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2000-253 TOWN-OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-820.1 Community Development-Building & Codes -(518)'161-8256 CERTIFICATE OF OCCUPANCY C/O Number: 0000253 -C/0 Date: Wednesday, August 309 2000 Application Number: 2000253 Permit Number: 2000253 This is to certify that work requested to be done as shown by Permit'Number 2000253 has been completed. ---=- This structure may be occupied,as a Single Family Dwelling Tax Map Number: 523400-074-000-0002-094-000-0000 Location: 52 SARA-JEN Dr Owner: GUIDO PAS SARELLI By Order of Town Board TOWN OF:QUEENSBURY Director of Building&Code En rcem t BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 176900 2000253 TAX MAP NO. 7 4 . -2-9 4 Building Permit No. MICHAELS GROUP Permission is hereby granted to I LUT Owner of property located at SINGLE EAMILY DWELLEITG in the Town of Queensbury,to construct or place a 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 Uniform Building Codes and the Queensbury Zoning Ordinance. 1 @WBCZX(A-4ftM-TH DR MALTA, NY 12020 M c L gr RIA16u?; aTfq C. Contractor M Vder'S&TET MGR 10 BALCKSMITH DR JIM CHAN L R1 MALTA, NY 12020 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Anand—SKca.S ?' FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE , I AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING 315 May 8 2002 $ PERMIT FEE PAID—THIS PERMIT EXPIRES (If a longer period is required,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbigy before the ex"o 2000 Dated at the Town of Queensbury this Pay Of SIGNED BY BY ..... for the To"of Queensbury Code-Enforcement Officer r Building .Permit Application Town Of Queellsbut'y - Dept. ofContmunity Development, 742 Bay Road, Qite nsbury, NY 12804 1761-825G1 BUILDING & . CODE E. NF0RCEMENT ERequirements prior to issuance s-�,�, L t must be obtained before of this permit: PERMIT FILE N07J��}— g eonstruclion: No in PERMIT FLsLi LAID 3 � ade until applicant.has received Q Zoning I3oczrd Action BUILDING PERMIT. All Arco. /UseRECRL•'AT10N FEE PAIDs spaces on thisapplicatione completed and-the signature Q Pla�uii�tg Board Action- REVIEWED Bplieanfi must appear M the SPR t Subdivision t Other ttsrrlEt,r Ir vt ecrnr on form. nix>,, Recreation Fee Payment Applicant: Lis m1GY1-ac�-S Owner: Address:��Le its¢. �� Address: T' (Sl ) S - Phone # - �1�__ Pltonc # Property Location: l Z t4 D'e, (921 Subdivision Ntime: Tax Map Number _ —L—J� Section Block I nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ / 7(o (: C1T 0 residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial _ Single Family Dwelling t Residence / Commercial Two Family Dwell —T. f no change to exterior size Family Dweltl` ng Other Work (describe below) Mercantile APR. 2 8 2000 ManufacturingJi-AY Other GROSS AREA OF PROPOSED STRUCTURE: ®B6J1�DiiVC�I s5,��C�iJ`� If ADDITION, what will use lst Floor. . . . . . . )S C? sq. ft . of new, addition be? : 2nd .Floor. . . . . . , 10019 sq. ft. Other Floors . . sq. ft. (not unfinished•cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 2s�/.3 SQ. FT. �C_ Attached Garage 1, car Private Storage Bui ing SIZE OF NEW STRUCTURE: Commercial Storage Building FEET X .5 (f FEET Other Foundation Type: �Qertj. Will- any second-hand or ungraded Number of Stories : 7 lumber be used? If so, for what? (habitable space only) p Height (grade to ridge) : _A0 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a plies ) to be installed: 1 Electric / Oil / as I / Wood Foirced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building Codes i s : �t�� -2t hoer-t 6R �2►K L..a1 vtz� Na e A dre s Phone T Builder: p , Plumber: G-J,— __ 15 7 - _ Mason: Jt Electricians DECLARATION.• Please Sign below gfter 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 n Certificate of Oceupancy'or Certificate of C plinnce being issued, an AS BUILT PLOT PLAN by a licensed surveyor; wn to scale, s o i actual location of project on premises. Signature: T 2tLa (owner, owner's agent, architect, contractor) Application for Permit-Septic Disposal System, qf*Qllceti.vlii"y'74213a;,I?t)atf Queelysbwy, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ................ ............................ .............................. Location of installation: 5AOA � cw')'� -c- Cl Permit o Office Use File Pit N Tax Map No. Lo 4 ZZ Fee Paid T Owiler's Name: "V- Address: k� 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedrooin(y) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation Total Daily Flo 1980 or older x 150 gal/bdrin 1980- 1991 x 130 gal/bdrin 1991 -present x 110gal/bdriii Garbage Grinder Installed yes_ no >< Spa or Whirlpool Installed yes_ no ;>< 4. PARCEL INFORMATION: (circle applicablo information &indicate measurements) o ographv Soil Nature Ground Water Bedrock or Impervious Material L-P-qn1estic Water Supper at I sand at ivhat depth at what depth '511TI;i cipal Rolling loam feet -feet --Tvuit- steepslope clay Y'well; water supply —%slope- other fi-0177 attyseptic-systeln depth: absoiptiO17 LV other Percolation Test: Rate: 1771171110 Pei inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed bya licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to 1110 size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 1 G-_Aj7�gallon (min. size 1,000 gal.) Tile Field: each french Total System Length: 7- 10 fl. Seepage Pit(s): number of_. size oj*each: ---fl. by—Ji- Size of Stone to be used: depth-or,thickness a Bed System Size: X Alternative System: length andlor 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 belialf 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, Signature o-f-re-s-pro'nWilbYe person Date I^u� i1;latist�al's oft'icr 1,own of Queensl�ur�'. 712I3ay IZoacl;(7irecxtil�t�r�, tip` (518) 70 1-8-205 Application for Fuel Burning Appliances &.Chimneys applicable to solid fuel & vented gas appliances Date - ? , Permit No. . K. AI)plication is 1herebY made to the Bvildirt,a& Codes OJticx for the issit rnce taf a Built(irrg mill Use Perrrrit pwr sttcutt to the New York State Fire Neventiorr and Bui1tling Cade. 7�he crJthlieatnt cxrt�tiner agrees to comply with all applicable laivs, Ordinances, regrdtrtion:s, and zrll conelitions that are hurt rrf these requirements and also will allow all ins7)`CiW-3'10 anter-'prernise's to per fvr-tn required inspections. NOTE to applicant: Rough-in and Final are Inspections required. ,� Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: , ' tt ` " Stove: wood cavil Pellet grrs Fireplace insert Address: Fireplace, factor �'y-buzlt: tvo6d l . � .�`...�_._..._. �)=tte}aiace"-riascsz�i`� `'" wood gas� . ;. Furnace avbod oil Phone: If non-masonaryapplicance, please provide Owner: Mall ufacturerNarlie: Address: Ivlodel`Nutraber: Phozie: ClAniney In (circle appropriate words) Masonry block brick stone F the steel) -size: inches Exact Address A .5,4 ;0 a 'of Construction or installation Factory-Built Lor ManufactUrer name: Model Number: !vote.- Listed By: Number: Constr�trction/I113trallation rrrr(st con o.r nt to NYS Fite Prevention &Building Indicate (circle) chimney niaterial: Corte. Consult available Town of Queensbun, Hcaridouts regarding r-egllb-ed inspections. Doubld wall Triple„vall l Insulated / I)lreet,,e,rtirrg Chilline'Liner +i¢»e 4--X1Ai1,bzza-y, —Me cr Y'c> I jMX I Fire(!Marshal Corte# S Collected S Refunded Reccit� d ji-oar/re/inrrlerl to): �j_ d d, � � .4 17:3 3389 (190) Public Safer .a 533?b:>j (230)Alinor Sales .. f. '}-11ff4�tvLG - IOfV Dt (/4'C+'LrL i}y (./GtitiY'4+g: White(Applicant) ;' Green( ire Marshal) -Yeli'o,(.L3lei-. Dept' I RinkTT&Goldet7rod Washier's'Dept..) x H H a O r H z G C;3 a r x HOO O > z z o G C 0 P a a W z g r n a a x H z c 0 ro ►� n h . O r r n t�1 d H N + t=7 k» r x H ' x xH n N t H 2 H z O H H , HNr r o n OM ao0z �c �rou� N a z ,. cn c r O 14 H r ;u O z (4 r) H 0 ► N I- H r x n x M C 0 t H i C n M ' r r 0 H O r x N x n� r� � 0 m H X q 0 0 � P H M w z z a �H C n n P H t z g W O z 0 M N z 0 q H q x HZIr a �0zv 0 v M n H � �' m � z � �' Ix � . 0 ro M H r� q C H nr � c� a r � ro � n r ro � '� :an n z z 10 to q 0 H G C H aG c� arc� d z �ro� x as �n- Ox g x o 6 a N. OH > Z. cry a x ,� ; � n� nro • H H :v kG1C n �cr tA HP�O NGa[ o� t0 H z rz z z z 1 � 0 MAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN — PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC 93 ry e 30,44 V. ( 0 uu ruts ----------- -t- t----------------------- .v an D u s e Steves Land Surveyors, L 169 Haviland Road Queensbury, New Y( 518) 792-8474 New York Lie. N NO CLEAR ZONE 177.36' S05'15'50"W 'UNAUTHORIZED ALIMTKN OR ADDITION TO A *JIRVEY MAP WARING A LICENSED LAND lNCVEY= SEAL IS A AMATION OF SECTICIN 7200. SLID-OMSION $ OF THE NEW YORK STATE Ea1CAIKN LAM!' 'ONLY COPIES FROM THE ORIGINAL OF IRIS SU WY MANIQD YATH AN OWONIAL OF IHE LAND SURVEYORS SIAL SHALL NE CONNDEIRD TD ZE VALID TIME Comm, CI"FIDATIONS INDICATED HEREON SON" THAT TWS SURVEY WAS PREPARED IN ACCORDANQ wTN THE C IMISiM0 WDE OF PW710E Fat LANDSUR%EYMS ADOPTED BY INE NEW YORK STATE ASSWIAIM OF PROFESSIONAL NAND SURVEYCRI SAID CERVICA10I3 SHALL INN ONLY TO IHE PERSON FOR * M THE SURVEY IS PREPARED, AND ON MS W`w TO THE TITLE CDLPANY. GOVERNMENTAL 12801 AGENCY AND LD=o INSIHTATON US= HEREON. AND TO THE ASSIGNEES OF THE LENDING NSTTRITOJ.' 50135 k Iff 28.8w C7, JEN 95 DRIVE -----y---------------------------- Map of a Survey made for THOMAS A. & DEBRA C. GRAFF Town of Queensbury, Barren County, New York NO. I DATE 0 ,- a,5-/, �_) I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Thomas A. do Debra C. Graff Fidelity National Title Insurance Company Trustco Bank, National Association, Its successors and/or assigns CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: July 25, 2000 DESCRIPTION Scale 1"=30' S-1 *W 10P 1 GRAFF DWG. NO. 89423-94 RESIDENTIAL FINAL INSPECTION REPORT Office No,(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depar� Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New fYork,12804/^ NAME t2 tr ip PERMIT# o o o - y LOCATION S z 1qr_AJu J p n DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height!'B"VenVDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete - Exterior Finish Complete Interior/Exterior Railings 30"jo 36" Exterior Handrails,balconies, anding 8 in.or more Interior Handrails stairs bath s 3 or ore risers atio Grade 2%away from fo md VA 8"clearance to sill plate Gas Valve shut-off exposed/re ator 8"above grade Gas Furnace shut-off withiTOA thin line of site Oil Furnace shut-off at ent e areaFurnace/Hot Water II ter ol Relief Valves)installedHeadroom,6 ft.6 in.on st VA Basement stairs,6 ft.4 in. Handrail exterior stairs both sides ore than 3 risers Interior privacy/trim/doors/maince 36" Floor Finish VY Bathroom/Kitchen watertight Interior Handrails Balconies/Lan ' g I8 in.or more Railing across window in stairwells, Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans' 1 Plumbing fixtures Foundation insulation '14 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18MW floor Final Electrical �( 1( Site PlanNariance4eqifired Final Survey Plot Plan As Built Septic System layout required �' �Cs! I�7fG/ X(A)G Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) C RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement i `7 Dept,of Community Development Arrive am/pm Depa at Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 NAME \NK\< -KAr PERMIT# � LOCATION DATE TYPE OF STRUCTURE 71 N/A 'YE NO COMMENTS Chimney HeightrW'Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof ' Roof Complete Exterior Finish Complete lnterior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 or m e Interior Handrails stairs both sides 3 or m re risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above gJade Gas Furnace shut-off within 30 t or withi li of site Oil Furnace shut-off at entrance to a _ ✓ Furnace/Hot Water Heater operating \l Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 sers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or More Railing across window in stairwells 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 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)_ t Okay to issue permanent C/O(Certif:of Occupancy) / v,Q�,— JPP,�'D U AV FIRE 11lIARS�-iA� -rc:>Wm OF C)uF-aNSauF1',l)r CaUIEaNSE3UF4,'-V-, M-V- 12804 (Sl 8) 761-8205, FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME J(�D I LOCATION PERMIT # - SCHEDULE INSPECTION ON CAM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISIHE� FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION- SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI14KLN RS CLEARANCE TO HEATING UNITS REQUIRED SIONAGE CHIMNEY V60D STOVE IREPLAC [:::E ::] MASONRY &TFACTORY BLT. F-1 OU4GH-IN FINAL REMARKS: F-1 OK TO THIS DATE INSPSLIP.PUB INSPECTOR I I I I THE NEW YORK BOARD OF FIRE, UNDERWRITERS « BUREAU OF ELECTRICITY I (' !1 i i FULTONr - 00 le - ' " rl t ' ��.. GPON111111I only the electricalequipment as described below and introduced by rrt 'Can tr r on aboveapplicationr premisest I S' TH ,in the ii '{I following r r t ® Basement ® Ist Fl. 2nd Fl. GAR SectionBlock r I 1 1 Ir �f r r r t and found t be t r rnce with the National Electric+ I r' 1 = E3 FURNACE M=RS -SERVICEDISCONNECT o s ' �I l� �1 I ' OTHER APPARATUS: 1 s'+�1 Ir l �i24461 JAPPREY .� ter; : .r �. I r I Ir Per This r • •: • :♦ • • • • c r :rr r • r: • • •: r: :• • credentials. I /,'YrY,.Yi�;Yr7;Y,��Y+1�7+t;�iY�Y+Y,Y+�i�"+Y,Ys1;Y+Y�Y+Y7r1�YrY7sY Y+Y YrY,'Y+Y YrYY+YYiY,�YrYI�"iY'YtYY+Y�Y+YY+'Y Y�Y7+Y,1",riYYsYYiY Yi�7+YY+YY+Y1'rY�Y+Y Y+Y�Y�YYiY YrYYiY��YrYYr�YYr'Y.� 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 12844. Arrive am/pm Depart/. � n/ Inspector's Initials_ w, DAME: �y� 01 PERMIT# LOCATION: DATE : TYPE OF STRUCTURE: RECHECK r N/A YES O COMMENTS Footings/Piers i Monolithic Pour Form Reinforcement in Place _ The contractor is respo 'ble for providing protection fro freezing for 48 hours following the lacement. of the concrete. Materials for this purpose on s e Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating R . -In ulation Foundatton 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 6wluv-51 .' GENERAL dNSPECTIQN REPORT (51.8)761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road } Q►ueensbury,NY 12804. Arrive am/pm Depart Inspector's Initials_�Y M--- NAME:' }' PERMIT# Q' C LOCATION: DATE: D ,;tJ V TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footing ers Manalithic Farm j Reinforcement i lace The contractor is sponsi le for providing protection o freezing for 48 hours following a placement of the concrete. Materials for this purpose on sit Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents' Place Rough Plumbing;,. Heatin latio' n R(• At Foundation Walls In erior - Foundation Walls E erior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing 1. Jack Studs./Headers- Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,.hour Penetration Sealed Fire -2;3„ hbur F• towing 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 I2804. Arrive am/pm Depart ar /la tam Inspector's Initials 0 NAME: PERMIT# 00 r � LOCATION: DATE: /Z TYPE OF STRUCTURE: RECHECK N/A YES NO C NTS Footings/Piers Monolithic Polar Form Reinforcement in Place The contractor is responsib for providing protection from ing for 48 hours following the placement of the concrete_ Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough.Plumbing tang Rough-In l Insulation e' Foundation Walls Interior R- Foundation Walls Exterior R- (JA)J 1 ( (� 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 Firestoppin A' j v Y"" AIR GENERAL MSFECTIO.N REPORT ( 518) 761--8256 Town of Queensbury Dept.of Community Development Date inspection request received: 7 ()U6 Building&Code Enforcement 742 Bay Road / Queensbury,NY 12804. Arrive am/pm Depart ' pm Inspector's Initials NAME: FG��(s � ' (� PERMIT# LOCATION: o al"i t I DATE : AUK TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footings/Piers i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placem of the concrete. Materials for this purpose on site Foundation/Walipour Reinforcement in'Place Foundation/Dampjiroofing Backfill Approval Plumbing Under Slab Plumbing-Vent/Vents in 1 Rough Plumbing I3ea ' a Rough-In �L u I I Crnv,PC&-r& Foun ion Walls Interior R Foundation Walls Exterio R Floors N. Walls Ceiling Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Heade Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour- Pgietration Sealed e Wall 2, 3,4 hour / �� k, 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 rpm Inspector's Initials NAME: PERMIT do LOCATIONr>LbI TYPE OF STRUCTURE:"R RECHECK N/A.YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement 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' (Heatingugh Rough-In_ Insulation Foundation Walls Interior R- Foundation WallslExtcrior R- Floors fR- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent $miming Jack Studs/Headers Bracing/Bridging Joist Hangers V Jack Posts/Mam Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour 71e stopping— aos GENERAL 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,._.,_._.__ mfpm Inspector's Initials _, NAME: lLts �� 'J f _ PERMIT LOCATION: -mil �,'L J�i�- DATE: GJ TYPE OF STRUCTURE:,-` RECHECK 1, N/A YES NO CO_NIl ANTS Footings/Piers —� Monolithic Pour ForuN, ,r'P Reinforcement in Place The contractor is responsible:i(or providing protection from freezing for 48 hours following the placement lr of the concrete. Materials for this purpose on site J Foundation/Wallpour Reinforcement in Place 41 Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In,/ Insulation f Foundation Walls Interior Foundation Walls Exterior R- Floors Walls R Ceiling R Duct work or piping i' unheated spaces R- , Proper Vent,Attic Vent ~ . Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam stL/Y►� /r r 'y5 Air Infiltration Barrier l Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping ,,�p`e�� gg X 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 91,b am/pm Depart am/pm bnspectar's Initials NAME: ERNIIT', - j:q7-5-3 LOCATION: /ATE — —7 j TYPE OF STRUCTURE: _ '�� RECHECK N/A YES NO ;' COMMENTS Footings/P�ie��rs Monolithic�Pour Form Reinforcement in Place e,71 OF—, 1; +� 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 '� f Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plurn,�,�',ng VentlVents in Place \h ' ugh Plumbing , . �a �J• . 1( � ! t J Heating Roughln ,// Insulation Foundation Walls Interior' R 'a Foundation Walls Exterior R- Floors frf R Walls /f R . Ceiling .f R Duct work or piping in unheated spaces R- Pro Vent, Attic Vent Jack Studs/Headers BracingBridging 4"ef, Joist Hangers Jav� yS Jack Posts/Main Beam , Air Infiltration Barrier Fire Separation 1,2,3,hour Penet Lion Scaled Fi 2,3,4 hour r all restoppiri d 11 4-) 4� 4-) 0 M 4- 4— V) v U 4J r w ti CL 4-N �. � 0012 � A I I � M 0 4J 0 I— cp � , w E ,r. a, au � w ' z V) a) C 0 0 +-) a) 4- 0 Q) +� Q1 ,� I p 5 (ji ro4J r W aI U () of 0 0 4- ON) �' `G ly 0 4- r 0 0 �r o0 r.o0 r. LL. r- V) 1 H z or. 4J 0 M 0)6 -P op -P roU 4 N 04-LV) CaNWN04 'UC0Q)�1 � � it'�� rcro 0 p 4J or. M N a) 'r-W or- 4J r� �r- 0.0 0 0 a) 0 0 U, .� A V) a`' 0 0 0 V) V)A. Q O.J LL IL U J,.,,LL V1 � A (LENERffL MSPECTION REPORT ` (518) 761-8256 1 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart;r M Inspector's Initials NAME: ; PERMIT# c J LOCATION: `. DATE TYPE OF STRIJCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers [ Monolithic Pour Form Reinforcement in Pl c_ The contractor is spans)•le for providing protectio from zing for 48 hours followi g the p cement of the concrete. Materials for this purpo a on s to Foundation/Wallpour Reinforcement in Place Foun n/Dampproofin 1 Approval Plumbing Unde - Plumbing VenttVents in Pl Rough Plumbing Heating Rough-In Insulation Foundation Walls Interio R Foundation Walls Exteri r R- Floors Walls - Ceiling I- Framing Duct work or pipingunheated spaces Proper Vent, Attic Vent 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 ei • w 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 t at iti Inspector's inals (�-- NAME: --C� • PERMIT# �' Z LOCATION: DATE: RNr' �J TYPE OF STRUCTURE: RECHECK N/A NO COMMENTS ootings/Piers I Monolithic PouI Reinforcement ice �.The contractesponsib forproviding prn from zingfor 48 hours ing the lacement of the concreMaterials for thpose on siteFoundation/WaReinforcement ceFoundation/Dao ingBackfril ApprovPlumbing undePlumbing Vent/ s in Plac 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 ♦ wd w 3NQ2 ?��3�1 ON 30V1 � 0£ 0 L9G 07, } "I have seen r observed, or believe I saw evidence of ! • (( t all object, su h as houses, wells, trees, fences, etc., r shown qn 1 ,document. I also represent that I have personally : sured distances set forth on the diagram." j SIGNATURE / DATE �, �► -c 3 BVE DI 1 .. ,V !� APR 2 8 2000 �-BIJII DING AND CC •lj*bs 29� 06 91 PY y� f aQ .�