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2000-900 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NIA 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFI %.XXTJLE OF OCCUPANCY Permit Number: P20000900 Date Issued: Tuesday, March 20, 200I This is to certify that work requested to be done as shown by Permit Number P20000900 has been completed. Tax Map Number. 523400m 74-000-0002-080-000-0000 Location, 53 SARA-JEN Dr Owner.ff GUIDO PASSARELLI Applicant: MICHAELS GROUP This structure may be occupied as x By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace r: Director of BuDding & Code Enforcement TOWN OF QUE E NSB URY 742 Bay Road, Queensbury, NY 12 8 04-5 9102 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000900 Application Nurnber: A20000900 Tax Map No: 523400-074-000-0002-080-000-0000 Permission is hereby granted to: MIiCHAELS GROUP For property located at: 53 SARA-JEN Dr in the Town 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 Value Owner Address: GUIDO PASSARELLI Single Family Dwelling 167,900.00 4f3 LEHLAND Dr Garage - 2 Cars Attached QUEENSBURY, NY 12804 Fireplace Fatal Value 167,900.00 Contractor or Builder's Name / Address Electrical Inspection Agency MICH.AELS GROUP NEW YORK BOARD OF FIRE UNDER SUITE 1 10 BLACKSMITH Dr MALTA, NY 12020 Plans & Specifications BP 2000-900 (NEED $500 REC. FEE BEFORE ISSUING PERMIT) SINGLE FAMILY DWELLING (ONE FLOOR), 2 CAR-ATTACHED GARAGE AND FIREPLACE; LOT 80, HOUSE NO. 53 SAR.A JEN DRIVE, LEHLAND ESTATES, PHASE 3 S251 .00 PERMIT FEE PAID - THIS PERMIT EXPIRES. Wednesday, December 04, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town o��lU bu N and D cumber 04, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Go Ye Enfo etnent Building Permit Application ©fin of Queensbury Dept. of cot1r1r1r4,1ty Developvrtent. 742 arty Rand, �?rrrreealrrir.v, Ny 12W4 1761-82561 INOTICE1BUILDING ec C017i': ENFORCEMENT Requirements prior to issuance �Ak pernsit -must be obtained befora of this permit: !'C1tMJr FILE NO. [J(J boginning construction. No inspections } — will be made antil applicant has recaivect [� Zoning 13lxrrd Action PERMIT FCC PAID a vALlr> BUILDING r13R.Mrr. All Area I Use applicants• spaces on this apptication _ f2GClsL trlOrV PrrE MUST be completed abd• the signature plarlrtg Board Action t of the app3icant must appear cm the REVIEWGI� I3Y. --l 9 pIleation Form. x, _ �.,. SPR / Subdivision 1 Otticr O+ei4[in,q Irislrtcf1 1, � �l Recreation Fee Payment Applicant: �1 lt6zc S _ Owner.* 9REC FEEINIP7n T -�-.�- Address: DV 2 2 ?f1R� Phone # 51 ii_) 1' ltot�c # ( tip Qom; .tl'JWi.1RY Property Location: Subdivision Ndamc: Tat Mal) Nuniber '2 SC[:S ECll1 rti��� i t,t NATURE OF PROPOSED? WORK :x ESTIMATED MARKET VALUE OF THE_ New Building : CONSTRUCTION : $� residence / commercial - - Addition to Building : k . residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _X Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile Manufacturing GRASS AREA OF PROPOSED STRUCTURE : Other ISt sq . ft . If ADDITIONi what will use 2nd .Floor . . . . . . . . sq . ft . of new, addition be7 : Other Floors . . . . aq . fta ( not unfinished cellar or basement ) ACCESSORY BvLnzNGS : Detached Garage 1r 2 ar TOTAL FLOOR AREA : � , SQ . FT . _ Attached Garage 1 , car Private Storage Bui SIZE OF NEW STRUCTURE : Commercial Storage Building FEET Other ?C �� FEET Foundation Type : c•, E� Will any second- hand or ungraded Number of Stor� es : � —r?� lumber be used ? If so , for what ? ( habitable space only ) 'VAa Height Grade to ridge } r feet TYPE OF HEATING SYSTEM : _ —..... Number o fireplaces and/ or woo stove ( circle all which a + lies to be installed : 1--- - �� - -- Electric / Oil / as / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : rat ►, l .a vrz Nd. e A dre s ` Phone Builder : } k Plumber : w Mason : 1 1 Ca Electrician Cy - Z DECLARAT1`©M Please sign below after you have carefully read the sratenreru. To the best of my knowledge the statements contained in this application, together with tite 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 speed-led or noted, and that such work is authorized by the owner. Further, it is understood that I/we sliall submit prior to a Certificate of Occupancy`or Certificate of Complinncv being issue([, an AS BUILT PLOT PLAN by a licensed stu-ve)r; Prawn to le, showing actual location of project on ,premises. Signature: yL'� L{Xiu U '�1 - i1 2 . A gnr,�%\ (owner, owner's agent, architect , contractor) Application for Permit -- Septic Disposal System 7bim OfQ110 -►►.shlrly 742 Day Road Quce►rshury, N'1' 12804 (518) 761-82.16 1 . OWNER INFORMATION : .............. . a]C1+t\ !1 once Use Location of installation: G File Pennit No uLJ Tax Map No, I I Owner's Name: Ti [-�E ""a Fee Paid ...........-------------................................................? Address: 2. INSTALLER'S NAME : � 121 _ +Jr( PHONE NO. 3 . RESIDENCE INFORMATION: {circle year of dwelling, indicate # bedrovnr(v) and multiply 11 of bedrooms with applicable gallons per bedroom to equal total dailvflo)v) Year of Howse: f Bedrooms x Computation — Total Dai1v Flow 1980 or older x 150 gal/bdrm 001FIVED 1980 — 1991 x 130 gallbdnn 2 2 Zoo() 1991 — present x I l0galfbdrni = [ Garbage Grinder installed yes J no ni +1t qND f%OID Spa or Whirlpool Installed yes J no 4 . PARCEL INFORMATION: (circle applicable information & indicate maasurcillcnts) o =ra h S it N uro (]round Water Bedrock 9r llnpprvious _Material Domestic Water Supper Plal sand" at what depth ai what depthn►rr►iicil►n! � Rollin ; loam feet Sluep .slope clay i�'ss c=lJ; svatc ►' supply -%O s101'3C lTth L'r �I"(JI]F CI77V .SG JJiI C-.4}7:f 1{.'fi7 cleptJa: ob.s•o►plion is �___...%► other POrcolatian Test: (1'n he cr►Irapfeted by licensed Jlrufi�.s.rio►rcrJ elrKincer ur architect�M T ------ - -- lttrte: 5 . PROPOSED SYSTEM: For New ConstruStion: 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 [lie septic tank and [each field for cacti Garbage Grindcr, Spa or Whirlpool Tub. Septic Tank: gallon (win. size 1, 000 gal.) wof Tile Field : each trench ---ram P. Total System Length: V09N Seepage Pit(s): number of... size of,each: fl. Jay .Ii- Size of Stone to be used: fl ' I f dep1h or thickness Bed System Size: x Alternative System: _ ._ _ _ .__ _ __. length and/or •size ------ -- --^ - -- _ - -- 6. HOLDING TANK SYSTEM: (if required) Number of tanks : N *A,. / Size of each : gallons l 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 ofthe Code of the Town of Qucensbury, any permit or approval granted wiiicls 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. J6 —Signature of res� erson P p Date i 4 lrirr l ] :rrshxl " C}f't'ic 4'utx it rrl (lciec t;1>xii G , 742 B:i% [Zu:rcl , Qticerislaerr� , \ S f � l8 ) 7rx1 -82w; l Application for Fuei Burning Appliances & Chimneys ' applicaole to solid fuel & vented gas appliances Datc .9t�tlliccttivtt r. ltc re61' ar ude to Me Ruilrflrrg cC C rltc i.ti-etrxrrtc o/ et 13ttilrlim rrrrt! Pc•rrtrir Purserctltt 10 Me ,p'e1t, Yr)rk .SPrrte Fire f'rc vertti0rr ('trrr! I3rri1rlier {.'r}rlxu. 17trt xtpirfic nrtr tar r}1a rtc r i aar l?es to cortwil. 14-illr ell/ aptj licrrhfc lf!]t'.5, (Jr'(llrlClli[ 4.5, r L'i�'1f!lrtirltl.S', xrttf! xr!! C'f}rt(irtff)!d5' fllClt elre f7C!!'t of rltese r-e(lsrirenielIis a1;el also 11pill a floI calf insr}ect0r.r if) entcl pretrri'5e.; to fret fi}rrrr t-crilrirer! insfrtrvir}rr.s . NOTE to applicant : Rough - Irt acid F final hispec aions are req �lired . I Applicant Inf"ormatimi Fuel Burttitit; Al'lpliauce Inforttaatioll (Circle appropriate words) \arne : IC � S 4 � Stove: xoofI coal ,r�ellc�t }crs l Fireplace inscrt Address : lc� eAee n A.% Fireplace, factory-built : 11)00x1 C C� N. I U440 Fireplace, masomW: lvodd 1, lii'LIaCC' IVOOCI C[s oil Phone: + " f� If non-masonary applicance, please provide M211tlfacturer Name: f Address: Model Number: i 4 Chit7iney Information q Phone: _ (circle 2,l)propriate \% crds) Masonry block k sione Flue file el site: itrclres Exact Address: � � �— } ©feotrstme 'orr or irastatfatforr Factory-Built l+f lv'ic`i11tFf3Ct name:name:ModelJ Model Numbnab er: � '�rpte- Listed BtF_ No Tiber: o collstl-uction / Installation nttrst j can oral to NY.SFire Prevennoll & Bldlclillg Indicate (circle) chimney material : Cocle. Considt availoble Town of Queensbwy Howtottts nega7 -dfrrg r'eClaail-ed ir7speCjif}rls, Dori b/e a; rrtI `I'+-i,(rle itoall f lrr.i-rrlcrrerf ! Dirt'rr x•c°rtrirry Clrirrrttet i_irr<'r G>er aae ti af.e p�arr+��rr�r .�xx -- 'a xrrr . .v aQ s�r rts.�� . ►b .r-y, �7"+� sr Yv z-r�r ('fire ;S lrrrshrrl C"adt = ti C rrlttvcrc"zf �Jirrtttf hrc c i - rrrfrlrc•.s.. -! 17 3389 (f 9U) Farbfic Srrferr _ --- • -- - --- - A 233 6 5 5 { '130) Alitrov S(ale.t � ar.j:".wt"wxe. _ e�'ow.t �i�r•z.1'c o:. .'L'?cy...x _ t White ( Applicant) G3-CCII { Fia-e Elarslaal} 4'x:liO 031(141- Dept. ) Pink Goldenrod ( Cashier's fJclzt. ) I I fti ...� ---._..-._. .. - 1. . .. .. . . .. F l i No .2 3 9 02/09 ' 0o on 09 : 16 1 D : TOWN OF 9UEENS13URY ,Rlchard A. JHlsslea ,w Highway Superintendent HIGH AY "oma (1576) 79B-b127 T 3fchaeF. 1avlsDEPA� rMF 942 Say Road 4 Clueenabury, t4Y 12804 1 w By Supert ntendent C)ffrce Phaner (518) 76.1' 8211 1 Fair (548) 745-4466 NOV ,000 DRIVEWAY PCRMIT � DATE: C— APPLICANT NAME: TELEPHONE NO. : ADDRESS To 8E (NSP CTED: RETURN ADDRESS: Applicant must show exact location and width of driveway(s) to bo connocted 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 rand { ) Deep $wale Size pipe to be used (if necessary) ,. ( )12" ( )1514 ( )18" ( )247 ( )36 Preliminary inspection completed by DATE Approval by Highway Suet. Deputy Supt Upon coinplation, please resubmit this approved permit for a final approval. STEP 2: ( ) 'Final Approval ( ) Rejected DATE: _ S.ichard A. Missita, Highway Superintendent O cn r.�c.rr��TrJ�nrJ�r,.l'cP��nrJrJ�cJ�cJ�cJ�rJ��.rCn rJ�rJ�rJ�rJ�rJ'r�r�rJ�rJ�r�rJ�c.TrJ"crrJ"rJ�rrrrrJ�rJ�c1'c.nr,P�,n rJ�r�i�t� rJ'c,rcJ�+rJ'+cr� l� BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIDE UNDERWRITERS SBUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 . CERTIFIES THAT S Upon the application of upon premises owned by (96 FOREVER ELECIBOEL S S ELECT. UNKNOWNWILLIAM D. MCPARTL+ON � 2446 JAFFREY ST. S �S SCENECTADY, N.Y. 123011 r�+—I Located at 53 SARA JEN DR QUEENSBURY, NY 12804 Application Number: 1010948 Certificate Number: 1010948 Section: Block: Lot: Building Permit: BDC: A239 �7 Described as a Residential occupancy, wherein the premises electrical system consisting off electrical devices and wiring, described below, located inton the premises at: SBasement, First Floor, Attached Garage, 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 SName QT Rate Rao" Circuit Type 5 Alarm and Emergency Equipment S SSensor 0 0 Smoke Appliances and Accessories S Exhaust Fan 2 0 C, Furnace 1 0 Gas SFuture Appliance Feeder 1 0 Disposal 1 0 Hydro Massage Tub, Residential 1 0 C Bell Transformer 1 0 SWiring and Devices Fixture 28 0 Incandescent Receptacle 36 0 General Purpose Receptacle 1 0 30 Special Receptacle 1 0 50 Special L Switch 32 0 General Purpose S��u Receptacle 5 0 GFCI C� SService seal S Service Disconnect: 1 150 cb Continued on Next Page 1 of 2 ���L777 This certificate may not he aktered in any way and is validated only by the presence of a raised seal at the location Indicated. Q r�r�r�r�r�r r r�r�r lrJr�r�r�QPrrr�r P cis rJ�rJ�rJ� rJ�rJ�cJ���rJ�rJ� rJ�cl�cPr3XC3 �G�GL3rL3 �cl" o ucracra;s�zn,���,s ���cl�cicl��cT��s rsc.rcrcncnr��i-�i-Lniciiii non �n�n�n�nr nr� o SBY THIS CERTIFICATE OF COMPLIANCE THE S 5 NEW YORK BOARD OF FIRE UNDERWRITERS SBUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORKY ©038 �5 , N '1 S —1CT CERTIFIES THAT Upon the application of upon premises owned by FOREVER ELECIB©EL ELECT. UNKNOWN 5 WILLIAM D. RTLON 2446 AFFREY ST SCENECTADY, N.Y. 12301 , cs c� Located at 53 SARA JEN DR QUEENSBURY, NY 12804 Application Number: 1010948 Certificate Number. 1010948 Section: Block: Lot: Building Permit: BDC: A239 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inton the premises at: Basement, First Floor, Attached Garage, L�U was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was S {{{-S found to be in compliance therewith on the 16th Day of January 2001 S Name. CITY Rate I2aitiug Circuit Type SMeters: 1 S S 5 5 S S S S S 5 S sear' C� S � 2 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. S G.I�C.J-LI-LI�LI�LI�LI-LI�LI-CSC LI�LI� LICrLI�,Cn�CfC�CfC C�C.rLI�LTrfLfLfLfCfLfL�LTLfL�LCL1�L1�LrffLPLffff1C�C rC.I�C.I�LI�CI�LI� Lf� r_I�C�CT� CI-Cf-� � TOWN OF QUEENSOURY ACNk BUILDING & CODE ENFORCEMENT 7--2 BAY ROAD QUEENSBURY NY 12SC4 (518) 76I-8256 -- ARRIVE : DEPART : FILIAL INSPECTION REPORT — RE$IDBNTIAL DATE INSP CTION REQUEST RECEIVED : NAME ____ '�.,r"."�,�.Q�'off--• -�l .�a. .__'_."'�-�—` LOCATION =-- DATE .— PERMIT TYPE OF STRUCTURE FOOTINGS___,. FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A Y 8 NO CHIMN Y HE T B NT S T p1jubjBI la N R F G T I F I DECK/POPLCH T S,/ IN S RELIEF VAI.VE'� C O WA R EftAT G TE IO T IM V Y DO S FINIS F RS ' .."pATHJ d CHEN W R GH O HE F S SWEE A E OTHER FLOOR PET D STAIR CLEARANCE RA I GS SMOKE .,_Dk3TECTOR.S -- PATH G FIXTURES FOUNDATION IN�'E�I Am ION G GE F R PROD ING DOOR CLOSERS --- FI LTC � SITg�.►PLAN /VARTANCF REiD . �,� L SURVEY PLOT PL.,A '1 OK TO ISSUE C O OR C C NAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN - PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC �1 an D u S erg Stever Land Surveyors, LLC 169 HavUand Road Queenabury, New York 12801 518) 792-8474 New York Lie. No. 50135 SARAH JEN DRIVE INAUMUZED KTERATION OR s "�'M"M " YAP MEANING Map of a Survey made MEANING A LICENSED 9Wt1EY011i EAI a Afor wound OF 91CnON 770C lu WMDN 9. OF 7NE NEW YOM STAX EDUCATION LAV 'COLT GORE PROM TIE OAOML OF nO KWWY MARRW MIN AN coma OF THE LAND NAR IM" _ '>R,Pl K >oK ,WEDNIa ROBERT J. & KATHLEEN M. CINA 'CEIRTRM.Alm EpCAW mom siWFY BAT 1HI4 sUR1EY IYRs MEPARED N ACCOIpAIICE WIN THE FJOSTRM CODE OF FRACIRZ FOR LAND sU1MOM ADOr1E0 WY TIE NEW VM RATE AssOM ION OF PROFMCNAl. LAND sIW*Erm SAD CFR61o"I" SMALL. WW ONLY M THE PERSON FOR MMRI Tee SAWYEY K PREPARED. AND m w mvir m THE mu COWANY. 4D4FRN mix TO NCYIm 46 t m o RTHE L M R't M°'� µD Town of Queensbury, Warren County New York TO M Afs1OQ6 0► M llJs1G MinM1oOL• • , Y T"AT TtMS MAP WAS PREPARED L FELD SURVEY. ON SMALL RUN ONLY TO THE PERSONS SURVEY WAS PREPARED. AND ON THM MMAL.F TO TM TITLE COMPANY. GOVERNMENTAL AGENCY AND LENT NG INSTITUTION LISTED MWON. GERTM°IGATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSE4UENT OWNERS. _� .._._._.�. CERTIFED TOl Robert J. + Kat *m M. Cana Cme4wo Tito kwxw" Gompa w GERTFED BYE E MA'iT1iEW C. STEWS. LLS NY5 80133 DATED March 1% 2001 NO. I DATE DESCRIPTION 1 "=30' S-1 GHEET I OF 1 GINA DWG. NO. 84423-80 ' FIRE MARSHAL TOWN OF QUEENSS RY CtUEE 5i8)7ol .8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVEq IPERMIT # '� NAME r 5 LOCATION i a { SCHEDULE. INSPECTION 0 AM M ANYTIME APPROVED^ TS AISLE WIDTHS - - MT SIGNS -- EMERGENCY LIGHTING FIRE E)MNGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM 1' FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FIN1SHES ---- — � STORAGE; - --� CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNI REC.lUI D SIGNAGE IMNEY WOOD STOVE FI PLACE - MASONRY IREPLAGE - FACTORY 5UILT ` -� OK TO T141S DATE REMARKS: k INSPECTOR RESIDENTIAL FINAL INSPECTION IMPORT Office No. (518) 761-8256 Tate inspection request received: Building & Code Enforcement * J Dept. of Community Development Arrive am/pm Depa pm Town of Queensbury Inspector's Initials 742 .Bay Road Queensbury, New York. 1J2� 8dJ4 NAME FoF - TYPE of STRiFCTtJ Ii � N/A YES NO COMMENTS Chimney Height/'T3" Vent/Direct Sent Location. Fresh Air lntake Plumb Vent through roof Roof Complete Exterior Finish Complete InteriorPFxterior Railings 3 to 36" _ Exterior Handrails, beleoni , landing 8 in. or more Interior Flandrails stairs bo sidgs,? or °t°lore n s Cxrade 2% away Crow fours tion # f 1t? 8" clearance to sill plate Gas Valve shut-off ato 18" above grade Gas Furnace shut-off or within line of site oil Furnace shut-off at err to furnace area FurnaceMot Water Heater ating. Relief Valve(s) installed Headroom. 6 ft. 6 in, on s EWscxncm stairs, 6 ft. A in. 11andrail exterior stairs both des more than 3 risers Interior privacy/trim/decors/ entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconi 18 in. or more Railing across window iln s lls _ Smoke Detectors: every level every bedroom 00 outside every inter connected Bathroom fans Plumbing fixtures Foundation insulation 1/4 hour fire door/door closer, Garage fireproofing. Crarage penetrations sealed ff�� e� Furnace in separate room protected (in garage) Tight ventilation per room Safety glazing 18" Orj4gWflOOT Final Electrical Site Plan/Variance � �r�r�/d{ Final Survey Plot Plan l As Built Septic System layout required Okay to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) GEIVERAL nLJ8gCT ON REPORT ( 518 ) '761 - 8256 M Town of Queensbury received: { Dept. of Community Development Date In requeat Building & Code Enforcement f w 742 Bay Road f Queensbury, NY 12804 Arrive amIns/pIn Depart Inspector's lnitia. Pill als� ✓t # y C�� NAME: { L + v BATE :PERMIT / t _ I.00ATIO TypE OF STRUCTURE-. RECHECK NIA YES NO COMMENTS Fooungs7piers �^n .^✓ C Monolithic Pour Forth L� Reinforcement in Place The contractor is respo le for providing protection fro fi eezi g for 48 hours following ent of the concrete. Materials for this on site FouandationlWallpour Reinforcemen in Place FoundationfDarn Backfill Approval Plumbing Linder Slab plumbing Vent/Vents i Place Rough Plumbin Hea i Rough-In a on u tion Walls In rior R- Foundation Walls E or R- Floors R- Walls R" Ceiling R- Daact work or pi ,ping in unheated. spaces R- proper Vent, Attic Vent Framin Jack SauclslHeaders Bracing/Bridgin Joist 14angers Jack PostslMain 33earn Air Infiltration Barrier Fire Separation 1, 2, 3, hour P rationSealcd Wall 2,stappin ` FIRE MARSHAL TOWN OF Q'UEENSBURY QUEENSBURY, NY 12804 (5 1 8) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED e✓ ram/ PIrRMIT # ("�I� ^ `: NAME _ �" LOCATION SCHEDULE INSPECTION ON ►' 3 ! �z�2r� �d M M ANYTIME APPROVED EX! N/A ' YES f NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUISHERS FIRE ALARM SYSTEM r FIRE SPRINKLER SYSTE� — — E FIRE SUPPRESSION SYS HOOD INSTALLATION INTERIOR FINISHES ! STORAGE: a CLEARANCE rO SPR NKLERS CLEARANCE To HEA ING UNITS REQUIRED SIGNAGE "7`6MINEY WOOD STOVE f FFWPLACE - MASONRY v'P'REPLACE - fACT Y HILT r _ _ REMARKS;..: `] 0/ 017 OK TO THIS DATE INSPECTOR GENERAL INSPECTION REPORTWOI ( 5is ) 76i - 8256 Town of Queensbury Dept. of Community Development Date inspection request received. Building & Code Enforcement r 742 Bay Road Queensbu ry, NY 12804 Arrive am/pan Depart 1 Inspector's Initials NAME: ! ` 'L� � PERMIT # Ca I..00A7I4N: �\/ DATE : 2j yZ)r TYPE OF STRUCTURE: R.ECBECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is nsp ble f r providing protection m freez ng for 48 hours followi the pI ent of the concrete. Matcrials for this purpose n s' Foundiation/Wallpour Reinforcement in Place FoundatianlD Back tll Approval Plumbing Under Slab Plumbing Vent/Vents in P Mgh Plumbing ing Rough-In Insulation ✓� Foundation Walls Interior Foundation Walls Exterior - Floors R- Wails R- Ceiling R- Duct work or piping in unheated spades R- r Vent, Attic Vent miH AwIA) 1 ac tudsJlleaeders Bracing/Bridging Joist I Iattgers Jack PosmiMain Beam ✓ Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed f' Fire Wall 2, 3, 4 hour, y ~L- a 0 " TOWN OF QUEEKSBURY BUILDING 5 CODE EmFORCEfY"T 7W Say Road Queensbury MY_ 12804 (519) 761_8256 SEPTIC DI SAL SYSTEM INSPECTION Name � ,�yz , l-I•i �r c>v(� Location , Date } Peri t SOIL TYPE• and- am- lay- Resul is of Percol ati o Test- ( i f appl ipabl e ) 'Rate- i nute/ inch TYPE OF SYSTEM: � � ABSORPTION FIELD : To 1 Length Length of "-jeach t renc Depth of enches '� T, Size of st ne SEEPAGE PI Numb r- Size - ft . ft • Stone si z�e PIPING ize Fype Bldg . to Tank 4 PIP 4(,4 001� �( Tank to Dist . o " Dist . Sox to F d/Pit .aly IL Openings Seale es ireo arti al LOCATION/SEPA Foundation to a k rfeet Foundation to b rpti on _ 'Feet Separation of it et Conforms as p r P1 t Plan LOCATION OF STEM PROPER ( circle one ) Front - Rea - L e _ Right Side Middle Fron Rear COME C) 3 SYSTEM USE. APP OYE[f: S ND Arrived : -- Depar t . "~ f Bu ding sP r O"N = 42kpm - q is AONOV 2 2 2001r T Off^✓.q OF car I�cFJSB[ iRY N05015050"E _ _$iJ►1 D�►� t AN 1 0. 00 CLEAR ZONE E � Co [fir E"'3 fP•• ^1 ip 3 v v � e sr E ` a AND 81 v4 E } CD CA Ant C�4 r C'Y is 1 fl 1 1 i 1 "! have seer or nhserved, or believe 1 s iw evidenceall of jf: i s . ` . ;p S: wn is, trees, enceS, etc., �r } renrese it that l have �i aces set rth on he i gram:"" 4 SiGNAi U DAT Y L d.{}C• S0515'SC7"W ____ SARAN JEN DRIVE N 00 j\j GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: 00 Building & Code Enforcement 742 Bay Road ' Queensbury, NY 12804 Arrive am/pm Depa lnspeetor's Initials p .-- NAME: PERMIT" # �J GC7 ! oo L OCATI©N: S w r ✓� i� DA fE : [ TYPE OF S'TRLJ 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/Wallpour Reinforcement in Place Foundation/Dampproolin 740Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation 'Walls Interior lt- Foundation Walls Exterior R- Floors R- Walls R.- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack: Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping. ENERAL I5 eECTI N RE RT ( 518 ) 761 - 8256 Town of Queensberry Dept.. of Community Development Date inspection request received: Building 8c C�ai�ceinent 742 Bay Rapid Queensbury, DIY 12804 Arrive nmJpm Depart � a p�1►y - Ijnspector's Initials dd NAME: ; FF�RAGT # LOCATION-,1 IQN: DATE TYPE OF STR RECHECK _ . .� N/A YES mot +'^ CON9 EtrTI'S tingS/l�i f ano ith'c Pour Farm Reinforcement in Place�F The contractor is responsibkfor providing protection from fr&king for 48 hours following the plaodment of the concrete 'ko Materials for this purpose on site Foundation/Wailpour Reinforcement in Place Foundatia Backfill Approval^ Plumbing Linder Slab Plumbing. VenVVents in Place Rough Plumbing Heating Rough-In Insulation It Foundation Walls Interior Foundation Walls Exterior . R- Floors R- Walls Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fronde Sack StudslEleaders _ Bracing/Bridging, Joist Hangers ,y Jack PostslMai.n Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Hate inspection request received: Building 8c Code Enforcement 742 Say Road "- Queensbury, NY 1,2804 Arrive atn/pm Depart � Inspector's initials �^ NAME: yk t o L 6 G VeW, • i PERMIT # < I,OCAPON: DATE : TYPE F STkfU 1MRE: RECHECK A YES N COMMENTS zootir�rs I Reinalithie Pour i Farm } c r Reinforcement in Place The contractor*,s responsible for providing protectfOrt from freezing; for 48 hours folio the place nt of the concrete. Materials for this purpc n si Foundation/Wallpour. Reinforcement in Place Foundationlf�amppma Backfill Approval Plumbing Under Slab Plumbing VentlVents ' lace Rough Plumbing Heating Rough4xi Insulation Foundation W s Interior R- _ Fou ndation is Exterior R- Floors R- walls R- Ceilin,g R- Duct w or piping in unh ted spaces R- Proper V nt, Attic Vent Fraini Jac Studsllleaders _ B nglBridgin Jo' Hangers J PostsJMain Beam Air ltifltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping