2001-844 F
TOWN OF QUEENSBURY
742 Bay Road, ueensb NY 12804-5902 518 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010844 Date Issued: Thursday, April 18, 2002
This is to-certify that work requested to be done as shown by Permit Number P20010844
has been completed.
Tax Map Number: 523400-308-010-0002-076-000-0000
Location: 85 NICOLE Dr.
Owner: GUIDO PASSARELLLI
Applicant: • • GUIDO PASSARELLLI
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Fireplace
\.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
7...0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010844 Application Number: A20010844
Tax Map No: 523400-308-010-0002-076-000-0000
Permission is hereby granted to: GUIDO PASSARELLLI
For property located at: 85 NICOLE Dr
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: GUIDO PASSARELLLI Single Family Dwelling 150,000.00
465 LAKE Ave Garage-2 Cars Attached
LAKE LUZERNE,NY 12846 Fireplace
Total Value 150,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
LAMOTT,MICHAEL
92 NICOLE DRIVE
OUEENSBURY.NEW YORK
Plans &Specifications
2001-844 LOT 149 HSE. #85 NICOLE DRIVE
1786 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$258.32 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday,November 15,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Thursday,November 15,2001
SIGNED B: for the Town of Queensbury.
Director o B Code Enforcement
,),D7
•
j E:UIElGI CODE COMPLIANCE APPLICA`T'ION
rsRr:1'
r• U4,Jr1 OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance MethoUs : PART 5 Acceptable Practice Method -
l&2 Family Dwellings (only)
• PART 6* - Thermal Rating - Component Trade Offs
l&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PART.' 4* -• Design by Component Performance
• Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT S N1U4E : PROPERTY LOCATION:
S
�zl i s A 7 /N 9 1Yie Lei D r
•
PIl P ' 5 METIIOI) OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floo ; L-r r - 7 r6 scivare feet
2 . 'Type of IIF• iL - _ Electric Oil deo," Gas Other
•
3 . Is building mechanically cooled? Yes // No .
4 . Percentage of area of windows and doors • Over 17% VUnder 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 0
b . Exterior walls • R
c . Glazed areas' R
d . Exterior do.)r_s • R .®
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
• g . Basement/cellar walls (above grade) • R
h . Basement/cellar walls (below grade) R
i . H' ating/cooling-ducts-piping in unheated space R 'AO
G . Servit.e (domestic) hot water heating device • .
Conforms to minimum efficiency per code Yes No
•
' T'EM]_'E:"1\TURE CONTROL MAXIMUM SETTING 140° WILL NOT BE EXCEEDED
• Appl ca Wit. ' S yn Lure Date • Phone Number
INSPECTOR' S REMARKS . .
Fire i\larshai's Office Town of Quecnsburv, 742 Bay Road,Quecnsbury, N\
_ (51$) 761 $205
Application for Fuel Burning Appliances & Chimneys_:
applicable to solid fuel & vented gas appliances
I{
Date /1 if .', 20 G/ . • Permit No. O' °" ��
of i
Application is hereby made to the Building & Codes Office for•the issuance of Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
•
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
tlhese:requirements and also will allow all inspectori za enter premises to per form required inspections.
:If NOTE to applicant: Rough-in and Final Inspections are required.
' Applicant Information Fuel Burning Appliance Information
r, , (circle appropriate words)
Name: la'v.VC illq61 fCi"T c," a Stove: wood coal pellet 3as
I, t
a Ftreplace nsett a
Address: SI � ') Fireplace, factory-built:,`; wood gas_.)
Fireplace, masonry: wood . gas .'
_ Furnace: wood gas oil
Phone: 17 .—Sir,$/
•
If non-masonary applicatice, please provide
fH"
Owner: a# f Manufacturer Name: 6 rt i',7
vh:t , � 42A
# . Ii
Address: `.,r ; Model Number: _ ,
_ #_ 1 .
/ F Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone r'
•
Flue tile (-steep size: 4-1 ✓ inches
Exact Address: ar 1 il 1 ph s ;',
of construction or installation Factory-Built .
Manufacturer name: A f7,till 41
Model Number: •
Note: . Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material: - .
Code. Consult available Town of Queensbua y w-_sx
Handouts regarding required inspections. MDouble wall/ Triple wall / Insulated / Direct venting
Chimney Liner
j Ca.sich.iex..'osr 1314e,ps ar-tarsieiit—Tom of Qizeezzuabury, . sr Teork 1
i
Fire Marshal Code# $Collected S Refiutded Received front trefinrded to): \ �\ 01.....c 5{ ' ,.F l 4,
, cr 0 • address:_ f ...,
•
4 /:;33s9 (190) Public Safety .,�• —
1 233 2655 (230) A9in ..„--- . _.."\---- .'''
or Sales° j `
4-
. . , .
.. , . wa wtc — /O,... „„../.02 De.„,,,,,,,„ .
. „
White(Applicant) r Green(Fire Marshal) / Yellow(Bldg. Dept.) / Pink&Goldenrod(Cashier's Dept.)
,, .
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. 0110 - `-I Lt
No inspection will be made until applicant has received a Fee Paid $ C F
valid building permit. All applicants' spaces on this Rcc. Fcc Paid
application must be completed and must appear on the Reviewed By
application form.
•
Applicant: T /'10/GsT c, .L��, Owner:
Address: $'a /ALOL e. Address: �' •
•
Phone#( ) 74K= P/o2 / Phone# _) -
. Property Location: Lot Number: /A/? / House Number F69 / /YIe®,4 cr W
Subdivision Name: Ne yaihd e Tax Map Number:
•
• r4r Ncw Building: residence-/commercial Estimated Market Value of Construction: $ 4•,0®0
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/com'lE00--
y` a
❑ Other work(describe )
• Gov 1, 3 ZOO
•
Check OccuI)anc lnformation 1" Floor 2"'1 Floor 1 I1�1�i h A1\1D Ci
Below y sq.ft. sq.ft. 1 DIG quire Feet
gelf;ingle family dwelling
o Two family dwelling
o Townhouse
o Multifamily dwelling
#of units
o Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage •
•
2 car attached garage ,cy4/®
❑ 3 car attached garage •
❑ Storage building-
commercial
❑ Storage building-
residential
❑ Other
Will any second-hand or ungraded lumber be used? If so, for what? /Y0
Type of Heating System: electric/ oil /kV/wood / orced b21.1.1iD baseboard/other:
Number of Fireplaces to be installed p Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder /'f l ?e' A ezi Men— 7 "d 1'Q7/
Plumber 7 ,7d -V 9_015'(361 ‘
Mason J The 77'14A-5 go?"/lifer a
Electrician jz_a,/ 'Tluu vss AO 6-- 020
Declaration: please sign below a 11cr 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 be complied
with, whether specified or noted,and that such work is authorized by the owner. Further, it is understood that I/wc 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: rr Wig 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: Aa T, /3/47 Mao or ,y
File Permit No /-
i
Tax Map No. / /
Owner's Name: T v Y� en1imj �;
• Fee Paid
Address: ?'a /+/ice ,J. Q)i,
•
2. INSTALLER'S NAME : t1p y r/E� .7• PHONE NO. 79'5.'- /sk
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrin =
1980- 1991 x 130 gaUbdrm =
1991 -present x 110 gal/bdrm = t�t
Garbage Grinder Installed yes / no t/
Spa or Whirlpool Installed yes / no 80.0°"
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
at what depth at what depth munici raD
Ro ling oam `/ eet feet well
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 eid gallon (min. size 1,000 gal) •
•
Tile Field: each trench c5 ) ft. Total System Length: Z® 0 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.
L4Ft "01444 #464— •
Signatur responsible person Dot e
FIRE MARSHAL
d TOWN OF QUEENSBURY
j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEDED PERMIT# (17 �y
NAME
LOCATION Lo;/f ICo -C IOfe
SCHEDULE INSPECTION ON 23
M PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIt G
FIRE EXTINGUISHERS
FIRE ALARM SYST.M
FIRE SPRINKLER SYSTE
FIRE SUPPRESSION SYST:M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEATI G UNITS •
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: / 01v1
Building&Code Enforcement Z
Dept.of Community Development Arrive am/pm Depart a a p
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804 �i L
NAME PERMIT# a/ U� 4
LOCATION �/ 1G / t C , , DATE
TYPE OF STRUCTURE 7
N/A YES NO COMMENTS
II/1r Chimney Heightl"B"Vent/Direct Vent Location n
Fresh Air Intake 5 P i 'E U j t O ✓ (�//Y
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 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
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off.t-'trance to furnace area
Furnace/Hot Water eater•perating
Relief Valve(s)ins : led
Headroom,6 ft.6 ' on stair-
Basement stairs,6 4 in.
Handrail exterior sta s both s des more than 3 risers
Interior privacy/trim/.oors/m• • entrance 36"
Floor Finish
Bathroom/Kitchen wat,rti r. t
Interior Handrails Bale':l es/Landing 18 in.or more
Railing across wilndo ' •a stairwells
Smoke Detectors-
every level
' 7•./
every bedroom
outside every bedroom ✓�
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofmg
Garage penetrations sealed
Furnace in separate room protect-• (in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
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)
TOWN OF QUEENSBURY
,; `,, „w" "; BUILDING & CODE ENFORCEMENT
r x '
; �.` .s° 742 BAY ROAD
QUEENSBURY NY 12804
.*Y:kt..r (518) 761-8256
ARRIVE: DEPART: INSP: e6
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSP TION REQU RE(liti VED:
�j n / - ,
NAME /VLLC- .- '
LOCATION1h�9 ar.
DATE / l 2 PERMIT H
. TYPE OF STRUCTURE -- ;SF1.0
FOOTINGS _BACKFILL FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT _
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH r--,,,\
HEATING/HOT WATER .
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS _
1
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE P /VARIANCE REQ.
AL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
•
,...--* / .: ,..-61
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart `
5
Town of Queensbury Inspector's Initi s f
742 Bay Road
Queensbury, a York 12804
NAME .L---�'- ( PERMIT �(
LOCATION L ef, f Lt9. 10 d co LL- DATE O
TYPE OF STRUCTURE
N/A YES NO COMMENTS
•
Chimney Heightl"B"Vent/Direct Vent Location ` /
Fresh Air Intake ✓/
Plumb Vent through roof �//
Roof Complete
i//
Exterior Finish Complete 1/ /
Interior/Exterior Railings 30' to 36" /
Exterior Handrails,balconies, anding 1: in.or more ✓.
Interior Handrails stairs both s.•es 3 or m$re risers
Grade 2%away from foundatio,� �/
8"clearance to sill plate ►/f
Gas Valve shut-off exposed/re: ator :"above grade ✓/
Gas Furnace shut-off within 30 fe:t• within line of site / t/
Oil Furnace shut-off at en��ance t• ' •ace areaFurna �/ /
Relief Valve(s)
Water Heater •: atin;. /1
Relief installed �,Y/
Headroom,6 ft.6 in.on stairs '
Basement stairs,6 ft.4 in. _
Handrail exterior stairs both sides m e than 3 risers /
•
Interior privacy/trim/doors/main en• ce 36" ,/
Floor Finish J
Bathroom/Kitchen watertight 4/
Interior Handrails Balconies/Landing 18 in.or more /
Railing across window in stairwells ti/ _
Smoke Detectors: ✓ / J 1/ C e_. _41. t7\
every level , ✓
every bedroom ✓A
outside every bedroom
inter connected
Bathroom fans J
Plumbing fixtures J
Foundation insulation / C.at f LC r& e . a �l/,'f,,e
3/4 hour fire door/door closer / jl—��l dQ
Garage fireproofmg /
Garage penetrations sealed
Furnace in separate room protected(in garage) ,//
Light ventilation per o0
Safety glazing 1 "o les;from floor / /7 ";‘,-
Site Electrical IV 6 ./I/ 7/3 , Y
Site Plan/Varia req ire f
Final Survey Plot Plan f��(J 2� �/
As Built Septic System I t'required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certi£of Occupancy)_ ✓/
Okay to issue permanent C/O(Certif.of Occupancy)
(11110:.„ Town of Queensbury
Fire Marshal's Office
742 Bay Road
Queensbury, NY 12804
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request co j SCHEDULE
Received: Permit# 4 Z INSPECTION ON: '/ k/ d��
Name: l A- 4A-2cwc.t AM PM ANYTIME
Location: 4--(9-r 1
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY \
_EMERGENCY LIGHTING \
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM \ I
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS \(/
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING /
UNITS
CLEARANCE TO ELECTRI L
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
CHIMNEY FINAL �C C "` O�&�Zf��C`"
FACTORY BUILT ROUGH I �/ -
FINA
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK THIS DATE OK FOR CO NOTO
FINAL
!REPLACE C'
ACTORY BUILT ROUGH IN
I SPECTED BY
FINAL
COMDEV/CHRISJ/W ORD/LETTERS2001/F IRE MARS HALT NS PECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive m Depart » 1l
Inspector's Initi. M
NAME: PPt; ���i t. 1 PERMIT# ' . -• -1-4-
LOCATION: I LI9 \Cot�- \--)F2k\) DATE : -1 t)-07 ..
TYPE OF STRUCTURE: ,6-)
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1-7 l
Monolithic Pour Fo \
Reinforcement in PI e \
The contractor is r nsible for
providing protection from freezing
for 48 hours followin the placement
of the concrete. I
Materials for this purpose�on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dadpproofing
Backfill Approval ----
Plumbing Under Slab
Plumbing Vent/Vents in Plac
Rough Plumbing
Heating Rough-In \--
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R-
Walls R- 1
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent / i ► t
Framing ✓ f.‘ , V 43-7- 0JF-?-- (0 -y H E-Pt.0
Jack Bracing/Bridging
Studs/Headers C1-E-14RLPtOCE 'Th ----1j EK) Foe
Bracing/Bridging
Joist Hangers C.E_LA._ k �" \ , b tr-
Jack Posts/Main Beam , `\
Air Infiltration Barrier t A-I� t -1-1)'b 6''\ p�1 .-E- Ft) E2
Fire Separation 1,2, 3,hour
Penetration Sealed \--\Y n/��� E2 U \a\
Fire Wall 2,3,4 hour D-A-1-\` j\ Q C C LLW
Firestopping
FIRE MARSHAL
f TOWN OF QUEENSBURY
lift
QUEENSBURY, NY 12804
• (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED s3 /1 pZPERMIT# 'Zro�sNti
NAME Pfl6-bAct 1
LOCATION I "AC1 01C CA__F DR1\le-
SCHEDULE INSPECTION ON
\-V. 5-ANYTIME
f'
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT G
FIRE EXTINGUISHER \
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST M\
FIRE SUPPRESSION SY TEM
HOOD INSTALLATION \
INTERIOR FINISHES
STORAGE: I
CLEARANCE TO SP JNKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY )
FIREPLACE-FACTORY BUILT p ,
a N\ it
REMARKS: ❑ OK TO THIS DATE
3-?�\0�
VA O'' -(ab�C,Iij N\
b�1:7 -G 3 0
L J 7
INSPsuP.PUB INSPECTO
s ',2'sZ' c \ `DD\ c
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road :-517,,Queensbury,NY 12804 Arrive m Depart_
spector's Initial
NAME: Poi 6R U_,_\ PERMIT# ZO ' y
LOCATION: 4(\ I\i GpL v) V a DATE : --aZ
TYPE OF STRUCTURE: -6 c-
RECHECK
N/A YES NO COMMENTS
Footings/Pi�r��- . I I I
Monolithic�lbbour Fb
Reinforceme t in Pla e
The contrac or is re..•nsible for
providing pr ectio I from freezing
for 48 hours fill OS ng the placement
of the concrete
Materials for this p •se on site
Foundation{Wall•.u\
Reinforceme n Flack
Foundation/Dampproofi g
Backfill Approval
Plumbing Under Slab
Plumbing VentNents in P ce
Rough Plumbing
Heating Rough-In \ 1
*Insulation
Foundation Walls Interior *-
Foundation Walls Exterior R-
Floors R- \ '
Walls R- \1= 9.-f
Ceiling R- y - •117
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 1 1)aka "epart ",41rob • p '
Inspector's knit•
NAME: PP‘5�A i_i._\ PERMIT# -, p(>>-- 4
LOCATION: 1`-V\ N\C',p1_C C-P-,F'� DATE : � C -D y
TYPE OF STRUCTURE: FCC
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form (r-
Reinforcement in Place/ \
The contractor is re jpponsible foil\
providing protection from freezing
for 48 hours following the placeiiient
of the concrete. ff/
Materials for this purpose on site/
Foundation/Wallpour t
Reinforcement in Place\ /
Foundation/Dampproofiiig/
Backfill Approval ,\,/
plumbing Uneder'Slab
Plumbing Vent/Vents in Pace NiRough Plumbing \hT �O
,iP
7/
Heating Rough-In 1
Insulation \
Foundation Walls Interio' R-
Foundation Walls Exterior R-
Floors R\-
Walls RI
Ceiling R
Duct work or piping in
unheated spaces R-1
Proper Vent, Attic Vent
Framing \,b T F' DQ
Jack Studs/Headers I ✓ 1 '�-C � )rj tJ p� \ ��
Bracing/Bridging ? V 0flE_
Joist Hangers ? ���0 �� FVO�� l
Jack Posts/Main Beam , _ aE_DQ.oDI
Air Infiltration Barrier
Fire Separation 1,2, 3,hour _ I
•
Penetration Sealed
Fire Wall 2,3,4 hour i \ t -'e2---j t-
Firestoppi ng_
' ::REO7j)(1 st)
GENERAL INSPECTION REPORT la
( 518 ) 761-8256
Town of Queensbury
4)
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road - .- -
Queensbury,NY 12804 Arrive 1'•Jr'7 anj/pi :-,Depart j")i a 'p -:%
-Tiispector's Initials,--
_ • IP
NAME: PERMIT# 4
LOCATION: ,,,1454 / L `\.,j r _ )r' DATE : I
TYPE OF STRUCTURE: w
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I 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 sit
Foundation/Wallpour
Reinforcement in Place 1
Foundation/Dampproofing 1
Backfill Approval r
Plumbing Under Slab J
Plug Vent/Vents in Place \
umgh Plumbing / 'I N-) \N1/4 \_Ei:
Heating Rough-In /
Insulation �'-- �c.,� �-i'\N(t�7 �-`�,"tom jjt�i
Foundation Walls Interior R- - _
Foundation Walls Exterior R- i°�` \`J L ii'rio2 7 v'c' -�'���
Floors R- -1 L 1*
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Prope ent,Attic Vent 7 ,.t
Jack Studs/Headers / V ZS`� 3 °-\--- 7
--
Bracing/Bridging h �,^�- W c"vuL%�%..ZJ? C......!..-
Joist Hangers -.0-1. _i)N1-\) -Lj -Q% r " � �
Jack Posts/Main Beam � L �-—
1
Air Infiltration Barrier
Fire Separation 1,2, 3,hour i
Penetration Sealed ,j`�=-• u- � i �� r�l lv � u►
Fire Wall 2,3,4 hour / ' c i ® ( '_
Firestopping ` �CAt..- V'L•� �GuJ�iC-il.--r‘\�...1
(C&\k-1\e6.0 -
AL) '
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name G. .e,T 641171: `
Location / e
R� Date l, / ,,0, Permit # 2 L
SOIL TYPE: Sang Loam-Clay-
Results of Percolation Test-
(if applicable) sate-Mjnute/Inch
TYPE OF SYSTEM: \ \ --,�,A,
ABSORPTION FIELD: \Totall Length/ a GI
Length of each trench '' '57
Depth of trenchps \ 2,+
Size of stone Q)
SEEPAGE PITS: Number-
Size - ,._ft,_,;Cr ft.
Stone size 1
PIPING: \ Sigel TypeXA
Bldg. to Tankif'+ �Gi) Li
Tank to Dist. Box \ u 5-) .?-
Dist. Box to Field/P .. \ /f pa
Openings Sealed? Yes No Partial
LOCATION/SEPARATIO ••
Foundation to Tank / C� feet
Foundation to Absorption \ 'feet , .
Separation of Pits 7 feet
onforms as per :Plot P1 an No
LOCATION OF SYSTE ON RTMOIF
J—C
(circle
Front - Rear - of Side -IRight Side
Middle }• - Middle Rear
7MENTS:
•
(\ )SYSTEM.USE APPROVED: YES NO
Arrived: 't ! `r
Departed: /
N_)!V
Building Inspector
_ , 3O )
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 at Bay Road
Queensbury,NY 12804 Arrive`%t i; Depa
Inspector's Initial
NAME: S)(4‘,.„- PERMIT# / ?ill
J' i L
LOCATION: 1 �I / DATE : -
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1—f— 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezin
for 48 hours following the place ent
of the concrete.
Materials for this purpose on_site
Foundation/Wallpour
Reinfo ement in Place
Fo dation/Dampproofing
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
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: //i 36 lam/
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive OF Depart ��;��
I Spector s lni
NAME: ! _ v``IC,h/ v PERMIT#LOCATION: /
TYPE OF STRUCTURE:
RECHECK
N/A YES(WO COMMENTS
Footings/Piers —� I
io it lic 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/Dampproofiug
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac
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
\ r,
-- --.. .,------ V *\ 1
1 = iliseen or observed, or believe I saw evidence of, \ 000 aNv JN��
A n8sN33f1D do
jail �a�:�ts such as houses, wells, trees, fences, etc., I . i A-
,i shown on this document. I also represent that I have oot« 1,OOZ t i Aolt
perso,-lally measured the distances set forth on the diagram.,y\ I \
3
4UR 1� N 26'05'10" E
— j • ^h. 155.38'
6 N 26'03'30" E I t N''..-b � . c- -9 � /
176.02' II II r�
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121.50' t.s;U °° ,
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) , \-100.00' - -100.00'- \ • *A J --
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` T� PLACE - •. ROAD ! a I s� 150.00'
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