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2000-687 p� TOWN OF QUEENSBURY � 742 Bay Road, Queensbury, NY 12804-5402 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Perniit Number, P20000�87 Date Issued: Tuesday, January 16, 2001 This is to certify that work requested to be done as shown by Permit Number P20000687 has been completed. aq 5 ( I I MQU Tax Map Number: 523400-074-000-0002-091-000-0000 Location: 58 SARA-JEN Dr Owner. GUIDO PASSARELLI Applicant. MICHAELS GROUP This structure may be occupied as a. By Orderof Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Gars Attached Fireplace DirectorB ofuilding &U nforcement TOWN OF QUEENSBURY (E)w 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000687 Application Number: A20000687 Tax Map No: 523400-074-000-0002-09 1 -000-0000 Permission is hereby granted to: MICHAELS GROUP Owner of property located at: 58 SARA-IEN Dr in the Town of Queensbury, to construct or place a Single Family Dwelling 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. Owner Address: GUIDO PASSARELLI 2569 LAKE. Ave LAKE LUZERNE, NY 12846 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDER 10 BLACKSMITH DR. MALTA, NY 12020 Type of Construction: Single Family Dwelling Value : $ 1844)900.00 Plans & Specifications 2000-687 3132 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $378*00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, September 13, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement freer of the Town of Queensbury before the expiration date.) Dated at the To n of ryf z n da , September 13, 2000 een SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Buzz ing Permit Application cation ?'own of Q"ueensbuiry - Dept. nfcarul)nrl,iry Develapnent, 742 Bay Road, Queembierv, NY 12804 1761-.S2561 NOTICE BUILDING & . CODE cNroRCL' mSNr Requirements prior to issuance A Permit must be obtained before Of this permit: PV?"1rFILE NO. �t .CJT beginning corxsstruction. No inspections YGfiMlT rCE I' SID will be made until applicant has received Zonhig Board Action a VALID BUILDING PERMIT. ASl Area I Use 1iCCf2Lri7f0'V F$C 1 applicants' spaces an this application MUST be completed and• tho signature PZanning Board Action RE, VIEWED BY, of the applicant• must appear on the SPR f Sut�division I other iri41in,5. Ifarnerrnr n plicntion form. 7% .A .s �+ L Recreation Fee Payment Applicant: 7EAE I JIMi5 '�•ay l C`7r- Owner: Address, rJo Phone # ( 51; ) , �>w Phone # �AAAAAAAAAA_ Property Location : _�'?g _.. ■ . ,may, S 1��C7tS �C` 4r� rtrl it �l�}t� -s - Tax Map Tlu Subdivision Name:' - =--� - � I? Section 131rick r nt NATURE of PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ -�gCtit""1 residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building residence / commercial _ Single Family Dwelling Residence / Commercial Two Familyl JA R no change to exterior size amiwel F' Office Other Work ( describe below ) Mercantile AUG 3 7 ���� Ma nufactAnri-ng Other GROSS AREA OF PROPOSED STRUCTURE : [fir If ADDITION , what: will "use 1st Floor . . . . . . . 1 sq . t . Qr of new addition be ? : A CA sq . Other Floors . . . , . -^ eq . f ( not unfinished cellar or baseme <3 ACCESSORY BUILDINGS : '.] Detached Garage 1 , 2 car TOTAL FLOOR AREA SQ . FT . _ Attached Garage 1 , ca Private Storage Bua g SIZE OF NEW STRUCTURE : Commercial Storage Building Other FEET X FEET Foundation Type : :FCANV? r-, ,•, •,•, •. • •_. .•,•___•__ Will any second- hand or ungraded ItiTusnber of Stories : 70 lumber be used ? If so , for what; ? ( habitable space only ) � ra Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and / or woo stove ( circle all which a plies ) to be installed : _A Electric /" Oil j as / Wood Forced Hot Air j Baseboard / Other Person responsible for supervision of work as regards to building codes i s : t ti 2+CYt r^ c q Na' e A dre s l Phone Builder : 'OoVA Plumber : Zr Mason : Electrician : DEC'LAPrt770M Please sign belmv after you have carefully read the statement. 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 a.li other laws pertaining to the proposed work shall be evmplied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a CertMcate of Occupancy''or Certifie to or Compliance being issued, an AS BLJILT PLOT PLAN by a licensed surveyor; wn to sca Wslwing actual location of project on premises . Signature: (owner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System Toivii o.,{QJIawit.sbilr r 742 Hay Road Qsnpensbury, MY 1"2804 (51 H) 76 /-8Y?.56 1 . OWNER INFORMATION: ...................................... _ - --------- _.-......_..._..._..- ._..-.. �•+p •�,� Ol•fiee Use Location of installation: Sp OE�X%a File Permit No. �✓UU _ [Lr ` Tax Map No. / ! f Owner's Name: T;Aly. �, '� Fee Paid . .. ..... .......... . ....... All........-............... Address: .�.� �-► €. ►�` ].s`.PCs' k C�r 2. INSTALLER'S NAME C NZ ^yy ,:5 PHONE NO, Cv2�- 1Cflj 3 . RESIDENCE INFORMATION: {circle year of dwelling, indicate # bedroom(y) and multiply 11 of bedrooms with applicable gallons per bedroom to equal Natal dailvjlocv) Year of House: N f Bedrooms x Computation Total DailX Flow 1980 or older x 150 gal/bdrm = 1980 - 1991 x 130 galfbdrni = 1991 — present x 1 10 balfbdrm = Tl�{ 1 0 Garbage Grinder Installed yes f no Spa or Whirlpool Installed yes f no a . PARCEL INFORMATION: (circle applicable information & indicate measurements) Tg ogyrajjhy Soil Nature r nd W t r Bedrock or Impervious Material Don._iestic Water Supper 1'Yat sari at svhal depth at what depth nituriciprrl Rolling loam �`�feec feet t—�-" Steep slope clay if'tivc*1l; sValL*r .slrllply Ya slope other frnrrt ar7v .ti'elrtic-syrtertt drlrth: ob.sorpliorc is �_-•.fr. other percolation Test; (1'rr be cr3rrtlrleted by Ilcc*nsedlrrufc*.v.rir�rrcrf ertKine'er rrr areltiicetJ - -_ Rare: -.-._.. rrtlrvtrte per Inch 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional ccigincer or architect (unless installed in a Placating Board approved subdivision). Add 250 gallons to the sire of (lie septic tank and leach field for cacti Garbage Grinder, Spa or Whirlpool Tub, Septic Tank: 12.SOgallon (min. size 1, 000 gal.( Tile Field ; each trench h c'lt �./?- Total System Length. 1 (P J?. Seepage Pit(s): number of size of'each: ft. by ft. Size of S ton c to be used: It ��, / tlepth ru• thickness Bed System Size: x Alternative System: .__ �_-- length and/or size 6. HOLDING TANK SYSTEM : (if required) Number of tanks: N • / Size of each : gallons 1 TOTAL, Capacity: gallons Notc: Alamo System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE & INFOR.MATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant to Section 136-29 of the Code of tlue Town of Queensbury, any permit 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 on behalf of an applicatxt, shall be void. I have read the regulations with respect to this application and agree to abide by these, and all requirements of the own ofQt nsbury Sanitary Sewage Disposal Ordinance. Y �,f C' l0 5 nature of responsible person Dfate Fir 'Marshal *% O111c'{' 1 {k\1'n 01 f kjeeirsbur} 742 Bav Road, Qttvvitshury', 1 (518 ) 761 _820:, Application for Fuel Burning Appliances &, Chimneys applicable to solid Fuel & vented gas appliances Date — 20 --CKa Permit No,,cxm. . . _ r/ I i AI�Pltc'crtion is hc•r'ebv i rude fo the 81tilding cf C 'rxle.N Olfi` ' fr,r- I/w i.3.srrurtc'c of sa Meilclir g uric/ Ll.ic 1 Pernfil Iaatrsuurfl to the .f'4ew }`'ol�l:� ,`y�f�ffc' I-'fre Yrc tit[rrtir�rf :r+ftl 1`llrrlrliir,s; ( 'craltr. 7lrcr upI)lic'trrrf or' 011'11er- racices to comp v with all aplVicnhle laws• orelincrrrr.'cs, rl�_-glilafrorx.s' rtrrrl till Co adili ns that are peir't of I flr<'.tiG' rnrlrrfrefrreuts and also will a lose^ call ins.,uccicrs to enter- pr'eem se.Y to pel-%.rrWI regrrir-ecI irt.sl�ec.'ricrff.s. I NOTE to applicant: ROLlgh -iii and Fiiiai IliSTections are regLtired_ Applicant Information Fuel Burt hig Aj) pliance Inf'oriu.ition � / ( Click appropriate ss`ords) Name: ``T'" l r� A sl .Y,diK2 t pa ., ' stovc : Wood coal pellet }US Fireplace insert i Address: 1t � s,-� s —r—r-J �]p Firepifice, factory-built : Wood cts Fireplace. masonry tiVood grts OL lFurnace: 110old oil ! Phone: 1r� '� '� � �, I ~ -V -r7�`~`�-' if Boil-masonary applicance, please provide ' Owner: � �4Y xlr+� � � MaIlU fact urer Name: Address : Model Numlaer: I 'W Chimney Information 1 i Phone : (circle appropriate v ords) onr l�v block 'ck stone i the t el size: ifrches j Enact Address.• � . I Of corrsrf'te a airs r:rr Factory-Built Manufacturer name: l Model Number: l Note: Listed B}`; NU nber: Constrerction / h:sta Hai ion finest cotr of-nr to NY"S Fif-e Prei wion & Buildhig indicate (.circle) chininey material : Code. Cotisidt available Toityn of'Qrreensbirrli7 I Heindouts regarding required hispections. Dareble wall Ti tple :i all e' lrf.rrticfterl / Direct very mcr r �'lrirrrrrc i 1_irrer� I I � �C�ar.r�3,r�x-'�a ..L7r+�g��*='� �ar.�cyt — �`cra�ca^.rs. cr�i"' Q�c+�s� ,c��s:x.:c-tea-„ 3�►7"r�srsr� X"csr�c I 1 i r'ir'c .I lei r'b'lrrrf Code COIleC'rt•tl S /&e firrrrled Rec't°ii't-alli,rrrrr rrx;lrrrrrltcl trrJ: ' adclr c°tiff, 4 173 3389 (190) Public .Safen, �-` _-- --- -- _ _-. -t 133 ?655 (230) Atinor Sales - fOw,e l 1 lVlsite (Applicant) Green (lire :tlarslral ) Yellow ( Wdg. nopt ' ) CSc�lcirnrc><i f C aslzier' s t7el�t-1 TOWN OF QU38E'NSSURY 4UILOING 5 C DE ENFORCEMENT 743DAY QUEEOS-6URY NY 12804 { (518) 761-8256 . . - . DEPART : -- ARRIVE ; ------ _ RESIDENTIAL ' FINAL INSFECT'ION REYOR'C DATE INSPECTION RE "Esgr RECEIVED ; ----�"�- NAME LOCATION � PERMIT DATE TYPE OF STRUCTURE FRAMING _ BACKFILL FOOTINGS__,_,._ FOUNDATION SEPTIC SE INSULATION ROUG33 PLUMBING G#OOL3S'TOVE OR FIREPLACE FINAL ELECTRICAL . NO 11 A f li F. r GHT CHIMNEY HEIGHT /I3 VENT . PL SING NT RO NG TE N EO ORC T S L N S _RA'Ll p!I'V"ES RN EIBOT W PE J.HTER O RIM IV CY ORS FIL 3 F OR T KI' 3 EN TI T d HER Fi,Od S SWEEP & O.TM19R =,OORA CARPP cmarg CLEARFNCE ILINGS �- -- SMDK r�¢RS fI ' yr U1• ING FIXTURES F_Q_UNAA•rI N rtaSUL ION Q G FIR PROD ING O R CLOS pq, FINAL Ls.ECTR, C�a -- AR [ANCE N V gm FIN L SURV Y OT PLAN OK TO ISSUE C/O.--OR C C -------��" FIRE MARSHAL l TOWNOF QUEENSBURY QUEEN3SBURY0 NY 12804 4 (518) 761-82(}5 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED �---- NAME - PE MlT # LOCH - r G�.SCHEDULE INSPECTION ON __ t PM APPROVED NIA YES NO 1 - t EXITS 4 AISLE WIDTHS EXIT SIGNS v _ EMERGENCY LIGHTING FIRE EXTINGUISHERS - -- - FIRE ALARM SYSTEM - -.-' - -- _ FIRE SPRINKLER SYSTEM - ---- - FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR ---- INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI LERS - CLEARANCE TO HEATI G UNITS REQUIRED SIGNAGE CHIMNEY W STOVE E SOI�IRY FACTORY BLT. - --- '� IREPIAC ]MA - �_ L GH-IN �v FINAL OK TO THIS DATE REMARKS: INSPECTOR NSPSL1P,PUB f� c.1�r.JrJ�rJ� rs r� cJ�rJ'zr�r�a:J'rJ�icfcl�r�c01 c.J� r�sJ�rJ� rJ'rJ'tP cT� C,,7�7�7�Q SBY THIS CERTIFICATE OF COMPLIANCE THE S S S NEW YORK BOARD OF FIRE UNDERWRITERS S S BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT SUpon the application of upon premises owned by S FOREVER ELEC/BDEL ELECT. UNKNOWN SWILLIAM D. IUCPARTLON 2446 JAFFREY ST. S SCENECTADY, N.Y. 12301 , r, Located at 58 SARA JEN DR QUEENSBURY, NY 12804 Application Number: 1010949 N Certificate u 1010949 P�J Section: Block: Lot: 91 Building Per it:00-687 BDC: A239 S 5 Described as a Residential occupancy, wherein the premis trical system consisting of Selectrical devices and wiring, described below, located in/on the premises at: SBasement, First Floor, Second Floor, Attached Garage, S was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 16th Day of January 2001 Name Cl�, TY Rate Ratin Circuit Type ' SAlarm and Emergency Equipment L'J Sensor 7 Smoke Appliances and Accessories Exhaust Fan 3 F.H.P. CS Furnace 1 Gas Future Appliance Fee.Sur 1 15 Amps Bell Transformer I Hydro Massage Tub, Residential t C Wiring and Devices 7 48 Fixture Outlet Receptacle 65 General Purpose Switch 52 General Purpose CJ Fixture 42 Incandescent Receptacle 1 50 Special C� Pole/Post Lighting Standard 1 Residential la Receptacle 5 GFCI seal Service r,�] �� 1 Phase 3W Service Rating 150 Amperes S SContinued on Next Page 1 of 2 SThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated_ rJ�rJI rJcJr�J� rnrJ�rJ� IJ�rJ� rsrs �s cnr.l� rsrJ�cr� cfcl�cJ� cl3EJ NY]F rJ'rJ�rJF C�1 elm r�cnrJ�rJ�rJ�e l�rJ�rJ�rJ� �� rJ�r.J�rJ�r.PrJE P c.rC.rrJ�rJ�rJrr3rr3rJ�c.r11 r1 �rJ1!Irr3rJ� crcrl o BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK. BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT SUpon the application of upon premises owned by FOREVER ELEC/BOEL ELECT. UNKNOWN WILLIAM D. MCPARTLON 5 2446 JAFFREY ST. S SSCENECTADY, N.Y. 12301 , S Located at 58 SARA JEN DR QUEENSBURY, NY 12804 S Application Number: 1010949 Certificate Number: 1010949 Section: Block: Lot: 91 Building Permit: 00 687 BDC: A239 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: C Basement, First Floor, Second Floor, Attached Garage, S-I 5 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 16th Day of January 2001 Name Q Y Rate Ratine Circuit Type rj Service Disconnect: 1 150 MB � PRJ Meters: 1 110.21 01 11 SLI I S S IN S III Ej IS S S S 151 NO ra seal 2 of 2 S S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S O rJ�cJ�c.l�c.l� rJ'rJrJ 3rJsJ�rJ�r.Pr PrJ"� rJUJIM JERPI �cJ�rJ�rJ� cJ�rJr�cicns Pr lr_Tr� r� r�r��cnc Inc l�rJ� cP n � C / O 4 , y, ' r �¢ 4�t" RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement I Dept of Community Development Arrive am/pmI7cp in Town of Queenshury Inspector's Initials 742 Bay Road Queenshury, New York 12804 NAME IrY'y ► !�' a -' PERMIT # GkG d 1 LOCATION - 7--J�[,L 95d f d +w - DATE l 1I tf* d TYPE OF STRUCTURE NIA YES INO CO:lvirll=S Chimney Height/"B" Ventfl3irect Vent Location Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 3 ' to Exterior flandmils, bal , 1 18 in. or more Interior Handrails stairs sides 3 more risers 3%000rf�ei --d Grade 2% away from fo on S" clearance to sill p Gas Valve shut-off reguiatas s" above grade T_ Gas F,n„ we shot-off 'thin 30 feet within line of site V Oil Furnace shutiafl' entrance to area Furnaceffic"' ater- er Relief Valves) lleadreomn 6 ft- 6 in. stairs Basement stairs, 6 ft 4 in- f +QtolR /t- 60 "~ V Handrail exterior both sides more than 3 risers %Oep�j or Interior privacy oorsimain entrance 3W7 Floor Finish 'tAl 00"51 Bathroom/Kitchen tertight f f / Interior Handrails eonieq/i coding 18 in. or more Railing across win ow in stairwells Smoke Detectors: every level every outside every tut inter canner Bathroom fans Plumbing f s Foundation ins tion 3/.a hour fire door/door closer Garage fireproo Garage penetrations sealed Furnace in separate room protected. (in garage} Light ventilation per room +,? 4 'Safety glazing I le • op3 Final Electrical �J Site Plan/Variance req Final Survey is S Plan As Built Septic System layout required Okay to issue C/C (Certif of Compliance) Okay to issue temp. C/O (Cetlif. of OccupaTICY) Okay to issue permanent C/O (Certif. of Occupanc`,r) e i4e Ua .. LUUU IUh IJ Ufa r„1 J10 440 0400 � � W--j vv ,e VUA 71) Lake Shum Drive Malta. New York I2020 • (518) 5$4-$656 (519) 577.7600 (Coil) mFMOLMN F -,'t 11 December 6. 2000 Mr. David Hatin Code Enforcement Official Town of Queensbury 742 Bay Road Queensbury,-N_Y. 12804 Re. 58 Sara Ten Drive Beare Bearing Capacity Hear Ms_ Hatin- IT,{ �,Al beers brought to my attention that a question regarding a beam installed at the above referenced �s has come up. Pi' !4 Wilelip ?1r, '`; u`, question is u 7" m x 11-7/8" MicroLa beam labeled 'W=" spanning 11 '-6'" on the first aW,.l I N:a ar bump out. IFS:. - •K4. _X,.. ' ` P "MA � m bearing length for this beam, based upon the maximum bending moment and shear e*ed from the supported load(s), is 5-1f2" on each end of the beam. .ra'';i"�•t'' kuu A„ply �A .'..Y d you have any questions concerning the above matters, please contact me at your earliest ' €Pncc. " ' cerely, c,ith D, pert• P-E. . ..y , Design ineer r�r r �1,��. ram',"s � ��•` ''k a'r''� 'a,b' C�' • • • . . IF • • . • . • • • • . • • ., . • ,. _�r' ' 's' ny;7� GENERAL INSPECTION REPQRT ( 518 ) 751 - 8256 Town of +Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement ^ 742 Bay Road �- ✓ U Queensbury, NY 12 Arrive antfpm Depart �k �. Irtslrector's initials _� � NAME; t" PERIv Y LOCATI DATE : / r-z Z3z ,v- e �• TYPE STRUCTURE: REC K N/A S NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor 1s responsible for providing protection from freezing for 48 hours folio the nl^ f of the concrete- Materials for this purpose o site FoundationlWallpour Reinforcement in Plut7e FoundationlDampprooftng`�. Backftll Approval Plumbing Under Stab Plumbing VentfVents in Plac Rough Plumbing oundation Walls I -or R- Foandation Walls E or R- _ - G^Wl.. dal [ C f } �C J4'"' t - j Floors R- r Walls R- s Ceiling Duct work or _ in unheated s R� b?F'rn ent, At c Vent +p ,7 if F Jack S rs V/5 ih.17r ri. - I i iC+S!/ �'� +\ Bracin ridging_ ` . Joist rs Jack Postslfaiain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestopptn k a GFIVEF.�L INSPECTION REPORT ( 51. 8 ) 761 -8256 Town of Queensbary Dept» of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road aV Queensbury, NAY 12804 Arrive am/pu Depart t Inspowtor's Initials _ NAME: PEP++ aT #`" LOCATION: z DATE TYPE OF STRUCTURE: RECHECK N/A YES NO CON94ENTS 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/Wallpour Reinforcement in Plane Foundation/DampprooSing _ Backfill Approval _ Plumbing Under Slab J1' Plum ent/Vents in Place Pns umbin ting Rough Inp. 1. lation Foundation Walls Interior R- ; Foundation Walls Exterior R- Floors R- �c Walls R- Ceiling R- Duct work or piping in unheated. spaces R- Proper Vent, Attic Vent Framin Tack Stud&gieaderS Bracing/Bridging.. joist Hangers ..... ._. - J k Posts/Main Beam s Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestop, FIRE MARSHAL. TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 781-8205 i FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION PER IT #. 4 SCHEDULE INSPECTION ON AM M a APPROVED NiA YES NO EXITS 6 AISLE WIDTHS EXIT SIGNS L. EMERGENCY LIGHTING t FIRE EXTINGUISHERS FIRE ALARM SYSTEM _ FIRE SPRINKLER SYSTEM { FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SP INKLERS CLEARANCE TO BATING UNIT — REQUIRED SIGNAGE CHIMNEY r WOOD STOVE =' F) EPLACE Y FACTORY B,L,��T, [SOUGH- L% ' t FINAL Z 2. REMARKS: ©''bl< TO IS DATE x { �y 4{ ff '3 L i INspa pAm INSPECTOR i GENERAL 11Y5PECTI[7N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development hate inspection request received: IL Building & Code Enforcement f� 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart �pmn Jr}�, "Aaspfttar'% Initials IVAMI3: IG. { 'r PERMIT W '. f LOCATION: ' DATE : it TYPE OF STRUCTURE: RECHECK NIA 'YES NO COMMENTS r ono c Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemer* of the concrete. Materials for this purpose on site s Foundation/Wallpour s` Reinforcement in Place Foundation/Darnpproofi�n Backfill Approval Plumbing Under Slab Pkimbing Vent/Vents in }Mace vItotigh Plumbing u v4eat ng Rough-in Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in ' 4 unheated spaces R- r Vent, Attic 'Vent f �, rami ✓ Stu r1c/Headerc // �2 c✓ 1 i l �C C� r Ll �`7 f'7�►� L% �' 4 C- Braong/Bridgina �, ' ✓ i, :'C I�igI4 Joist Hangers f' / Jack Posts/Nfain Bearnz Air Infiltration Suet met Fire Separation 1. 21 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour ✓ Firestoppin qE4 f TOW OF QUEENSBURY BUILDING__ & CODE ENFORCEMENT 742 Bay Road Queensbury MY I_2804 (518) 761-8256 SEPTIC DISPOSAL. SYSTEM INSPECTION Name Location Date Permit # jy SOIL E: San Loam-Clay- Results of Percolation Tes ` ( if applicable ) Rate-Minut /Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Le►l th .�. Length of each trench Depth of trenches Size of stone I ,. l SEEPAGE PITS : tmrber- Size - ft . x ft Stone size" PIPING: � , _ Bldg , to Tank ____� '-��_ e� Tanis to Dist . Box Dist . Sox to Field/P "` Openings Sealed? Yes No art a LOCATION/SEPARATIONS . i Foundation to Tank '0 Foundation to Absorption feet feet Separation of Pits Conforms as per P7 of P7 an LOCATION OF SYSTEM OM PROPERT e o ( circl Front - ear Left Side - night Side Middle ,Front - Middle Rear COMMENTSPL i SYSTEM USE APPROVED : YES NO Arrived : Departed: Building Inspector q45 f LANDS OF FREIBERGER 85*10i 155:0 � 1C3 . el tit f Co a_ n, C) I t CID l to C) CA - cs� elk � -=" .� Co l ll "I have seen or observed, or begen 1 esrr --Apffi aN bjecfis such as houses, wefle, Okla 5howkon this document f �! bm -�Personak sur aetli0rth +bo " �' 5 UR£ ..........�... ---�' 0 —� 00 GE1VERfiL INSPECTIONREPORT ( 518 ) 761 -- 8256 Town of Queensberry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road -'/� �} Queensbury, NY 12804 Arrive am/pm Depw;& Inspector's Initials NAME, 1 K _ ` PERMIT # LOCATION; . � Ct� 2L'� �_! lc^ DATE TYPE OF STRUCTURE- RECHECK NIA WS 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 far this purpose on site Foundation/Wallpour Reinforcement in Place F, olO%Iroval ofin aokEill Approval Plumbing Linder Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- l4 Walls R- 4 Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fran-Li Jack Studs/Headers BracingMridgin Joist Hangers Jack Posm%fain Beam Air infiltration Barrier Fire Separation 1, 21 3, hour Penetration Sealed Fire Wall 2, 3, 4 horn Firestopping GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Torun of Queensbury Dept, of Community 'Development :[late inspection request received: Building ,& Code Enforcement 742 Hay Road Queenshury, NY 12804 Arrive am/pm Depart�.t �._.._� inspector's Initials NAME: ir PERMIT # LOCATION: f 5Z sm, DATE : TYPE OF STRUC RECHECK N/A YES NO COMMENTS FootingsfPiers Monolithic Pour Farm _ Reinforcement in Place The contractor is responsible for s providing protection from freezing for 48 hours following the placement i of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Sackfilr �r>n i G 7 o L 4tfmbing 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 e1 unheated spades R- Proper Vent, Attic ''Went Frami Jack StudsfHeaders Bracing/Bridging Joist Muigers Jack Post ?vlairt Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestappin GENERAL EVSPECTI NN REP RT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: ac Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depail ]inspector's Initials M C/O, :7 ' PERMIT # �' LOCAT�4.TIC3t3 ����� '�_�_.�vu �- r-n DATE : TYPE OF STRUCTURE: _ RECHECK NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place - _ The contractor is responsible for providing protection from freezing u, for 48 hours following the placement `h of the concrete. Materials for this purpose on site Foundation/wallpour, ' Reinforcement in Place Foundation/Danxpproofi Backfilt Approval Plumbing Linder Slab Plumbing, Vent(Vents in Place Rough Plumbing_-___ Beating 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 Fralm Jack St,��rr� dG Bracing/Bridgi joist Hangers Jack PostsJMaAin Beam Ak Infiltration Barrier. Fire Separation 1, 2, 3, hour. Petietration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: [3 Building & Code Enforcement 742 Bay Road Quecnsbury, NY 12804 Arrive am/pm Depart � p rY� Inspector's Initials NAME: I l I r G.Ar,,6 PERMIT # LOCATION* w %r� DATE TYPE OF STRUCTURE: ,J RECHECK NIA YES N COMMENTS ootings/Piers Monolithic Pour Form Re�rcemeent in Place The corntractor 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 �y Foundartion/Dampproofin Backfill .Pspproval ? Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing, r Beating 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 Frarni Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Postsl'Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 Maur Firestoppi S -- oo GENERAL INSPECTION REOQRT ( 518 ) 761 - 8256 Town of Queensbury DepL of Community Development Date in Building & Code Enforcement spectian request received: 742 Bay .Road Queensbury, NY 12MM Arrive c. MWpm Depart am/pm Inspector's Initials NAME: '`� I.C)CATICIN: -x PERMIT # 'C� ' 4 o TYPE OF STRUCTURE: s ` " DATE : RECHECK fA YES NO COMMENTS Footings/pig { Monolithic Pour Form _ Reinforcement in Place The contractor is responsible f Providing protection front ,g for 48 hours following the tla ent of the concrete. Materials for this purpose on si Foundation/Wallpour Reiuforccmcnt in Place Foundation/Danipproofingv Back6ll Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbin Heating Roughdn Insulation Foundation Walls Interio R- Foundation Walls Exteri r R- Floors Z_ Walls R_ Ceiling R- Duct work or piping it[ unheated spaces R- Proper 'Vent, Attic Vent 1 Frami 10 Jack Studs(aeaders Bracing Dridgi Joist Hangers -tack Posts/Main Beam Air Infiltration Barricr Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour F'irestopping