2000-233 I
TOWN 'OF. QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
-Community-Development-Building&,Codes "(518)761-8256
CERTIFICATE OF OCCUPANCY
C/U Number: 0000233 GO Date: Tuesday, August 22, 2000'
Application Number: 2000233
Permit Number: 2000233 ,
This is to certify that work-requested to'be done as shown by Permit Number 2000233
has been completed:
This structure may be occupied as a Single Family Dwelling An
Tax Map Number: 523400-.074-000-0002-095-000-0000
Location: 5)SARA-JEN Dr
Owner: GUIDO PASSARBLLI
By Order of Town Board
TOWN EENSB Y'
Director of Building&Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 169300 Building Permit No. 2000233
TAX ,MAP NO. 74 . -2-95
Permission is hereby granted to MICHAELS GROUP, THE
Owner of property located at LOT 95 #5 0 SARA-JEN 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 Uniform Building Codes and the Queensbury Zoning Ordinance,
Owner's Address:
10 BLACKSMITH DRIVE
MALTA, NYRNE, NY 12020
Contractor or Builder's Name:
MICHAELS GROUP, INC.
Contractor or Builder's Address:
JIM CHANDLER, PROJECT MGR 10 BALCKSMITH DR
MALTA,- NY 12020
Electrical Inspection Agency:
. NEW YORK BOARD
NEW YORK BOARD OF FIRE UNDERWRITERS
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
2261 sq ft SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS
PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
$ 2�ERMIT FEE PAID THIS PERMIT EXPIRES May 1 20-02 ,
(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 V11 Of Queensbury this I Day of May 2000
SIGNED B for the Town of Queensbury
Code Enforcerdertl Officer
Building, Permit .Application
Town Of Queensbury Dept. of Colnnuadly Des eloplitent, 742 Bay Road, Qtk envbuiy, NY 12804 1761-82.561'
of LJ� BUILDING '& . CODE ENFORCEMENT '
Requirements prior to issuance
A-permit must be obtained before of this permit:. PERMIT FILE NO�=�
beginning construction. No inspections PERMIT rEE!'AIDwill be made until applicant has received 0 Zoning Board Action•' ��
a'VA41D BUILDING PERMrr: All Area /Use
applicants* RECREATION FEE P
pp spaces on this application �•
MUST be completed atd•the signature 0 PlxMing Board Action REVIEWED BY,
of the applicant must appear on the SPR i Subdivision I Other BrdGtln, Iav
g recrnr
1 plicnGon form. nm c Recreation Fee Payment
/Applicant: 14EtCY1c'1C�5_ �ta�_ Owner: SZm�
Address:b nt . �a.�� C2��6 Address:
(J� )
Phone # I'hon # ( )
Property Loci-tion: `�� ----- ----- ---- 1 `1 t � '
Tax•Map NutiSbcr Gam'"
Subdivision Nanw: - •--
' Section f31ock iiit
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
_ New Building: CONSTRUCTION: $te,5,900
residence / commercial
Addition to Building:
residence / ,-commercial OCCUPANCY 'INFORMATION:
Alteration to Building: Primary Building -
residence / commercial _ Single Family Dwelling
Residence / Commercial 'Two Family, Dwelling
no change to exterior size Family Dwelling
Office.
Other Work (describe below) ' Mercantile
Manufacturing
Other
GROSS ..AREA OF PROPOSED STRUCTURE: '/S
✓ s ft. (J If ADDITION, what will use
1st Floor. . . . . . . of new addition be? :
2nd .Floor. . . . . . . �7C�`? sq. '
Other Floors . . . . . sq. ft. .
(not unfinished -cellar or semen / ACCESSORY BUILDINGS: "
Detach,6d Garage 1, 2 car
TOTAL FLOOR AREA: Z� 0�.- SQ. I� - Attached Garage 1, 2 car.
Private Storage, Bui I "g
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X =Re!y� FEET '
Foundation Type: qi�tNtzr-_ ` Will any second—hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) Ko
Height (grade to ri.dge.) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle all. whi.ch a plies)
to be installed: 2 Electric / Oil /.. as / Wood
Forced Hot Air / Baseboard / Other
Person responsible for -supervision of work as regards to building '
codes i s : u� ..1-zrn aR F���2►K t .a�1�tz�
N reqss Phone
Builder: b°
Plumber:
Mason:
Electrician-: -Ir-X s. t _ .-�. . > ,- - -
DECZ.4RATlON• Please sign beloiv ate-you have carefully read the state»ierrt.
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 Iaws 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 stibtnit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, 1n AS BUILT PLOT PLAN bye-__,�---
a licensed surveyor; drawn to scale, MigAving actual location of-,project on-premises:--- ---" 1
Signature: 7`
(owner, owner's.agent, 'architect, contractor)
Application for Permit-Septic Disposal System
1(!}Ylt Uf�tIG'G'tt.S/Jt!/y 74213ayltoarl(�rreerrdnrry, Nh' 13'Y04 (51t1) 761-8 56
1. OWNER INFORMATION:
................................................................................... .....................
A 1 /� �j> O1•rcc Use
Location of installation: �A ,.� t`s f df � �,�, ry
Tax Map No. File Pernlit Nq::-q
Fee Paid
Owner's Name �>f1E �Gli lS ps��b
tly� .................................................................................................
.._.....:
Address:
2.. INSTALLER'S NAME PHONE NO. Cv2j- �(pj
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(y) and multiply!! of
bedrooms with applicable gallons per bedroom to equal total dailvflo[v)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 ga1/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present x 110 gal/bdrm = G 4(0
Garbage Grinder Installed yes_ / no 4
Spa or Whirlpool Installed yes_ / no 1K _
4. PARCEL INFORMATION: (circle applicable information & indicate measurements)
o=ra h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supper
T'lat� scrn at what depth at what clepth rnturlctpa
Rolling loamy feet feel I steep slope clay if'lvell; water.supply
—%slope other from atty septic-system
depth: ��- absorption is
t1117Cr'
Percolation Test: (1 o be completed by Ilcc'nsed prujcssloncrl en�lneer ru 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[lie septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: ;160 gallon (min. size 1,000 gal.)
Tile Field: each trench .h ji. Total System Length: - l 4p
Seepage Pit(s): number of size of'each: _lft. by f1.
Size of Stone to be used: I/ 4� / del7th or thickness
Bed System Size: x
Alternative System; _----__ —_-- length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: t`(. ;, / Size of each: gallons /TOTAL Capacity; gallons
Note:_ Ala rnl_Systeni'=and-associated=electrical -ork:.iust-be inspectad-by-a-Towrr-,vpproved--- - -- -� -"
electrical inspection agency.
7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read)
For your protection, please note that pursua[it 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 behalfofan applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these acid all
'requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responslble person 'I Date
^
TOWN OF OUCENDBURY Fee Paid
.. BUILDING & CODES DEPARTMENT
APPLICATION FOR: PORCHES-DECKS- permit -
DOCKS & -BOATHOUSES
Est' Cost
A PERMIT MUST BE OBTAINED�
BEFORE BEGINNING CONSTRUCTION. PLEASE 4M3HER ALL OF THE FOLLOWING:
The undersigned- hereby applies for a Building Pero/it to do the following work which' will be
done in accordance with the description , plans and specifications
submitted, and aoch ,necia lnonditionn as may be indicated on the permit. TWO SETS OF STRUCTURAL SHALL UE 3U8MITTED
HI
Owner of Property:
P.O. Address Phone #
Property Location
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION' OF 1401ZK AS REG.ARDS ,T0, BUILDING CODES:
_ ~,. ~~~ ,//nnex
BUILDING SPECIFICATIONS:
~ ' Type of work to be-done: porch Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : ` Width Thickness
Depth of Fnotih8, below grade;-
Size of Posts or Studs: � x �-
' « Long
Size of Floor Joists: x x Span
Decking or Flooring Material : '
How will Porch or Deck be fastened to building? �----
If
Roof Will Be ^.~." . .="r Answer rv' /vw/ng Questions:-
Size of Posts or Studs` � x '
, � x Long
Roof Rafters: x _____ Spaoing Span
Roof Trusses (pre-engineered spacing): Span ---------
Type of Roof: Sloped Flat Shed Other (Ci�ol---�-----
Material of Roof;
ZO,x/nu In/^uxnm/ /on:
TWO -PLOT PLANS MIP�T RP PREPARED AND
here drawn reasonably Co scale and attached
'- ' _.. ..0 clearly ""v "/^t/vcc/J/ a/ / ou1 |u�ngs whether existing
indicate all set back dimensions from property lines ` Show location fo' Proposed and �
l»catioo and configuration of septic disposal u�ea^ ' »n � water 'supply and
5izeof Property: ft. x ft.
Existing building(s); Size ft' x ft. '
Size ---- ft. x --�-' ft '
U
ue or Existing �uildinO(s] �----- -�---
'
_ .,` ^~,-d ��-� f"" _ rn~---'- ~ft�- - -~-�-'
3ide* yards ft. and . ft�------
If on corn -setback from s et. _�______ ft. .
DECLARATION
t tTo the best of my knowledge and belief the statements contained in this app11coti oge oer wito the plums and specifications submitted, are a true and completeon `
of all proposed work to be done on the described premises and that allprovisions
� �
u«ilding Code, the Zoning Ordinance, and all, other 7"' Pro« s »»s o' the
shall be complied with whether specified .or
laws pertaining to the proposed work
owner, , � not, and that such work isauthorized by the
DATE`
. SIGNATURE
REVIEWED BY CODE ENFORCEMENT OFFICER, ' Agency,' Architect, ~~''^' "�^~'
DATE SIGNATURE _____
Fire Nfilt-Slu'll's OfTicc Town of,QUeellibury. 742 Bay Road,
(518) 761-8205
Applicati.on for Fuel Burning Appliances & Chimneys.,
applicable to solid fuel & vented gas applianc' e' s
Date3' mod
Permit No.,
s41)1)licatioll is hereh),made to the Building& 4.1 mles Office fi)j-the issuallee(?fcl Building and Use
Pei-unit pursuant to the New Yoi-kState Tire Prevention and Building Code.- The al)1kcani or other'ej.
"these
to comply ivith all applicable laws, ordinances ;�egjjjati011s, (1/'(/all conditions that are pan refthese requirements and also will allow al/i11SjXc'jo'1-'Y--1O,-ena'.11 Premises to Pe)�form required insIvetions.
NOTE, to ap, plica' nt: Roucyll-In and Final hispectiorfs are required.
Applicant Information Fuel Burning Aj)pliance 11if"Orm.,atioll
(circle appropriate words)
lame: b"I klifil k)r Stove: wood•' coal pellet a gas
Fireplace insert
Address: 111 A6 Fireplace, factory-built: wood 1.41-96W
Fireplace, masonry:JA"ItA Py� wood gels
FUrrIaCC: Wood k"ic-"t
Phone: J oil
IS I
'L If non-masonary applicance, please provide
Owner: MarlUfactUrer Name:
Addte§§� '
--
Phone: Chimney Information
(circle appropriate words)
Masonry block�t rick stone
aw the steel size: inches
Exact Address:S 0
OfConstructielf or installation Factory-Built
Manufacturer name;
Model Number:
!Vote: Listed Ftion Bv.-
consti-11, I --NUmber:
lb2stallation must
confiorin to NYS Fire Prevention & Building Indicate (circle) chimney material:
Code. Consult available Tolim of Queensbui-1,
Handouts iegai-ding required inspections. Double wall Triple wall l l,rsrrlated r Direct tenting
ti
Chlinnev Liner
2%4e%ftr
Fire Alarshal Code# S Colleeied S Refimded Received Jrcurr
-qfifilded to):
address:
.417-33389 (190) Public Safety
,4 233 2055 (230)iWinor Sajc>.v
D-
White(Applicant) Green(Fire Marshal) Ye11oNv'(,B1d-. Dej)t.) I Pink&Goldenrod(Cashiers Dept.),
a v"
TOWN OF QUEENSBURY
ks6aed A 1GLss:ta
I-I I G H'WrAY� Highwa
Y P
Home(518)798 5127
��ARTM1E Superintendent
742 Bay Roach• Queensbury,,NY 12804 Michael F. Travis
Office Phone: (518) 764-821 1 Deputy'Higfiway Superintendent
Fax: f$18) 745-4:466 (51$)_798-0413
- ` :DRIVEWAY PERMIT
-DATE:
APPLICANT NAME:, lot
GI�Ra,S �t.,1{
TELEPHONE NO :yj8. Ste=to Zl l V
ADDRESS.TQ
-RETURN ADDRESS:
/C7� LJYI'1��1.� Jl�G yVl'�11 �J02p .
Applicant must show"'exact location and width of;driveway(s):'to be connected to the highway by
placing stakes at the§pecified location.
The Superinten,4etA,.,of Highways of the Town 6f.Queensbury1has reviewed this application. -The
following action.has been,taken
STEP I:,- { )Preliminary Approval `
NEED:. { }Slight'swale
{ )Level-with the road
{ )Deep swale .
Size pipe to be used(if necessary),
{ )IT' (')15" (:)18" { )24 { )W.
Preliminary.inspection completedby DATE.
. .
Approval by-Highway Supt. ` Deputy Sept
Upon completion,please resubmit fhis.approved`permit for a`final approval.:
STEP 2: O Final Approval
Y'{ )Rejected.
DATE:
Richard A. Missita,Highway Superintendent
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MAP REFERENCE:
LEHLAND ESTATES SUBDIVISION
FINAL LAYOUT PLAN - PHASE 3
DATED: APRIL 27, 1999
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
91
-------------I-----------
NO CLEAR ZONE
� an D u s ev�l
Steves
Land Surveyors, L C
169 Haviland Road
Queensbury, New Y
30 7,
1:n 4p
�p N
2
PORCH
DECK
ra 49'
HOUSE
f I ? i corr11F
SARAN JEN DRIVE
47.W f
I
I
W O (�
0 9V
0
o '*
N
95
28,345 sq ft ���'-----
0.65 acres
— — — — — — — — — — — — ---------------�-
i
167.20' S05'15'50"W
NO CLEAR OR DEVELOPMENT AREA
U" ° ""M""N ORAN S ADWft MEYMS TO L IS A T Map of a Survey made for
MAP IEAIUFD A tlCEFIlE9 1JN10 SURYEYl7p SEAL M A
ML1A"M aF SECTION rAt !Is-MM ON % Or TAE
NEW TORA STATE CUM" LANE'
'ONLY OOPES FROM WX O "OK OF IN "ItY
MMI® " AN OISSMIAL OF THE LAND SILOVE"M
�� >WEaaH�TNK D,RWINPELR� DAMES M. & JOANNE E. FINAMORE
'emIr"TIONS EIOIGIw HUM Saw I RIAT
TS! !IAlVET VAS PNETARED M ACCORQMN4 MTH TIE
WNW OW Or NIACME FOIL LOD S WM$ ADOTIED
ST THE NEW W N( STATE AMMAM OF PWISSOlIAL
LAID SLMMi"M SAD CERTFlOARONS SHALL ININ aTILT
To THE Pt7gQl FOR NNOM THE Sutliff a NVAREI7L AM
M HIS LENALF TO THE TIRE COLPAM; WISISMENTAL
AQW12601 TO VE ASSIGNEEAM S O THE LEN °" `""' "°�°" ""° Town of Queensbury, Warren County, New York
m TIE ASlOIEES o< ,HE LENOINS NRTTUTIpt•
8) 792-6474 New York Lie. No] 50135
900 U
AUG 2 2 2009
NO. I DATE
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* James M. & Joanne E. Finamore
Chicago Title Insurance Company
Fleet Mortgage Corp., Its successors
and/or assigns
CERTIFIED BY:
MATTHEW C. STEVES, LLS NYS 50135
DATED: August 14, 2000
DESCRIP77ON
1 "-30'
S-1
>HTiOR1
FINAMORE
DWG. NO. 89423-95
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Anive am/pin Depart V±I n/P3 al pin
Town of Queensbury Inspector's 1nitiars—V7rkX--;--
742 Bay Road
Queensbury,New York,12804
NAME Vy"w*1�.cRAS PERMIT o\33
LOCATION mac) Srq,�� DATE n/Z,2-1,0V
TYPE OF STRUCTURE P
N/A _ YE) NO COMMENTS
Chimney HeightPB"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 3611
Exterior Handrails,balconies,landing 18 in.or more o.
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 NVI/
Gas Furnace shut-off within 30 feet or within line of sitei A
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating I VY z
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 risers
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 V11
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garagefireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18" 1 floo
Final Electrical
4e itL
Site PlauNarianc d
Final Survey Plot Plan--
As Built Septic System layout required___L_
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)L_
F=IF;ta MARSHAL.
TOWN (DF= C)UP-F-:NSE3.UR."lr
C)UIEaN,SE3UF;,"Y, NY 12804
(518) 761 -8:205.
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME C�
LOCATION PERMIT
SCHEDULE INSPECTION ON
AM PM
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 SIGNAGE
CHIMNEY
WOOD STOVE
-40FIREPLACE X771 MASONRY 00 FACTORY BLT.
0 UGH-IN
FINAL
REMARKS: E-1 OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
GENERAL INSFE TICIN REPORT
(518) 761-8256
Town of Queensbury 7
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arrive am/pm Depart
Inspector's Initials
APT
2 Q
NAME: PERMIT# 02op-blyc233
LOCATION: PATE: -7
TYPE OF STRUCTURE:
RECHECK
N/A YES A/O COMMENTS
otin ier V aoe&
Monoli our Form
Reinforcement in Place
The contractor is responsible for
providing protection from fteezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
FoundationlWallpout
Reinforcement in Place
Foundation/Darapproofing_
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough
Heating Rough-In
Insulation
Foundation Walls Interior R .01'
Foundation Walls Exterior R 10,
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces
Proper Vent,Attic Vent
Framing
Jack S7tt
dsrffleaders
Bracin (BTdgin 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-$256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12844. Arrive pm Depart m
or's Ini2
ti<
NAME: PERMIT# %��s L�
LOCATION: DATE:
TYPE OF STRUCTURE:—
RECHECKv
'
N/A YES NO COMMENTS
Footings/Fiers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi g
for 48 hours following the plac ent
of the concrete.
Materials for this purpose on sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backtill Approval
Plumbing Under Slab
—
Plumbing Vent/Ve in Place
Rough Plumb'
Heating Rough-Ind
•�Ixts' "on
Fa nd ion Walls Inte •or R-
Foundation Walls Exterior R-
Floors 0%3f-42- ;# tWalls
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent It
Framing
Jack Studs/Readers
Bracing/Bridging
Joist Hangers ��
Jack Posts/Main Beam [NC
Air bifiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL MSPECTION REPORT
(51'8) 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'
Inspector's Initials
NAME: U` LCA ft PERMIT 4 00
LOCATION: DATE
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ibl or
providing protection fr free ing
for 48 hours following a plac ment
of the concrete.
Materials for this purpose on site n Foundation/Wallpour �����at
Reinforcement in Place
Foundation/Damppro
Backfill Approval n
Plumbing Under Slab
Plumbing Vent/Vents in ace
Rough Plumbing
Heating Rough
Insulation
Foundation Walls Interi r R-
Foundation Walls Exte r R-
Floors
Walls
Ceiling
iDuct work or piping in
unheated spaces -
per Vent, Attic Vent
o 99
raining X.
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 REPORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road j
Queensbury,NY 12804. Arrive am/pm Depart : liLn1hm
Inspector's Initials - /
NAME: PERMIT#
LOCATION: -� DATE: 6 Z°7 6?-)
TYPE OF STRUCTURE:
RECHECK.
N/A YES NO COMMENTS
FootingsMers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible
from providing protection ing
for 48 hours following the ement
of the concrete.
Materials for this purpose ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo g
Backfill Approval
Plumbing Under ab
Plumbing Ve}}� ent in Place
„Rouglid?lu6bmg
Heating Rough-In
Insulation
Foundation alls Interior R
Foundatio alls Exterior R-
Floors R-
Walls R
Ceiling R-
uct ork or piping in
u eated spaces R-
oper ent, Attic Vent
Fra, ng
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
-IFC:)VV" C:)F= (::lLJF-=IE":SE3LJFzZ")r
M,,e 12804
C518) 701-8205
FIRE MARSHAL INSPECTION FZEPC>F:;,I-r
REQUEST RECEIVED PERMIT iff 4*;;PV
NAME
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIC3HTINC3
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKI-JEa.-ay-s-T-1-m.
FIRE SUPPRESSION SYS EM
HC)C:)D INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE T - SPRINKLERS
CLEARANCE HEATING UNITS
REQUIRED SIC3NAC3E
'-'-�/H I M N EY
WOOD STOVE
EPLACE - MASONRY
IREPLACF= - FACTORY BUILT
REMARKS: =t4-e-,=ro E!6 OK TO THIS DATE
INSPSLIP-PUB INSPECT(::>Fl,
GENERAL INSPECTION REPORT
( 518) 761-8256
Town of+Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road t
Queensbury,NY 12804. Arrive am/pm Depart u/
Inspector's initials C
NAME: PERMIT# QQQQ
LOCATION: DATE:
TYPE OF STRtC
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsibl for
providing protection from ing
for 48 hours following the p aceme t
of the concrete.
Materials for this purpose on ite
Foundation/Walipour
Reinforcement in Place
Foundatio,�Dampproofisig
Backfill Approval
Plumbing Under Slab 0
Plumbing Vent/Vents in Pl
gh-Rlumbing._�,
eating Rough
Insulation
Foundation Walls Int rior R
Foundation Walls E er'or R-
Floors R-
Walls R-
Ceiling R-
Duct work or pi pin in
unheated spaces R-
Proper Vent, Atti V t �7y ( 41,41
J ck StudslFIeade ,.__ J j,�E-ram L.4AJD l�C�
BracingBridging
Joist Hangers
Jac osts/Main seam
�``' trationarrier
Fire Separa 'ott n i,2, 3,hour
Penetration Sealed
Fire 2, hour
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GENERAL INSPECTION REPORT
(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 a
Inspector's Initials
NAME: UGPERMIT W6
LOCATION: DATE: SfI -
TYPE OF STRUCTURE: Y-)—
RECHECK
N/A YES NO COMMENTS
Footings/Piers � 1
Monolithic Pour Form _
Reinforcement in Place
The contractor is res ible for
providing protection om ezi,ng
for 48 hours.followi the pl ement
of the concrete.
Materials for'this p se on site
Foundation/Wa.1 ur _
Reinforcement in Plac _
Founda ' /Dampproo g
IfiaeMl Approval Aj
Plumbing Under Sla
Plumbing Vent/Vents i
Rough Plumbing—
Heating Rough In
Insulation
Foundation Walls Int rior R-
Foundation Wails Ext rior R-
Floors R-
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 Be
Air Infiltration Barrier
Fire Separation I,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
A/m
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road dd��
Queensbury,NY 12804. Arrive am/pm DepaF7 " am/pm
Inspector's Initials
NAME: l f PERMIT
LOCATION:
TYPE OF STRUCTURE:
RECHECK
N/A N COMMENTS
otings/Piers
Monolithic Pour Form
Reinforcement in Place U ?
The contractor is respo ibi for
providing protection from eezing �
for 48 hours following t placeme t
of the concrete.
Materials�or this purpos on site
Foundatia allpour
Reinforcement1 �P
Foundation/Dampproo g
Backfill Approval
Plumbing Under Sla
Plumbing Vent/Ve is in Place
Rough Plumbing
Heating Rough
Insulation
Foundation Walls Interior R
Foundation ails Exterior R
Floors R
Walls R
Ceiling R
Duct work or pipi g in
unheated spaces R
Proper Vent, Attic Vent
Framing
Jack Studs/Readers
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
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