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2000-280 4 1 , TOWN OF QUEENSBURY, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIF, ICATE OF OCCUPANCY Permit Number: 2000280 Date Issued: Monday, September 11, 2000 This as to certify that work requested to be done as shown by Permit Number 2000280 has been completed. This structure may be occupied as a Single Family Dwelling Tax Map Number: 523400-137-000-0002-009-121-0000 Location: EAGAN Rd Owner: RONALD & ELAINE NOLIN By Order of Town Board TOWN OF QUEENSBURY Direct g aoo^ement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 96000 Building Permit No. 2000280 TAX, MAP NO. 137 . -2-9 . 121 Permission is hereby granted to NOLIN, RONALD G. Owner of property located at 46 EAGAN RD. in the Town of Queensbury,to constructor 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: 21 EAGAN RD. QUEENSBURY, NY 12804 Contractor or Builder's Name: RECORD TIME CONSTRUCTION Contractor or Builder's Address: 78 MAPLE STREET, HUDSON FALLS, NY 12839 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLEIFAMILY DWELLING Plans and Specifications: 1140 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR, ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING. 167 ' May 18 20'02- $ PERMIT FEE PAID-THIS PERMIT EXPIRES (ff-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 this 18 Day of May 2000 SIGNED BY XA� for the Town of Queensbury rode Enforcement Officer g G,1111,i ` -�`-�ppl G 11 t ol�l IUMll Uf, Queel soul' _ Dept. a CuntrtrunA t , ��'jj''or��''11r y ! ' / ) Dctclu�rnit'nl, 7!2 llrry Ruth/, Queenshury, NJ' 12804 1761-82.56j NCI.LII,.Fr 11UiLDING & . CODE, LNI%GRcl,:All?NT Retiuit-eme"Is pdol' 10 issuance A Imrtnil uulllt lso ubGtlnetl I)uft)lu Iwllbtuiult cun,tructlu+i. No Ili/lpactioua _ ---- PAWA07'rma No. wilt Ise motto ualll nppftcant fill, rCculvul It 'VAIAC) "MILUIN<) PURMfl'. Alf 1--'! 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U•tuu.{..ty i)wol.l.lrlc�l Other Work (describe I)elow Oftt.c:o MercrallUle MalitilacLurlltg GROSS AREA OF PROPOSED S`l'RU 'i'URE: Other laL• floor. . . j DLO __aq. f:L�,��• If ADDITION, what will ut;Q 2nd Xloor.•. . . . . . . /� f_ fiFL . Of new, acic.l.i.L•.l.on bo? : Ot hor Floors . . . . . Al------Ik- atl. (11OL U11f111ialied ccillu`i of b-lfj zl ACCESSORY I311ILUINGS: '1'O'1'11L FLOOR ARL11• Uel.achea GtarIgo 1, 2 car. • _// /0 SQ. I''1'. 11�ttacl►ed Garage 1, 2 car SIZE Or NEW STRUCTURE: PrlvtaEc Storage Fitt Commercial Sl:ornge nuilditig '��� 11'l;ti:'i' X .l�/"tro�, l:•It•i�•.A' Ol.tioL' Noundnt ion •Lypoctrl Will nny socood—!motel or ungradod ' Nliuitior of SL-or3.ot�: ! (11rtbIt'01310 ctl)aro oll.l.y �--ah� 1un11aor �o uoeci7 ZL' Oct, for what:? Iiol.clltt: (c!racio l:cs r.i,c.iclo) t/1/�. --...—�•___.._..__..__— �---_ Ntttal�of: ol. S`1vop.i.acut till(.1/oi• wuucltlutivu •(' i.t�c;.lo' tt,1..i1twliic l�Gdu YjltiF;itits) to be ilirLullocl: 1 p I:lQctric 1 / /.Lorced tot A - boarcl / OL'iter Per.oolt responsible for Supervision of work d e regards to building codes in : Le 19- =_ee_Qi2r_ o -Addreaaa PhoneO Builder: _irtr . Plumbers r/ Manolt•. flecLriciali: D006Le [ ! { r y�� T ,s rn_Apa r y6 It C� c is Rd t3- R3 D CC..e1I?A(70N.• 1'lettse .Agri below ti/le/•you have carefidly rend the slnle/ne/il, To file bust of my knowlcclRo the shllelltcuts C:UtllilillCtl iu 1103 ril)lilielifism, tonelher with the iilalls and spceiIicaticrns sultinitletl, lire a true 111141 complo(c Slslte'llent of:111 vroitimetl work to lie tfone oil the de.-Cl'ihect promises s10141 that sit provisions of file Ittlihlinl, t::c)dc, live loloiol; ()ttlitialico au11 soft cslltur Laws pertaining; to the I)ropo:etl woric shall too Complied with. %viiellml' :31w-cilit:tl or looted, most t-liat :mull work.is authuriv.ed !sy the owner. 1 tut Cher, it is tulticl-mood 111111 t/Nve shall Rillnllit prior to it Co:4lificiolu of C)cotupanny•'or C:ullificiilu ofC:oulplhnlee hCFnl; 17i1tiet1, tiWAS ittlif-l' PL-01' 11I..AN fly . ii licurinetl sllrvoyur;,�irawrl to scato, shutviog ilcltliif jociltion of project on premises. Signature; (owner, owners flbent, architect, contractor) Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: ..............................................._. ......................................_...._............................ t� ��n � Office Use Location of installation: P !3 / / rat Ic� File Permit No. Tax Ma No. 1 �J Rd t� aA X c)l / Fee Paid Owner's Name ,L� TM Address: 1 6 1-5 /2 d 2. INSTALLER'S NAME )� ,� /"t 1 T` .• PHONE NO. 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/bdrm = . 1980—1991 x 130 gal/bdrm = 1991 —present x 110 gal/bdrm = y Garbage Grinder Installed yes v / no Spa or Whirlpool Installed yes_ / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) To o ra h ure Ground Water Bedrock or Impervious Material D Water Su l Fta s nd at what depth at what depth ici olling m feet feet well Steep slope clay if well; water supply �%slope other from any septic-system depth: absorption is ft. other Percolation est: (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: �d01d gallon(min. size 1,000 gal.) Tile Field.: each trench � ft. Total System Length: Seepage Pit(s): number of size ofeach: 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 regulation's with respect to this application and agree to abide by these and all requirements the; of ensbury Sanitary Sewage Disposal Ordinance. Signature o responsible person. Date Firm A1,11-Sttal's Office Town ol'Qumisbury, 742 Bay R0,1d,Queenst)tirti', NY (51 81 701-8205 Application for Fuel Burning Appliances & Chimneys: applicable to solid fuel & vented gas appliances Date - . ?0 Permit No. .121)plication is hereby made to the 13uiklittg ds Codes Office.fr)r the issuance of-cl 131,iklillg r111c/Use Perldit pursuant to the New )`ol'k State Fire Prevention and Building Code, They applicant or olviler agrees to cotrtply with all alplicable laws, ordinances, regulatiolls, and 4111 conditions that are Part these requirements and also will allow all itisj)ectol S'tC)enter pre'lr isf_,s to pel fol"111 r'eClltlr"etl i12.S1)ecltCJr1.5'. NOT., to applicant: Rough-In and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: d✓1 ,r� 1 -�`` a stove: wood coal pellet grls Fireplace insert Andress: A 0�•Ov r Fireplace, factory-built; tivood ;ga Fireplace, masonry: wood crs rT Furnace: wood gas oil Phone: ? X 7 If non-masonary applicance, please provide OWI[Ier /: o a/ O' Manufacturer Nallle: r#)onT 'r �t��s — —Address: LI - tamp - - --- :Vladel.Number: . ygy a (Chimney Information Phone: / (circle appropriate words) Masonry block brick stone Flue :.the steel' size: -ytl`47 tttcltes Exact Address: of collstrtrstiott -or installation Factory-Built Manufacturer Hanle: Model Number: Note: Co Listed By: (A NumberConstructionllitstctllatio7l must conform to NYS:F'ire l'7•evention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensbui-r Handouts regardilig 7-equired inspections. Do�ivall � Triple wall / Insulated / Direct renting Chintnev Liner i +t�'x;�.,s�.��.�r*'ar�.?�hh�,,�c► *t.�r�a�.��r�.t=—�C'',cs�rrsraea. ea�.f''i¢�r,�t��atc.r�rlb�.x�'r-, .2'47"cxrsr'�''csr.� � . t Fite Alarshal Code# 5 Collected S Refiulrled �Recti�.cl/irriri treJintderl!o): UO ! t A 173 3389 (190),Public Sarfen .4 733 655. (230)A9inor Sales ',1.4e?tL(Nt.44'j:G — rQi4sY (/WLJ(.02 1/G3J 4t1? White(Applicant) l Green(Fire itilarshal) ! Yellow(Bldg. Dept.) I ,Rink&Goldenrod(Cashier's Dept.) 7 E r 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 T 6 - Thermal Rating - Component Trade offs 1&2 Family ly Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial 'Buildings-H-i Rise Residential *Requires submisslon of worksheets APPLTCA-N,'T' S NAME : PROPERTY LOCATION: m AU �Z,hy (;, lVolin V6 6WOn Rd A1jVj . I V V PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area sauare feet 2 . T-rme of Heat Electric Oil Gas Other 3 . Is building mechanid ally cooled? v' Yes No 4 . Percentage of area o--lc. windows and doors Over 17% y Under 17 5 . R-VALUES FOR -INSULATION GIVEN BELOW DUST CORRESPOND TO R-VALUES AS SHOWIN ON PLANS SUBMITTED: a . *-Ro 0 f R b . Exterior walls R (Cl C . Glazed areas . R d . Exterior. doors R '7 e . Floors over unheated s-oaces R Edge of slab on grade (heated building)heated building) R 9A a. 3as ement/cellar walls (above grade ) R F�-' 19 h . 3asement/c'ellar walls (below grade) R c/ Heating/cooling-duds-piping in unheated space - R 6 ., Service (domestic) hot water heating device el"" Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140c) WILL NOT BE EXCEEDED Moo -" can-=' s Signature Dane Phone Number REjqAR-,<S: F=IF;Za M^F:;,,c3"^L- -T-C>WM C>F ClLJF-1:-=NSE3 ULtJ[z;Z,. ClUE=-1HN,—=,E3UF2-Y, NY 12804 (518) 761 -820S . FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PERMIT F— kl-3 SCHEDULE INSPE t ION ON M Pm APPROVED )\NIA YES NO EXITS AISLE WIDTHS EXIT SIONS EMERGENCY LIGHTINC3 FIRE EXTINC3UISHERS, FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM� FIRE SUPPRESSION SYSTEEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO INKLERS CLEARANCE TO SHft. TINIG UNITS Rr-=f-'UIRED SIONAC3E CHIMNEY WOOD STO E FIREPLA /E MASONRY FACTORY BLT- ROU3H- = FINAL M- v A N,4 REMARKS: OK TO THIS DATE -7 3 -7 - Pnpoe iv INSPSLIP.PUB INSPECTOR RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection req eu st'rece ved: Building&Code Enforcement Dept.of Community Development Arrive e art Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 t 4 NAME N�A LOCATION DATE TYPE OF STRUC N/A YES NO ' .COMMENTS f! Chimney Heightf'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof r1 Roof Complete Vfi Exterior Finish Complete 6 Interior/Exterior Railings 30"to 3611 + ___..._ `............_. Exterior Handrails,balconies,landing 18 in.oz more + Interior Handrails stairs both sides 3 or more risers !" 4 Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"aboveigrade Gas Furnace shut-off within 30 feet or within line�of site Oil Furnace shut-off at entrance to furnace area '4 Furnace/Hot Water Heater operating Relief Valve(s)installed ! �/ Headroom,6 ft.6 in.on stairsf, Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" ` t, Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or mdie h Railing across window in stairwells t" Smoke Detectors: + t every level every bedroom x X-", ' outside every bedroom inter connected e� Bathroom fans Plumbing fixtures / Foundation insulation 3/a hour fire door/door closer Garage fireproofing Garage penetrations seal Furnace in separate room protected(in garage) Light ventilation per oom Safety glazing 18"of less from floor `2 Final Electrical / Site Plan/Varian°required >4, Final Survey Plot Plan As Built Septic System layout required Okay to iss�%rC/C(Certif.of Compliance) Okay to issue temp.C/O(Certif'of Occupancy) "4 Okay to issue permanent C/O(Certif.of Occupancy) i m 1 RESIDENTIAL FINALINSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive�` 'part a` p Town of Queensbury �,� Inspector's lniti s 742 Bay Road Queensbury,New York 12804 NAME �� `1 PERMIT LOCATION t= 4 DATE — _ ( TYPE OF STRUCTURE Cam' N/A YES NO COZY M1-'NTS Chimney HeightP B"Vent/Direct Vent Location" Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete t r' Interior/Exterior Railings 30"to 36" gPID 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 Y' V1 r , Gas Valve shut-off exposed/regulator 18"above grade `' Gas Furnace shut-off within 30 feet or within line of site Y. Oil Furnace shut-off at entrance to furnace area y Furnace/Hot Water Heater operating tSL 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" d Floor Finish BathroonvKitchen watertight Interior Handrails Balconies/Landing 18 in.or more CA pkt—K-- Railing across window in stairwells Smoke Detectors: r# every level every bedroom outside every bedroom =' inter connected ✓' Bathroom fans Plumbing fixtures !M Foundation insulationWC Foundation 3/4 hour fire door/ oor closerjpy Garage fireproofing Garage penetrations sealed tA U=T-E t Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor t` t Final Electrical i Site Plan/Variancerequired '- � 1 Final Survey PldPlan }. As Built Septic System layout required Okay to igst a C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) ���:J#�;�*�."���";�•�';l#�,"J���;�.•a:�lk;�•,?.'J.•k;.ii�.'#�:'J.#1:�t•�:',1_•�<;t�l~",�•.l"�*�",���;:�#�:t#�,",1�.��#l:'�•a�•�;;1•.l':l•�;�•.1:�#��#l:'J.#,�'.�#� �#�_:;�_#"#1;'1,#1:��>~'J#��t�1:'.�#a.",t�fi�#�,';�#�:�,'l.J.#.l':�#1;�#J;' �I THE NEW i t BOARD O R O s r r _ 1# BUREAU e ' I FULTIONSTREET, # ` 1 1 i f i Date _ 11 AQ Application t '? THIS CERTIFIES THAT I only the electrical equipmentt described-r'I belowand introduced I applicant named on above application num/' 'Premises Of 1� ^�I in the i �12.following Iodation; , , F1. Section Block r i -Iwas examined on ER 200)(4 and found 1 bein complianceNational Electrical Code,=CM Tall Em u FURNACE,MOTORS 11'iJ4Vk1# uu I uu M=C3iM3 1 1 SER 1� VICE DIS111Yiii�li� e e « OTHER 1�= rr (' r Y �1i t OwlGENERAL MANAGER } I��.i• This certificate must not be altered In any manner; return to the office of the Board If Incorrect,Inspectors may be Identified by their credentials. 1� • • • • • • • • • • • t• is • • • •� •) •Y r•Y Y•� •,t•Y •Yyt�tr ,tst?r•Y f•YY•YY„Y Y,eY,Y#Y Y•Y�t•Y 1'•�:Y,rY Y•Y,t•Y 7iY�(•�Y•Y Y•YY•Y�tirY•YY•i�,l` x H H 0 0 z q H z HOC ► p p p . z 0 c C 0 0 0 m Z H r n H 0 c H zc0 ro H n 4 z x H H t4 Z H x N H p0H m m p n h H Or r d Pxx ►� m 0 rw j ro C� H 0 m x x H n N ro H Z H n Z 0 H H M H N r C r H z 0 p 0 0 0 0 z r�ron N 0 z „ �sHca rro � rrcn z Nl u� Q w t' n x C ut ro H C 0 ' '� !� r r 0 H a r x ro n C7rw H n o 0 n 0 q C H M H H0 � t n � w ?C ti a 0 N N MH C r n H ro H 0 H zI nSO H IS, ro H n Ua n C� H n00 ►� H 0rp � Oct roH roxcc zz a z r a r n r z N x H [] H ro w a n r n ro FI NH C H 10 0H z H q � t r m0 raHa C H 0 n z � 0 c "z x Qqz �H x ro 0z a 0H 0 z `� a on xczn`' � o � H 010 c "�UJHOzo rorr : , ►�x `+ b0 H G Cny7�C w v z ` C� 140 . ro Hro x o � RA GAV I HEREBY CERTIFY THAT THIS MAP WAS PREP ED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE ERSONS FOR WHOM THE SURVEY WAS PREPARED, AND THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENT AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO AIIDMONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Ronald Gary Nolin Elaine V. Nolin Glens Falls National Bank prod at Company, its su assigns Ticor Title Guaro t q_ CERTIFIED B MATTHEW C. 'STEVESs- ' � 50135. N DATED: September 6. 2000 . � an D u s e, Steves Land Sup __ 169 Haviland Road (516) 792-6474 rveyors, Queensbury, New New York Lie. LANDS N/F OF CLUTE •UNAUTHMZED ALTERATDN OR ADD17ION TO A SURVEY MAP REARING A UNEMSED LAND SJRVEY SEAL IS A WMAI N OF SECTION 77016 iJO-DRAM 1 OF VA NEV YORN STATE EDUCATION LAWS ONLY COPIES FROM 7 E MK INAL OF TIRS SURVEY MARRED WIN AN ONORIAL OF THE LAD IURVEICRS SEAL SHALL DE CON>DERED TD DE VALD TRUE CWW •CER'nnCATIONS "DICAIED HEREDN SM" THAT IMs SURVEY SU PREPARED N ACOORDAIICE WTH THE E>aSTINO E Of PRACYKI FOR LANDsuR�E= ADOPTED ODO C BY THE PEW YORN STATE ASSOCIATO OF PROFESISONAL J LAD SURVEYORS. SNO CDTTFRCAl1ONS SHAL RUN (PLY TO THE PERSON FOTt Oft THE SURVEY M PREPARED, AND ON HIS BEHALF ro THE RILE CWAIY, OOVEIOl1UTAL �k 12601 AGENCY NO LEND"MrXnM USRED HEREON. AD NSIIVIOM.' 1n RE AYSIOIEES OF RE UFNORIO . 50135 .7 v �o7 o'h 'fah .' 0 `' 2000 LANDS N/F OF TOWN OF QUEENSBURY AREA 30,548 sq ft 0.70 acres lRaFas�� �t x zo 1 g• Map of a Survey made for R O NAIJD GARY N O LI N ELAJNE V. NOLIN Town of Queei bury, Warren County, New York LANDS N/F OF SUDERS NO. I DATE DESCRIPTION A AA 'g! OMM 10P 1 NOLAN C 3 DWG. NO. 86545-2A FIF;Z]P= M^FZSH^i -rC:>WN C>F (:;:kUE-=E-=NSE3UF,'l'Y 4s CkUr-=IENSE3UF:Z"Y`, N'lr 12804 aL (51 B) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PERMIT # 2 SCHEDULE INSPECTIA ON 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 STORAC3E: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIC3NAC3E —/CHIMNEY OD STOVZo"* -4 FIREPLAe—m F-1 MASONRY VIFACTORY E3LT. ROUGH—INO [--] FINAL REMARKS: F-71 OK TO THIS DATE l o 42,P Vc INSPSLIP.PUB INSPECTOR F=IFZZr-= M^F;ZSHAU- -r(Z>VVM OF ClLJIEaM:E3E3UFZ`e CaLJIEE-=M,-3E3;UFZ-Y, MY 12-804 (518') 7161-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMITW 4�o- NAME LOCATION ot SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS ' EMERGENCY LIGHTING FIRE EXTINC31JIS"ERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM Vi. FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STO RAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATIf'lJ6-,UNITS REQUIRED S14C3NAIGE N,16HI M N EY WOOD STOVE ';FI PLACE - MASONRY PREPL-ACE - FACTORY BUILT REMARKS: F-1 OK TO THIS DATE INSPECTOR FIRE MARSHAL. Adg%� 'T-C>WN C)I= 4=3UIE=aNSI3UF:Z"Y ClUE=E=N,SE3UI:Z-V-, N-te 12804 qwgg&cw (518) 761 -82-05 . FIRE MARSHAL INSPECTION REPORT REQUES"CEIVED NAME LOCATION4t r... C_Q�_ SCHEDULE INSPECTION ON A m 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 v INTERIOR FINISHES STORAGE. CLEARANCE TO SPRINKL S CLEARANCE TO HEATING t IT REQUIRED SIGNAIGE ,, CHIMNEY V�OOD STOVE -AFIREPLA945� 0MASONRY EMFACTORY BN-T. l*ROUQH-IN PcVk- - [--] FINAL REMARKS: E__l 'OK TO THIS DATE INSPSUP.PUB INSPECTOR v (D Q U 0 .4, m„1,(D (D ,4 .j. M a © 0) 0- 0 - -0 :3 ' 1CCC)(DW00. 104NMN 't1 :1N 'V -hw M c+ 0 3 l Z 11 r- r P :) :3 r+ MO :3 (D 09(D c+(Q 0 M C (D c (D � < 00 —' r+ 0 a 1 0- Cl o (D �l :'Cis x 0 A c� (D - H a a ar 04:3 ct M o s 'V tab 0 ..I. -� 1M N rm *Ji -is Wo 0 O O A h 0 m - � : r 0 4 0 a IS X v N 'CI N "fit Q Cn -i. 0 fi Ism Q W v v4; a .o > x M Z 0 -JM 01 (D C i NO -1 to ;o -j � as .�Mmm N IV nm m ii rF ..I. m R'I (VI) � -h sWOO a, M (D (D c+ 0* I CL 2(D (D (D ';, �, (D fD 0 r+ (+ o D) NE Jcr • fie/ � _ . . r� Ks'b• t r t -T-C>WN C)P (::lUElE!N,'SE3UR,"Y ClIJEEr--=NSF3UF;,"Y, NY 12804 (518) 761-8205. FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PERMITJ# SCHEDULE INSPECTION ON M Pm APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY 1-101-ITINC3 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM 'M FIRE SUPPRESSION SY S 3TE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKI3 RS'; S/- CLEARANCE TO HEATIN(G\2; NIT REQUIRED SIGNAGE CHI EY X V OD OD STOVE tPL_j IREPLAC E-1 MASONRY FACTOF LT. D� ROUGH-IN 3Y 0 FINAL REMARKS: 0 OK TO THIS DATE INSPSLIP.PUB INSPECTOR GENERAL XNSPECTI()N 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 1 f am/nm Inspector's Initials J�Z NAME: 1 f PERMIT u0 0 LOCATION: DATE TYPE OF STRUCTURE: RECHECK N YES NO COMMENTS Footings/Piers \ I Monolithic Pour Form Reinforcement in Place The contractor is respIsite providing protection g for 48 hours followinent of the concrete. Materials for this purpo Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heati g Rou - ulation f� (�/ 12 Foundation Walls Interior R Foundation Walls Exterior R _ Floors R Lq - Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers j 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 `g Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart E pm Inspector's Initial NAME: y 1 G PERMIT# LOCATION: DATE: TYPE OF STRUCTURE:c_—C RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from freezi g for 48 hours following the placen ent of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab umbi Vent/Vents in Place 'wWStough iumbing' Heating Rou - Insulation Foundation Walls Interior R- F'oundation Walls Exterior R Floors R- t Walls R- Ceiling R- Duct work or piping in unheated spaces R 10, - P o e Attic Vent i ck StudslHeaders BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed 'VimWall 2, 3,4 hour 1 "` FIRE MAF:Q,,3"A0d- TOWN OF QUEENSBUF?Y C UEENSBL�RY, NY 12804 (51 8) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED LOCATION ", -�'"�_✓�'-- ��=��_� PERMIT #0� ;7-�"�+� SCHEDULE INSPECTION ON � t- � M PM APPROVED N/A Y ES N O EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI G FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATINO UNITS REQUIRED SIGNAGE CH NEY rR�P'LA �� M'ASONRY FACTO? Y BLT. ''~� RO{JGI-I-IN __ � FINAL REMARKS: ED OK TO THIS DATE f +► J INSPSE_IFP.PUB INSPECTOR �l g !t 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(, lam Inspector's initial� -� NAME: A/o4 a^J— PERMIT# Gl V, r Z'�96 LOCATION: ,fit/ ff DATE TYPE OF STRUCTURE: J RECHECK N/A S'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 placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab P bing Ventf Vents in Place - ouglr.i?ltimbim r��:•. . - eating Rough-ln� Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in '+ unheated spaces R- Pr r anuope Vent,Attic Vent � - �J c1c�Studs%Ieaders Bracing/Bridging e (LE'(e 0-a 1 p6i/JG RUB tWA4-C. Joist Hangers Jack Posts/Main Beam f(A"-bR I�P5 (3c aouk5 a p= 19657-1 Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Wa112,3,4 hour AIL __GENERAL REPORT (518) 761-8256 Town of QueenshOry' .."Sj11j- Dept.of Q94ifflunity Development Date inspection request received: Buildingi,�i Code Enforcement 742 Bif Road em Arrive am/pm epa V Queensbury,NY 12804. r (p Inspecto Initials m N PERMIT; U�'' L 0 C ATIii, 0 DATE : TYPE Of.§,T RUCTLJRE: RECHECK-,' N/A YES NO ";COMMENTS Footings/Piers Monolithic Pour F\ 0 rm 4 Reinforcement in Place;. V-11 The contractor is resophsible for providing protection fidin-(freezing .,'for 48 hours following&piacement of the concrete. Materials for this purpose on s u'T"' Foundation/Wallpour Reinforcement in Place Foundation/Dampprooling Backfill Approval Plumbing Under Slab P nibingX- entlVents in Place =: qrea­ting Rough-In Insulation Foundation Walls Interior R4*�1"*1'.1"-"" Foundation Walls Exterior.,k Floors R", Walls Ceiling R Duct work or piping"!, unheated space`s.'Y R- 7ent;Attic Vent a W k- 41M S tuds/fteaders ". Braci4'* kdginR J l ­"Os g'IN tsMain Beam 1 t r a t n'-OR a'm7%-e r F ,Separation 1,2,3,hour Penetration Seated F' Wall 2,3,-4.hour ' ire t -Ale' I GENERAL INSPECTION REPORT (51.8) 761.-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 7—,,�Oz 742 Bay RoadQueensbury,NY 12804. Arrive am/pmDepart m Inspector's Initials NAME: `� PERMIT LOCATION: DATE TYPE OF STRU RECHECK 7N/A NO COMMENTS "otingiers Monolithic Pour Form Reinforcement in PlaceLj The contractor is respons' le for providing protection fro ezing for 48 hours following e p cement of the concrete. Materials for this purpose n ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi _ Backfill Approval Plumbing Under S Plumbing Ven ents i Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Ir.terior R- Foundation Walls E derior R- _ Floors R- Walls R- Ceiling R- Duct work or pipin in unheated spaces R Proper Vent, Attic Ve Framing Jack Studs/Header Bracing/Bridging Joist Hangers t Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depaf t" ` ai pm Inspector's Initials NAME: PERMIT# LOCATION: DATE : - O TYPE OF STRU RECHECK N/A YES N COMMENTS tings/Fiers� _ I -., tw Monolithic Pour Form Reinforcement in Place The contractor is respo ible for ` providing protection fr m freezing for 48 hours followin the placement of the concrete. Materials for this purpolle on site Foundation/Wallpour Reinforcement in Place Foundation/Daiapproo BackHll Approval Plumbing Under Slab Plumbing VentlVents' Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Int rior R Foundation Walls Ext rior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT (518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive pm D � m spector's NAME; PERMITS LOCATIONS — DATE : TYPE OF STRU RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protectio freezing for 48 hours folio g the lacement of the concrete. Materials for this pu se on site Foundation/Walipour Reinforcement in Plac Foun `on/Dampproo g I Approval Plumbing Under Slab Plumbing Ventffl6ts Rough Plumbing Heating Rough In Insulation Foundation Walls Interior 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 Firestoppin p GENERAL INSFECTIC}N REPORT (518� 761-8256 Town of Queensbury ' Dept.of Community.Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depa Inspector's Indtials NAME:9, PERMIT# 40-,�00 LOCATIO DATE : -- ==- - TYPE OF STRUCTURE: RECHECK N/A YES COMMENTS "v ootings/Piers D Monolithic Pour orm Reinforcement in Place The contractor is responsibl for providing protection'from ezing for 48 hours fall ' 'ng the acement of the concrete. Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing Under Slab Plumbing VenttVents in PI ce Rough Plumbing Heating Rough-In Insulation Foundation Walls Int rior R Foundation Walls E R- e R- Floors R- Walls R Ceiling R Duct work or piping in unheated spaces R Proper Vent,Attic Ven 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 RECORD TIME CONSTRUCTION MATT RECORD Builder & Renovator 78 Maple Street Hudson Falls, N.Y. 12839 (51lil) 747-7980 5/18/00 Memo to the Building Code Dept. , The contractor, Matt Record of Record TimeConstr- uction; Would like to change the foundation from being an 8" poured concrete to 1011 concrete block. Footing size would now be 1011x2011 with anif1concrete block, in the 41 frost wall of the garage. Thank-you Ar Matt Record RECORD TIME CONSTRUCTION MATT RECORD Builder & Renovator 78 Maple Street Hudson Falls, N.Y. 12839 N (518) 747-7980 VO YO 0 Memo to Building Code Department; The contractor; Matt Record of Record Time Construg-tion, would like to change the foundation from being a 811 poured concrete to 1011 concrete block. Footing size would now be 20"x811 with 81, concrete block in 41 frost wall of garage. Thank You; ROAb copINTH BIG BAY RD. r3AN RD. EAGAN RD EAC NN RD.' 1 EAGAN RD. ; • 6 EAGAN RD. , 0 EAGAN R 26 EAGAN R � I LoT 0 EAGAN D. 345 BIG BAY RD. � '¢ I tlF - 14- ,c.AN-RD Lb r .r roud ��"�li�am �', 11���►� ��'v��tv�slonl ��o ............ .. _.____...._,_. ..... {��/-3 p., From OE6 1_ W,9T~iQ DE PT. 0 /i ko-l-go L "I have seen or observed, er belm i sar wWOM It all objects such as houses wed„t O% B *+ shown on this document.1 also titibat ► personally measured the di:rOMl **"the diagram. -14�� QUINeTURF tIAiE Rory n.l ea VLCT i / APPROVED BY: DRAWN BY REVISED DRAWING NUMBER 137-.2 -q. 12II&A-1 114 S,