1999-654 Certificate ' of
•
Occupancy
Town of Queensbury
Warren County, New York
Date January 28, _2 0 0 0
This is to certify that work requested to be done as shown by Permit No. 99654
has been completed..
This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 10, at 9 STONE PINE LANE
Owner _ --4iks:77Y- t* wrci,uk
TAX MAP NO. 90. -8-130 By Order Town Board
TO I F QUEENSB R.
Co",
Director of Building& Code Enforcement
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 270000 Building Permit No. 99654
TAX MAP NO. 90. -8-130
Permission is hereby granted to VA S I L I OU, MICHAEL J. INC.
Owner of property located at LOT 10 STONE PINE LANE
in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING
at the above location in accordanre to 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's Address:
14 STONE PINE LANE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
JASILIOU, MICHAEL
Contractor or Builder's Address:
14 STONEPINE LANE
QUEENSBURY, NEW YORK 12804
Electrical Inspection Agency:
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
3266 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
435 - October 20 2001
$ PERMIT FEE PAID-THIS PERMIT EXPIRES
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
20 October 1999
Dated at the own of Queensb this Day of
SIGNED BYt for the Town of Queensbury
Code Enforcement Officer
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
•
Date " 7 ,19 / 2 Permit No.
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
= Please fill out additional form if more than one appliance and/or chimney.
Applicant Alt e Ls; A , 1, LIA S/L tv t,14KBPLIANCE (check appropriate boxes)
Address <1. 1,4z P e LPG ' ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIEPLACE INSERT
'iAc v-i II Li Zip ,!f ("Oct ,®fFl REPLACE, FACTORY-BUILT:
i Ftt ❑ Wood k-Gas
Phone 7 - 7.4 ., 0 FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner ' 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer: _
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
r 0 MASONRY: 0 Block 0 Brick :0 Stone
2 L7 /0 to I a�$ -mil _ FLUE: ❑ Tile ❑ Steel
Size. inches
CONSTRUCTION / INSTALLATION MUST ' 0 . ACTORY-BUI LT
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑.Lns.ulated_ 0 Direct Venting
Cashier's Department Town of Qieens y-Ne ' o c r.
Dept: Fire Marshal
P AzxS�ut 'llctedAmount Received
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
.. , . ,'
Fee Collected From Or / !Refunded to: /:(",-
" Address: —`
. r
Dated: " - +`- /6; ? Town Clerk or Deputy•`"I ) ` ' r
White: Applicant Green:Fire Marshal Yellow: Bldg. Dept. Pink& Goldenrod: Cashier's Dept.
f
rii
i `�'.. _ ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY J
— 9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
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
APPLICANT'S NAME: PROPERTY LOCATION:
/ (cif-015z_ I 4-s=7‹,,-,),,, /ec-i:_____ ,2______st,„igAti„Li .._:__
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - square feet
2 Type of Heat - Electric Oi _ Other
3. Is building mechanically cooled? Yes No
4. Percentage of area of windows and doors Over 17% 4 Under 17%
50`; .R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES. AS
SHOWN ON PLANS SUBMITTED:
a. Roof R
30
b. Exterior walls R / 9
c. Glazed areas
d. Exterior. doors R Ifn0!-
R ��
e. Floors over unheated spaces R
f. Edge of slab on grade (heated building)
R
g...'-''basement/cellar walls (above grade) R /ICJ
h. Basement/cellar walls (below grade) R
i. Heating/cooling-ducts-piping in unheated space R
6. Service (domestic) hot water heating device
;.: Conforms to minimum 'efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED.
Appli t' Signat re D to/ 7 Phone Number
INSPECTO 'S REMARKS:
TOWN OF .QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID, FUEL BURNING APPLIANCES AND CHIMNEYS
Date 5efrts 2-7 99 ( `-"�
,19 Permit No.
7/
APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow
all inspectors to enter premises to perform required inspections.
Please fill out additional form if more than one appliance and/or chimney.
Applicant !"lie l�q {`� U / Lou/i.A PLIANCE (check appropriate boxes)
Address f��ue'1�2 � ,�� ❑ STOVE: ❑Wood o Coal in Pellet ❑ Gas
II/n� 0 FIEPLACE INSERT
eLL.09e.„,s6u/ (1 Zip 1 / r(7` CFI REPLACE, FACTORY-BUILT:
❑ Wood A-Gas
Phone 7 �3- 7 .31- FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner
5�1�1 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: CIBlock CIBrick 0 Stone
2.o7 /0 S40-1 PIAA)2 Lie FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated 0 Direct Venting
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title l2 "
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales ' �/
Fee Collec d From • Refunded to: /`—/: C ,e' .
Address: ,
Dated: /D//4!/g Q Town Clerk or Deputy:
/ /
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-82561
-O BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance
A permit must be obtained before ___1q3_143_1__IN
of this permit: PERMIT FILE NO.
beginning construction. No inspections PERMIT FEE PAID �'�
will be made until applicant has received Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEr P• 9
MUST be completed and the signature n Planning Board Action REVIEWED BY.
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
application form. you. J Recreation Fee Payment J
Applicant: MLGt+ L cit Jks/t, too L r Owner:
Address: Al S e i "-A. /_l- Address:
Phone # (S �-) 3 45/3 - _7�jS-.3 Phone # ( ) -
Property Location: 7 46/0 gut Li . --Subdivision Name: P/,mot,Q % Rh sF / Tax Map Number_ 0 / O G / /JO
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 270 0 oc CZ*
/ commercial
Addition to Building: ,
residence / 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 .
�' � c�O,�
.) `�' ther
GROSS AREA OF PROPOSED STRUCTURE; " i v 1st Floor t/- s ft ff(P DITION, what will use
2nd .Floor q. ft��x/� of new addition be? :
Other Floors sq. ft.
(not unfinished cel o basement)
. ... . 5 t1i ►a Z ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage l,cZ car i_
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
�+� Other
L/ FEET X 77 FEET
Foundation Type: ?O Ut2.CD CON er Will any second-hand or ungraded
Number of Stories : Z. lumber be used? If so, for what?
(habitable space only) Meg
Height (grade to ridge) : 2. 4. feet TYPE OF_ HEATING SYSTEM:
Number of fireplaces and/or woods ve (circle all which a•pli s)
to be installed: / 435T-*Ced
O' 1 / / od Hot Air / :aseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Address Phone
Builder: fl4 tCt*k6 ,J. I c,co(J/NC, L s�r-t,e fut-e L/1, 2 9 3-73.5-3
Plumber: PhYA P•-0n+.6r4,..Ie 8 16 urilpie .BUT 7 `tom 1/39
Mason: bit14a2 pi F ACA-r4?u✓6 bte_s1-ps r 2 ? f z... cazz.
Electrician: �A 7 9,46.4,2 4- J ?f F. 1fw4'ter- /?vo e. LA.) 2 f -'7 Z(,
DECLARATION: Please sign below 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 all
other laws pertaining to the proposed work shall be complied 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
Certificate of Occupancy•or Certi ate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; dra n to sc e, showing ctual location of project on premises.
.Signature:
(owner, o ner's agent, archit t, contractor)
A lication for SEPTI o
pp C' DISPOSAL PERMIT
STAMP RECEIVED Z
? _0/0 0
Location of property for installat�ocn:
Owner's Name .t.0 -ert I A-S c'sl PERMIT NU BAR (`J
Owner's Mailing Address: /t{ 5. �2 I"l. _ qorri
^� FEE PAID Z
Installer's Name: /'41�11FT eV-, Phone #: [ of L—OLZZ.
Number of bedrooms (if residential): �t
Total daily flow (residential -compute @ 150 gal. per bedroom): ce?? ~
Topography: Flat Rolling Steep Slope % of Slope
Soil Nature: Sand I Loam Clay n Other /Depth:
Ground Water: at what depth? feet
Bedrock or Impervious Material: at what depth? Nv feet
Percolation Test: (XrNot Required 1i Required/Rate min. per inch
Domestic Water Supply: . • 01 Municipal I—I Well r1 Other
If domestic water supply is a WELL: water supply from any septic absorption is feet
PROPOSED SYSTEM:
Septic tank: /S.-0°gal. (minimum size: 1,000 gal.)
Tile Field: each trench 5-0 feet. / total system length -`� feet.
Seepage Pit(s): number of • / size each: ft. x ft.
•
Size of stone to be used: # / depth of thickness feet.
HOLDING TANK SYSTEM: (if required)
• Number of tanks: Size of each: gal. •
•
en � <an 0:441 1 -AleetrrcuC�vv Pl o ffeatr': p �ed�,X y e t' a a ettcy
For your protection, please note that pursuant to Section 136-29 o f 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 o f an applicant, shall be voild.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town o f Queensbury Sanitary Sewage Di posal Ordinance.
Signature o f responsible person: 114 Date: Z
TOWN OF QUEENSBURY
4� f�� BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
•
(518) 761-8256
ARRIVE: DEPART: INSP: ( "�
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTIOCN REQUEST RECEIVED:
NAME
LOCATION _.
PERMIT N ;' (�� -J
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC _ INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/ST.PS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER 'PERA ING
INTERIOR TRIM/PRIVACY 14IRS
FINISH FLOORS:
BATH/KITCHEN WATERT GHT
OTHER FLOORS 'SWEEP'.:LE
OTHER FLOORS CARPE ED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFI G
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLA ARIA CE REO.
01
AL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
•
RESIDENTIAL FINAL INSPECTION REPORT r
t?)
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart- am/
Town of Queensbury Inspector's Initials (1� /
742 Bay Road
Queensbury,New York 12804
NAME V ICJ l t®V PERMIT# �L
`
LOCATION DATE 1 2� G.
TYPE OF STRUCTURE
•N/A. YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete •
Interior/Exterior Railings 30"to 36" •
Exterior Handrails,balconies,landing 18 in. o! more
41nterior Handrails stairs both sides 3 or more r sets R k
Grade 2%.away from f6lmdationRA-MC°& S
8"clearance to sill plate
Gas Valve shut-off exposed/reg a e grade
Gas Furnace shut-off within 30 feet or within'Me of site
Oil Furnace shut-off at entrance to furnace ar
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4.in. •
Handrail exterior stairs both sides more than risers
Interior privacy/trim/doors/main entrance 36
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 i or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom •
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical Site Plan/Variance required M 6-U j 60 s G 114'
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)
1E1
4_
RESIDENTIAL FINAL INSPECTION REPORT 10Office No. (518)761-8256 Date inspection request received:
CQ 51- k'
Building& Code Enforcement •
2--\
Dept. of Community Development Arrive am/pm Depart ' (J aam/pm07)? .
Town of Queensbury Inspector's Initials ) t'--
742 Bay Road
Queensbury,New York 12804
\\A
;j 1fNAME i �rl e) \ M j �, e,Q PERMIT# 1.7J V
LOCATIONi i,,-p , r.-P .1. y� DATE ,t) - -�( x-Th
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location `.// ' 1
Fresh Air Intake /
Plumb Vent through roof �j
Roof Complete (.. ) .
Exterior Finish Complete \
Interior/Exterior Railings 30"to 36" • .- .G..�/'�
Exterior Handrails,balconies,landing 18 in. or more o
Interior Handrails stairs both sides 3 or mor•risers 1�6�'�� 1�A,0c�o2r4-iL. .�—"
Grade 2%away from foundation A 6 i A 1/_
8"clearance to sill plate
Gas Valve shut-o exposed/regulator t\s"a, •ve gra•e >�ff
Gas Furnace shut-off within 30 feet or wi ', line o t site V
Oil Furnace shut-off at entrance to furnace . -. i
/
Furnace/Hot Water Heater operating v�
Relief Valve(s)installed J'/
Headroom,6 ft. 6 in. on stairs I
Basement stairs,6 ft.4 in. I /
Handrail exterior stairs both sides more than 3 risers J7"/
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight ,/J
Interior Handrails Balconies/Landing 18 in. or more / �/
Railing across window in stairwells I 1f
Smoke Detectors: f
every level / ./
every bedroom
outside every bedroom 7 V
inter connected 9/
Bathroom fans
Plumbing fixtures ; kAPC 6,-`jam a A.56(-it /OA r i-1Af6
Foundation insulation
3/4 Y (�
hour fire door/door closer ,tL��
Garage fireproofing / c aL„eCee— g .1 0 Gl NC5 1 C u A1.)5
Garage penetrations sealed / V
Furnace in separate room protected(in garage) 4 / Q '
Light ventilation per room `/ V -� L R/=A i�C� Ia. U�
Safety glazing 18" r 1e• frAin floor 1./.. y lit-(C_ - A./.14 fig{ FFR,4 46"
Final Electrical L '1,1) (;L 7
Site Plan/Variance required Z f A.4/.6Gi fti 6 e �
Final Survey Plot Plan l I 1 (Sv 1� may/ I L-OO/�
As Built Septic System la oust re �ired
P Y Y q
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)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INCy
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL C`
Panel Board No Cert. N2 66327 Cut-in Card No '
Owner 411 e tff1'CL y�e z a- .y A-C,
Location (9 T S )E P
ei r C ""L�
Installa'on Consisting of 73 t J67 �� 6 QG! f
Installed By P.,s/4l..4Y""/mail Lic.No.
The conditions following govemed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making�inspections at any time, and if its
rules are violated,the Company shall have the right t
o re
is11,
Date f . Z �� INSPECTOR
.-ter FIRE MARSHAL
/,4 ,. TOWN OF QUEENSBURY
�:
r j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME --�f '-1, e
OC f _ \' PERMIT# n�
SCHEDULE INSPECTION ON / --
A . PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT NG
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYS M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARAN E TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: EktM3ItIteriaTE
INSPSLIP.PUB INSPE T
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept. of Community Development Date inspection request received:
• Building& Code Enforcement
742 Bay Road Quecnsbury,NY 12804 Arrive 4'_Llg•m Depart o, Orn7,--•
Inspector's Initial .410- —
NAME: VRI-Al.,1D0 PERMIT# r �— . •
LOCATION: 10 1 tJE LikoF . DATE : —Z0-q9
TYPE OF STRUCTURE: FL) (33 Z cialfc GA AC-1E
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo .ible for
providing protection from fre•ring
for 48 hours followin the p accment
of the concrete.
Materials .•r"this pu n• • on site
Foundation/1, :.
Reinforcement in P ace
Foundation/Damp.roofing
Backfill Approv
Plumbing Und• Slab
Plumbing Vc t/Vents in Place
Rough Plu •ing
Veating R. igh-In
nsulatio 9 f)OR
Founo lion Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls • R- X
Ceiling R- i/
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
✓Framing MshCEuLAs eto fj
/Jack Studs/Headers FPc.isi-‘Lt31.x_FC. FQg
Bracing/Bridging
/Joist Hangers iPI HpNpJ(0---
Jack Posts/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 Qucensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive i-3OaI Depart I I
Inspector's I
NAME: PIA 1_1_ Q `'LAu) PERMI
LOCATION: LIST" ID ,61 Ce SATE
TYPE OF STRUCTURE: AVS") t,:I 7— caw_ EAEN-E
RECHECK
N/A YES NO COMMENTS
Footings/Piers I F I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ible for
providingprotection from freezing
for 48 hours,ollowing thie placeme
of the concrete.
Materials for this pu se obi sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprool i ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac.
Rough Plumbing
/eating Rough-In
Insulation -2-1 0 F ,g_ Vi. io- - Re_t o
Foundation Walls Interior R �
Foundation Walls Exterior R-
Floors R-
Walls R- _
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fi restoppi ng
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road /"
Quccnsbury,NY 12804 Arrivaltp as 1pm epart ` a n'
L n- ctor's Initi I; i
NAME: . k e \)c,Lcs, 1,_. 10'1 PERMIT# — 5 Li,
LOCATION: 2.o j 0 c 'lp -e_ ATE
(c, ..c8
TYPE OF STRUCTURE: v ^�c...0
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is res nsible •.r
providing protectio from freez, g
for 48 hours follow.tg the places ent
of the concrete.
Materials for this purpose on site
Foundation/Wal ..urn
Reinforcement in P a .r
Found ation/Dampproo ing
Backfill Approval ,
Plumbing Under Slab
Plumbing VenUVents in Place
Rough Plumbing
Heating Rou In
L. lalion VG o_k 1-(041
Foundation Walls htcrior
Foundation Walls Exterior R- /(
Floors R- .�
Walls R _V
-
Ceiling R- •. �, \
Duct work or piping in
unheated spaces' R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier_
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
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 ArrivcL=9 yai m Departs'
r s Initia
NAME: 1 LA F \r-g6q..,1 PERMIT# — �j
LOCATION: }Q Jv1pn� 1��F L. t DATE : Z VJ(1-111
TYPE OF STRUCTURE: ` F uu z C 2R GARR(-E.
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from fre .ing
for 48 hours following the . accment
of the concrete.
Materials forI‘this purpose .n site
Foundation/Wa)lpour_
Reinforcement in Phi c
Foundation/Damppros ing_
Backfill Approval
Plumbing Under Slaa
Plumbing Vent/Ve is in Place
Rough Plumbing
Heating Rough-1
Insulation
Foundation Its Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
�Franping \51 kLOP u. (2, �\/
\/ ck Studs�ieaderrL 1
racin
oisl Hangers 1 N) 5TVRtA__.-1-1? —
Jack Posts/Main Beam CF
Air Infiltration Barrier_ Get'S) VW1tAIJOG
CY- 57
Fire Separation 1, 2, 3, hour _ L
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
D �� y 1"��
i5‘V c S t, 1 a‘i uri--
..,..,_ . .__. . .. _ / q..6)- ,-._
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury /�
Dept.of Community Development Date inspection request received: , `7 9
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive VAtapm Depart ' m
Inspector's Ini .
7.
P/sd
Jf
¢- �
NAME: �fU LOCATI vG k /S iQ
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible 'or
providing protection from f ezing
for 48 hours following the .laccmcn
of the concrete.
Materials for this purpose osi
Foundation/Wallpour
Reinforcement in Plac•
Foundation/Damppro)fing_
Backfill Approval
Plumbing Under Sl• . d,
Plumbing Vent/Vats in Place I
,l
ough Plumbing
Heating Rough-In
Insulation
, Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent Attic Vent
7raming ll5 i �-��1 b=i °
Jack Studs/H ders
Bracing/Bridging IA1 '2,. ic, FI`vv''m\t_ ` - 0 •
Joist Hangers i/ FIAN)16\1J'H 111�11J6 t\NW'E —b 1` --0---1,
Jack Posts/Main Beam _ v S� IJsCp� 1,� 1,� �41 C'�L �E.i..
Air Infiltration Barrier
_
Fire Separation I, 2, 3, hour • I��A1�� � L _T� 'T ' 0ti' POPEp
Penetration Sealed ZX-`O t.b TO '‘MI LA V-Dc --t Var=f4V1
Fire Wall 2, 3,4 hour /1
'Firestopping ND P \\ A II.A7Lll E ?L3G, iW Vi\-i4 0
?x c 5T13 Fir 4 Q:r k-= -L-
•
F V-Pi ti% - t vcOe-wtzvc_ e o 2_ Fp_ca
4___
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 4 ay Road
Queensbury,NY 12804 Arriv ` amfitm� Depa ° . pm
Inspector's I ' '�
NAME: M\L1A c›t'O_—V -)I,LApO PERMIT r" t•
LOCATION: 1 O ,.6Tbtc Pi:JE t-At DATE : ' -t - k
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I O 'I.S6 VP Lt_ ��1�T
Monolithic Pour Fonn vki. CQ-S oAFe F
Reinforcement in Place Mtt'6
The contractor is respon• .le r Ft�_L
4luL tJ�1 t1_EtC��-G
providing protection from freer ig 1-l;}� 5 t does
for 48 ho s followin the placement .7-reAsbb �q 1:P 5
of the conc etc. C\��
Materials for Eh'. pu .. c on silt _ t�1 vJ K��E �l tom` e``
Foundation/Wallpou EL�i_b ` SQAiS pe_CAP � `'�
Reinforcement in Pla.
Foundation/Dampproi ling tJ9T12kt� B_
Backfill Approval tt 41063 ')1 �ti1 T `P�Si� �(��
Plumbing Under Sla. y AD v�bc-�=`-�t- 2cJp F-,_.,,._____Plumbing Vent/Vent' in Place / C��LLR� 1t 5 b wq-6E-
Rough Plumbing 1 .141 7�Q F-onQ _ V/ yJ ��{�LE1j
Heating Rough-In �lJD
Insulation Z�1 Dt� TQki
go
Foundation Walls Interior R- t G- ��t` l t_� O �� BEAM
Foundation Walls Exterior R- �D t c"-vC��p Z W1®l�
Floors R-
Walls R CD 'RDD J� 1 vDLj �Ek-w, � Qbrib
Ceiling R-
Duct �-?-.CAA PtDE�� t ��
work or piping inFa �U
unheated spaces R- N ��-t Ll
Frami Vent, Attic Vent IC) I ��l_ �,�p � ��
Framing .. , tok)_6
Jack Studs/Headers / QvLLEXD R
Bracing/Bridging I P�1
Fe—
I� $ z_�1 )3 1 v 5VU uC\)E
Joist Hangers
,/
Jack Posts/Main Beam t GAV_A6E_
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour t t-L 1 CJC-I ( - 6�fl t R-3
Penetration Sealed a.�(� F____ ��
Fire Wall 2, 3, 4 hour F t -1-- 6oQ*�
Firestopping 7,nn o
0Y ---FC . tkram-,) v= z4 ,
C\.\%\r\
. ,
'7p
GENERA!, INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury '( 1'fl'7
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrive9 J, a� pm Depart.c�reed.
Inspector's In"� �K„ f�
•
NAME: � �i G� 1 l 6 v PERMIT# . 9 V /
LOCATION: :S ,ram s.,, ii—cavy\ Q DATE : I 61)
TYPE OF STRUCTURE: ,
RECHECK
N/A YES NO COMMENTS
Footings/Piers ---I I I
Monolithic Pour Form
Reinforcement in Place I
The contractor is responsible for / .
providing protection from II ezing/J
for 48 hours following the f lacement
of the concrete.
Materials for this p se on
Foundation/Wallpour
•
Reinforcement in Place -
Foundation/Dampproofing
Backfill Approval _
Plumbing Under Slab
l Pumbing Vent/Vents in Place
;Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior 2-
Floors R-
Walls R-
Ceiling R-
• Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
•
Jack Studs/Headers
Bracing/Bridging _
Joist Hangers__
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Firll 2, 3,4 hour `�
trestopping LJ 1 P E_
Cki ,*(Ty
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queenshury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Quecnsbury,NY 12804 Arrive• �' t er( Depart i►'„��!��
Inspector's Initial
NAME: ' • 0 PERMIT# s
Z
LOCATIO : ( U-' 2 DATE : l
TYPE OF STRUCTURE:
RECHECK
•
N/A YES NO COMMENTS
Footings/Piers � I I
Monolithic Pour For
Reinforcement in Ice
The contractor i respon .le for
providing prote!.'ion f .m freezing
for 48 hours fo o .ng the placement
of the cone '.
Materials for thi purpose on site
Foundation/Wa, pour
Reinforcement in Place
Foundation/D impproofing
Backfill Ai). oval
Plumbing nder Slab
Plumbing ent/Vents in Place
Rough P mbing
Heatin_ Rough-In
lnsulati'.n
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers_
Jack osts/Main Beam
nfiltration Barrier
Fire Separation 1, 2, 3.hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
i
(... ..ay/4„..
TOWN OF QUEENSBURY
,'`BUILDING & CODE ENFORCEMENT/ ,-
742 Bay Road .�-
Queensbury NY 12804 �'
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ,//ra& / 06.e' Z/
Location � a t/J
Date /d Mr5' Permit # ,
SOIL TYPE: Sand-Loam-Clay-
Results. of Perc. .-tion Test-
(if applicable) Ra e-Minute/Inch
TYPE OF SYSTEM
ABSORPTION FIE D: To al Length j(j-+-
Length of etch trench ?,cp. ;-T U;� ��,-
Depth of trenc es ) �11
Size of stone,, 1k. FitTQ-ATceb
SEEPAGE PITS: umber-
Size - t. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank C -1 `�1D
Tank to Dist. Box y "' J,
Dist. Box to Fi 1 d/Pit Li" Nut-6-6 1�1Ft i FE
Openings Sealed. arab No . .Partial
LOCATIOPI/SEPA TO' :
Foundation to ank. 1pji` feet
Foundation to absorption feet
Separation of Pits feet
Conforms as per Plot Plan 1110
LOCATION OF SYSTEM ON PROP .
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
I gl.
z8`-‘ $ 1M i 0,
SYSTEM USE APPROVED: (YES N0
Arri -• I®% _'
Ali '
Air
ii Building In a for
TOWN OF QUEENSBURY tD°60C (11
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name VA,61u...on )
Location _ t c irtaak P v____L S _
Date t2_-,;i-9 Permit # 99—(961-4
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation est-
(if applicable) Rate-Mi, ute/In h
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches IIIIIII
Size of stone—`•
SEEPAGE PITS: Nut the-- 11'"
Size - ft. x ft.
Stone size _
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
_Dist. Box to Field/Pi-.---- - - . -- ..-- - __
Openings Sealed? Y:s No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorpt'on feet
Separation oi- Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM I PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
PcTc T 3
i t- b-\-- Li 2-7b \-
5 *C3EviL;v-1 M 0
SYSTEM USE APPROV D: Y S NO
Arrived: T,4�
Depart:. p
• / ��/ �
�' .ng •ems' . ' i.,
• , ,,,,,,
. of-
•
9 e 1 ..
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road c -
Queensbury, NY 12804 Arrive am/pm Depar("� am/ m
Inspector's Initials
NAME: \\�Q„\ c S ) (f} PERMIT# . , '1 —
LOCATION: ( 5 73 DATE :
TYPE OF STRUCTURE: C/f
RECHECK
N/A YE NO COMMENTS
oocmgs/fers ` I
Monolithic Pour Form
Reinforcement in Place
The contractor is respoi.siblc for
providing protection from freezing
for 48 hours following the placem nt
of the concrete.
Materials for this purpos on site
Foundatiop/Wallpour_
Reinforcement in Place it,/1/
,
Foundation/Dampp o. ;ng
„ ackfil Appro JZO g-L�—
Plumbing Under-Slab
Plumbing Vent/Vents 'n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I nerior R-
Foundation Walls :xterior R-
Floors R •
-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent _
Framing- --- ___
Jack Studs/Headers__
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ,/5
Queensbury, NY 12804 Arrive am/pm (Depart)`
Inspector's Initials
NAME: j PERMIT# .
LOCATIO - J j(l ) DATE :
TYPE OF STRUCTURE: I
RECHECK
N/A NO COMMENTS
tings/Piers_1jnv pl- —I I
Monolithic Pour Fonn
Reinforcement in Place
(z/
The contractor is responsible f r
providing protection from freeing
for 48 hoursYollowing the placemen
of the concrete':
Materials for this p rpose on site
Foundation/Wallpou __
Reinforcement in Place
Foundation/Da mpproof i ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in /
unheated spaces R-/
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 1 ay Road
Queensbury, NY 12804 Arrive ai pm Depart r m
Inspector's Init.
NAME: C5VTijZ)-\ PERMIT
LOCATION: j3C3‘-)fi- \ � DATE :
TYPE OF STRUCTURE:
RECHECK
\ N/A YES NO COMMENTS
Footings/Piers —�
Monolithic Pour Form
Reinforcement in Place
The contractor is res?,onsible or
providing protection from fr ezing
for 48 hourfblow' ig the placement
of the concrete.
Materials for this pu sse on site
Foundation/Wallpou
Reinforcement in Pla e
Foundation/Dampprr+fing
Backfill Approval
Plumbing Under Slag
Plumbing Vent/Vent. in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 :t;ay Road
Queensbury, NY 12804 Arrive am/pm Depart`O`1ajpm
Inspector's Initials
NAME: \r4c1 1 L4 d J PERMIT# rhit
LOCATION: -Tee, P/,C— Lev DATE : e;-o
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from free.'
for 48 hours following the p ce nt
of the concrete.
Materials for thi ,purpose on site •
Foundation/Wall
Reinforcement in Place
Fo dation/Dampproofin
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents n Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R- L 12—
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Fircstopping
Li4
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 ay Road r'`�
57-
Queensbury, NY 12804 Arrive am/pm DeparP p�
Inspector's Initials
NAME: V C 5' t '�l PERMIT# IC,'7
LOCATION: } ��j. ri' ' f�L,��'�C-' DATE : /00-a —
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freerin:
for 48 hours following the place ent
of the concrete.
Materials for this purpose on sit'
Foundation/Wallpour
Reinforcement in Place / /
Fours tion/Daritpproofiu
fill Approval V S/.%3°
Plumbing Under Slab
Plumbing Vent/Vents in PI cc
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte for R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
13S :0(13
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 ArriveL4 ai affir Depart ' a
Inspector's Ini
NAME: Abq \..— ) PERMIT#
LOCATION: �� E L{�t-E DATE : \
TYPE OF STRUCTURE: J ) ko l 2_ CAP- C-,A Q
RECHECK
N/A YENO COMMENTS
400tings/Piers GRepc+ i
Monolithic Pour Form
Reinforcement in Place Z. • 1-Ip
The contractor is responsible for
providing protection from freezing
for 48 hours following the placcmc t
of the concrete..
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
tundation/Dampprooling
✓Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Int. for R-
Foundation Walls Ex erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or pipi g in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
'\30 ArvAr.
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Tay Road
Queensbury, NY 12804 Arrive m Depart �►,�,� /�,
Inspector's snit' , -
9
�i . J j
NAME: ` ' PERMIT# M , `—If'
LOCATION- ,A. Q. - 1A__Q_, DATE : /��
TYPE OF STRUCTURE:
RECHECK
N/A YEENO COMMENTS
i. otings/Piers
Monolithic Pour Form
Reinforcement in Place L.— i f a,) N./
The contractor is responsible for
providing protection from freer g
• for 48 hours fol'owing the pl ement
of the concrete.
Materials for this p•rpose on itc
Foundation/Wallpou
Reinforcement in Pla e
Foundation/Dampproo g/
Backfill Approval /
Plumbing Under Slab
Plumbing Vent/Vents it Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In_erior R-
Foundation Walls E •terior R-
Floors R-
Walls •/ R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RE,C IVED PERMIT# `ri`N`c'S tr
NAME CJ.)
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS �.
AISLE WIDTHS
EXIT SIGNS r
EMERGENCY LIGHTING, )
ti
FIRE EXTINGUISHERS \
FIRE ALARM SYSTEM \"•—
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLER
CLEARANCE TO HEATING U ITS
REQUIRED SIGNAGE
CHIMNEY
7DSTOVE
LACE-MASONRY
FIREPLACE-FACTORY BUILT ?-(.0 te-
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
Michael J. Vasi 1 iou 518-793- 1920 i j 3 ' p� "1 �'
ICI aka sy
•
MIC -IAF:T, J. VASILIOIJ,
ry f ;
11
� F ilee�is{�3 � 4 a.
(5:8)79 3 7 s5'i ," . } 9s y2
i'hoii. t raai
Zvi }I ,, l
r il, ,,
i
li
OctoberI21','.1;999��;.i�`�F ;r '1 •<: I; •
jl I, r `�' �' j. .I;
j. f
.,I, o {rt ICI r'
} I
To: John O'Brien, Queensbury Building Department } } `
FROM: Christine ak
Zient , Nlichacl J. V asiliou, inc.
RE: Lot#11 Stone Pine Lane
VIA: Facsimile (518) 745-4437
In regard to the house we arc construction on Lot .wI 1 Stone Pine Lane, «re will be u,sino',,trigsI es`±oc; .
1i', :,., •;
, . :_.
the roofing system over the main part of the house and stick-built rafters over the \aster BedrooniiCrarage
portion of the house.
I trust that this is responsive to your inquiry and thank you for your assistance on this inalter. 'Shoiil<i
you require any additional information, please give me a call.
•
•
-
J it)
o�
1 •
Q
v
t` .
or believe I saw evidence of,
"I have seen or observed, trees, fences, etc.,
all objects such as houses, wells,
diagram."
document. I aeso represent that I have
shown on thi\ .9
P
ers Hall meu aced the isfances set forth on
DATE
SIGNATURE
MAP REFERENCE:
THE PINES OF QUEENSBURY PHASE III
DATED JANUARY 20, 1989
LAST REVISED FEBRUARY 22, 1989
BY VAN DUSEN & STEVES
LAND SURVEYORS
MAP OF A MODIFICATION
TO A SUBDIVISION KNOWN AS
THE PINES OF QUEENSBURY PHASE III
DATED: NOVEMBER 22, 1999
BY: VAN DUSEN & STEVES
LAND SURVEYORS, LLC
LOT 11
--
N82'23 00 E479.69
r
0
<v
REVISED o
LOT 10 I � Q O°` o°
64,035 sq. ft.
O =
1.47 acres
v
Ov
sQ1•ar ��
O
30 298.03 101.67 58 2'04"W
N87'42'32"W T '
aJAN 2 6 2000
T,-
i
REVISED
LOT 9
VAN HOWE ESTATES SECTION
TWO
an Du .sF e
& Steve s
Land Surveyors, LLC
37 Chester Street Glens Falls, New York 12801
(518) 792-8474 New York Lie. No. 50135
'UNAU1FWttlffD ALTE7RATION OR ADDITION TO A SURVEY
NAP SENWIO A LICENSED LAID SURVEYORS SEAL 13 A
VIOLATION W =TION 7W% SUB-MVlad 2 OF THE
NEV YMM STATE 0UCA71ON LML'
'ONLY COPIES FROM THE ORIGINAL W IKMS SURVEY
NARKED wIH AN CR IINAL OF THE LAND SURVEYORS
SEAL %HALL BE CONSM= TO BE VAW TRUE COREL'
CERTIFICATIONS SDNCATEO KlREON SWIFT 1NAT
THIS SURVEY WAS PEPARED IN ACCODANCE WIN AE
COSTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED
BY TIE NEW YOIN STATE ASSOCIATION OF PROESDOW
LAND SiRVEYM L SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR SHOM IEE SURVEY IS PREPARED. AID
ON HNS BENALF TO THE 717M COAPART, GOVERNMENTAL
AGO= AND LENDING INSTITUTION LISTED HEREON. AND
TO INE A:9OEES OF THE UENOI NO RSTITUIWN.'
65
JAN 2 6 2000
• ' P
NEwyo .
Map of a Survey made for
MARTIN D. & LINDA S. AUFFREDOU
Town of Queensbury, Warren County, New York
NO. I DATE
I HEREBY CERTIFY THAT THIS MAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: Martin D. do Undo S. Auffredou
Banknorth Mortgage Company, Inc., Its
successors and/or assigns
Fidelity National Title Insurance Company of
New York
CERTIFIED BY.
MATTHEW C. STEVES, LLS NYS 50135
DATED: January 21. 2000
0
Cale 1'=
S-1
SHEET IOFI
AUFFREDOU C-217
DESCRIPTION DWG. NO. 99305E