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2000-591 e Ft i TO'WN OF QUIEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 ER`LIFI % ATE %JF OCCUPANCY Permit Number. P20000591 Date Issued: Tuesday, December 12, 2000 This is to certify that work requested to be done as shown by Permit Number P20000591 has been completed. 31 () �a I Tax Map Number. 523400= 125-Of1M009-111-1}W0000 Location: 78 NICOLE Dr Owner.. GUIDO PASSARELLLI This structure may be occupied as a: Fireplace Garage _ 2 Cars Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building & Code Enforcement `I'OWTT 4 OF {QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number; P20000591 Application Number: A20000591 Tax 1v1ap No: 523400-308-010-0002-038-000-0000 w Permission is hereby ,granted to: GUIDO PASSARELLLI c7 4 For property located at: 78 NICOLE Dr in the 'l'own of Queensbury, to construct or place at the above location in accordance with 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. Type, of Construction lue Owner Address: MICHAEL & TAMMIESUE SHEEM Fireplace 78 NICOLE Dr Garage . 2 Cars Attached QUEENSBURY, NY 12804 Single Family Dwelling 130,000.00 Total Value 13010OW00 Contractor or Builder's Name / Address Electrical Inspection Agency Plans & Specifications 2000-591 1781 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS c $233,00 PERMIT FEE PAIR - THIS PERMIT EXPIRES; Saturday, August 10, 2002 (ifa 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 To of ens T gust 10, 2000 SIGNET] BY for the Town of Queensbury. Director of Building & Code Enforcement l u t , of QueeIlsulll y - Uc^ N, t f C"IM111,1 j, De► elrrlHlrr'rN, 7d2 llrl3r Nnrrrl, S,/11COl.sbltr r Mtg zrC . CU ,[) f3 G N I� U Jt C is AI l ' 3 . N}Re[iuiveillellIs ir: for to isstr�lrrcc Lj%�3xmqjjjI ttairPlu rritlrrrr#e+rr. e r �_ will 3 oil Fit ln r7rrrlr l ' Iflccrl41rrrxtil ul+irlicnxl loll lo lLhob # _17ilYC# 1'li / l# Y:If J".1I11 ncea all Ilrl hrcn Ueai eei r nt n l__ r rJrrtr© ►trs 'N 7el3Pill , NVII I {i— .. � 1tr:e:l Crkl it rll 1'CD l'11y111Clrl -"__ tJ•.fr.rfir� J^r,tY., "„,.��'' sT'-.,a.-, . ... ,.. . , . . .»,_.-�. ... Owner: Ilddie:ss: �. r 4ldclress: 1'110110 # ` ) 1 i''rl �) Properly Locl4 (EoII : . . SIEI�ciivLstuli Nn1llll, ` off Tlrz Mill) Number !icclittlt Illtx:k I txt tlJ#`t'tillil; aE offoof Nltorao'"2VU 1•101U( d flow lJu 1 5 -ell .C1;1) I-Ir RRIVoT VALUC ()r x7enldeskco colilrnorc CiJNS CItU( i" CAxJ ; Qom} hc1di ctit il. lci3. trcl : >K'rerr .lalaktco / relulenrkk:r_ .l. n ,l, r3CG`Ur'Itlr('Y A ) Llaarrlt J.or1 t: a 1) ak .i. .l. ct -i. stc� : xtrtc)rtrlrtii� rrs r vtr �i,clorrcck A' � 3-sl a:y 11u3. .?- cEi. nc� ILrao ,Lciraricck ! e_<liitliratr. c ]. rl ]. 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( tEOL uttfilrl. 11 lled calla cir' halJell eltL- ) hcC> ssultx Il1JILIl114l;s 1 TOTAL FLOOR 11RLR : })ei: rrciie �l t.4-11;ttr:} cr _�'"- hl: Lticllecl Gtlrttga 1 , ?, ctr :- sxza; Or DEW S^]'1ttJC"A't11LL"" : Private storage BJ I C ,,!5":,el BL1 i l (]LrlU N l:,L:'A" X _( ", r."131:'A' C7 L• I 1 a A1aultt}txt Solt 'J'y[Tnr llW3. }• -1 rtrt e "co 1) d- Ion%it] caz llitc�}X'ttded ' un l tl r3t jrJ• S nl: cTr. .}, osS / - �� �."'�JYI� Y.�-��- •� yy IInU.i. l: xllT ]. rt nilcicv arrl .i- y j J rrrul�nr lea rlr3 �cl7 I C tear foe- wiTral_ fi IIn Le11tt: ( r � c• rlt.irT t:ra -_ -. .. [ lkruilant: o i_ 1.' .I. k: a7} k ,i. rtc" rrrs tlrlrl f cai.lrr t rTuu "if iii'i: tii iir : n r .i ii� : x, lrir Lo b❑ 3 Itnl tt ]. 1 *scl : { ctII: t= ,ltT tt .1. .1 wlt3 c IT it x t.i. Iakrk ) �' 77r' !w: .Lec: tr -lc: _-J 011 ,r 44a / Wood ' cirrecl llot haJ / u [lel3vtsrcl / Other Yer ooli reopoll€ 1ble for euE)ervl. 0 .1.011 of work rre Vegtll:clr]P to hvilldlilij code " 3. 01 -- Bull Ider, . -� Williel+ ` ddroauu , ' -/�1YY W t 1 t1U1r+c P1ulnLa,r : ' ! . Mauon : Elect riciali : -- DEFC'LA1?r17*10N.' .1Tlertre sigle be1t)rlk reflei- yore lrtive care ee11y 1-crltl he Tfillellelli. 'I'ra I}lo hest or lll,y k1lowleduo Ilia slalvalcrlls crkrrisririetl ill 111is srlklklicsllirkn, Itrl,c[}tyr wills 11re }xl:ilrs L11ktl Rlteeilic.sllirkrls stltklrlielcll, sire .1 It-tic .11111 colrtlllete sl:llolrtenl rs1' :III 1sr <k1x>sGll tvrTtk be clsknc cell the aia:sctihecl preu+iv :u cs lri Ilt;tl :111 Irrrkvisitrrrs arr Ilia 11ui[aiinl. l Irr-'rx1e, Iha. J.r+uini, ihtlinnube onMill :Ji axtlrcr' latva Joel 1.1icrirrit In Owl Itrerlkerst:al wttr IC slr.rll Ire eaknllrlicat tvilh, Wrtcrlaeel' slrcc'ilierl trr pig te le , :ulri ter:rl :el+car tvatrlc is pit Pt I,y thas arwrkcr-. 1 frr/ ilium it ix nnticrslettx(l th.rt I/tv4 %hall sue>rrrii Ixr ien' lei :1 C.letia'srt.s rrY it)c:t.:trlr;ku+.:y'tkr C_a# lilicrrlu rr[" [,�arlktl>liuuee: hl:iul; 1. rrrk AS 1ltrlr.:1' 1*/.0"#' 1'1.,AN toy xk liecrraeal nllrvayttr , alrrswrk tt� sc:rlc , virc>tvilll, :lvlkr.11 lex :ltiaarl 4JIM picoject aTrt lrrctrriscs. r Sig,Il:ttlrrc: (owllerk erts ngent, archilecIg CoI11rS1oor) Application for Permit - Septic Disposal System TOW" of QueenSbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 I . OWNER INFORMATION: .............. ...._.....................................,.,,.,,.,.,..........................................___------ ` Location of installation: ,A4o 1 f 1 /� t Gep�„ ;D y' + Office I.Use .^( File Permit N%221a4 Tax Map Na, I I Fee Paid � Owner's Name: �]-� Y YG ,ts l LS I-fi ir G .22 CL , r Address: y/t� dep � 2. INSTALLER'S NAME ,/� L9 a Y Y 1 66 a y PHONE NO. 7yy��/ 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 gallbdrrn = 1980 — 1991 x 130 gallbdrm = 1991 — present �� x 110 gal/bdrm = � �3 d Garbage Grinder Installed yeas _ / no -_ Spa or Whirlpool Installed yes � / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) T o it Nature round Water Be rock or ; ervia s Ma rial Domestic Water Supply Fla sett at wheat depth at what depth mynicipa Rolling exam .,feet feet we Steep slope clay if well; water supply Ya 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 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 sizc of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: I, ,noo gallon (min. size 1, 000 gal.) Tile Field: each trench � p fl, Total System Length: �2 ,Q4!0 fl- Seaepage Pit(s): number of size of each: ft. by ,ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Altemative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: gallons I 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. Signatur asponsib e person ate 1 Fire \3 :tY'tifY.rl 'ti C)Ititt A o%s11 of (� rrc^ttrilrrrrs , ?-I ' nao,- Ro.a<f, t tYccrrSfrtYr ', \ ) 761 -420 Application for Fuel Burning Appliances & Chimneys applicable to solid fue3 & vented gas appliances Date 20 Pci-mit No, Appltulrort rx' hcreh7 rrtrxrle Jrl tlxe 13trilrlirt c C �rrrlc-.t' 0 fic c' frrr tlx 'c' r.s-4fr41)IC 0I rJ l3trilrliar, rr+tr! ' c' i Permit ptrrstrurtt to the Ncw York k . late Fire Prelleilliorr alid Roilclirr C 'urlc . 71xc trj�plic rrr71 or rlrr rxc'r i flgr•ee.� 1[x crrmPl4, tt irh all £eppliecrhle l4eflvn', OVelirxaxJces, tllnlisrtx,c, c+r:rl call ['nrrcliJirs r!r ■f are paf-J nj Jlac.ee regarirelr rents [trrd Cr lsu r,'ill allu II d rill it Ispecto rs 10 ei tr c'x- l)r 'lrr i-,c; rn pe r,fiu-117 1�cq I(ir-eel rrrs!)eG t io I i Vd NOTE to applicaiit : I-ough - in and Final InspectioIls are t rvquircd _ Applicant lnfortrtafion Fuel Burning Appliance 111fornlatioit �� wo ( circle appropriate xvards) � Name :_ 7T,arY.W. _ E c.a l SS�1S� + G slc r% c, od ccr[rl f)cllej errs Fireplace insert Address: f/G 7 G ,r Yr� pl.icc;-ITactcii %- itT J rt Ood s*ir.s 1- Irepialce, rr r s nry: la•'aa[l i[ts Furnacc : waorl gas ail Phone: If 11011-masonary applicarice, please provide Owner: N1311t1filCtUier Name: _� �r g^] r� 92 -A Address : fdr Model Number: Chimney Informafioll Phone.- _ , ltitt-cicay)p p -iate \xords) Masonry block brick stone t ! Flue rife steel. size: _ � ' inche.�s s Exact Address: xrt2� J�lt� f � GC21�Cr — ]C. j Of eorasrr•uctiarr or r4asraflati4aii Factorv- 13mit Ml anufaCTLII-er Ilari7C: 7A " _ , — Model Number: :Vote: Listed Bv,, Number: Constr•uctiora / Irrstcrllcxriorr Jrrt[sJ ; colr Qr-xrz to NYSFir-e Prevention & Rzaldirrg Indicate (circle) chininey material : Cade. Consulr aiwilable Town ofQueeltsbw __ I i-fandouls regarding- required inspcctions. !hair "r�li ss�rrll T� iple rr'rxl! ! Irr.Slrl[tf['rl ! l�irc'ct i't'Irtirt� chirrtrrev Liner G'.M,B at4-',ter _T_]► a oxx�rex_rt -- q `4g>16Ve:R l caf (z7Y�c�,r� x�rxis�a r..z-tea-, T+��crsr 'v r-I�r L'irc' .S1[tr-xlrrrl Carte n $ C'ollc+er, rl 4 ticlirrrrlerl Receir ed li-o)n Ireltrxrricil JrrJ: .. . � � -! 173 3389 1190,r 1'trblie .Safe tt _ - { 233 655 (230) J410701, Sales Id +Jvl..)}ru�i,�,2.G -. rx�i wry, G�/'L�4 az •�G,{r tn�-j, ��'Uite (Ap�iicaru) C,r en ( f=irr \Iarsirall 3'rlfa F ( Hicfg- I tcpt, ) Pink & Gokicnrocl (Cashiir•s Dcp(, } _—_-- -- TOWN OF QUEENSBURY HIGHWAY Richard Missita Highway Superintendent nt DEPARTMENT Home (518) 79"127 742 Bay Road • Qneensbury, MY 12804 mic&ael E Travis Deputy Highway Superintendent Office Phone. (518) 764-8.211 (518) 798,0413 Fax: (548) 745-4466 DRIVEWAY PERMIT .DATE: �s-IL2- APPLICANT NAME: T� � r�, &V e"s-5 G J7y�.r AUG U 8 2000 �r r TELEPHONE NO.: ADDRESS TO BE INSPECTED: RETURN ADDRESS: l���,_.._1LL� +�� '�' 1�i Applicant must show exact location and width ofdriveway(s) to be connected to the highway by placing; stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP l : ( ) Preliminary Approval NEED: ( ) Slight Swale ( ) Level with the road ( ) Deep swale Size pipe to be used (if necessary) { ) 12" ( )15" ( p ws ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt, Deputy Supt Upon completion, please resubmit this approved permit for a final approval_ STEP 2: ( ) Final Approval ( ) Rejected D ATE: Richard A. Missita, Highway Superintendent ENERGY CODE COMPLYANCE APPLICATION TOWN OF QUEENSBUR , WARREN COUNTY 9000 HEATING DEGREE DAYS Comnlian.Ce Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating - Component Trade Of€s 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets PI' I C `' IT S NAME PROPERTY LOCATION : _ 1 [a "k',._Si / ! ��' S� CJ ...L "Y1 C_ /'�67 ,i l.fi_J_!■+C--+�i. f' � �'.Y PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . G.-roSS Floor- Area - 4 scrua.re .feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled ? Yes w No 4 . Pe _ centage of area of windows and doors Over 17 % tl000 Under 17 % 5 . R-V_ALr TES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SiIOWN ON PLANS SUBMITTED : a . Roof b . Exterior walls R - c _ Glazed areas R1 ` do Exterior doors R e . ,Floors over unheated spaces R f . Edge of slab on grade ( heated building ) R g . Basement / cellar walls ( above grade ) R h . Basement /cellar walls ( below grade ) R _ i . Heating/ cooling-ducts -piping in unheated space R 3 60 S er-vice ( domestic ) hot water heat incr device Conforms to rninlmum efficiency per code eyes No TEMPERATURE CONTROL MAXIMum SETTING 140o - WILL NOT BE EXCEEDED App i 3 y s Y D - Phone Plumber INS ? = C 0R REMAFtI{ S : FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, IVY 12804 (518) 761 -8205 I FIRE MARSHAL INSPECTION REPORT i REQUE T RECEIVED I 1 PERMIT # _� j NAME LOCATION I SCHEDULE I PE TION ON mF i_ o II"r'1 i el1 AM PM AN_-'YTIE i APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING P FIRE EXTINGUISHERS._ FIRE ALARM SYSTEM FIRE SPRINKLER SYST* - - _ FIRE SUPPRESSION SYSTEM _ HOOD INSTALLATION 1 u INTERIOR FINISHES STORAGE: _ CLEARANCE TO S KLERS CLEARANCE TO G UNITS REQUIRED SIGNAGE i ....�. CHIMNEY X_I WOOD STOVE _ r FIREPLACE - MASONRY ,)IkIREPLACE - FACTORY BUILT J REMARKS: I IOK TO THIS [SATE iNSQa ,P.Pua PECTOR RE'SIDENT'IAL F NAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received- �ii Z 0U Building & Cade Enforcement , Dept. of Community Development Arrive r Depart Town of Queensbury Inspeckor's Ittt 742 Bay Road Queensbury, New York 12804 NAME 12• t VA PERNffr TYPE OF STR11LTU IL N/A YES NO CONQyftWI'S Chimney Fleightl"B" Vent.02rect Vent Location Fresh Air Intake Plumb Vent through roof ,` Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 3WN Exterior Handrails, balconies, landing I8 im or more Interior .I3andmils stairs both sides 3 or more risers Cwade 2% away from foundation VZO 8" clearance to sill plate 11 Gas Valve shut-off exposed/regulator 18" above gradeL. Gas Fume shut-ofr within 30 feet or within line of site Oil Furnace shut-off at entrance to fua�oace area Furnace/Hat Water Heater opera ' Relief Valve(s) installed Headroom, 6 ft 6 in. on stairs Basement stairs, 6 fti . 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doorst'rnain entrance 36" Floor Finish BathroonWKitchen watertight Interior 'fiAndrn;ls Balcartiesll.anding 18 in. of moIr 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 fhe>proofm Garage penetrations scaled Furnace in to room separate (►n garage) R�ti Light ventilation per room Safety glazing IS" or les floor Final Electrical Site Plan/variance req 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) I THE NEW YORK BOARD OF FIRE UNDERWR RS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date 1 +1;4"} ;M13I ;lt {3'% ,. .?f3{3r > �¢tson No. an THIS CERTIFIES THAT F�E;fttT7 "J' tJt.} . only the electrical aqulpment as described below a' &,i lduced by the applicaisxr on the shave application rturxber Lc in Yke ri PF premises of `.I't}I.; t7:C{ "-kIA i1 .: t, f�iJt.lE' 10 Jx)1u: )P . 3[I 1t{`r Fd 'i in the following ,location; 14 Basement Yst PL L.* 2nd Pl. GAP Section Block L.ot was 'examined on 1.}i1:( !i.,}.tBPJk 04 r ;'-000 and found to be in co»>Ipliance with the National electrical Code. FIXTURE RECEPTACLLS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS 04CAMNSCE FLUORESCE't,/T OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT. H.Y. DRYERS FURNACE MOTSSRS FUTURE APPLIAHCE FEEDER$ SPECIAL REC'PT. TIME ( LOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS N.F. AMT. NO. A. W. G. AMT, AMP. AMT. AMA$, TRANS. AMT. H.P. SYSTEM$ NO. OF FEET AMT. WATTS 1. F' 1. 2. ! A ? I SERVICE DISCONNECT NO. OF METEk S E R V I I E AMT. AMP_ TYPE EQUIP. L o Rw 1 I/ aW '.{ SW 3 dW Ham. 04R OO. OF CC CONO. NO. 4F HI-LEG OF HI:LEG NO. 47F NEUTRALS pp NEUFRAL OTHER APPAItATUS: E.1( t,' Vflk F 1-404, F3i IN;10 I I}-rP;f ' 431 .1 ,1 , 1AM 1 ) < }WPWV[A, N b FFi Y ` . GENERAL MANAGER :it."Hi+:iVl;f`"i'FS1)Y . FlY , .I ;' .SII;4 -'. :4'1 Per This certificate must not be aitered in any manner, return to the Office of the BOard U Incorrect. Inspectors may be rdentiffed by their credenfials. COPY r=OR BU;LDIh'^v C.EF'AFTt.?Er`T. 7!-i!4.3 C'F C.FTiriCATE P-IUS'=- !`JOT f±3F ALTERED IN ANY MANNER- THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 8!04] BUREAU OF ELECTRICITY 40 FUtTQN STREET, NEW YORK, NY 7 Date i)Pt.N,MFiklt k4 , lrcl{} q�, �+ � � .: tou itm ? THi$ CERTIFIES THAT PlaH IJ T N(l . 2000- 41Q I only MO electrical equipment as described belo and introduced by the applicant t#e above application number is In the premises of .1 NC , NP-10t.f7 II t '1` 1 i. fl{;f;F:N il3Cf#t`t P3'r in the f0HOWIng location; P ,Basement 1d 1st FL � 2nd PL (�1132 Section Block Lot was examined on I.ft;[;f;t1FSE';it I 1 !C)4Yi) andfound to be in compliance with the National Electrical Code. - FURIIRE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHESINCANDESCIENd RMQFM XM I OTHER I AMT, K.W. I AMT. I K.W. Arn. K.W. I AW. I K.W. AMT. N.P. 34r) 1. 1 . ."' s a. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMr, KIWI OIL MY- GAS N.P. AMT. NO. A. W. S. AWL AMP. AMT. AMPS. TRANS. AM-r. N.P_ N SYSTEMSO. OF FEET AMT. WATTS J SERVICE DISCGNNECT NO. OF S E R V I C E METER Nee. OF CC oainlK. A. W, 6. A. W. G. A. W. Kn AMT. ,AMP.IIIIII TYPE EQUIP_ 1 r ZW 1 * 3W 3 N 31Y 3 � 4W PER • Oi CC. COND. NO, OF HI-LEG OF MIND NO. OF Krr<KrTIrAIs OF NEWRAL OTHER APPARATUS! G . .V . C . A- : is:! DP GENERAL MANAGER 00PAJENSB( FRY , per This carNRcale must not be altered in any manner, return to the office of the Board It Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING a CODE ENFORCEMENT 742 BAY ROAD QUEENSSURY NY 12804 { ' (518) 761-9256 ARRIVE : DEPART : INSP : �-"✓ FINAL INBPECT'ION REPORT .- REStDENTIAI. DATE INS 'ION REQUEST .CEIVED : NAME LOCATION ��i �� �� DATE '� �'�. — L tx "'"'�- �.�� PERMIT TYPE OF STRUCTURE :��Z:> FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A ES No CHSt2N_!a'.yi FFEIGHT,(B VENT/HEIGHT __ PLUMSING N ROOFING ERE NIS DECKZPORCH PS LING RE LL AL V E S FURNACA (HQT WATE T$, INTERIO'j, TRIM P DOORS F NIS RS : T I' EN WA E IGHT OTHER FLOORS SWEEP OTHER FLOOR C PE E STAIR CLEA NCE IL NGS SHQKE DETECTOR BATHROOM F kLUMBING FIXTURES FOUNDATION INSUTATION GE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SIT$ PLANIVARIANCE BE.Q . Si)RVEY PLOT PLAN OX TO I S $ C OR C C TOWN BUILD TO OF QUEEMSBURY ENFORCEMENT Rueensbu Road --'�"- Kr_z�soa (518) 761^8256 SEPTIC OfSPOSAL SYSTEM INSPECTION Name L ca i Date + Permit # r SOIL TYPE: Sand"Loam-clay- �f Results of percdlation Test. ( if applicable ) hate- Minute/In TYPE OF SYSTEM: ABSORPTION FIELD:i7ota ] Lengt , Length of each tr4nch Depth of trenches Size of stone " SEEPAGE PITS ; � Size - umb r- Stone size — ftm xY� f t . PrPINs: N Bldg, to Tank ', � ze ype Tank to Dist . Box " Dist . Box to Field/Pi Openings Sealed? LOCATIpwISEPARATION , es o art a Foundation to Tank Foundation to Absorpt • on Feet Separation of Pits feet Conforms as per Plot Plan feet LOCATION OF SYSTEM s No !circle on PROPER Front ear of Sid Middle Right We Copw"Ts: _......_ � SYSTEM USE APPROVED: YES O Arrived - Depa r B g Ins r s _ � L ' J'• e ,.}re seen or observer}, or Believe i saw evidence or, uts uJCn as houses, {ldveds. t,ees, rances, etc.. ®r on this document I also represent that I have onaliy measured the distances set forth on the d ;—gm T NATURE MTI7� E�� . a CM IF 1-1 4 � � y Gr J ']� , ,� C1 too 4 4 GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road QuLensbury, NV 12804 Arrive rj ",1 �� DPa . Inspector's Y NAME: -- _ -+ PERMIT #I CMC ATIQN: LATE : - C3C C 3 TYPE OF S IJRE: RECHECK N/A YES 0 COMMENTS Footings/Piers~ i Monolithic Pout, Form Reinforcement i Place � — The conlraclor responsibic for providing protec n from freezing, for 48 hours folio ig the placement of the concrete. Materials for this purpose a site _. FoundatiordWallpour Reinforcement in Placc _ Fourndalion/Dampproofi ng Backfi It Approval_ Plumbing Under Slab Plumbing Vent/Vents in Place__, Rough Plumbing_ __ _ Heating Rough-In '�4 yC� t "= Insulation _ Foundation Walls inlcrior R. _ Foundation 'Walls Exterior R Floors R- Walls R- Ceiling R _ Duct work or piping, in unheated spaces -Proper- Vent, Attic Vent __Framing---- -- Jack — -- - . _ Jack Sluds/l tcacicrs _ . . Bracinl/Bridging ------_-- — Joist Hangers _ . _— Jack Posts/Main cam _ Air Infiltration Ba cr �_ Fire Separation I . , 3. hour __ Penetration Seal __ ._--._-- _ Fire-Wall hour -- it'" ing — GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Quecnsbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive :Lt> a �m Depart c �ar� '! I tcf`pector's Initial � NAME: � ���,-,1 �� PERMIT # LOCATION: k C LATE TYPE OF STRUCTURF: 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 ol- the concrete. Materials for this purpose r s'Uc Foundation/Waltpour_ Reinforcement in Place Foundation/Darnppraafi g Backfill Approval- _ _ - - Plumbing Under Slab Plumbing Vent/Vents i1iP ace- _ Rough Plumbing; Heating Rough-In _.. m_--- - - insulation _ _ Foundation Walls Is tcrior R- Found'ation Walls F Acrior R- Floors R- - Walls R- - -- - Ceiling R- ----- _--_ Duct work or pipinjg in unheated spaces' R- Proper Vent_ Attic Vcnl -- Fram i ng -- -. - Jack Sluds/Hcadcrs _ Braci ng/Bridging- ---------- --- — Joist Hangcrs_ - Jack Posls/Main Beam Air Infiltration Barrier_ Fire Separation I . 2. 3, hour --- .� - penetration Scaled Fire Wall 2. 3, 4 hour -- - _ Firestopping,__--, _-_-__... GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received: Building & Code Enforcement — 742 Bay Road Queensbury, NY 12804 Arrive Depa 3 spector's Initials NAME: PERMIT # LX3CATION: DATE : G Q TYPE OF STRU RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing far 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Darnpproofin Backfiil Approval Plumbing Under Slab / Plumbing Vent(Vents in Place_ ' Rough Plumbing Ilea ' Rau -In lotion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- r t Duct work or piping in unheated spaces R- Proper 'Vent, Attic Vent Frarnin zr \ t.�� � l `s1� ls�� \ ►� . Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack PostslMain Beam Air infiltration Barrier Fire Separation 1, 2, 3, Dour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL IIVSPECTIUd4' REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 1,2804. Arrive 3-1911111lDepart --� NAME: R _ RMIT # LO?CATI r)ATE : } �` " TYPE OF STRUCTLl:FtE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fig ng for 48 hours following the p cut of the concrete. Materials for this purpose on site Foundation/Wallpour i Reinforcement in Place I FoundattionMampproofin Backfitl Approval Plumbing Under Slab Plumbing Vent/Vents in Rough Plumbin eating Rough-in Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- Walls R- Cei.ling, ZraD R- � ... Duct work or piping in unheated spaces R Proper Vent, Attic Vent Fxamin Jack StudsaledAders- Bracing/Bridginix Joist Hangers Jack Posts/Main Beam Air lnfiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour. Firestappin GENERAL IN, PECTI+C)N REPORT , ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: �� � Building & Code Enforcement 742 Hay Road z 3 Queensbury, NY 12804 Arrive am/pm Depart am/ Inspector's initials �1 " NAME: e6i I dF PERMIT # G IX)CATION. o[� DATE : f TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Foot .rigs/Piers Monolithic Pour Form Reinforcement in Place _The contractor is responsibl for providing protection from ng for 48 hours following the p nt of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place FoundatiorilDanviproo _ Backfill .Approval P1 mbing Under Slab } umbing Vent/Vents in Pla ugh Plumbing eating 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 / Jack B ng/Bridg[TW. eTs Joist Hangers —_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour tration Sealed Ire Wall 2, 3, 4 hour Firestopping. . ( 'ENERAL 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 07"v ant/pmn Depart am/pm Inspector's Initials -F'< ` PERMIT # LOCATION' c !1f c DATE : -� TYPE OF STRUCTURE: 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 placentent of the concrete. Materials for this purpose on site Foundation/Walipour, Reinforcement in Plane 'y Foundation/Dampproofin Backiill Approval Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Piutnbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R- Cei.ling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack StudstHe tiers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fine Separation 1, 2, 3, our Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL IN,SPECTI01tI REPORT ( 518 ) 761 - 8256 Town of Queensberry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensberry, NY 12804 Arrive atn/pm Depart ` � Inspaector°s Initials NAME: PERMIT # LOCATION: "Nnz DATE : � TYPE OF STR Cq-URE: RECHECK N/A YU60 COMMENTS F gslPiers _..... _ nolithic Pour Form Reinforcement in Placer • _ The contractor is responsible for providing protection from ftwzing for 48 hours following the plaeern4nt of the concrete_ ~ Materials for this purpose on site Foundation/Wallpour :Reinforcement in Place Foundati fin Backfill Approval Plumbing Cinder Slab Plumbing Venfl Vents in Place Rough Plumbing Keating Rough-In Insulation Foundation Walls Interior R- , Foundation Wails Exterior R- Floors R- Walls R- Ceiling R Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers BracingMridgin ° Joist Bangers Jack Posts/Main Beam. Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin INFORM "! have seen or observed, or believe I saw evidence of. all objects such as froueea, wells, trees, fences, etc., shown on this docunwft I also represent that I have personally measured the distances set forth on the diagram. " NATUR _ � lJKTE a a r I Ca w I I ;*l 41 Cal I ICM ! -- W I + If L COO c,