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2001-801 TOWN OF QUEENSBURY Fo* 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010801 Date Issued: Monday, April 15, 2002 This is to certify that work requested to be done as shown by Permit Number P20010801 has been completed. Tax Map Number: 523400-278-000-0001-029-000-0000 Location: STATE ROUTE 149 Owner: THOMS & YVONNE KOCZWARA Applicant: THOMS & YVONNE KOCZWARA This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace rj,"1 Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010801 Application Number: A20010801 Tax Map No: 523400-278-000-0001-029-000-0000 Permission is hereby granted to: THOMS &YVONNE KOCZWARA For property located at: STATE ROUTE 149 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: THOMS & YVONNE KOCZWARA Single Family Dwelling 250,000.00 3411 LAKE SHORE Dr Garage-2 Cars Attached PO BOX 74 Fireplace LAKE GEORGE,NY 12845 Total Value 250,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency CONSTANTINE BULDERS INSPECTOR. THE 292 LOCUST Ave 543 EASTLINE Rd AMSTERDAM.NY BALLSTON SPA.NY.NY 12020 Plans &Specifications 2001-801; 511 State Route 149 2200 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $314.60 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 01,2002 (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 T n of Qu nsbury; hursday,November 01,2001 SIGNED BY 4 , }� for the Town of Queensbury. Director of Buil • g& 'de Enforcement 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 Nc;1100/'-c()/ No inspection will be made until applicant has received a Fee Paid S"?/q, (Q0 valid building permit. All applicants' spaces on this Rec. Fee Paid S. - application must be completed and must appear on the Reviewed By: application form. Applicant: CONSfl K), ets,INje3 Owner: tf % LOC7A-1VA G►-G Address: all_ (6 Address: Irk 655v9.42. A-tx- Pr-t,5 ke rtA-- LZ5 r tJ A• b )6 74 Phone#(519y ) 8'(7 - Phone# (76c ) 666 - t s2s MLir 31e15' n ze,kc Property Location: Lot Number: / House Number 5 I( / Subdivision Name: Tax Map Number:4 7 g %— cos - / 3d -- I-/o , / New Building: residence /commercial Estimated Market Value of Construction: $ 2cd r(n7 Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe ) Check Occupancylnformation ist Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 2 24 0 - 2 2.dj ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling I RECENEIP #of units ❑ Office • 1 OCT 2 A 2001 ❑ Mercantile ❑ Manufacturing I TOWN OF QUEENSNRY. o 1 car detached garage BUILDING AF1D CODE o 2 car detached garage o 3 car detached garage , o 1 car attached garage I • ! 2 car attached garage 5/ (-0 o 3 car attached garage o Storage building- commercial o Storage building- residential o Other What is the proposed height of the structure 2 S feet d inches Will any second-hand or ungraded lumber be used? If so, for what? n,!) Type of Heating System: electric/ oil / ga /wood / rced hot air/ baseboard/other: Number of Fireplaces to be installed \ Number of lVoodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder C c3v\ St7-r-ONe,e t-01R?S _ eT((L Q'aLQ Plumber Mason Electrician / e C c, 3 Y1 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,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 construction. Signature: ���' �„ ). t. caner,owner's agent,architect,contractor Application for Permit— Septic Disposal System Town of Queelrsbwr;y 742 Boy Road Queelnhuly, NY /2804 (518) 761-8256 1, OWNER INFORMATION: ' • Office Use Location of installation: p� - Kilo Portrait No. oz/—�J©i Tax /Map No. 3U / / / /6) , / • Owner's Name; yO1111 •eon��f� Fee Paid • Address; ' • 2. •'INSTALLER'S NAME : PHONE NO. 3, RESIDENCE INFORMATION: (circle year of dwelling, indicate It bedroom(s) and multiply Il of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of f odryoiM x Cvnlpulatiou = TQtal Daily Flow 1980 or older x 150 gnl/bdrllt = 1980— 1 99 1 x 130 gal/bdrm = 1991 —present 7 x 110 gal/bdrm = 3 30 Garbage Grinder Installed yes / no / Spa or'Whirlpool Installed yes / no t 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) • • IQP.QI uutIlY �$.oil.(atti.te_--_. .C1.tetrnd.Wnl 111. _.Il.eStruck..or;,)tmpoty.1onsiAnl9.ti.fl_ _Oor teslic_Wgter.Su rir.ly Nal sand rrr who/depth or Oka depth outworn/ i'oUln f; loam i fi.'et ___— feel well Steep slope c ay -- 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) Role: t_S minute per Inch 5, PROPOSED SYSTEM: For New Construction: All Individual sewage disposal systems must be designed by it licensed professional engineer or architect (unless installed in a Planning(leant approval sulxlivision), Add 251) gallons to the size of the septic tank and leach field for each (iarbagc Grinder, Spa or Whiillool Tub. . Septic Tank: MO 1 gallon (min. size 1,000 gal) Tile Field: each trench (0 ® f1. Total System Length: 3 6 0 f1. Seepage Pit(s): number of size ofeaclr: __f1. by f1. Size or Stone to be used: ll _____ ______ / depth or thlckne.r.r,__,--._._...._._fi'e/ Bod System Size: x Alternative System: length and/or size 6, HOLDING TANK SYSTEM: (if required) Number of tanks: / Sizo 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 road) For your protection, please note flint pursuant to Section 136-29 of tiro Code of the Town of Quoonsbury, 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 road the regulations with respect to this application and agree to abide by those and all requirements of the Town of Quecnsbury Sanitary Sowago Disposal Ordinance. PA Signature of responsible person Date Fire Marshal's Office Town of Queensbui y,742 Bay Road,Queensbury,NY (518)761-8205 • Application for Fuel Burning Appliances & Chimneys • applicable to solid fuel & vented gas appliances c r� r, a c.v./Date .. .44.j ~�- � 20 Permit No.w, E4 1 1"-- r . Application is hereby made to the Building& Codes Office•for 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. NOTE to applicant.. Rough-in and Final Inspections are required. Applicant Information Fuel Burning,Appliance Information • (circle`appropriate words) Name: r ( ,. t � . Stove: wood coal pellet gas • Fireplace insert Address: -)_ el 2. f , 1, r- Fireplace, factory-built: wood rg Fireplace, masonry: wood gas • - 6 Furnace: wood gas oil Phone: • (: t r (• �.t � ? If non-masonary applicance, please provide Owner: ":s,, , >�.;;;, rp,,, ,;,, pi- , Manufacturer Name: "Lib, Address: f r- l �'P:r Model Number: ,�- L1 r CO - " Chimney Information • • Phone: ,_� ,.�, .� (circle appropriate words) Masonry block brick stone Flue tile steel size: 7 inches Exact Address: ; c ,,.�,. . of construction or installation Factory-Built Manufacturer name: . 5- , ,; ;,, .,, Model Number: 7 Note: Listed By: Number: Construction/Installation must • conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queenshury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner Ca..hier'iii JCINepsivetme_rat Qix49exterbury, New Yw J : Fire Marshal Code# Collected $Reliurded Received from (refunded to): ok.,,A.-t;; /41 >4°-%`a �yw? address: A 173 3389 (190) Public Safety '--�. A 233 2655 (230)Minor Sales :' / DATE: 10 i j{ — • } • White(Applicant) / Green(Fire.Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.) �� / / ��,�=� ENERGY CODE COMPLIANCE APPLICATION CJ/ ' TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Npthods : PART 5 - Acceptable Practice Method - r � 1&2 FamilyDwellings onl 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: C°orJcr -rixi t PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - >24?) square feet 2 . Type of Heat - Electric Oil ✓ Gas Other 3 . Is building mechanically cooled? / Yes No 4 . Percentage of area of windows and doors Over 17% ✓ Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R ;e b. Exterior walls R 1' -�' c . Glazed areas R 3 d. Exterior doors R S-fcer(gum ' e. Floors over unheated spaces R 1�l f . Edge of slab on grade (heated building) R AM- g. Basement/cellar walls (above grade) R me h. Basement/cellar walls (below. grade) R Afir i . Heating/cooling-ducts-piping in unheated space R Rgq 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applicant ' Signature Dat Phone Number G.� °V221 61 $' -l2 ys'LD INSPECTOR' S REMARKS : l( CV- do RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ' Building&Code Enforcement Dept. of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Ini 'als 742 Bay Road !r' Queensbury,New York 12804 46 y. NAME VO2-( �lV AA- 1- vk 3 PERMIT# I (- 11„, ., LOCATION , DATE - •� 7/ , TYPE OF STRUCTURE ---+-" N/A YES NO COMMENTS ` v' . : ': / `' 7 Chimney Height/ I Vent/Drrect Vent Location --T__-` ,�n ' 005 Luc' Fresh Air Intake c�� T Plumb Vent through roof Roof Complete Exterior Finish Complete _ Interior/Exterior Railings 30"to 36" ( Exterior Handrails,balconies,Ianding 18 in. t•r more Interior Handrails stairs both sides 3 or more risers \ Grade 2%away from foundation i 1 8"clearance to sill plate , 1 , Gas Valve shut-off exposed/regulator 18"above grade 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 I Relief Valve(s)installed f / Headroom,6 ft.6 in.on stairs I / Basement stairs,6 ft.4 in. / / Handrail exterior stairs both sides mo a than 3 risers Interior privacy/trim/doors/main entra&e.36'" Floor Finish I CO 22C /ate Bathroom/Kitchen watertight I --- Interior Handrails Balconies/Landing 18>�.or more Railing across window in stairwells _ n L Smoke Detectors: 1 0Co LU k N i U/�" every level every bedroom Ks outside every bedroom inter connected Bathroom fans P, robing fixtures oundation insulation \ / 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per o Safety glazing 18", les rft i _p Final Electrical e v ' pr /A Site Plan/Variance uired // 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 `i _ TOWN OF QUEENSBURY , • QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# oi� 4/ NAME 147c z 1kp kte4 LOCATION 3 I 1 .Pr_ 1' ris SCHEDULE INSPECTION ON / g if vAM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDS EXIT SIGNS EMERGENC LIGHT!\IG FIRE EXTING SHERS FIRE ALARM S STE.1 FIRE SPRINKLE" STEM FIRE SUPP` : 1N SYSTEM HOOD INSTALLATI3N INTERIOR FINISHES STORAGE: CLEARANCE Ti SPRINKLERS CLEARANCE TO EATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT riN/i-v REMARKS: OK TO THIS DATE F1- INSPSLIP.PUB INSPECTOR LA • 416P-43 ',I-3 . RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ) }d� Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart 1'l� j Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 r, NAME ko C`Z Li PERMIT# CID l S,U LOCATION /l •c.1 itc�2k 149 DATE / U : (�l CJ! TYPE OF STRUCTURE J- f7 t.!,t �.�t;:-e -1'<n rrJ) N/A YES/NO COMMENTS Y Chimney Height/"B"Vent/Direct Vent Location /// • Fresh Air Intake Plumb Vent through roof ,: //, . Roof Complete Vf Exterior Finish Comple e \ ✓ Interior/Exterior Railin 30"to 36" Exterior Handrails,bale nies,1 ding 18 in.or more /� Interior Handrails stairs oth side 3 or more risers t/f Grade 2%away from fo dation I ✓� 8"clearance to sill plate I I ✓r- Gas Valve shut-off exposed/regulator 18"above grade tri Gas Furnace shut-offwithirt30 fegt or within line of site f Oil Furnace shut-off at entrafce to furnace area ✓ Furnace/Hot Water Heater opteratting Relief Valve(s)installed 1 gc4e,,Oti.& i<AA-F-- I 1 kr 7'‹ Headroom,6 ft.6 in.on sta ' ' Basement stairs,6 ft.4 in i � ff ' j a i.q R , A r r Handrail exterior`s airs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" �' Floor Finish I / Bathroom/Kitchen watertight \ J Interior Handrails Balconies/Laniling 18 in.or more_ 1/j 0Railing across window in stairwe s ✓� � Smoke Detectors: every level �j � J t.5 r every bedroom /outside every bedroom / J inter connected / Bathroom fans / i// Plumbin fixtures I v (� oP�j Foundation insulation l- L. � -" U - 3/4 hour fire door/door closer V Garage fireproofing `/ r Garage penetrations sealed / ✓ Furnace in separate room protected(in garage) ✓ i' / Light ventilation per room �/ Safety glazing 18"or less from floor tit/' &j7 1=/A) - Gc-6�` Final Electrical t Site Plan/Variance required / / Final Survey Plot Plan NL .D 6.4"j,9 L yU,,e1/ I 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 CIO(Certif.of Occupancy) FIRE MARSHAL / TOWN OF QUEENSBURY j QUEENSBURY, NY 12804 (518) 761-8205 • E MARSHAL INSPECTIO REPORTS hl REQU. T RECEIVE, PE'4. IT# 01� NAM' oGZGv ik-A.A. LOCATION . lk, 4. /2 '', SCH:DULE INSPECTION ON 4 11 ... 1 I 0 2.....-.- AM PM ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGH G FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SY EM , FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINIS ES STORAGE: CL A RANCE TO SPRINKLERS CL:.RANCE TO HEATING UNITS REQUIRED IGNAGE CHIMN V WOOD TOVE FjREP CE-MASONRY �,��' E LAC�—69 �FACTORYBUIL �H,, ! RE ARKS* 00Z 17 7 i IIRIDK TO THIS DATE dc.P-c INSPSUP.PUB INSPECTOR Ak GENERAL INSPECTIQALREPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request receiv;d: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm tiepart�'' �a pm Inspect 5 is Initials'� NAME: l; UC.Zv�• Pc PEN I T# '' A LOCATION: \' TE : Z 0V TYPE OF STR CTURE: RECHECK N/A : NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place • The contractor is responsible .r providing protection from freezi for 48 hours following the placeme• 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 E erior R- Floors R- Walls R- Ceiling R- Duct work or pip' g in unheated spac s R- Proper Vent,Attic Vent Framing Jack Studs/Headefs Bracing/Bridging Joist Hangers /". / Jack Posts/Main Beam�l Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping FIRE MARSHAL `VA _ TOWN OF QUEENSBURY ' QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# 0/86/ NAME Ko, L-2_604-e_il- LOCATION (57I RT. 11' SCHEDULE INSPECTION ON 21 7 D 2 - A PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS '--,,,,. EXIT SIGNS EMERGENCY LIGHT G FIRE EXTINGUISHE qS FIRE ALARM SYSTE / FIRE SPRINKLER SY TEM FIRE SUPPRESSION YSTE)V HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE T SPRINKLERS CLEARANCE T HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOO STOVE F EPLACE-MASONRY /� _ W FIREPLACE-FACTORY BUILT . /41v REMARKS: [] OK TO THIS DATE Clipptitr --- CA9- C.- qte AI?, INSPSLIP.PUa INSPECTOR • 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 m Inspector's Initials C) %�- NAME; Ko '-7_c'lPERMIT# O I B V LOCATION: J"�I DATE : 7 2-- 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 fr z g for 48 hours following the pl�ce ent of the concrete. Materials for this purpose on site Foundation/Wallpour I Reinforcement in Place ) / Foundation/Dampproofing I / Backfill Approval t Plumbin nder Slab Plu ng Vent/Vents in P ee R gh Plumbing L /7/ eating Rough-In nsulation Foundation Walls Interi r R- Foundation Walls Exte 'or 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 c QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# N- sot NAME Ka Gzcio.-►2,g LOCATION SI I per • 1 LV SCHEDULE INSPECTION ON Z/?/az— Ak'l PM ANYTIME APPROVED NIA YES NO EXITS I 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 CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIM)1EY W ••OD STOVE FIREPLACE-MASONRY _ VFIREPLACE-FACTORY BUILT L % . /,v REMARKS: EI OK TO THIS DATE /J 61/ (? rn c) N--3(2-(1 INSPSLIP.PUB INSPECTOR ,. •, . r c. f GENERAL INSPECTION REPORT "3 ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement t 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart t pm Inspector's Initial f p ._ NAME: Z VJG&_\--- - PERMIT#-9L -J )I LOCATION: DATE : Q`0�-230 2___- TYPE OF STRUCTURE: , j RECHECK N/A YE 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 placement of the concrete. Materials for this purpose on site Foundation/Wallpour _ 1 Reinforcement in Place _ Foundation/Dampproofing I Backfill Approval 1 Plumbing Under Slab Plumbing Vent/Vents in Place t Rough Plumbing I , F yea ng4Rough- n �"Z, sulattoi_- -I ✓ C C lik)Slit- -- Foundation Walls Interior R- Foundation Walls Exterior R- i" //1.)5 ift_t.-- too L te Floors R- Walls Walls R- 2 �% `76��- 1 J b. GAGS Ceiling R- Duct work or piping in unheated spaces R- / oper Vent Attic Vent �/ --Framing ';ter jack Studs/Headers racing/Bridging ✓ Joist Hangers Jack;Posts/Main Beam i r� Nr Infiltrahan Barrferr �' U Fire Separation 1, 2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping FIRE MARSHAL t. � TOWN OF QUEENSBURY Flo j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT# d(--84 1 NAME 1<e)c..7___GvAle4 LOCATION 5I 1 T - 1 2t6i SCHEDULE INSPECTION ON 1 131. 102-- AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHE S FIRE ALARM SYSTE FIRE SPRINKLER SYST FIRE SUPPRESSION SYSTEM HOOD INSTALLATION ------- INTERIOR FINISHES _ STORAGE: CLEARANCE TO SPRINKLEF 5 CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY \\_ 7WO D STOVE F EPLACE-MASONRY FIREPLACE-FACTORY BUILT A 4. /4/ REMARKS: ❑ OK TO THIS DATE ,44 Z,ie INSPSLIP.PUB INSPECTOR V. TOWN OF QUEENSBURY BUILDING _& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name 4, C z W/1-i24 Location yr l,V Ri. 1 fr` Date i I-0_1_07� Permit # 0 j — got SOIL TY : Sand.- oam-Clay- Results ercolatio Te.t- (if applicable) Rat- Minute/Inch / TYPE OF SYSTEM: ./ ABSORPTION FIELD: rotal L.: •tip '55b Length of each tre ch 1 Depth of trenc h Size of stone SEEPAGE PITS: Nu b- - Size - . x ft. Stone size .� PIPING: Size Type,'I,v Bldg. to Tank p �e 0 7 Tank to Dist. Box * I' - 0.0 Dist. Box to Field Pi ate' Openings Sealed? Yes No Partaa1 LOCATION/SEPARATIO • Foundation to Tank /45P feet Foundation to •Abso ption 0-feet . . Separation of Pits • `_J feet/J,, Conforms As per Plot Plan Yes Non 0110 LOCATI 0 SYSTE ON PROPERTY• (circl -one) • Front - Rea - L ft Side - Right Side Middle Front. - Middle Rear COMMENTS: '&1 c.-- No.7 Iz 1 6.-. OK j b • Cvtic� "2 . SYSTEM.USE APPROVED: YES 4:1 Arrived: Departed: V �p (-, . Building Inspector I' 1 instil U ___.. 80 AL, bow( al'i ,___ 4 --_ 6-11 �'�s /lop - - - �• . ' ' 4kI-- scil. \\......:„... _ .__ ___ _ ____ , , ,..... M Mr,r. "<%"%.. 45% if ihNi.. 1 C‘i CC, g - - --_--- - 1 4 -. `•••..... Pi .4'..%% "*........•:.............. .2,192.olp OS' `-9- 1 if .*. i �� // .o �e4," _,_ _,_ $ EXISTING 8 CRT DRIVE I 0) Al / 6, 473.23' l / __,, 7:4, ;*-___L:2-:-&- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road B / Queensbury,NY 12804 Arrive am/pm Depart(I f l�m/ m Inspector's Initials - NAME: Vb L z Oi M A- PERMIT# 0 d LOCATION: 1,e 7-- I Lf c1 DATE : l 0'2-- TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1-7 I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fro -, .eezing for 48 hours following a piacement of the concrete. Materials for this purpos on sit _ Foundation/Wallpour Reinforcement in Place \ Foundation/Dampproofing\ Backfill Approval f Plumbing Under Slab Plumbing Vent/Vents i lac Rough Plumbing L. Heating Rough-In \ Insulation 1 Foundation Walls Interior R aotil,p& (i c _ / 4 — c Foundation Walls Exterior R- \ Floors R- i 4)0 C V( Q_ 6 k►Q - O u c-q — Walls R- Ceiling R- \ C i� t ez ` Duct work or piping in i unheated spaces R- roper Vent, Vent arming.; t,, ) / Ok 1 c� \ _ l��{ � l�G 'Ak Studs/Headers ✓ Bracing/Bridging i' Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour . Pen tration Sealed F. eWall 2, 3,4r A/ n 1./�igesT4 iiiiti ' t. 11-Ge ;1 2 . \ A\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 Depart_- pm Inspector's Initials NAME: C 7 W COY( lrt PERMIT# 11 0 � LOCATION: ') c��c le \\v l DATE : 1- I S- .(7)v TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers r , � I I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the pi cement; of the concrete. Materials for this purpose on sit Foundation/Wallpour - / Reinforcement in Place 1 Foundation/Dampproofing \ / Backfill Approval I/ Plumbing Under Slab A 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 / F JG l C (kV 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 am/pm Depart , 'i pm Inspector's Initials NAME: /<'()C —OMR A PERMIT# 01 e°e LOCATION: (1 g'r 1 DATE : /2_/J gl0 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ootings/Piers I. Vz,1 I Monolithic Pour Form • Reinforcement in Place ... 1 The contractor is responsible fo providing protection from freez g for 48 hours following the place A ent 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 11 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 am/pm Depart i I ' 1 am/pm Inspector's Initials (-'------ NAME: leDC_ A-4" PERMIT# G \'— t LOCATION: L7l kr,. 149 DATE : ' z O TYPE OF STRUCTURE: RECHECK Zootings/ N/AYES NO COMMENTS Piers —cf� —��— I � Monolithic Pour Form , 46tq,d(A- ;r/,(51 /imy. / -—1c ( Reinforcement in Place --:/_ ;7 The contractor is responsible for C 1t e,A' i‹.-C1( K C . providing protection from freezing for 48 hours following the place en of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing I Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P1 Rough Plumbing Heating Rot-- nInI 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 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 m Inspector's Initials NAME: 6C.Z PERMIT# O �� LOCATION: L -� \ DATE : -7_, G\ TYPE OF STRUCTURE: RECHECK N/A YES N9/ COMMENTS Footin .ers � Monolith Po Form Reinforcement in Place The contractor is re t,•nsib for; � C6i1b(f) providing protection om fr;ezing for 48 hours followin: the p acement of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Damp: -. ng 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 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 61 ` p ." Inspector's Initials Oil 1 NAME: 1 LvC\,\ PERMIT# O! LOCATIO : 5) ) 1 DATE : / — -aobJ TYPE OF STRUCTURE: ,S RECHE N/A YES NO COMMENTS tings/Piers I l I onolithic Pour Form Reinforcement in Place N. The contractor is respci siblelor providing protection frogil freezing for 48 hours following the\ lacem-nt of the concrete. Materials for this purpose on site 7 Foundation/Wallpour _ Rei orcement in Place 1 f!/ F ndation/Dampproofing ✓� ackfill Approval Plumbing Under Slag \ 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 I 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 2 ' -01.. ,, t 4/f_ may, s GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road m Queensbury,NY 12804 Arrive am/pm Depart 1 'i Inspector's Initials '�1t m/1 NAME: JC0 LZ UJ rC,� 1 Pr ` PERMIT# `II LOCATION: 6 11 ('�I I T"� DATE : 2_ O TYPE OF STRUCTURE: RECHECK _y LL-, N/A YE O COMMENTS Footin /I'iers, l-3 ��► .t 1 Monolithic Pour Form Reinforcement in Place The contractor is responsi el e for f providing protection from reezing for 48 hours following the .lace ent of he concrete. Ivy rials for this purpose on .ite :/7/ --,-1 oundatig ,4-2 o it / e nforeemei t-in Place it / Pi ni 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 .\) ON\ ' r" 7r g s.c.y. w' y�'Ju. 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 I L t pm �I Inspector's Initils r\ NAME: ` tea5 OCrZ1.),T C\ PERMIT# Di 111 LOCATION: rJ q- / Lh DATE : ) a_ S�Qb TYPE OF STRUCTURE: � ---C REC CK N/A YES NO COMMENTS r FiPC�tgz"3S{PIerS._ ^� C't7c�ZC-tee T U�:�-L LlJ�i J/O onolit ui c Pour Form Reinforcement in Place •A L i�'''U LAC- I S Ii S(Ci e-/,: The contractor is responsibl:fo providing protection from fr..-zing for 48 hours following the p.cemen of the concrete. M vials-for-this purpose on sir f t o f =alliabur__1 S7V-1/412 p 'i i° 2- Re et--)C ¢' /j- Reinforcement in Place Foundation/Dampproofing I 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 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road II • Queensbury,NY 12804 Arrive am/pm Departbl Inspector's Initials NAME: 1<v( Z Cl2 kgPr PERMIT# 6( —CJO. LOCATION: ''�( l l21 , (4 (' DATE : TYPE OF STRUCTURE: RECHECK N/A _Nf7 COMMENTS ootings/Piers � f I Monolithic Pour Form Reinforcement in Place 41` _ c The contractor is re ..nsible •r providing protection om freeze g for 48 hours followin_ the place ent of the concrete. Materials for this purpos; on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents P .-e 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 1 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 am/pm Depa ' *2.....„1-1Inspector's Initials NAME: ' 1, C.2Co A._RA PERMIT# — Ql LOCATION: 5—1 I Pr - 14 9' DATE : I a TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ootings/Piers 1 J i I Monolithic Pour Form Reinforcement in Place The contractor is responsible for ��I'/ "r Cf providing protection from freezing -A- for 48 hours followi 1 the acement of the concrete. Materials for this pu 'se on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plan- 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 1 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 fe'-= GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement Y 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart I am/pgi Inspector's Initials \J NAME:( 21,, ,,q.,„TeN,t v yrfr t S PERMIT# ' 201 LOCATION: 5i \ _ DATE : C'/ TYPE OF STRUCTURE: I RECHECK N/A YES O COMMENTS F otings/Piers �J��//rc-/ ~� 1 Monolithic Pour orm Reinforcement in Place - i/ The contractor is responsible for providing protection from freezing for 48 hours following e p $cement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing VentiWents in Pl. - Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior '- Foundation Walls Exterior ' Floors R- Walls R- Ceiling R- 1 Duct work or piping in unheated spaces R- \ \. Proper Vent,Attic Vent 1 Framing 1 Jack Studs/Headers 1 Bracing/Bridging Joist Hangers I Jack Posts/Main Beam_ ' Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping i_____,, _ .:,t,„7,0 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road t f Queensbury,NY 12804 Arrive am/pm Depart a pm Inspector's Initial ' NAME: (JG���,��{ �' PERMIT#0 I 80 LOCATION: 5-1 I ,-1-- 1 L-q DATE : r — "3 /—o TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers \, -1 I 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placeri1ent of the concrete. 1 Materials for this purpose Onsite j Foundation/Wallpour 1 Reinforcement in Place \ i Foundation/Dampproofing Backfill Approval \ / P mbing Under Slab j / lumbing Vent/Vents in Place�V V/ (Plough�P umbing: ,/i V `Beatinging-Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- C Ceiling R- U�J J PC6 ° K Duct work or piping in nheated spaces R- Pro r Vent, Attic Vent - L' w "aming / 1,5'7 4 LC- 61_6$CI< (!�)v e CC 7. --Jack Studs/Headers 1 J Bracing/Bridging ir 1 ! c 3 C6-r Owrcr-R .�C , Joist Hangers V C- , Jack Posts/Main Beam Asir=In"Ptrataon Barner-T 7//vA joii R 6 k.. ci -Fire Separation-l-2, 3 hour Pe etration Sealed 're Wall 2, 3,4 hour i -Fires opji ✓C' _ /4/'l ACC_- tgc_de_v4JCi A)6A- ' %�Y-kee,1cc S;;✓6s` 4CM t d0 t 133-8 T_S M-A OROS 1= u USSM E3e as 00 °D x r � � a x o sn a cn p o {p Y . xo o� r O W F"' � 1a S31`dIDOSSV `NOSMA310 70 :A8 6861 iz 1snonb :031VG NS `3` VGNllddw CkMd 80J SOW JO NO ISnI08 ns V JO �dV V4 :213N ISHEM d V I t 3000 ONV 9N10llne ,wn8SN33no 30 NMOI ZOOZ T I ddtl C13AI 0M] aNnoi 008 N081 03ddVO = 3810 O 0Nn03 3dld N081 = 3dl O :([Napa I awom M„00 MtON Ail CZ- , 3ARIa isia S '3MISM3 Aj TVA /� E Ul Myoz� ssz ~`.� El Ael dl IA w j r 3u00,9•b,-ooN .oveol l ss ,moo ,6e•56£l vON OD la) /C; rri - sa.I3D 11•bs 00L`9l6'l MY rivsos Cao t� rn .3u�' �aN �, l6 "'� co rn �w o CS009S -410 NOIIVWSOJN1 WONA C1911JWOO CLI)JASnS ION V3SV -T,C9S M..OZ.voS rn -I.- v fn v t*ot-t-oc w w N m a n y ✓) m COO -i 0 Z i WO GO M n 0 Z N m A A C31 o. ao N CD7 fV rn a CAm N m n O Z N CD