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2000-345 TOWN OF OUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 7,61-8256 CERTIFICAiE 0F ,0C'CUPANCY Permit Number;, 2000345 Date,lssued. Thursday,November 09,2000 This is to certify that work requested to be done as shown by Permit Number 2000345 has been completed. Tax Map Number: 523400-125-000.0009' 130.000-0000 Location: 35 NICOLE Dr Owner: GUIDO PASSARELLLI This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Ditector of Building&Code.Edoreement BUILDING PERMIT Town of Queensbury,742 Bay Read, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 140000 Building Permit No. 2000345 TAX MAP NO. 125 . -9-130 Permission is hereby granted to PAS SARELLI, GUIDO Owner of property located at LT 13 0,#3 5 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 Uniform 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: LAMOTT, MICHAEL 92 NICOLE DRIVE QUEENSBURY, NEW YORK 12804 Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1918 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING 247 May 25 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 Queensbury before the expiration date.) Dated at the Town of Queensbury this 25 Day of May 2000 SIGNED BY for the Town of Queensbury Co a nfbrcement cer �ut1lsvrlx'I.'X ur'vEz,o�al�la'1' D�PAn�I'r•ILN`l' I3•v..�y xLtufxNVc3!)& cool; aJrrr•on.c��iLN`�.' {' zit�vx�c-IrU uY s ��.--�__ .7� JQl1A ROAD S UEI�NSE3URY, NEll YVRIC l tlU4 FEE1'J1IU; Z 7� 745^4447 . ea�luutytz'.r No. �G RCIILU.x1Jt3 YL128FI'1' 71F?PLIQdS�1'IVN � 11 PE'UAI`1' MUS't' BE Oi3_l'112 JL r VI1LE, I3L Dill U L1LEOtL1 LILGSNEJ:illC3 CUIJS'iI2UCt'EU1J_ Nc)�LL^tSk'L li.Z.l a1�Z�l.icaitGs .—UL11'1_L_ICk'I'LT(,XI'II1'_tI11S ItICLIVIaI� 11 V11L.LL) I3UZL1JtIC7�E'L1ZM siyllature oC �I1esl��tGe.s vtt CIt1. r�1.,Z"_/.zcEtL_i.oa2 PiUS'1' %ry CTION aZ�1� 1 ic aii L ltiUS l` appea-v on ule G11�l�1i a L1ion Ltvt-�[11c1 LI1e UNNEI# vr• PROPER'1•Y, t Mal-Illtg Address : Telepllolie Nuluber(a) : yr� PROPER'.L'X LVCxV.1VN: Ull1'er ------�_ '1'Nix _ IJu1ti er '_._* Subd.ivisioli Name: � seet 1 011 L1l o'ck -��- t � LcrT'%r�iJ v Lot; No. 3� liri`1'URI: UIj' PROP Lot YFUICIC IDS ` M1wI L"U M111 KUT VALUE, Or THE CQnSTRUCWIUrI:L $��/ O n NW BUILDING: L`31ULiJ 3jCOMM8RCIAL )L11'Z'ION To BUILDING: OC'CUPIINCX ]CN[UFtliftT2UN: ItL;s TULNL"L�:/COMMLItC IAL PRIMI y BUILDING - AL`.t'HRIVI'I614 TO BUILDING: S u91e ):atoll}; DwellingRmSIVj3NCm/COMMLIt _111b Two raltlily Dwelling (NO CHANGE TO LX'1'L"ItI011 SIZE) I'altlily Dwelling - OTHER WORK (DESCRIBE BELOW) Ol:Ilce Mercantile Warehouse GROSS AREA �l i UiaC LL 311 1ST FLOOR PROPUSE0 STRUGIUREt Other NAY ,7 8 2Q(0 'ro/C 214v T Lt?012 , I ADDI` Ibu U suit_ p��� S�U� O'1'IIER FLOORS SQ. k'I' (l1Vt UT'f,l.li.l.slle�C C:: ..e3.Zar Or basetnettt) . 11CCLSSQItY BUILD114CS: '1'c7`1'AL 1.L,tJUIt AREA: Det.aalted Gaga e . -/9/ SQ. IFT. U - Oil(.:/Two Car SELL OEr r' �•• �Attac:lled garage - One/"wo C 1IGW �1ltUC'I'ULLL : Prlva t--e S for age I3u il.dirlq Cvllutiere ittl L:1:'1' S LoL age Building O tier roulldat lou yE Paa ,� � "= Will atty second-Valid or ungraded Ntttnl�rerl�l.`t'yf SL•oriea': d (ltabital,le npace t�1t1y}` = luittber Ise used? If so 1 ileiylIt '(grade tv rldge) : �� _ for what? IVultt �eri'' 1f fireplaces t�11d/or wvvcsLove - T `I'Ype of Iteatinu Sy'sLeut: L6"lie r1l stalled: . .' (c:►rcle all. which h a lies i:lectric � I tte�� Wood ESE SON-1t'L Baseboard / Ot_11er LFLVISIUEJ UP'F1VIt,K 11.5 IILGAI"�iljs�y'U LlU'-.LI,j�1:Nt; CU!)I!:S I:S NAME OEt'.•.13UILDLR/ADllRLSS/l'IIOIJL:; 1 � NAME OI;' pLUMEILR/�L7I7ItCSS/P11UNC: �,r'r� �, NIiMLt' O,�'� MASON jllblll2Lt'SS jP1IONlr "i �" �- ', NAME OP'; LMEC'l.'nICAIJjnUI1RL;Ss/Y_lit}iJ!! -- "'� •� its '1'0 '.tte best bf my knowledge -tile arts uelltts eotttaineci in t11ic1 c atiattr togather with the plans and spec.'ificttLioc itailuitLIn are a true aptri-- slidc outplslidel a stateltteut of t11 proposed woxlc to be dv11e oil the ctescr_il�ecl alld lses the that all Provi_siolls of the Bulltiiclg Code, t•21e �ollinyy Ordinance A11d all other laws pert aluiltg to the propose'.] work shall be complied with, wlletller specified'or doted and that such wol.k is au IaoI bec' by the owner. Further it is ullderstootl t11at I/we shall submit prior to a Certiflvate of occupancy or Certificate of Com Ilf-111ce being issue drawn to scale, showing actual lyvatioll of p d, all AS BUILT PLOT PLAN roject o1 Siyllature d' pit, nt ,ses . ! FOR gre L1 arc JINX SPECIAL PROVISIVNiS - SEE RLVEr' , 1 rtect, cti111=tact=or) Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................ .............. # Office Use Location of installation: l,oT File Permit N ��/y�� i S Tax Map No. J / Owner's Name: T�YY /`'f� ! ] �. _� � , 1 .Fee Paid..................................................._........................._....................... Address:_5? 2 t 2. INSTALLER'S NAME PHONE NO._r�/� 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 Commutation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present , ' x 110 gal/bdrm = �e Q Garbage Grinder Installed yes ! no i- " C L� @® �j Spa or Whirlpool Installed yes / no v''�- B�s�' MAY 1 8-2000 4. PARCEL INFORMATION: (circle applicable information&c indicate measurementTPW"V OF QEJeENS8t1AY B-e D�ttrU,�P`ti D COD Tonoeraphv Soil Nature Ground Water Bedrock or Impervious Material Domestic-'t71�"aterupply lat C s'annd� at what depth at what depth municipa Rolling o� _ feet feet we — Steep slope clay if well; water supply slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For Hew 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: A 000 gallon (min. size 1,000 gal.) Tile Field: each trench © ft Total System Length: ,-9e9® ft. Seepage Pit(s): number of size ofeach: ft. by ft. Size of Stone to be used: it / depth or thickness —feet Bed System Size: z Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: 1 Size of each: gallons /TOTAL .Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. a��� � Signature bffesponsible person bate ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY =IVED 9000 HEATING DEGREE DAYS MAY 18,2000 ToWtAJ OF�A�E��SgIJ�Y ComPliance Methods: PART 5 - Acceptable Practice Method -8UjLD,N1&2 Family Dwellings (only'- ""A�D,�Codrj),E�� Offs PART 6* - Thermal Rating - Component Trade 1&2 Fdmily Dwellings; , Multi-Family Dwellings, (3 stories or less) PART 4* -* Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICAINT S NAME: PROPERTY LOCATION: 130 Al2C104'e, -Ve, PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - sauare feet 2 . Tv-oe of Heat - Electric Oil 1 __j�Ga s Other 3 . is building mechanidally cooled? Yes _J�No. 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-V.A.T_jUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R ao b . Exterior walls R /T C . Glazed areas R i,q d. Exterior doors R Jo, :I e . Floors over unheated spaces R jq Edge of slab on grade (heated building) R Basement/cellar walls (above grade) R h. Basement/cellar walls- (below grade) R i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic). hot water heating device Conforms to minimum efficiency per code V�Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 = WILL NOT BE EXCEEDED Appiican ' s Sj g at e Date Phone Number INSPEECTOR' S REMARKS : Fire Aiarsll.tl's Offices "1'osv4l ot'Qurc:tsburt', 742 I3as• Road,Qucetisltir-v, \1���. (518) 701-8205 Application for Fuel Burning Appliances & Chimneys , applicable to sdlidituelr-&Vented 'gas appliances a Date_-- ; 20 t Pett7tit Nc Mlt Aj)plication is hereby made to the Building d: Codes QJffi<e jr�r the issuance ofa Building and Use Permit pirrsitant to the Nets )'orl, State Fire Prevention and Building] Code. The applicant or-otVrrer agrees to comply with all applicable ltttl>s, tlr•dingnces rLgrdations, and all conditions that are hart t?f these requirenzents and also will allolt>tt1111' ectors?t-G171'er1Jletr2t.1'es 10 petJpr7ri 1'L'Cltttl'e(l trr5j)L'GtIUnS ;". NOTE to applicant- Rough-in and Final are Inspections required. p Applicant Information Fuel Burning Appliance Information (circle appropriate words) Z"c } Stove: wood coal pellet gus ' Fireplace serer Address: „ � ; _�- r, ', Fite lace, facCoty-l�Ltiit: wood ;c Fireplace, inasa ry: wood gets Furnace: wood gas oil Phone: If non-niasonary applicance, please provide Owner: ; Manufacturer Name; AC-0�14� -_-- Address: �-- - r-� -� `� Model Number: Chimney Information- Phone: (circle appropriate words) Masonry block brick stone Flue file steel size: inches Exact Address: J1,47, ofcortstructiotrorinstallation Factory-Built Manufacturer name: * Model Number:- Vote: Listed By: Number: Construction llnstctllation inust con orin to NYS Fire Prevention &Building Indicate (circle) chimney material: Code Consult available Town of Qttee sbur)= 1_ Handouts regarding required inspections. r'Double wall % Triple wall / Insulated l Direct vewin; Omni Liner ���i�F�r',�s�ep�.��ent-- 7C'oxrsr� of Qu���,sbzzry, Nesrst 3�''orl�c Fire Atnrslrrrl Code# S Colleetcd S llc,franded Itcacc tli`cf/ rr firnded to): �-;-r�`....__..� ��'� trdclress; .4 1733389 (190) Public Safer .4 233 2655 (230)A9ht6r'Sales Rex �/ ?'L.'fiLLtil4VLG - T3U L G�,,l.•.O•L �����: White(Applicant) r Green(Fire Alarshal) / Yelloss•(Bldg. Dept.) Fink&Goidetirod.(Cashier's Dept.) -VC>WN CIF 4ClUaF_:M_'c3E3Uf:;,t')r (:;71UE-=F_=NSaUFP_")r, NY 1 ,2804 (sl 8) Tel -820s FIRE MARSHAL` REPORT REQUEST RECEIVED I NAME /-P ERMIT 13(f HEDULE N,SPECTION ON A If AM uiel-I APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS - . EMERGENCY LK3H-lFlNG_ FIRE EXTINGUISHERS N ar FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM -FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNIT s-' REQUIRED SIONAOE CHIMNEY W 0 STOVE--WIREPLACE U_-_-llPVIASOhRY LnFACTORYBLT. _J;Z(5'UC3H-IN 0?1 FINAL REMARKS: OK TO THIS DATE INSPSUP.ilue INSPECTOR 4 - cry t� RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement ! Dept.of Community Development Arrive am/pm Depad inl� Town of Queensbury Inspector's Initials 742 Bay Roar! Queensbury,New York'12804 NAME PERMIT# O 0�3 LOCATION DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location Fresh Air intake Plumb Vent through roof Roof Complete. Exterior Finish Complete + c2 9 Interior/Exterior Railings 30"to 36" , 1 t Exterior Handrails,balconies,landing 18 in.or ore Interior Handrails stairs both sides 3 or more ri rs Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposedhegulator l8' abo grade Gas Furnace shut-off within 30 feet or vA e of sit Oil Furnace shut-off at entrance to furnace are Furnacefflot Water Heater operating_ Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than risers Interior privacy/trim/doors/main entrance 36' Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.a 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 �'�l— ��JvC 7/�!7 Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"o e om fl-opr Final Electrical L �t�/ Site Plai-dVariancevreqihred Final Survey Plot Plan As Built Septic System layout required j16 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 receivedWamlbp Building&Code Enforcement Dept.of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Initiate 742 Bay Road Queensbury,New York'12804 t� NAME PERMIT it — ! � LOCATION A-1 C_a LC DATE— TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/D' ect Vept Location Fresh Air Intake \ Plumb Vent through roof Roof Complete Exterior Fun Complete Interior=e-no Railings 30" 36" Exterior Handrails, conies, andin in.or more Interior Handrails stairs or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/r gulator 18"above grade Gas Furnace shut-off within 3 feet or within line of site Oil Furnace shut-off at entranc a to furnace area Furnace/Hot Water Heater op ating Relief Valve(s)installed Headroom,6 ft.6 in.on stIsid Basement stairs,6 ft.4 in. Handrail exterior stairs bomore than 3 risers Interior privacy/trim/doorstrance 36" Floor Finish athtoom/Kitchen watertight Interior Handrails Balconies/Lan ' g 18 in.or more Railing across window in stairwel Smoke Detectors: every level / every bedroom outside.every bedroom niter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing � r ��� �f Garage penetrations sealed A- :2. 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)_ Okay to issue permanent C/O(Certif.of Occupancy) o q 0 r Z U H H H Q 0 H Z X 0 V x HOO k 0 > zq zo ccqo Q OWZq � VOA., OCH zoo lqPO � q M\ z x H q H M H N n I X Z >0a M M > M 0 r ra to M 0 :4 q 0 p > N P H W Z v H H q ro 0 IM H 0 H 0 1 ro H Z H 0 Z 0 H H H Z 0 0 0 M 0 0. 0 z 4 M10 1 0 z 0 14 1 M I N H 0 n- CI tA H I n M Z N r q 0 q 0 Z 4 n 0 Z q 2 1 N H o 0 0 0 0 q 4 H N H P,0 0 1 ;c 0 H X Z H 0 0 H M 0 z z 0 �H C [Do n H z q N 0 z HZN n H �d IN c H 0 Z q noo 9 0 > 0 c W N v z z 0 z v OrsnN % N w v z > q n Z H H 0 10 Ik &7nrx 0 v NH z 10 q A= z H q y q t4 v 0 C3 m 0 z 0 H H z� z N 0 IN z x 0 q z ro r, 0 z H 2 m q 0 0 .1 0 OM 0 H m H u 0 0�4 Z) o z 0 M WIN N 00 0 n- 0 010 o Q OI5C OC 14M. HN Z oz� I u I N Omz o z U) `' \ x 0 c H H q \ H o � � H D 0 I DRIVE MAP REFERENCE: sicoI,E MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION r MADE FOR HERALD SQUARE SUBDIVISION LAYOUT AND UTILITY PLAN", DATED 5/20/96 LAST REVISED R=23 1.14' L=92.49' 10/2/96, PREPARED BY VANDUSEN & STEVES, LS. FILED IN THE WARREN COUNTY CLERK"S OFFICE ON DEC, 31, 1996 IN PLAT CABINET B, SLIDE 85, R_-.436.48 PELIC. MAP #185. L-37,51 TEL '.Mv. "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW." CONCRETE "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY RAO CONCRETEWq MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS 22.8' PORCH SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." 43.4' GARAGE HOUSE 29.8- LOT 131 E `CEP-- L) LOT 129 OCT 2 4 TC)vvt,.0,_QUEEN88UF?,y BUtLOING LOT 130 ­��,QQDE FlUf 22,632 SQ.FT. X, id 5--�P 30 LAND J-8 MAP OF A SURVEY OF LOT 130 HERALD SQUARE MADE FOR 48-90' TMSTIC INC S83-28'50W TERRE MA tipi N�svo. 4, J 495 I OF,,N,E*l o TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK LOT 5 DAVID J. BOLSTER LICENSED LAND SURVEYOR 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 LOT 4 DATE: OCTOBER 23, 2000 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534 DWG. NO. 00130 0' 4J0 0 �1 I -P W W W of. 0 �` 4r •0 � j � � V � � � 4- � tl� �" 4) 0 U '\,N ( tx W � W 0 C �► 0 `' 4J ro �- c c ro v 0ir U W W °° I 0 1 ,r, • _ N W �' 0 E 'r" N 0 U I Q � � 0 r•. �� � C 0 W ro +� F� c '� �- 0 4J ro a w cc to o (oro N b 0.X 0 U) Z 4- '0 ` ' LU 0 m _j r- Z �+ �. to 0 X r- w e cn +� 0. W a 'r > Gt U. U. 0 Q +) Z4• 0 ON� �' �.A 'r ...1 0 C «�G f"" ? Cz 4" 0. L�. OI 4J .0 I� U. ro 4) c N C 4J 0 014J 4J 0 � Sr Q �w 0 ro � 0 . a�» ro0 � W � U. �s » w U �' P4Jw v - 'r~ c c C bC? W CQ Q V) 4• N 0 X '' 0 0 0 e 1 V1 + J �i. rw w 0 4- tr 0 0 A 'r -r- ,r 0 � M'1 0 , (A IIIL �'" 0 4-W 0 1+ 4J OM � 4J � 0) +J 0.01 -C 0 U I U 4J CH 0 i1 r0 EO w r- v W 0 ro (V J 0 WOt)� OL0) Cws�� � C ccb4•� cb Fw 'rM N 0 ro 0 0r ��" � G0l CI W -r-W 'N +)Hr- rorNor' 009) 00 UQ "CS z .a 0 V) a•Ill- JnV)V) u) u)�ml- 0O.JLLL ) UJ ,U, 7- U VV) 4tq Z— � V7 > GENERAL INSPECTION.REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queenshury,NY 12804. Arrive Depart k"- ' -p-m8pector's Initia NAME:ac's CU�- - I I 3 ;V - PERMIT# LOCATION: d=o�r /, L � DATE: U' T1.TE OF STRtCTURE:' j RECHECK NIA YES NO COMMENTS Footings/Piers T- .7 Monolithic Pour Form Reinforcement in Place The contractor is responsiblefior providing protection from free"Zing for 48 hours following the plac'c'ment of the concrete. f Materials for this purpose on site t Foundafion/Wallpour�-- %, Reinforcement in Place X 14 Foundation/Dampproofing Backfill Approval Plumbing Under Slab— Plumbing VentfVents in Place Rough Plumbing Heating Rough I- Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- was R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing(Bridgi-n,g Joist Hangers__ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed - Fire,Wall 2,3 4 hour estoppin �Ae Ch F=IF;,"F-= MARS H^L- TO' N C)F= QUEEN SE3LJF,"lr C:lLJE=r-=NS,E3LJF;Z'Y, NY12804 (518) 761-8205 - FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION--�r-,--30aZZ��- >ERM IT # ::Z3 SCHEDULE INSPECTION ON Cam.+ram AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY 1 'HTIN '��L FIRE EXTINGUISHERS .Y FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION XSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCEITO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAOE CHIMNEY WOOD STOVE FIREPI-Ag5--FA MASONIRY F-I FACTORY BLT- OUQH-IN FINAL REMARKS: OK TO THIS DATE INSPSLIP-PUB INSPECTOR 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 ll�i Inspector's Initials NAME: PERMIT# LOCATION:� — t C.yc- DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers ( I Monolithic Pour Form Reinforcement in Place The contractor is responsible fora providing protection from freezing for 48 hours following the placemeo of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place �§ 1 Foundation/Dampproofing ` Backfill Approval Plumbing Under Slab PlupBing Vent/Vents in Place I ugh Plumbing tl _ Vf-jeatmg Rough-IneC-1+i4 , I Q (,�n� Insulation �; Foundation Walls Interior R U' (- p Foundation Walls Exterior R- r 1!�C P Floors R- Walls R- Ceiling R Duct work or piping in unheated spaces R (f©r,) C:�-,4 C Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Haugers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping r.,.� t.. -- - wM_P�D_ h - GENERAL INSPECTION DEPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrivq 00 pm =_ 0 c or's NAME: O ERMIT#LOCATION: DATE: TYPE OF STRU '<Z_ RECHECK NIA 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/Wallpo r Reinforcement in PI Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VenlNents in Place Rough.P tubing Hea ' g Rough-In elation---= { MUfy Foundation Walls Int 'or '1- Foundation Walls ExteriorM��NVOR R� � Floors - Walls R R- Ceiling ` "—� � �}� Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers 1 Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier ti Fire Separation 1,2,3,hour Penetration Sealed Fire Wall.2,3;4 hour Fire`stopping— /V 1149� GERNPRAL 1VSP CTIONREPORT (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 - a pm DM-1XV0 Inspector'sNAME: PERIVIIT#LOCATION: DATE TYPE OF S UCTURE: - RECHECK N/A YES NO COMMENTS FootingslPiers __ I Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection from fx ing for 48 hours following the pl cement of the concrete. Materials for this purpose on s to Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Baclfilt Approval Plumbing Under Slab / Plumb' g Vent/Vents in Pl ce gh Plumbing Heating Rough-In Insulation Foundation Walls Inte or R- _ Foundation Walls Eat 'or R- Floors R Wa11s R- Ceiling R- e work or piping i unheated spaces R- Prope Vent,Attic Vent F ming Jack Studs/Headers Bracing/Bridging i�b� Zl�-�-{ bf Fi.� vc,Zz �l Joist Hangers (cam 6\S?VL- , D�� F JackInfiltration riBeam 111C � � CukzM�b -Vo woxv PAR Air Tiifiltration Barrier � Fire Separation 1,2,3,hour NZ�UAD - -�-b Wzp?,w Penetration Sealed Fire Wall 2,3,4 hour Firestopping C'—O�-ttY LE-t� QLIS MC3��� Ft�E_5 owl GENERAL INSPECTION REPORT - (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received; Building&Code Enforcement 742 Bay Road a Queensbury,NY 12804. Arrivea t Depart z spector's Initial NAME: PERMIT# LOCATION: JXJ t DATE: C ' TYPE OF STRUCTURE: RECHECK r NIA YES NO COMMENTS Footings/Piers t� G 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 Faun tion/Dampproofing kfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R ; Floors R- Walls R Ceiling R Duct work or piping in unheated spaces R Proper Vent,Attic Vent Framing Jack Studs/Headers B:racing/Bridging Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fiore Separation 1,2, 3,,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping �Y1 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 a m Depart Inspector's Initia Y NAME: PERMIT# LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/ S O COMMENTS tingslPiers 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 FoundationlWallpour Reinforcement in Place # FoundationlDampproofing Backfill Approval l i Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R- Floors R Walls R Ceiling R Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers _ Bracing(Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping acres \ L=9 7.6 3' 2-3-7- 30' FkONT SE7(�gCx Q� Cc 70.0 o —� � 2 R�t �;- Q _ 1�n--445. L�r 3 36 L ., b C6 TlUlY UA1P/T1;NR CE N EASENT -•495. f o S . 1 LOT 128 �, 53LO Q t. Q 23, 22* d �a / 0., 3 acr o ? I 3? sq• t Z Z I � es o CO i a --, 0.51 a Ln "N , sea40 l 0� / LJ -� 7 LOT 131 , is ��� ---_ -i �� 138.90" 00 pcs, 764, s9• ft. L- ' __- r 1 9 ~' N 76-00'00 76.10' = : '49 Qcres rkST PIT p ����"` •� .'�'' �G eve I saw vidence • :.vf���� U served or bell e ' w ave seen houses,wells,trees,fences, etc,, � . � 2 ' ` al l bjects s+�c also represent that I have / �4o S sho non this document.i Pre nor set forth on the d agram. a d the distances per Wally assure ce I �;;, 'a.' '•. RE yr