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2000-185 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY C/O Number: 020000494 C/O Date: Friday, July 28, 2000 Application Number: 2000185 Permit Number: 1000185 This is to certify that work requested to be.done as shown by Permit Number 2000185 has been completed. -This structure may be occupied as a Single Family Dwelling Tax Map Number: 523400-125-000-0009-116-000-0000 Location: NICOLE Dr Owner: GUIDO-PASSARELLI Order of wn Board TO OF NS Y Director of Building&Code Enforcement i BUILDING PERMIT Town of Queensbury,742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 260000 Building Permit No. 2000185 TAX MAP NO. 125 . -9-116 Permission is hereby granted to PAS SARELLI, GUIDO Owner of property located at LT 116#50 NICOLE DR. in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the NYS Urifform.Building Codes and the Queensbuty Zoning Ordinance. Owner's Address: 465 LAKE AVE. LAKE LUZERNE, NY 12846 Contractor or Builder's Name: LAMOTT, MICHAEL Contractor or Builder's Address: 92 NICOLE DRIVE QUEENSBURY, NEW YORK 12804 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1560 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING .199 April 20. . 2002. $ PERMIT FEE PAID—TIRS PERMIT EXPIRES (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 'own of Queensbury this 20 Pay of April 2000 SIGNED for the Town of Queensbury Building Permit Application Town Of Queensbuly - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82 5 61 NOTICE BUILDING & .CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NOr � 4�— beginning construction. No inspections will be made until applicant has received EJ Zoning Board Action PERMIT FEE PAID$ a VALID BUILDING PERMIT. All Area /Use RECREA?TON FEE Pf4ID$ applicants' spaces on this application MUST be completed and.the signature Q Planning Board Action REVIEWED BY.. of the applicant must appear on the SpR / Subdivision I Other Building Irupecror application form. Recreation Fee Payment i Applicant:' *V► S/ /r-r� Owner: Address: , lic-en-4 e_- -D sue. Address: Phone # { �$�� ��52 "t '�� 0 r Phone # ( -----� --_ _ " _ Property Location: _ �o T ' //t'o /f/e©it. z - /J tp Subdivision Name: S Tax Map Number /!1 Section Block Tot MATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE 1, New Buildin : CONSTRUCTION: $� ep,�� esidence / commercial Addition o uilding: residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial Single FamilyDweylig Residence / Commercial Two Family Dwe14wf"ngat VE no change to exterior size Family Dwelling Office APR 1 0 201)0 Other Work (describe below) Mercantile r , Manufacturin•g-g— Other ®__Jtf.__OPs'�d_-,I-E, i 1 0F)F GROSS AREA OF PROPOSED STRUCTURE. ? � T � 2 If ADDITION, what will use 1st Floor. . . . . . . �_ sq. ft jp�l�g 2nd .Floor. . . . . . . .. 49- sq. ft. of new addition be? Other Floors. . . . sq. ft. (n )ot unfinished cellar or basement _, . ... ACCESSORY BUILDINGS: Detached Garage 1, 2 �r TOTAL FLOOR AREA: / Cop ., SQ. FT. Attached Garage 1, car Private Storage Bulling SIZE OF NEW STRUCTURE: Commercial Storage Building -L/ FEET X All FEET Other L Foundation Type: a Will any second-hand or ungraded . Number of Stories: ��_ lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : C!!5r; feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which applies) to be installed: tT a Oil / as // Wood Forced Hot A' / Baseboard / Other Person responsible for su envision of work as regards to building codes is: Name Addresss - Phone Builder: e-,n h=c"5%tii'r21 Plumber: 1 r �rd . vF` to -i�79 e' Masan: '1T'r�y1_ o �.. - - : .fs� Electrician i 0y S,Sr,s!G- 7 i�"7�s G �Rs DECLAF, 7TON 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 I/we shall submit prior to a Certificate of Occupancy`or~Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed,surveyor; drawn fto scale, showing actual location of project on premises. Signature: '(owner, o v is agent, architect, contractor) Application fu i• I SEPTIC"D..ItS`POSAL -PERMH' . S•fAMP RECEIVED ! Imention of properly fair inst:111a1hm: ,�oTT�1/LO �TIGO�P� VJY 1,71 r Owncr's Name lr—"-K_c 'Na 110—,, Sri Gi 'T'7Jc , I'IUMITNUMIlli1t ailing Address Uwucr's M : O o2 IGo�,�i {�✓. `�� f� --' Jy� �r� t I I ti I'Al1) Installer's Name: „l/fJ).1� Number of bedrooms (if residential): Total daily flow (residential -compute ql 150 gal. per bedroom): OY'Sfr) Topography: _(2�;J mat Q liollmg (_] Stecp Slopc °b of Slopc Soil Nature: Sand Clay Q 011rer IDcpth: Ground Water: at w.lwnt deptli? feet Bedrock or Impervious Material: at what depth? feet Percolation Test: ® Not Required min. 1wr itteli Domestic Water Supply: Well [:_] 011ier If domestic water supply is a Wlil..l_ water supply from any septic absorption is feel PROPOSE1) SYSI`l M:� Scl:tie.tank: gnl. (uiiHi III unt size: 1.000 gill.) 'life Field: each trench _.......S� fect. / total system length _feet. t Seepage,pit(s): number of / size cacti: ft.x ft. Size of stone to be used: # / depth or thickness feet. 11OLDING 'LANK SYS11IM: (if requircd) ` Number of tanks: Sizc or cacti: gal. � � rtlartrr sy.r�ell? and associated electrical, work.to he inspected by it certifted' ency.' F,ur your protection, please note that ptrrmiant to Sectiolt 136-29 of the C ci le.oflitr To�rn of Queenshury, all)- permit or approuttl grturted rt�lticlt is based upon orisgramed in.reliwtctr ttpvtt any material mitre.preset.tation or fitilttre to make a material jtct or circttmstultce knolrn by or on behalf ofate applicont, shall he t,oicl. I hape read the regulations u4th respect to this a pplieittion alttl agree to abide by these and all . require»rents of the Towel o f Qtteeltsbury Sanitary Sert•age Disposal flrttiutrtiee. ,Signature of responsih'e person: Date: Fire N1,11-Sh"11's I office Town of Q Lice 11,J)Ll ry. 742 Bay Road,Queensbury, NY (518) 761-8205 a. Application for Fuel Burning Appliances &.Chimneys.. applicable to solid fuel & vented gas appliances Date 6//A0 20 Perillit No. ,4 lication is here�),inwic,if)the Bldldi"�(,'d' Codes' Pf PP ficvftw-Me issuance q1'a Bud&k9 card U. e Permit pursuantto the New York State Fire PIT'VeWiOl; 411741 lhlildill�r Code. The uplVicant or ollwer agrees to comply ivith all applicable laws, 0I'di11',-111ceY,, and all conditions that are part ref these requirements and also will alloiv all jisp&cfors to ente'r•prends(�s to peifibrin required insy?ections. NOTE to applicant: Rough-in and Final Inspections are reqttlred. Applicant Information Fuel Burning Appliance Information (Circle appropriate words) Name: Stove: 11)06d coal pellet gas Fire lace insert Address: ree Mace, wood ccs factor Firep ace, n)asonry: wood acts Furnace; Wood gas oil Phone: If non-masonary applicaince, please provide Owner: A Manufacturer Narne: C",?1) Z? r'lk Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block- brick- stone Flue file steel size.* inches Exact Address: Xe-7 /h , ' .1r--o4 of censtrucd n or installation Factory-Built Manufacturer name: Model Number: Listed By: NTurnber: Construction lInstallation mast tort f orin to NYS Fire Prevention & Building Indicate (circle) chimney material: Cocle. Consult available Town of Queensbury Handouts regarding required inspections. Double it-all .1 Triple wall I 'Insidate(I Direct velijilig Chininev Liner , Fire Marshal Code S Collected S Rc, In ded to): .1iinded R&ceived.fiv 0in--t' address: .4 1733389 (190) Public Saferj- A 233 2655 (230)Alinor Sales White(Applicant) Green(Fire'Marshal) Yellow(Bldg. Dept.) Pitik&Goldenrod(Cashier's Dept.) C2 ENERGY CODE 'COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY, 9000' HEATING DEGREE DAYS Comoliance Methods : PART 5 - Acceptable Practice Method - 1&2 . Family Dwellings (only) PART 6* - Thermal Rating'- Component Trade Offs 1&2 . Family Dwellings; Multi=Family Dwellings' (3 stories or less) .PART 4* = Design by Component. Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: 'ems LoZ Z Janke, D n PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ,Z:A6 Q sauare feet-- 2 : Type o.f Heat - Electric Oil i-, Gas Other 3 . Is building mechanidally cooled? Yes' No 4 . Percentage of area of windows 'and doors Over 17% Under 17% 5 . R-V_ _1_jUES FOR. INSULATION GIVEN BELOW MUST. CORRESPOND TO R-VALUES AS 'SHOWN ON 'PLANS SUBMITTED: a . Roof R c. 0 b. Exterior walls R c . Glazed areas R d. Exterior doors R- /0. A e . Floors over unheated spaces , R f . Edge of slab on grade (heated building) R c.� Basement/cellar walls (above grade) R h . Basement/.cellar walls- .(below grade) R _ /,T i . Heating/cooling-ducts-piping in unheated space R V. 6 . Service (domestic) hot water .heating device Conforms to minimum efficiency per code es No TEMPERATURE CONTROL MAXIMUM SETTING 1400 -` WILL NOT BE EXCEEDED Applicant' s S' gnatur Da"-e Phone Number INSP C=OR' S REMARKS : I ` 0 ' x z oz z mN w �' H pN >4 u 0 E,, E� LOAN • W / ZZW� x IM W � 1 "� `� Wz0 ww , UHG oomm 0 W H w ��0 H "r+ W w .y y 0 z o t,�,z � xa 'o w 0 { H0'/1 W N zU .w1 x H H0 x z0 a 0 0 p� r4 w z U H a z w U a 0 0, E w 0 w W N H 0 z ol a a • W � H �C 3 � a v, � w U H O az wx u� U wao A z 0 x z + x o 4 x a t� W a o 4 4 a 0 H 0 E� 0oU � N w 4 •• z U O N a H N H U W z m x p H P m 3 Z i W z 0 E z N H U U 0 H 0z w HW 0 0 H + a HW > H 0 U 0 0 U H w H � Ww xw c� �+ U w > wxao �+ 0 �+ aa wwwzzwu > o Ha ow x U � x 4HwwwH 0H0t4Z W z ZO > a w x a w 0 H w 0 a 9 0 N z 0 wcaaw � z0 .00 w0 xaUaozH awac H w H H 10 z w H z H N w U H x x w W 0 H 4 w U a " W w p w w HZ4 M H a w W H x x a w M A 0 a a 0 �04w w x z W H 4 H H x x z z �C W H l a H z V r+ 4+ 0 0 2 H 0 0 H U > a fA 0 0 4 0 H D 0 0 z E z 9 0 4 �+ QOH x S, 0 N W w 0 z H E� a 0 4 O H H x I p z a o H w a w u x w x w H w 0 w W w1 0 I ' I I , MAP REFERENCE: MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION I HEREBY CERTIFY TO: MADE FOR HERALD KIMBERLY L. GOODSON ,D SQUARE SUBDIVISION LAYOUT 2)TRUSTCO BANK NATIONAL ASSOCIATION, AND UTILITY PLAN", DATED 5/20/96 LAST REVISED 10/2/96, PREPARED BY VANDUSEN & STEVES, LS. IT'S SUCCESSORS AND/OR ASSIGNS. FILED IN THE WARREN COUNTY CLERKS OFFICE ON 3)MONROE TITLE INSURANCE CORPORATION. DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85, THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD MAP #185. SURVEY COMPLETED ON JULY 10, 2000. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. sas6, DAVID J. BOLSTER DATE: JULY 18, 2000 LOT 116 LOT 115 20,000 SQ.FT. ry eiec. LOT 116 MAP OF A SURVEY OF LOT 116 HERALD SQUARE MADE FOR .KIMBERLY L. COODSON LAND TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK 3.act "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY DAVID J. BOLSTER MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW." 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY p SCALE: I" = 30' N.Y.S. LIC. NO. 49534 MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS DATE: JULY 18, 2000 SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." 0 "o, ....... DWG. NO. 20086 B RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive �� p e a ai Town of Queensbury c or's Initials 742 Bay Road Queensbury,New York,12804 NAME P T# LOCATION DATE - �•J X"1 TYPE OF STRU NIA YES NO COMMENTS Chimney eightl"B"Vent/Direct Vent Location Fresh Air stake Gi, (d� Plumb Ve t through roof Roof Comp ete Exterior F' sh Complete Interior/Exte 'or Railings 30"to 36" Exterior Han ils,balconies,Ianding 18 in.or more\ Interior Han s stairs both sides 3 or more risers Grade 2%away om foundation 8"clearance to sil late Gas Valve shut-off xposed/regulator 18"above grade Gas Furnace shut o 'thin 30 feet or within line of site Oil Furnace shut-off at ntrance to furnace area Furnace/Hot Water Heat operating Relief Valve(s)installed Headroom,6 ft.6 in.on sta s Basement stairs,6 ft.4 in. Handrail exterior stairs both si s more than 3 risers } Interior privacy/trim/doors/main trance 36' Floor Finish Bathroom/Kitchen watertight 1 Interior Handrails Balconies/Landing", 8 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans I Plumbing fixtures Foundation insulation f 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical / Site Plan/Variance required Final Survey Plot Plan 1 As Built Septic System layout required i 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) RESIDENTIAL.FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive a m Depart Town of QueensburyInspector's Initi 742 Bay Road Queensbury, ark'12804 NAME 2 # LOCATION ATE 7 TYPE OF SIRUCTMEe`er NIA YES NO COMENTS Chimney Height/'`B"Ven irect Vent Location Fresh Air Intake Plumb Vent through roo Roof Complete Exterior Finish Complete Interior/Exterior Railings "to 36" Exterior Handrails,balconi ,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundat n 8"clearance to sill plate Gas Valve shut-off exposed/re lator 18"above grade _V Gas Furnace shut-off 3o fe t or within line of site .. _ Oil Furnace shut-off at entrance to ace area FuinacelHot Water Heater operator Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more th1m.3 risers Interior privacy/trim/doors/main entrance 3 " Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconieAanding 18 in.or Are Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing IS"or less from floor t Final Electrical t Site Plan/Variance required Final Survey Plot Plan 1 C✓(�fp �6 As Built Septic System layout required Okay to issue CIC(Certif.of Compliance) Okay to issue temp.C/O(Certif of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) THE NEW YORK BOARD OF Flffrl UNDERWRITERS 8083384 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY10038 ' Date JIILY r M. Application No. on frte I' 1 lnflofo# H 460746 t THIS CERTIFIES THAT PFIR IT NO, 2 0—:IDS: only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of T.11PRE RAJIVISTIC 1NC? NIMU DR, LOT 116 r (A)MINaSBURY r Z in the following location; Basement ® 1st FL R 2nd Fl, GM Section Block Lot I1 C� was examined on . ; ULY 25 P 20k, and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS 'OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENI FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT, K.W. AMT. H.P. DRYERS FURNACE MOSORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT, K.W. OIL H.P. GAS H:P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS.- TRANS. AMT. H.P. NO.OF FEET AMT. WAITS 1 3o I T_ N P..OF �, i_�_ _.� �S..._...�..�.,E ..�......,.�R._._ V r _ i.M_;_. G� _�__E:. _-SERVICE,DISCONNEC METER M � T NO,OF CC COND. A.W.G. A W.G. _ A W.G. AMT. AMP. TYPE EQUIP. 1 0 2W T 3W 3 0 3W 3 0 4W PER 0 OF CC.60. N0.OF H1 LEG OF HIAEG NO. NEUTRALS OF NEUTRAL OTHER APPARATUS: CNILNG Gd�j,P..CaI1-y'.l5j #/ y r j TERM I1A bM INC t QUFNIiBURY? HYr 1 804 GENERAL MANAGER 239 Per This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors maybe identified by their credentials. r COPY FOR BUIL•DIN _-DEPARTMENT.--THIS COPY OF--CERTIFICATE MUST,.NOT,BE,,ALTERED IN ANY MANNER. "' oo rn o 0 mJ,o (D0w( J, @ o 0 o a to (A0. 0 n :1-0CC ") N1n � A.'Z0NMN -3 � V)"g fiN k c+ 0 � (A :s rt ;rco 1-4:3 m *g m c+(0 o m C tb s) o m Jt � 3 � rD � a a � ,�� ir a M - �� 0 � fl �" H p cD rh c+ rr a 0 c+ !1 U m ha -1 m (D o�u a '2 (A (A �� (D H c+ & X t� -h f n ' to m (Dc+ 00) �o. 10 011 � 4 �� a, -s o ,+ 0 �a� o � � cn� (D 0) m � N � � r�q i 14 . all A ,�3 - ,� .,� t7 S� � (D o ~h z d 0 I ; r p 0 m 44 n 6000" M (D, `,M1 »., .� r C N HIVgr nx J. «� a (D �0m �:T n n z (1, v�i o IT to 0 o jo (p p 4 r+ t ' 1 Zm M (D 0 ct savi evidence of, tiserved, or believ- 4 I have seen or .0 ancos, etc., all objects sud-1 3s "t"Jses' that I have shown on this �iocufnlant. )L on rththe diagram." APR 0 2000 ally measure] ttie distances Set f`- rson TURE E A5 00 Im T--4 lap CA CO C11, Ira ri CL- rA RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement �p Dept.of Community Development Arrive M-, (Da�vjrx� ) Pa. ^ . "a ti"'r Town of Queensbury Inspector's 742 Bay Road Queensbury, mw York 12804 NAME f p c ;- PERMIT X�( LOCATION DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightP'H'Vent/Direct rentLocat�iorn�=\ Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36 Exterior Handrails,balconies,landi k 18 in.or more Interior Handrails stairs both sides 3 o more risers 1Z Grade 2%away from foundation 8"clearance to sill plate— Gas Valve shut-off exposed/regulator 18 kabove grade�_ Gas Furnace shut-off within 30 feet or win line of site Oil Furnace shut-off at entrance to furnace aV_ Furnacefflot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. I 4-- A Handrail exterior stairs both sides more than 3 ris'(s \//I Interior privacy/trim/doors/main entrance 36" Floor Finish V V A Bathroom)Kitchen watertight� Interior Handrails Balconies/,Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans' Plumbing fixtures Foundation insulation_tQC-0;:��Ur\7 '/4 hour fire door/door closer Garage fireproofing yv Garage penetrations sealed Furnace in separate room protected(in garage) I 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(Cerlif,of Compliance)_ Okay to issue temp.C/O(Certif,of Occupancy). Okay to issue permanent C/O(Certif.of Occupancy) mot, F=iF::;?.r-= M/kRZSH^L. -F4C:)WM OF C2UIEaN,3E3UF:;Z'Y ClUaE!",'SE3UF:;,"')r, N'lr 12804 mKaiwmw (518) 701 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME f% LOCH PERMIT SCHEDULE INSPECTION SON APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIONAGE CHIMNEY WOOD STOVE FIREPLACE MASONRY FACTORY BLT. REMARKS: OK TO THIS DATE INSPSLIP.PUB INSPECTOR GENERAL IMSPECTIONREPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive pm _ Depart ; pm Inspector's Initials ` NAME: \ ERMIT# LOCATOR: 1 DATE TYPE OF STRUCTURE: `C1. RECHECK NrAYESN.O- COMMENTS Footings/Piers l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the plakeijjent of the concrete. Materials for this purpose on site l+oundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plu g VentfV, is in PlaceOF ugh Plumbing 1 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 F;Z�S"^L- F=[F;ZE= M^ -r(Z>WN OF (::lUaaNlSE31`JF;ZNr 4ZlLJF-=IEN,'3E3UF;Z'Y. ""Ir 12804 4EaL (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUE� CEWED NAME LOCATION SCHEDULE INSPEQfM� ---'' --- ___ AM QgM APPROVED N/A IYES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTIN(3UISQERS FIRE ALARM SYST -7 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEV I C:) HOOD INSTALLATION INTERIOR FINISHES S STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEA IN4G UNITS REQUIRED SIC3NAC3E CHIMNEY WOOD STOVE FIREPLACE E--] MASONRY FACTORY BLT. ROUGH-IN FINAL REMARKS: EAg- C)K TO THIS DATE IA INSPSLIP.PUB IN EC R GENERAL INSPECT'IfIN 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- A a Depart Inspector's Initials NA11E. PERMIT# LOCATION: j C __ DACE TYPE OF STR C RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is respons b1e for providing protection from freezing for 48 hours following the lacement of the concrete. Materials for this purpose on 'te Fouiida1i&h/Wailpour Reinforcement in Place Foundation/Dampproofing Backfill Approva,11 Plumbing Under S a Plumbing Vent/Vents in P ace�- 1 RoughPlumbing�"- _ �C�� _ 1�l�1 Czt--\V I tL3 Insulation- _ 1 �-- -1�11Lj Foundation Walls Inte " r R --- � Foundation Walls Exterior R- �e Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R -Fit> / Pro e Attic ent ° c1 _ _ F tang a Jack Studs/Headers BracingBridging Joist Hangers 6V PIFLO� Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 3p, GENERAL MSPECTlON REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: -Z'10W Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am1 Depart i 5W s t is Initi ,'� NAME: �f`- lam%�' PERMIT# JI R-5 LOCATION: n DATE TYPE OF STRUCTURE: RECHECK r j f1 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 pl me of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo g Backfill Approval Plumbing cinder Slab Plumbing Vent/Vents i, Place ough Plumbing 1 Heating Rough-In' Insulation Foundation Walls tenor R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or pi ing in unheated spa es R- / Proper Vent, Attic ent �Aaming Jack Studs/Htders,Bracing/Bridg Joist Hangers Jack PostsiMain 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 Queeusbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart am/pm Inspector's Initials / 7� NAME: 1 0 G\S PERMIT �( LOCATION: a DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in;Place The contractor is respo ible for providing protection fro freezing for 48 hours following th placeme t of the concrete. Materials for this p rpose on site Foundation/Wallpou Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place 1!„ ano lumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior Floors R Walls R Ceiling R t` Duct work or piping in unheated spaces R- j Proper nt,Attic Vent ng Jack Studs/Headers BracingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping SPY\V� 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 V-1 Depart a nspector's Iniiti NAME } A� 0 PERMIT# — K�- LOCATION: DATE : - TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fr m cering for 48 hours following the p cement of the concrete. Materials for this purpos • ` on site Foundation/Wallpour— Reinforcement in Place Foun on/Dampproofin c till Approval Plumbing Under Slab Plumbing VenUVentsjinPe Rough Plumbing Heating Rough-In Insulation Foundation Wails Interi r R- Foundation Walls E1te or R- Floors R- Walls R- Ceiling R- Duct work or piping in unhcated 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 Scaled Fire Wall 2, 3,4 hour Firestopping GENERAL INVPECTION REPORT ( 518 ) 761-8256 Town of Quccnsbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Quecusbury,ICY 12804 Arriv3:l1-' pm, nspector's Initi s NAME: PERMIT# LOCATION: I DATE TYPE OF STRUCTURE: ._. RECHECK N/A Yd NO COMMENTS otings/Piers Vl Monolithic Pour Form_ Reinforcement in Place_ The contractor is responsible f providing protection from fre ring for 48 hours following the pl•cement of the concrete. Materials for this purpose on si c Foundation/Waliuour Reinforcement in Place F,otiiidation/D,impprolo�RI!,,],,,,,/ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents-1 in Pc Rough Plumbing Healing Rough-In Insulation Foundation Walls Inte for R- Foundation Walls Ex rior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Pleaders Bracing/Bridging Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wail 2, 3,4 hour Firestopping