i•Vr.G -. -: Owrt. L Gar./ 2
02 L/G1Jtna J.
White(Applicant) i Green(Fire Marshal) / Yello�-(Bldg. Dept.) i Pink&Goldenrod(Cashier's Dept.) •
Member N.F.P.A.&I.A.E.I. '.
ATLANTIC - INLAND, INC. - NEW YORK Electrical Certificate .boo,-aR ' v
Electrical and Fire Inspection-Enforcing&Consulting Service
997 McLean Road,Cortland,NY 13045 DATE: v- i i'14'f.216'2.: '' CERTIFICATE NO.: C— `�c; '63
Pat F4 Sally RUS so
OWNER: • AS APPROVED FOR:
'ile:''or !lest L ile,/Q_lec rsuury Residence:
"
Cil{:C:
ADDRESS:!—`k" GE'31,P.e, NV
i'_Gt1' :�-.n143 aii-'. /c.1.-51ti. 135—r c. /19—ui4i b i e
•1 i :, /I-id25ttwa. /C+"Gt-Ci. rec. /3—v n fans/
.J— gictiti de-I:. X X XX
This certificate applies only to the electrical wiring and equipment listed above on the noted date. NI
A.V-, I?i ?n Electric 1 nr r arras xp ed or implied on this visual inspection.This certificate shall be valid for a period c
ELECTRICIAN: -'`,,
5 i;i$, View Dr. 1 i^, (1—)N
In: fr above noted date.Should the electrical system be altered in any way including,but nc
irpi o th ntroduction of additional electrical equipment this certificate shall become void. li
aU, fiif3)15F�:IS, id`t' '' ..:'+3i-'1^ �� \ d ition,this ertificate applies only to the occupancy use and ownership as indicated herein.AnADDRESS: �/ \: nge in th use, occupancy or ownership of the property indicated above the certificate sha
. immediately become void.If for any reason this certificate becomes invalid due to the above mentionei
conditions,a re-inspection by New York Atlantic-Inland,Inc.is necessary to validate the installation.
Sii;Iiitt 1V:1i n9Fi la.l:: (YJ.hf of t t-2 s..Y.'i 1•rv.,:.:E,J31-: Fi- aipIlleYfi• a 4.,:av:'ta'Pfr Y:'!if:•i"'ei s t•e:i.iritr 5•i•i• .
AI-27
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: /
Building&Code Enforcement e ;-
Dept.of Community Development Arrive am/pm Depart ! arq_/pi ,
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbu ,New York 12804 rm
NAME \ C Y) ) PERMIT#
LOCATIO \\-\QU C-� 3Llr`Q_-- DATE ` 0
TYPE OF STRUCTURE 5 �
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 18 in.or ore
Interior Handrails stairs both sides 3 or more ri s
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"abo e'grade
Gas Furnace shut-off within 30 feet or within 1 e of site
Oil Furnace shut-off at entrance to furnace are
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in. I
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells I
Smoke Detectors: I
every level /
every bedroom /
outside every bedroom /
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required l L` Ake 0$ Vr '
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)
FIRE MARSHAL
AF TOWN OF QUEENSBURY
l QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED,
PERMIT# /'218
NAME '
,,,+ (}�� d
LOCATION /�(�C-Ge- i LA).,
SCHEDULE INSPECTION ON U Z8M d
fAU AM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN�•
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKL, RS
CLEARANCE TO HEATING , NITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT O-71✓ILL
f J Lr v� 4 - 1
REMARKS: OK TO THIS DATE
ci
INSPSLIP.PUB INSPECTOR
FIRE MARSHAL
TOWN OF QUEENSBURY
` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED/ a."PERMIT# ''ag
f NAME ,�/feel
LOCATION A/6- je(- LAt
SCHEDULE INSPECTION ON f/ 79/a ,
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING l
FIRE EXTINGUISHERS
tcssum)
FIRE ALARM SYSTEM
FIRE SPRINKLER S\(STEM
FIRE SUPPRESSION S
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: I
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE I
CHIMNEY /
WOOD STOVE I
FIREPLACE-MASONRY
FII3/�/ - �
P�LACE-FACTORY BUUILT riA/�L--
REMARKS: OK TO THIS DATE
ji2C
INSPSUP.PUB INSPECTOR
.4111gb,. TOWN OF QUEENSBURY
-t'+ ti1 BUILDING & CODE `ENFORCEMENT
r 742 BAYg-iZOAD
/-� QUEEC (3ftY 'Ny 12804
(: (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION EQUESTA RECEIVED:
NAME ____ ( -*(-
2
LOCATION AJ L-4t i/(% ,/ 61)
DATE i(17i8 el PERMIT b 0(-086
C
TYPE OF STRUCTURE /C71()
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION •
FINAL ELECTRICAL _ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VEN /}IEl 1T
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK PORCH STEPS RAILI GS
RELIEF VALVES
FURNACE HOT W ING
INTERIOR TRIM/PRIVACY DO RS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORSC -. d r 1 LL-
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION •
GARAGE FIRE PROOFING I.
DOOR CLOSERS I
FINAL ELECTRICAL
S17E PLAN/VARIANCE REQ.
%FINAL SURVEY PLOT PLAN
i /
OK TO ISSUE C/O R C/C ✓ i
v-✓3lum j .v2 (TG-k
S ,g'
teril 5 e--cP
Nov-27-6J 04: 57P NY Fire & Signal 1 518 792 5199 P-01
• 1'1HE EX7tNOui HEH ? 1
1 E I + YORK • SEC;L RITY ALARMS -
- CLEAN ACEN I SYS I EMS • FIRE ALARMS
- CO2 SYSTEMS J +�
I I •• WATER DETECTION
• RFSTAURANT.HOOD&DUCT I S I Gli 1 • CCTV SYSI EMS
PRE-ENGINEERED SYSTEMS ` • CARD ACCESS SYS I EMS
I-X I INC3L JISHFR CARNETS ` I ' • ALARM MONITORING
t
• FIRE I IOSE&FITTINGS CORPORATION
• INTFr{CQM SYSTEMS
• SAFE-I Y I-QUIPMFNT • TEMPLHAI UHF Al ARMS
• I IHL IHAININ(i 'I GLENS FALLS TE('HNICAI.PARK, CI.]•:NS FALLS. NEW YORK IN OI SPRINKI.Erl MONITOHINc
NYS I.Ic•. # I:'.(l0007hs9.1
PHONE: (518) 79S-9551 I:AX (518) 792 5199
November 27, 2001
To Whom it May Concern, •
Please accept this letter as confirmation that a functional fire and security system is in place
at the residence of Patrick& Sally Russo, 6 Never Rest Lane, Lake George, NY 12845
•
The system consists of a Microprocessor=based control panel manufactured by Ademco •
Manufacturing,photo electric smoke and heat detectors manufactured by System Sensor-BRK,rate
of rise heat sensors made by Chemetron, motion sensors and door contacts from Ademco.
Upon alarm, a local siren will sound for both fire and security activations.
If you require any further information,or have any questions,please feel free to call our office
and we will be glad to assist.
1
Sincerely Yours,
. J. 6t
Ernest A. Sacco
General Manager
EAS:lg
end.
'ZgS
0
I NOV 2 8 2001
TOWN OF QUEENSBURy
BUILDING q
' 9:db
.. ,
TQWN_OE .,QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name WV cid
Location
Date 41 27 ® -' 't #c/-2
SOIL TYPE: San) a n la
• G
Results of Percolation Te t-
(if applicable) Rate Min a/Inch
TYPE OF SYSTEM: -/
ABSORPTION FIELD: Tot.l ength T
Length of each trench /'3 Z
Depth of trenches - A
Size of stone L fair c:'
SEEPAGE PITS: mber-
Size - ft. x ft.
Stone size
PIPING: -
Sir. Type
Bldg. to Tank 5c0 YO
Tank to Dist. Box UI .
Dist. Box to Field/Pit iq 6 2-0
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption . L feet
Separation of Pits Meet
_
Conforms as per Plot Plan es No
--
LOCATION^OF SYSTEM ON PRO'ERT .
(circle one)
Front - Rear, Left Side - Right Side
Middle - Middle Rear
COMMENTS: L,��.>f
oiC 66f*4,1-gO10- K
. 6.2, /4,..) --61/1LT--
SYSTEM USE APPROVED: YES NO
Arrived: •\,
Departed: /llr
f(Y
Building Inspector
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:7=\-)<, l 7�" I NV-
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement t
Dept. of Community Development Arrive am/pm Depart m'(
Town of Queensbury Inspector's Initials . t
742 Bay Road
Queensbury,New York 12804
NAME t).S S PERMIT t# .O I — DU F
LOCATION Q Ar�5. 01 (1rIN Q DATE 8 a2 7- Q 1
TYPE OF STR CTURE T\J 1
N/A YES NO COMMENTS
17
Chimney Height/ B"Vent/Direct Vent Location
Fresh Air Intake f
Plumb Vent through roof
Roof Complete /
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
//11/
Interior Handrails stairs both sides 3 or m .sers
Grade 2%away from foundation /
8"clearance to sill plate i/
Gas Valve shut-off exposed/regulator 1 "above ade ,�//`
Gas Furnace shut-off within 30 feet or 'thin line of site •
Oil Furnace shut-off at entrance to furn ce area /,
Furnace/Hot Water Heater operating `///
Relief Valve(s)installed /r
Headroom,6 ft.6 in.on stairs )
Basement stairs,6 ft.4 in. i ./
• Handrail exterior stairs both sides ore 3 risers /
Interior privacy/trim/doors/main entranc 36" �//
Floor Finish /�f `
Bathroom/Kitchen watertight / iii///
Interior Handrails Balconies/Landing 18 .or more 7/
Railing across window in stairwells �/ / ,
Smoke Detectors: V fi —.
2O li '6 ci 1j; Cc.!? •, 1-/e C- -
every level
every bedroom I A.)-,5% .4-C Z.
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer I ✓
Garage fireproofing
Garage penetrations sealed /
Furnace in separate room protected(in garage) /
Light ventilation perroomY
Safety glazing 18"or !s om floor / �� % Z, /�'/J
Final Electrical l( ( Arc - , ./ U ` ( jUrc f/C
Site Plan/Variance r ui //
Final Survey Plot Plan �^ ,
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Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy). V./
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Okay to issue permanent C/O(Certif.of Occupancy)
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FIRE MARSHAL
OWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT REQUESTl...2EVED�cL1t PERMIT# C9pNAME . PLOCATIONY R
SCHEDULE INSPECTION ON
,AM PM ANYTIME
i41v APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: .
CLEARANCE TO SPRINf'LERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT X
\
REMARKS; OK TO THIS DATE
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FIRE MARSHAL
TOWN OF QUEENSBURY
` j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST EIVEDS&M-D 'PERMIT#
NAME
LOCATION — _e
SCHEDULE INSPECTION ON %-
AM PM ANYTIME
Pm APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCETO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
[
REMARKS: ] OK TO THIS DATE
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INSPSUP.PUB .IN FIECTOR
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GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road rt l
Queensbury,NY 12804 Arrive am/pm Depa ll
Inspector's Initials
NAME: Pl T R Q-1130 PERMIT#_7t]c)1—z j
LOCATION: K1EA} LP = DATE: — —o1
TYPE OF STRUCTURE: 4 Fn
RECHECK
N/A YES NO COMMENTS
Footings/Piers I,
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible '•r
providing protection from free' ng
for 48 hours following-the-pla -ment
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
peating Rough-In
/Insulation \AT FLC�
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
%Walls RR- -1
Ceiling �
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
ir)r)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 Arriv • epart A PAD a j✓
0
Inspector's Ini s� 4, L
NAME: �rSv PERMIT# -- J�j- )
LOCATIO : QA JT — DATE : `� 7
TYPE OF STRUC :
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour F.1
Reinforcement in P ace
The contractor is responsib for
providing prote on from - zing
for 48 hours folio 'ng the pla,-ment
of the concrete.
Materials for this pu ti•-•se on s' -
Foundation/Wallpou
Reinforcement in Pla e
Foundatio 'D. :t i ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i:t Place
Rough P bing
Hea ' g Rough-In
ulation •? y9pp(�
Foundation Walls Inte 'or R-
Foundation Walls Ext- 'or R-
Floors R-
Walls R- \�
Ceiling R- 3 ✓
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 7 pc)
b I 1›.R€:(_Tkori 161)97
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 W'3/m/pm Depart �_1 1 ,i am
Inspector's Initial
_•
Q
^, � PERMIT# , fr./.Qv
NAME:�`'"\ 1, C�
LOCATION: lu ens2,1 r gat- 1 DATE: —. L{ .,:60 /
TYPE OF STRUCTURE: c--�-�n
RECHECK
/
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protection from f ezing
for 48 hours following the p cemei t
of the concrete.
Materials for this purpose on s to
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo' 1.1
Backfill Approval
Plumbing Under Slab
Plum 'ng Vent/Vents in Place
gh Plumbing
Heating Rough-In
Insulation
Foundation Walls Interi or R-
Foundation Walls Exte or R- •
Floors R- °
Walls '-
Ceiling '-
Duct work or piping in
unheated spaces R-
r Vent,Attic Vent /ProTaming `/
Bracin dging // V �wi — 6'a V)Co\ _ %b5 % 1,
Joist V / f‘ pi 1� %t.�
Jack Posts/Main Beam ✓ P�7-«- Ott o ��
Air Infiltration Barrier S3ERM
Fire Separation 1,2,3,hour
ienetration Sealed J.
Fire Wall 2,3,4 hour
F irestopping
/(1
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 Depa
Inspector's Initials J
NAME: v i aer et/S5° PERMIT# ' 6 I oR e
LOCATION: : mum)
TYPE OF STR •
aLe-'2 a
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form \
Reinforcement in Place
The contractor is res.•nsible or
providing protection from -:zing
for 48 hours following's e p .cement
of the concrete.
Materials for this purpose •n :ite
Foundation/W.11pour A
Reinforcement i Plac-
Fours m roofing
kettaant 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 Tnfiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
learn
-SA ETT-MARTIN ENGINEERS PLLC � Project P � �� �a� �1�
Number
( JSSo 2C-3(0ca Ltn.i C4c:
Project/Client
cOPY
PHONE CALL REPORT
I called ')) Party Called Time: dired M
I returned call Date of Week: W I-I F S
Party returned call Date 9 toot
The following was discussed between
JARRETT-MARTIN ENGINEERS, PLLC Title
Professional Engineering of N17 S 0 014
12 East Washington Street Address
Glens Falls, New York 12801
Phone lc/3- 3893
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EMBOSSED SEAL OR INKED STAMP SHALL BE
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Unauthorized Alteration to this map is a
violation of Section 7209, Subdivision 2
of the New York State Education Low.
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