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2000-696 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518} 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Perzxt*t Number: P20000696 Date Issued: Thursday, February 01, 2001 This is to certify that work requested to be done as shown by Permit Number P20000696 has been completed. Tax Map Number: 523400-048-000-0008-042-000-0000 Location: 91 SURREY FIELD Dr Owner: THE MICFIAELS GROUP LLC Applicant: THE MICHAELS GROUP LLC This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace 7� Director of Building & Code En orcement TOWN OF QUEENSBURY 4ct 742 Bay Road. Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761 -8256 BUILDING PERMIT Permit Number: P20000696 Application Number: A20000696 Tax Map No : 523400-048-000-0008-042-000-0000 Permission is hereby granted to: THE MICHAELS GROUP, L.L.C. Owner of property located at: 91 SURREY FIELD Dr in the Town of Queensbury, to construct or place a Single Family Dwelling at the alcove 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. Owner Address: THE MICHAELS GROUP, L.L.C. 10 BLACKSMITH Dr MALTA, NY 12020 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDER 10 BLACKSMITH Dr STE 1 MALTA, NY 12020 Type of Construction: Single Family Dwelling Value : S 1641900,00 Plans & Specifications 2000-696 2246 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE WITH 2-CAR ATTACHED GARAGE $298,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, September 13, 2002 (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 f!t=px Ved d , Se tember 13, 2000 SIGNED BYfor the Town of Queensbury. Director of Building & Code Enforcement Building Permit Application Town of Queensbury - Dept. Of CMIsmunity Development, 742 Dety Road, Quernabury, NY 12804 1761-32561 BUIL. DIN +G do - CODE EN Is0RCEMENT Requirements prior to issuance A Ircrmit must ba obtained before of this permit: FRECREAT70N 7 l>oSinning constructiIn kkk on. No inspections will be made until applicant has received Q Zonlxtg Board Action = 12AID " a VALID BUILDING PERMrr, All Ama I Use applicants' spaaess on this application PEE 11AID Cs''jZllpes� MUST be completed and- the signature Planning Board Acdon of the applicant- must appear on the REVIEWED BY.4 't ptication form. nap t . ,. $PR / Subdivision 1 Other t3�riG•hirg t�irEx[Y'nr Recreation Fee Payment Applicant: T14g ls&� s i.' 7�• Owner: ''�" n�c. Address: - r2t->1-4S Address: ( } Phone # L + ,I I']zonc # Property Location: I � Z-g-dt C EEILx,7 IrJAatl/ -- ---- Subdivision Name: Tax Mal) Nunakxcr � Section Block I nt NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence f 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 _ GROSS AREA OF PROPOSED STRUCTURE : k Other 1st Floor , _ . . , . . o sq , ft • If ADDITION , what will use 2nd .Floor . . . . . . . . (Qp ,sq . ft . of new addition be ? : Other Floors . . . . , sq . ft ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FT . _ Attached Garage 1 , c Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building SZ FEET x _ �j [ FEET Other Foundation Type : Will any second - hand or aingraded Number of Stories : Z lumber be used ? If so , for what ? ( habitable space only ) %AQ Height ( grade to ridge ) : 3 1? feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or wstove ( circle ' al ], whi.ch applies ) to be installed : I Electric / Oil / as / Wood Forced Hot Air / Baseboard / Other Person r ons .Ible for s pervision of work as regards to building codes rn r4 Y `(.:h-Elkzmaq a' e A dre s Phone Build Plumber : Mason * • Y.r. © � � � Electrician : -Z-Z DECZARATIDIV• Please sign belmv aj?er you have carefully read the statement, r To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted , and tttnt such work is authorized by the owner. Further, it is understood that Ilwc shall submit prior to a Ccrtil"icztc of Occupancy'or Certificate of Compliance being issued , an AS BUILT PLOT PLAN by a licensed sury r; drawn to scale , showing Oetual location of project 4n premises. Signature: t`- ( wner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System Town <?f Qzteensbw y 74 yid fQueen.sbury, NY 1280-4 (518) 761-81.5G 1 . OWNER INFORMATION , -------- ---- Office Use Location. of installation:c i d50-w- y Lr> 01?t-_ f File Permit No. Tax Map No. I Fee Paid Owner's Name: T.-Arc +� � � ``��, y.� . ...... .......................................... Address: E &\L L�k'h L1 LLB a ►— � J 2. INSTALLER'5 NAME yyxPHONE NO. 34 RESIDENCE INFORMATION; (circle year of dwelling, indicate # bedroom(.) and multiply ii vj' bedrooms with applicable gallons per bedroom to equal total daifvflow) Year of House: No of Bedrooms x Computation Total Daily Flow 1980 or older x 150 gaUbdrin = 1980 -- 1991 x 130 gal/bdrm = 1991 present x 1 10 gal/bdrni Garbage Grinder Installed yes / no _X Spa or Whirlpool Installed yes / no 2!�_ . A . PARCEL INFORMATION: (circle applicable information & indicate nioasuremcuts) T o Pra It oil Na urc GroundWater Bedrock or lnt ervio is Material Domestic Water Stippl li'lal sail at what depth at what depth Mill lip � !lolling loam �,/eet fe � et Steel.) slope clay y,well; water slepp/), ,_____yuuslope other j -om col%.1 .5eplic-system depth: cib.sorpllorr is J?j otherPercolatio �Tyes�.t�: (1'r) be crantlrleled by llr Gf1i,Sed llt`r1jL'.S',1'!l�rr£?! e1Tf;li7eL^r rsr at'cl►itL'L't� !late: _ �_ _ Inintrte per inch 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems niusl be desil ned by a licensed professional engineer or architect (unless installed in a Planning l3oard approved subdivision). Add 250 gallons to the stic of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: ICCO gallon (hin. size 1, 000gal.) rr- i �Rn.1 Tile Field: each trench 41 fl. Total System Length : Seepage Pit(s): number of .size oj'eaclt: __-- _, l lay Size of Stone to be used: II � -, --- / clelath or thickness Bed System Size: x Alternative System: _ length and/or siza 6. HOLDING TANK SYSTEM: (if required) Number of tanks: NIX, I Size of each: gallons / TOTAL Capacity. gallons !Vote: Alarni System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For yotir Protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any pertnit or approval granted which is based upon or is ,granted in reliance upon any material misrepresentation or failure to snake a material fact or circumstance known by or oil behalf oran 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. Sl nature of responsible person Dake Fire ll.irskua!'S ()#'lire •I O ti irl +rccitk#rur'� , 742 l3.; � l2u.rtf, f74Accit 1)4rr3 , til' [ 5lR1 �%O20r Application for Fuel Burning Appliances & Chimneys app#icable to solid fuel & vented gas appliances Date � - 1 _,1 w- � I N) - - i'eI n it No . fil�lalit'rrtinlr r.c 11r1'ehy r„rrrlc t< the 131rilrlittg el Cr,cles CJlfic:r^ fr,r the i-4.eitalic r�f't: 13trilrlin,t rrwrJ 1 'sc!ac111iif17itr.Srrrltlt to the New ]%rrlc State !i1• {'1cti,crltiorl <rlrc! 13rrilrli,tt�� 771C crtaltlie'ir,tt rsr u� ,1c , fagrccs 10 CO)uply II-it 11 al/ alalrlicabk laIIN, c,r'ehrtetrrc.'c.s, rc•Srrrlcrtira,l.s, cruel 011 c'orxlitivus that arelxrt-t q1- rltese' 1•egrtir-elnenls ewd also will all011• rt11 inspectors 149 cltterlu �rlti. e-v tope.furlpt 1•crlrrirc-•r1 i11s��ccriorrs'. NOTE to applicant , Rral_lgh - in and Final Inspect ' t011S c1tC ceq > lired. App#icarit Inforrnation Fitel Burning Aj)pliance filf`'orination en ( C I l c le appropriate kvorcls) !'acne: �: - t• Slone : It ood coal Irellef ins FII'CpIaG.0 FI1SC3"t Address: ra' `._ k : t i , , a s Fireplace, factr�ry-built : rce�vd cis; 4wzOl\ t`s `! 1 Fireplace, nnasonry: iaFaocl gas Phone: %o FUrnacc: Wood ,gLv oil If non-matsoziaiy applicance, please provide dtivnert_ ' Matrufacturer Name: f Addt*ss : . Model Number: fChimney Infpli'nlation Pi,ot,e: fcirc lc appropriate �s'urds) Masonry block- brick stotfe Flue file steel size: ilfches Exact Address: C�%, '' w. ' 4 .+ V 4� t ofcoustructiott or installation Factory-Built Manufactttrer name: Note: Model Number: Listed By: Nun,Ucr; E Construction / Insiallnriott twits, conform to NY.S` Fire Pr•evetttioft & I3l4ilciit7 IaYdicate (ciz"cle) cltin,t,ey material: CO,de. Consult available Town of Queensburtr Handouts regarding required inspectzrolzs. Double wo/1 Triple w4,11 Irr.s'rrltrterl / Dit ecG verrti,tg w C'Iriurrre�' Lilrcv' i Ca.�.Z�c.�i+�f�',r�l 3?cyp� �•.�.-. ,�.arte,yG .._ T"varYr,�e. Qf i Fi, tp :tfn,•shrrl Cone . S Collrrv�°<1 5 11e=fierrrled Kc=c•c=iti•� r! fivalrr r,•clee,rrl�tl tr,): . ' ' cx _ nrlrlrc . r: A 173 3389 (Igo) Public Sol=tt' _ f ?33 ?Ga 3 (_7 301 Alino,' .Srrle.t --- - -- '- x�rsP�� Pft+rc C.'e.G'irP 09- L3G}a�� White (Applicant} ( iscz3 { Fis'e 1,11all Yellhst• ( 131dc;. Dept. ) 17iirk {Caslziel 's f7clst. } ® sPrJ'rnrJ�r� rJ�crtJl��rTr lI rnrJ�. rJ�cnr�r� r lrj F,II r�r�r��.IrJrJrJ�rJ�rJ�t rrsr. ncncn r�rl�rJ�rJ� rJ�c.rac rSrJ� crrJrJ� a ` S SBY THIS CERTIFICATE OF COMPLIANCE THE S NE 'W 'YORK BOARD OF FIRE UNDERWRITERS S BUREAU OF ELECTRICITY C S 40 FULTtON STREET -- NEW YORK, NY 10038 �9j CERTIFIES THAT SUpon the application of upon premises owned by S S S SFOREVER ELEC/BOEL ELECT. THE MICHAELS GROUP THE MICHAEL: WILLIAM D. LON BLACKSMITH 2446 lAFFREY ST. QUENSBUY, NY 12804 S SCENECTADY, N.Y. 12301 , Located at 91 SURREY FEiLD DR QUEENSBURY, NY 12804 Application Number: 1001966 Certificate Number: 1001966 S S Section: Block.: Lot: 42 Building Permit:2000-696 BDC: A239 S SDescribed as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: S Basement, First Floor, Second Floor, Attached Garage, Outside, S S was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S found to be in compliance therewith on the 17iht Day of 04/10/2001 5 Name QTY Rate Ratin Circui Tvoe 5 Alarm and Emergency Equipment C� Sensor 6 Smoke SAppliances and Accessories 5 Exhaust Fan 3 F.H.P. Furnace 1 Gas Future Appliance Feeder 2 15 Amps Bell Transformer 1 CCj, Wiring and Devices Outlet 37 Fixture Receptacle 51 General Purpose , 1�+ Switch 49 General Purpose Fixture 28 Incandescent Fixture 6 Fluorescent Receptacle 2 30,50 Special Pole/Post Lighting Standard 1 Residential Receptacle 4 GFC1 sea/ GSJ SService 1 Phase 3W Service Rating 200 Amperes C� Continued on Next Page 1 of 2 rS SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. o cl�rnirJ�r� rJr Pr�r�r� rJrJr�iCJ� cJ"rJ�rJ�r. n r�r1'ar�c l� r�rarJW ffil cJ IffilOR2FsPr� cl�rJ�irJ� r�r�r�r� r�rJ�rJ�rJ� c[c�[�r..1�cJ� cJW 1M c.PcJcJ�cnc1'� c I�rJ�rJ"rJ�t� CnrJ'[J� rJ�rJ�rJ�rJ�rJ�CJ�CPc lr�rJ�rJ 3rJ�r_I� C�rJ�rJ�rJrJ�rrl Fri rffil IJ�r�rJ�rJ�[,I� c lrJ�r�rJ�GJ�cJ� 0 S BY THIS CERTIFICATE OF COMPLIANCE THE S NEW `trORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK , IVY 10038 SCERTIFIES THAT Upon the application of upon premises owned by S S FOREVER ELEC/BCEL ELECT, THE MICHAELS GROUP THE MICHAEU 5 WILLIAM D. MCPARTLON 10 BLACKSMITH DR. SSCE ECTADY, N.Y. 12301 , QUEENSBURY, IVY 12804 Located at 91 SURREY FEILD DR QUEENSBURY, NY 12804 P7 SApplication Number: 1001966 Certificate Number: 1001966 S Section: Block. Lot: 42 Building Permit-2000-696 BDC: A239 S Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, S Swas inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S found to be in compliance therewith on the 17th Day of 04/10/2001 S ]Name OTY Rate Rating Circuit Tyne Service Disconnect: 1 200 CB +� Meters: 1 S 5 S S S S S S S S seat S S 2 of 2 10 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the iocation indicated. .cam ••������..® rJMJa?1�c.J�c I�cJpcJ�rJrJr�rJ'rJ'rJ'c I'� rJ�rJ"rU"rJ"r�rJ�rJrJrJ�r.I�� J�CJ�rJ�r_I'r 1"r !arJ�rJ� rJ�� l�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�r�cJ�rJ�rJ�rJ�iCJrncJ�cJ�r�cJ'3 CI�j TOWN OF QUEENSBURY BUILDING 6 CODE ENFORCEMENT 7C2Z BAY ROAD QUEENSBURY NY 12804 t (518) 761-8256 ARRIVE : DEPART : INSP : ,__ FINAL INSPECTION REPOnT - RESIDONTIAL PATE INSPECTION RZQUESFI, RECEIVED : NAME LOCATION C-�- PATE P IT "TYPE OF STRUCTURE t FOOTINGS FOUNDATION BACKFILL FRAMING ROUGES PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE r N A IRS CH I E B V NT Ei IGHT PLUMBING VENT ROOFING EXTERIOR FINISH EC OR IN RELIEF_VALLYES FURNACE H OPE NG INTE IOR TRIMI IVAC DOORS S TH K C E T GHT OT ER FLOOR SWEEP ABLE OT E FLOOR E ED STAIRCLEARAN RAILINGS SMOK13 DETEC O NPH S I N NG DOOR CE Q. L�-" AL SQRVEY P T PLAN OK TO I SUE C O OR CIC RI SIDIEN AL INSPECTION REPORT 01llce No. (518) 761-8256 mate inspection request received: I Jc Building & Code Enforcement Dept. of Commonity Development Arrive am/pm Depp*rt. Town of Queensbury Inspector's Initials ti l 742 Bay Road Queensbury, New York 12804 NAME A PER14rr # err SG- LOCATIpN �"` - TYPE OF STRUCTf THE NIA. YES NO CtJMMEN'I'SC�� Chimney HeightPM" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof fc c C Roof Complete v obi` Exterior Finish Complete Interior/Exterior Railings 30" tot36�Exterior handrails, balconies, la S ormore Interior handrails stairs both sidm risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regula l g" ve grade Gas Furnace shut-off within 3o feet wi line of site Oil Furnace shut-off at entrance to FurnaceJI-lot Wader Heater operatt. Relief Valve(s) installed Headrooa4 6 ft. 6 in. on stairs Basement stairs, 6 ft: 4 in. H ndrad exterior staibkbotft si than 3 risers Interior privacy/tnni/d ce 36" Floor Finish Bathroom/Kitchen watertight / Interior Handrails Balconies/Landing l8 im or more Railing across window in stairvmlls / Smoke Detectom; every level every bedroom outside every bedroom inter connected Bathroom fans i Plumbing fixtures F dation insulation /4 hour fire door/donor closer Garage fireproofing Garage penetrations sealed Furnace m separate room protected din garage) Light ventilation per room Safety glazing l8" or less from floor Final Electrical Site Plan/Variance regnireci Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Cer"i of Compliance) Okay to issue temp. C/O (Certif. ofOtc+cupartcy)_ Okay to issue permanent C/O (Certif. of Occupancy) S11DENTL,kL F AL INSPE ION REPORT Office No. (518) 761-8256 Date inspection request received: Building Ss +Code Enforcement 1 DepL of Community Development Arrive am/pmDepa Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New YMrk2804 NAME PEztivUT # t3? ` Lea - LOCATION DATE U A TYPE OF STRUCTI-ME NIA "YES NO COMMENTS Chimney HeightP'B" VenttDirect Vent Location d Fresh Air Intake Plumb Vent through roof dPR74rt.aP Roof Complete 1 Exterior Finish Ckttnpfete interior Exterior Railings 30" to 36" Exterior handrails, balconies, landing 18 in- or rn Interior Handrails stairs both sides 3 or more risersL. Grade 21/n away front foundation 8" clearance to sill plate Gas Valve shut-off' exposedlreguiator 18" above ode Gas Furnace shut-off within 30 feet or within li of site Oil Furnace shut-off'at entrance to furnace area Furnace/Hot Water Hester opera , Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides than Interior privacy/trim/doorshnnin eaitran Floor Finish Bathraonn+'Kitchen watertight Interior Handrails s window Balcdow in 18 in. more Railing across window ius stairwells / w. AJ Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation VA/4 hour fire door/door closerCor age firoo penetrations ng penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Vanance required Final Survey Plot Plan m As Built Septic System loydut re4ured W Okay to issue CIC (Certif of Comfliance) - - Okay to issue temp. C/O (Certif. of Occupancy}_ Okay to issue permanent C/O (Certif. of Crr 4m J) RESIDENTIAL. FINAL INSPECTION REPORT Office No. (318) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive am/pm Dre#1 a t ! AuIdDm Town of Queensbury hi:spectoes initials , 742 Bay Road Queensbury, New York 12804 NANM l PER1Vfl'I' ' 's-+Cr ` 7 ATION DATE / TYPE OF S'i RLJC'1 IJILI N/A YES NO COMMENTS Chimney Fleight/ B" Vent/DirectVent Location Fresh Air Intake Plumb Vent through roof Roof Complete �-- Exterior Finish Complete Interior/Exterior Railings 30" to 38" Exterior Handrails, balconies, Ianding 18 in. or more Interior Handrails stairs both 0 or — --- Grade 2% away from foundation V i � � ' r 8" clearance to Sill plate Gas Valve shut-off exposer#/regttlator 18" above grade Gas Furnace shut-off within 30 feet or within line of site {ail Furnace shut-aff'at entrance to fiunace area Furnace/ lot Wager Heater Relief Valve(s) installed Headroo n,, 6 f3. 6 in. on stairs_ Basement stairs, 6 fit. 4 in. Handrail exterior :stairs both sides more than 3 risers Interior privacy/trmi/'doors/main entrance 36" Floor Finish Batb:oom/Kitchen watertight Leer 00� Interior Handrails Balconies/Landing 18 in- or more Railing across window in stairwells Smoke Detectors- we every level every bedroom, outside every bedroom inter corulected Bathroom fans Plumbing fixtures /} Foundation oxhow i t insulation + f /, hoax fire door/door clascr i ^[ t,,t(j C-S '4 Oarage fireproofing Garage penetrations sealed E +} t,ee' d e cf Furnace in separate room. protected (in games) Light ventilation per room Safety glazing I8" l fl Final rival I Site P1an/lan/Varian Filial Survey Plot flan � v fi wax As Built Septic System layout Okay to issue C/C (Certif. of Compliance) Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue permanent CIO (Certif. of Occupancy) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED I, .S u/ PERMIT # NAME LOCATION SCHEDULE INSPECTION ON ayN AM NYTIME APPROVED EXITS NIA YES NO AISLE WIDTHS EXIT SIGNS _ EMERGENCY LIGHTING I FIRE EXTINGUISHERS � f FIRE ALARM SYSTEM 1 FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM -f- HOOD INSTALLATI INTERIOR FINISHES STORAGE: J CLEARANCE TO SPRINK ERS CLEARANCE TO HEATIN UNITS f j REQUIRED SfGNAGE 'CHIMNEY _ WOOD STOVE FIREPLACE - MASONRY = FIREPLACE - FACTORY BUILT REMARKS: TO THIS DATE "' `"P INSPECTOR TOWN OF QUEENSHURY BUILDING & CODE ENFORCEMENT 742 DAY ROAD OUEENSBURY NY 12804 ( (518) 761-8256 Y _._. ._ AR VE : DEPART : INSP : FINAL INSPECTION REPORT - RESIDEN IAL DATE INSPECT ON REQUEST RFC IVFD : � NAME 5 LOCATION DATE PERM # TYPE OF 'TRUCTURE FOOTINGS FOUNDATION BACKFIL FRAMING ROUGH PLUMBING SEPTIC INSUL TION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE NIA YES NO CHIMN Y HEIGHT B VENTZ34IGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCHIETEPSa< JLXN S RELIEF VALVF�S FU"ACS/BOT WATER OPERA NG INTERIOR Do RS FINISH FLOURS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPAB E OTHER FLOORS CARPETED STAIR CLEARANCE _ ILINGS SMOKE DETECTORS RAT"pQpM TrASIS PI UMBING FIXTUR.F:S FOUN_,__L?1-ON I_,____NAULATION GARAgFo FIRE PROOFING DQOIi CLOSERS _ FINAL ELECTRICAL SITE PLANtVAR.I NCE REO . FINAL SURVEY PLOT PLAN _ OK TO ISSUE CIO OR CtC ryR a DEC 2 8 26D0 . .T 45:� .._ ,. oe GENERAL INSPKC'TIO3N REP ORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: l Building & Code Enforcement 742 Say Road Queensbury, NY 12804 Arrive am/pm Depart ' p Inspector's In' AIR !_ NAME: PERMIT - 9(11 LOCATION-CATION: 1 -r ATE , G ) TYPE OF STRUCTURVI : SAD RECHECK NIA YESNOVOMMENTS 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/Dampproof n B,ackfill Approval. Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi IF ugh-In Cation n Walls interior R- _ Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- t. Attic Ventra Jack StudslHeaders /rr a r r P>e c5C' Bracing/Bridgin Joist Mangets. Jack Posts/Main Bearn Air Infiltration Barrier Fire Separation 1, 2, 3, hou Penetration Sealed Fire Wall 2, 3, 4 hour �F Firestoppi r :� G. 2:t7 40 F kgb ERAL INSPECTIf3N REPORT c 51. a » 61 -8256 Town of Queensbury Dept. of Community Development Date inspection request rec " Building & Code Enforcement « 742 Bay Road Queenabury, NY 12804 Arrive am/pin Depart in is Initials NAME: a `i G p� e - ERMIT # " (s LOCATION: DATE : TYPE OF STRUCTURE.: RECHECK NIA S NC7 COMMENTS Footings/Piers i Monolithic four Forth Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fallowing the placement of the concrete. Materials for this purpose on site Foundation,+'Wallpaur Reinforcement in PIace Foundation/Damppraa Backfill Approval Plumbing Under Stab Plumbing VentfVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Wails Exterior Floors R Walls - Ceiling Duct work or piping in nbeate+d spaces R- Vent, Attic Vent Jack Studs/Headers c- n C44C/n:G BracingMri Joist Hangers Jack Posts/Main B Air Infiltration Barrier Fire Separation 1, 2, 3, hour uon Sealed F" Wall 2, 3 4 hour irestoppi musommommob FIRE MARSHAL, TOWN OF QUEENSBURY QUEENSBURY, NY 128p4 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVE6 NAME ' �'t L,C3CATION ~—�---� PERM SCHEDULE INSP+r 3CTION _. lam- s APPROVED EXITS iA YES NO AISLE WfDTHS EXIT SIGNS EMERGENCY LIGHTING ___ FIRE EXTINGUISHERS FIRE ALARM SYSTEM ' FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION - - INTERIOR FINISHES STORAGE: CLEARANCE TO IN RS CLEARANCE TO EATING NITS REQUIRED SIGNAGE s CHIMNEY t WOOD STOVE t'3 `'FIREPLACE ❑ SONJY EFACTORYOLT. Q`ROU IN 11 ,4 ' S' REMARKS: ., r' r , OK TO THIS DATE r f x 'P. ,e INSPECTOR GENERAL VVSPECTION REPORT ( 518 ) 751 - 8255 1 Town of Queensbury Dept. of Community Development Date inspection request received. Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 '.Arnve� amdpm Depart m Inspector's initials NAME: PERMIT # LOCATION: DATE : L� TYPE OF STM JC1" RECHECK a k NIA YES NO COMMENTS Footing&Tiers 1 Monolithic Pour Form , ,r_ , /Cne�� Reinforcement in Place The contractor is responsible for providing protection fianr freezing for 48 hours following, tPte placement of the concrete. Materials far this purpose on site Foundation/Wallpour Reinforcement in Place _ Foundation/Dampproofi — Backfill Approval - ,f Plumbing Under Slab Plumbing Vent/Vents in Place �` + _ C. G 4i'L. ( � VC_ ,'Rough Plumbi Beating Rough4n Insulation Foundation 'Walls Interi R- Foundation Walls ExtgAos R- Floors R- Walls R- Ceiling R- Duct work or pipitiig in unheated. spacts R- // Vent, Attic�Vent ,- qZz ✓1 f:;>d- '0 . 7 ' '`' - ra ack Studsff�ders Bracing/Bodging joist F� ,lack sin Beam Air Infittr f(ion Barrier _ Fire Sepatation 1, 21 3. hour a Penetra Sealed Fi 3, 4 hour. r Y TOM OF QUEENSEWRY BUILDING a CODE ENFORCEMENT /a4f:6 . 742 Say Road Qoeensbury My 12804 (5I8) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION I Date p e r _ # SOIL TYPE: Sand- L�oa�n clay,,, Results of Percolation Test_ i' ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench ------ Depth of trenches Size of stone SEEPAGE PITS : Number- ^� Size - ft , x Stone size t . PIPING: Bldg . to Tank Si ,.y�e ,/ Tank to Dist . Sox Dist . Box to Field/P ' Openings TI ON/SEPAR11 TI ON es o a r�''" tom' Foundation to Tank_- q Fvundat' on to Absorption -Feet Separation of Pits feet Conforms as per Plot plan f LOCATION OF SYSTEM ( c i rc l e.,. �.� ON PROPERTY: � Front Rea - Left ' Side - RightlSide Middl e �- 't _ Middl, e Rear COMMENTS : f I.� i ��l-• �,` [- � {.I / ' C: L. s C.{, :C"�., / "`-t 1 r�tJ /f� SYSTEM USE APPROVED : YES rll[O Arrived: Departed: ui ding Inspector d d d have seen Or observed, Wb9ftN all objects such as houM4, Wdis, shown th *vMmft4K ona adt ��► MeSsured the SIGNA Id, CYD *4 �J J D"GO I LI Ckf 0 C) C) M Laberg4o,FOUP 518/458-7112 A VW*l I L4 CC) nL 1 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 Inspector's Initials NAME: `C..- v _ PERMIT LAJCATiOI�T: t DATE = ! C'1 — ( ['7 TYPE OF STRU RECHECK NIA YES NO COMMENTS Footings/Piers ._ .............. Monolithic Pour Form Reinforcement in Place . The contractor is responsible for providing protection from freez4ig for 48 hours following the p nt of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/DamBackbil pproo {j� '�JR rn n Approval Slab Plumbing Vent/Vents in Place Rough Piumbin Heating hough-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 Franti Jack Seders gracing/Bridging Joist Hangers Jack Posts/Main Beath. Air Infiltration Barrier Fire Separation 1, 21 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour. Firestopping FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (618) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATIONPON PERMIT J� SCHEDULE INSPI=CTI M ttAPPRaV£D NfA YES N© EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION ' INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLER CLEARANCE TO HEATING UN S REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPU4C , C� MASONRY ACT fitY BLT. OUCH-IN ❑ FINAL REMARKS: VO ?-- (;N)7 OK TO THIS DATE �Ic� gole-� j r r ,py.J,pm,ppm % INSPECT ; gL6W&AL INS'FECTION REPORT ( 518 ) 761 --8256 Town of Queensbury T Dept. of Community Development Date inspection request received: 44o - 742 Building & Code Enforcement Bay Road Queensbury, NY 12804 Arrive + a�ry'g#n DepartE. --fri "pector's Init' 9 NAME: PERMITOQ it # LOCATION: DATE : TPEOF_STRuc tJR�>: NIA YES NO COMMENTS Fooungs/Piers F — Monolithic Pour Form Reinforcement in Place The contractor is responAplao=e providing protection fro for 48 hours following tof the concrete. Materials for this purpose FoundauonlWalipour Reinforcement in Place Foundation/Dampproofin Backfill Approval s Plumbing Linder Slab Plumbing Vexut/Vents in Pl -- 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- ryW�., r Yen 'c Went Jack Studslllea4ers Bracing/Bridging. Joist Hangers _...,rack Posts/'Main 10 Infiltration Barrie Fire Separation 11 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firest GENERA L iN,SPEG"T�FtJ N REPIORT ( 518 ) 761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ` ' • cam`.-.. Queenshury, NY 12904 .Arrive am/Pm Depart m Inspector's Initial 77 r NAME: PERMIT # LUCATnQN DATE _ r OF STRLIC � L [f'` RECHECK NIA YES NO C[3MNIENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible f r providing protection from ing for 48 hours following the anent of the concrete. Materials for this purpose site Foundation/W altpour Reinforcement in Place - dation/Dampproofinf; it Approva ll lambing Under Slab Plumbing Vent/Vents in Place Rough Plumbin 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 Frami Jack StudwIlead.=rs Bracing/Bridgin Joist mangers jack Posts/Main Pam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestoppin GENERAL INS'PEC710AN affpRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: �Building & Code Enforcement 742 Bay Road �} Queensbury, NY 12804 Arrive�� an��n- Depart Initia .._.__.._. NAME: jrEWvHT # 1 LOCATION: ATE TYPE OF STRUCTURE: RECHECK �r ----� A YES O COMMENTS tin 1PC� 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. h. Materials for this purpose on site \1 Foundation/Wallpour Reinforcement in Place Foundation/Dampp roofxn Backfill Approval i Plumbing under Slab Plumbing Vent/Vents in Place Rough PI 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 StudsMeaders Bracing/Bridgin .Toast Hangers Jack Posts/Main Beam Air lufrltralion Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour. Firestoppin