2001-440 ..4 TOWN OF QUEENSBURY
Bay Road,Queensbury,
742 NY 12804-5902 (518)761-8201�
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010440 Date Issued: Wednesday,June 20, 2001
This is to certify that work requested to be done as shown by Permit Number P20010440
has been completed.
Tax Map Number: 523400-308-011-0001-003-000-0000
Location: 8 LINETTE Ln
Owner: ROSEMARIE VITALE
Applicant: GUIDO PASSARELLI
This structure may be occupied as a:
Garage- 1 Car Attached By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
•
Issuance of this Certificate of Occupancy DOES NOT relieve the ` -
owner of the responsibility for compliance with Site Plan, '
property P
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.
TOWN OF QUEENSBURY
.•- - 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010440 Application Number: A20010440
Tax Map No: 523400-308-011-0001-003-000-0000
Permission is hereby granted to: GUIDO PAS SARELLI
For property located at: 8 LINETTE 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: ROSEMARIE VITALE
8 LINETTE Ln Garage- 1 Car Attached
QUEENSBURY, NY 12804-0000 SingTotal Vale Flamily Dwelling $150,,00.00
ue $150,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
LAMOTT, MICHAEL
92 NICOLE DRIVE
QUEENSBURY, NEW YORK
Plans&Specifications
2001-440 Lot 53 Linette Lane (House 8 per 8/27/02 fire marshall inspection slip.)
1376 SQ FT SINGLE FAMILY DWELLING WITHCAR ATTACHED GARAGE AS PER PLOT
PLAN SPECIFICATIONS .
$179.76 PERMIT FEE PAID -THIS PERMIT EXPIRES:
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the r ueensbuyy�before the ex iration date.)
/1 n
Dated at e'f ,Q r sb• • .: ''t"..dnesda , June 20, 2001
tiry
SIGNED BY l' 3 for the Town of Queensbury.
Director of Building&Code Enforcement
•
0.212 .1•
/"17146
• ENERGY CODE COMPLIANCE APPLICATION
TOWN OF 9000UHEATINGYDEGREEEN DAYSUNTY i �� )
tC~D
JUN 2 U 2001
Compliance Methods : PART 5 - Acceptable Practice Mete
1&2 Family Dwellings c �U ENsBuRY
• PART 6* - Thermal Rating - Componen
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
• oaf • �� Js
• 7"eyr� /`�wjP.,7 i �,�r7�e, _ 06-b ,
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - I .4/ R square feet
2 . Tv-De of Heat -- Electric Oil i- Gas Other
3 . Is building mechanically cooled? Yes !/ No •
4 . Percentage of area of windows and doors • Over 17% t/Under 17%
5 . a-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R LQ
b . Exterior walls R 1 Cf
c . Glazed arels R �� a
d . Exterior. doors R /4, .s/
e . Floors over unheated spaces R /7
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R �--
h . Basement/cellar walls (below . grade) R
i . Heating/cooling-ducts-piping in unheated space R </, 7
• 6 . Service (domestic) hot water heating device •
Conforms to minimum efficiency per code I/ Yes No
•
TEMPERATURE CONTROL MAXIMUM SETTING 140° — WILL NOT BE EXCEEDED
Appl ica-1t ' i �na re . Date • Phone Number
i7i 1420/ 7/Vf-6-A102l
INSPECTOR' S REMARKS :
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518) 761-8256
A permit must be obtained before beginning construction. Permit File No 0�7� ���� tv I V
No inspection will be made until applicant has received a Fee Paid o. t "/ • p
valid building permit. All applicants' spaces on this Rec. Fee Paid $ 'i °t.ii 7• `.
application must be completed and must appear on the
Reviewed B . A
application form. / ®MN O QUEEI�l�Blid��
Applicant: 7 YY ieajc,&7";-t1 _51 G► •Owner: _
Address: 3'02 /' o 0 l'r 495i ii Address: ��inli►Jill
Phone#( ) '4<6 �/ Phone# (
53 9 ► • .
Property Location: Lot Number: / House Number ter,'_,\;4 Aine,Tre, 1, n ,
Subdivision Name: tic y'e , t y, Tax Map Number:
New Building: residence /commercial Estimated Market Value of Construction: $ f•t? DO 0 _
D Addition: residence/ commercial If an Addition, what will use of new addition be?
o Alteration: residence/ commercial
❑ No change to exterior size: residence/corn'!
❑ Other work(describe )
• LIU Check Occupancylnformatio„ is' Floor 2"l lloor Other floor Total
1
1
,7 Below sq.ft. sq.ft. sq. ft. Square Feet
� t
t v ( \ ,, t�Single family dwelling /3 7(
�5 o Two family dwelling
-0 1 ❑ Townhouse
o Multifamily dwelling
#of units
—_ •
o Office •
o Mercantile •
o Manufacturing
o 1 car detached garage
❑ 2 car detached garage
e-C� ❑ 3 car detached garage --
rr11 ❑ 1 car Attached garage
—
�b* iv v 2 car attached garage tsar
0 3 car attached garage _
9Z ��. ❑ Storage building-
'\ commercial •
❑ Storage building-
residential
o Other
Will any second-hand or ungraded lumber be used? If so, for what? /'/0 •
Type of Ideating System: electric/ oil / 4/wood./ Creed hot& baseboard/other:
Number of Fireplaces to be installe Number of IVoodstoves to be installed
List below the person(s) responsible for supervision of work as regards to building codes:
•
�NI Name Address Phone Number
Builder f I 'ir, )a"li --7�6-'tj2, 2/
Plumber / i/ 69'6 -,3777
Mason A, e e- D 2.2 J l yag /I/‘r
Electrician lyt9 e. L-. 0714 .5 —;.(0263_0_
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,arc 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 he complied
with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that 1/we shall •
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new coast-action.
Signature: 0 4e �'®/��z owner, owner's agent, architect, contractor
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
Office Use
Location of installation: I C/ 1 i n N 7
p
"S 1 / File Permit No.c=X l
Tax Map No. / I 7 &
Fee Paid
Owner's Name: Terre ,P1,1CA ri
Address: Sa J'J,Lol e 17 r, Q,s k RECEIV ED
JUN 2 n �p
2. INSTALLER'S NAME : "irk /v/�Yr� 6i4 ey �Obl,� PHONEWO. 79r'- ‘1'�
tV OF
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate Hddtlq( U E , "1��,'°,,`Fi of
bedrooms with applicable gallons per bedroom to equ '1P•:y flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present 3 x 110 gal/bdrm = (R80
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes / no L/
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography • Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
lat an at what depth at what depth unici a
Rolling oam feet feet we .
Steep slope clay if well; water supply
_%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be 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: 4&)p gallon (min. size 1,000 gal)
Tile Field: each trench 0-0 ft Total System Length: Q0 ft
Seepage Pit(s): number of size of each: ft by ft.
Size of Stone to be used: # / depth or thickness feet
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
Note: Alarm System and associated electrical work must be inspected by a Town approved
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 Town of Queensbury Sanitary Sewage Disposal Ordinance.
ge /11,2.)).11,ea/.44/7*40 2/02, /
Signature afresponsible person Drate
r
Building Permit Application' D = - __ ..,u
. Town of Queensbury-Dept of Community Development 742 Bay Road,Queensbury,NAME � $
513)761-8256 c-T ,.. '
i A permit must be obtainedbefore beginning construction. Pettit File No. • J-�`/-!6/0
No inspection will be made until applicant has nIs ;i .- aid • $ ,
'i valid building permit. All applicants'"spaces o 7' i w lNF
Fee Paid $ 1 �
application must be completed and must appear gl]JlbfV2'O. of eviewed By: Y"
. application form. ,
i
TOWN OF QUEENSBURY `�` v> L�'
Applicant: "_. _ 7 � BUILDINQ}�'N�•CODE /1 if1
�' VF( 7 3 200i
Phone#( ) TOE�F QUEEIVSBURY"
Phone#( 7y4^ice yn21 - IUILDING ]D CODE
Y
Property Location: Lot Number:_ House Number_ --_ / �I#i
' Subdivision Name: He,ya f d .3,.L Ye_• Tax Map Number F. j
i -ems . /`173
• New Building: residence /commercial t Estimated Market alue I Construction: $ uJ � p� Q •
❑ Addition: residence/ commercial
If an Addition, what wil!use of new addition be?
❑ Alteration: residence/ commercial ' \ i
❑ No change to exterior size: residence/com'l
❑ Other work(describe ) f
�,
•
• Check Occupancylnforinatioit 1" l loc 2'" oor Other floor Total
Below sq.ft. '.ft. sq.ft. Sc c• • Feet
��WSingle family dwelling � i :\ /6 rg q � i'Z•
❑ Two family dwelling \l'
o Townhouse • • ,/ , .
/
❑ Multifamily dwelling /
. #of units rj
o Office /' \
o Mercantile • / 1
• ❑ Manufacturing I
i�` 'G��,❑ 1 car detached garage .'�
v•
� 0 2 car detached garage
i i $ b
3 ❑ 3 car detached garage
1 car attached garage/ i2 4 t .
Li car attached gara_;° . •
❑ 3 car attached gar ge
❑ Storage building / .
' commercial
0 Storage buildg- .
residential .
• ❑ Other .
Will any second-h. d or ungraded lumber be used? If so, for what. " .
Type of Heating i.ystem: electric/ oil /ariwood /fo ced hot ._•- / baseboard/other:
Number of Fireplaces to be installed 0 Number of Woodstoves to be installed
7/1;0
ist below the person(s)responsible for supervision of work as regards to building codes:
Name • Address Phone Number
•
Builder 41 nu 1 mi ITo r i 7 " 4/i2/
• Plumber 141Y/M11,. Tt9ry '
Mason IR�it ra 0 -
. Electrician Roses L'm�,.L,...g •7i)0?4
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 tnie and complete statement of all,proposed work to he 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 I/we shall
submit,prior to a Certificate of Occupancy or Certificate ofCompliance being issued,-as requested by the Zoning
Administrator or Director of Building and Codes,an As Built Surrey by a licensed surveyor;drawn to scale,showing actual .
location of all new construction. .
Signature: 'Iv .044 _ owner,owner's agent,architect,contractor
)
:. { r------------°Town
of Queensbury
N_ Fire Marshal's Office
-- 742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax (518) 745-4437
1
�- Fire Marshal's Inspection Report
Request �I ��1� �1 l SCHEDULE '
Received: gel-0/ Permit# of f- `11O INSPECTION ON: M ea ,Z, D D
Name: ry-c ' -Z.- r'7L7 _ L � AM P IME
Location: hr 53 b f,-e
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS z4-4k76_..--
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM f
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
/CLEARANCE TO HEATING %
UNITS /
CLEARANCE TO ELECTRICAL /
REQUIRED SIGNAGE j ,`
EMERGENCY PLAN •�
MAXIMUM OCCUPANCY SIGN \
CHIMNEY
MASONRY ROUGH IN
FINAL _ N
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS '
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN
OK THIS DATE 4.41 ` Odd :- a.K
FINAL
FIREPLACE (P't� Am.A i/FACTORY BUILT ROUGH IN / I /' jINSPE •- r. ,: i
FINAL
COMDEV/CHRISJ/WORD/LETTERS2001/FIREMARSHALII'SPECTIONREPORTII I . '01
WHITE-BUILDING DEPARTMENT COPY Y.: •W-OCCUPANT COPY
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(1 (518) 761-8256
-
ARRIVE: • DEPART: INSP:
FINAL INSPECTION REPORT - RESID NTIAL
DATE, PECTION REQUEST RECEIVED:
NAME 1/1� 1 o lS `� e r ry- ^e.,ys C
LOCATION V-`1' pL(jj
DATE 4,).(p/Q)- PERMIT # 2Ol- !�D
TYPE OF //STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL_ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT / /
ROOFING
EXTERIOR FINISH �
DECK/PORCH/STEPS/RAILINGS \
RELIEF VALVES \
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS \,
FINISH FLOORS: \
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
Ili .
C_) Art
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: r �•
Building&Code Enforcement
Dept.of Community Development Arrive 1=4••1 p/0%epart 1 •Were
Town of Queensbury . s.ctor's Initia
742 Bay Road
Queensbury,New York 12804/ 1 /
NAME e ( �J/� / PE' 1102)(—7 0
LOCATION �7`53 (s 1 P I -- DA '
TYPE OF STRUCTURE/ itg f)
r'J �j N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location ✓/ r fr-,_.6-(e
Fresh Air Intake N.// -f���d
Plumb Vent through roof J
Roof Complete ✓/
Exterior Finish Complete ,/
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,Ianding 18 in.or more ✓/ '
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation ;
8"clearance to sill plate ./Gas Valve shut-off exposed/regulator 18"above grade 1.// /
Gas Furnace shut-off within 30 feet or within line of site ✓ ✓ /
Oil Furnace shut-off at entrance to furnace area /
Furnace/Hot Water Heater operating 1,.
Relief Valve(s)installed li
Headroom,6 ft.6 in.on stairs .
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers ✓�
Interior privacy/trim/doors/main entrance 36"
Floor Finish ✓/
Bathroom/Kitchen watertight / ✓f
Interior Handrails Balconies/Landing 18 in.or more � 'OiRailing across window in stairwells r.
Smoke Detectors:
every level %/
every bedroom 1/'
outside every bedroom ✓f
inter connected t�
Bathroom fans
Plumbing fixtures
Foundation insulation �//
3/4 hour fire door/door closer
Garage fireproofing xit
Garage penetrations sealed / ✓ ,"
Furnace in separate room protected(in garage) x j� „
Light ventilation per room ✓/
Safety glazing 18"or less from floor / ve\,„
'%
Final Electrical f �� 4t, ,
Site Plan/Variance required i' I
-N \ ‘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) �%
C_la �
4 \010:1\‘
Wt
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name L , ''
Location der Z ,
Date ? * Permit li a0(}/•- 4-No
SOIL TYP : Sa -Loam-Clay-
Results ercolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM: ---7-
ABSORPTION FIELD: Total Length _
Length of each trench 7 5?)
Depth of trench s 2-
Size of stone aZ--
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size A
PIPING: S �
Bldg. to Tank S Z;ii
ye)
!)
Tank to Dist. Bo i A zd
Dist. Box to Fi . P' �� t�
Openings Sealed? � No Partial
LOCATION/SEPARATI,$
Foundation to Tan ()feet
Foundation to Abso stion eet
Separation of Pits _ et
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM I PROPER •
(circl ,,
Front - Rear Left Side - Right Side
Middle ro - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: NO
Arrived: /
Departed: ' 5101 S (-2L//
Building Inspector
„,c a4J
7/
F1 Town of Queensbury
N Fire Marshal's Office
-- , 742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
r �
Fire Marshal's Inspection Report `/L 6
Request SCHEDULE U/
Received: 7/7 Permit# z9dLl -Y'V INSPECTION ON: o%zai
Name: Po'.A -Zv Z a krj AM ANYTIME
Location: 4.1 f 5.3 - Ne,7e, 4.6 n rIMMIM„
APPROVED
N IA YES NO COMMENTS
EXITS
AISLE WIDTHS , r�
EXIT SIGNS-NORMAL
BATTERY
EMERGENCY LIGHTING _V
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THl A E K FOR CO NOT OK
FINAL
FIREPLACE-
FACTORY BUILT`-/ ROUGH IN ���/// INSPECT D BY
FINAL
COMDEV/CHRISJM/ORDILETTERS2001/FIREM HALINSPECTIONREPORT,1022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
t---ei/1 s'r Ler Joef._
r//fir lace, I/I rfl
FIRE MARSHAL
f TOWN OF QUEENSBURY
1 j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUESTR VED 7 S" PERMIT# jcai-VYe
NAME
LOCATION ko / 53 /J12 e-
SCHEDULE INSPECTION ON
\ ) �Y NYTIME
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 SPRINKLER
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY \Q� /
FIREPLACE-FACTORY BUILT Co O ��`/ V
REMARKS: E] OK TO THIS DATE
(pczc-'7,-)
6 7,&(25. i,,,b to,
1-Acfr v- c.---- k„,.
WSPSLIP.PUB / �NS�P�E�TO
Oal.0 Fad / F V\k'w
f • -7"
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
• (518) 761-8205
FIRE MARSHAL INSPECTION REPORT ,l
REQUEST RECEIVED - PERMIT## 0 (-� V
NAME ! ft75�I1'(QC-c_c-/
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING j
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY �`��
FIREPLACE-FACTORY BUILT
REMARKS: Aj OK TO THIS DATE
.41 G
,u11P<
INSPSLIP.PUB INSPECTOR
Office Use
GENERAL INSPECTION REPORT Inspector:
Ready at time:
Town of Queensbury
Dept. of Community Development Request received: Meet: Gl W T /14t,
Building& Code Enforcement - At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART=`� am/pm -Notes: , ,, ,,a Ft
t�
(518) 761-8256 Inspector's Initials J
NAME: pk-4-440.Zet- l PERMIT# sor 'No
LOCATION: 6'r �9 �(N&-��1 rC� INSPECT ON(date): '''
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing I
for 48 hours following the placement
of the concrete.
Materials for this purpose on site •
Foundation/Wallpour
Reinforcement in Place
Foundati on/D amppro o fing
Backfill Approval
Plumbing Under Slab
Plu bing Vent/Vents in Place
ugh Plumbing
eatin ,'ough In _
Insulation^ r.� • L� ( r✓L(10
Foundation Walls Interior R- L
Foundation Walls Exterior R- t—o C A--T(b'0 5
Floors R- ✓ ,
Walls R- N `� \ y
Ceiling R-
Duct
r
Duct work or piping in CAi L- v/e katc-c<
unheated spaces R /
-
Proper Vent,Attic Vent
Framing .
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fir 'Separation 1,2, 3,hour
P netration Sealed
ire Wall 2,3,4 hour
i Firestopping k)/
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
74-1 l
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 7 d-- ord
Building& Code Enforcement O
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart ,I a pm
Inspector's Initials
N f�-z�(2 PERMIT# (!` T1
LOCATION: Lt`�j 3 !�'"Z/�� G'` _DATE : r r3-
TYPE OF STRUCTURE: ]
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7-1
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/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
oug /
h-In _ CC,����,�
Insula ioi ��� eN1 o
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
FIRE MARSHAL
TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED i I PERMIT# ddo l L%YD
NAME ,; fO, uii
LOCATION L Live-
SCHEDULE INSPECTION ON QZ
AM PM YTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTI
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT tig_
REMARKS: Do 03h_la- Fi'RaP)a, ,Ei OK TO THIS DATE
4/(1 gzik
j7wo - ( - ri'rin � vi
INSPsuP.PUB .INSPECTOR
•
Office Use
-GENERAL INSPECTION REPORT Inspector:
Town of Queensbury i Ready at time: i� 60
Dept. of Community Development Request received: Vd e Meet:
Building& Code Enforcement / At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART " ' 1 am/pin Notes: rioligisto
(518) 761-8256 Inspector's Initials J(z.C_`
.PaSf(je,//i NAME: PERMIT# O Odf- /yt 9 0
Lt �
LOCATION: 5 3 A,/Iqc /re INSPECT ON(date): Vai' l /e /s
TYPE OF STRUCTURE: S.f
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement � � ) ,0
� ,V`of the concrete. foi /..-- .
Materials for this purpose on site_ I
Foundation/W allpour _
Reinforcement in Place
Foundation/Dampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
•eatin A R+ giJJIi
nsu ation
Foundation Walls Interior R- _
Foundation Walls Exterior R- `\
Floors R-
Walls R-
Ceiling R- _
Duct work or piping in , '
unheated spaces R-
Proper en ttic Vent7r- ,
` , ng
Jac c Studs/Headers / .
Bracing/Bridging ✓/
Joist Hangers /i/
Jack Posts/Main Beam ! /
lr �IUration Barrgzer w= 3/
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
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L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
A/
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queenshury
Dept. of Community Development Date inspection request received: / O/
Building& Code Enforcement
742 Bay Road :1/)
Queensbury,NY 12804 Arrive am/pm Depar fam/pm
Inspector's Initials �, •-
NAME: �'C
/Z s PERMIT# /- 1/6
LOCATION: DATE :
TYPE OF STRU TUBE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers '— I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsible for
providing protection iom freezi g
for 48 hours following the pla ent
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundatio • u..ro.• g
B. . 11 • .. . ; 0111.
Plumbing Under Slab
Plumbing VentNents in Pike
Rough Plumbing
Heating Rough-In
Insulation !�
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors
Walls rR-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers 1
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping_
fiy)
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 anti Depart_sL , �a irp�•
actor's Initials
NAME:V�.V p ( 7AQ:) PERMIT# g LI 0
LOCATION: DATE : /61 c -o?aD /
TYPE OF STRUCTURE:
RECHECK
N/A YE+ S�O COMMENTS
o ngs/Piers —� V I
onolithic Pour Form
Reinforcement in Place 2 _ 1a. V/
The contractor is responsible for
providing protection from freezing
for 48 hours following the place er t
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents ' ce
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
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
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,c pm epart 'attar t ri
ector's Initia
NAME: v � � PERMIT# • '01/_ L`kj\-C)
LOCATION: ' DATE : - i,C)
TYPE OF STRUCTURE:
RECHEC
r
J
\ N/A NO COMMENTS
ngs/Piers I
".:`-Monolithic Pour Form\ I j
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 9n 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
RECEIVED
DEC 1 3 2001
• TOWN OF QUEENSBURY
BUILDING AND CODE
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