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98-231 +CERTIFICA'I i j r, +C3+C�CLJI'A CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK September 8 98 Date 19 C7fi1 � ' 98231 This is to certify that work requested to be done as shown by Permit No. k M has been completed. SINGLE FAMILY DWELLING, This structure may be occupied as a LOT 12 * 78 SARAN- JEN DR . LAcocation MICHAELS GROUP LTA�X P NO ., 7 4 . - 2 - 1 2 By C}rder Town Board TOWN of QUEIENSBURY Director of Bldg. & +Code Enforcement BUILDING PERMIT VALUE $ ,TsQWYN OF QUEENSBURY No. 98231 TAX MAP NO . 74 . - 2 - IWARREN COUNTY, NEW YORK PERMISSION is hereby granted to MICHAELS GROUP OWNER of property located at LOT 12 #? 8 SAILAN-JEN DR . Street. Road or Ave. in the Town of Queensbury, To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of C'Oueensbury Building and Zoning Ordinance. 1. OWNER"5 Address is 1810 ROUTE 9 LAKE GEORGEr NY 12845 2. CONTRACTOR or SUILOERS Name MICHAELS GROUP 3� CONTRACTOR or SUILCIEWS Address 4, ARCl1ITECT'S Name NEW YORK BOARD s. ARCNITEC&I**"RK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction -- fPiaase indicate by xi SINGLE FAMILY DWELLING I I Wood Frame I I Masonry I I Steel f 1 7. PLANS and Specifications No_2280 SQ FT SINGLE FAMILY DWELLING WITH 2 -GAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8, Proposed Use SINGLE FAMILY DWELLING 289 May 12 2000 g PERMIT FEE PAID — THIS PERMIT EXPIRES , 1$ III a longer period k rectulred an applicallon for an exteneian must be made to the Building and Zoning inspector of the town of COusensbu y bef are If" expiration date.l 12 May 1 'g Dated at the Town of Queensbury this 60nio Day ofSIGNED BY -Y for the Town of Oueensbury Building a 1 nspector ion { UEiJII () QIICCIlsbill y - VeIv. of Co nrrrlarlity Uttr#ulrrrrerrt, 742 Bay liurtrl. UlleensL+Jr-y, NY I28(}4 (761 825Ci} BUILDING III� CODE ENFORCEIIIENT Ali[ NOTICE itcclutl el7icilis prior to issuance PERMIT EXE1 NO.of this IrCrllllt: 50, A llerinit 1nkiSl be otr!]lincd W% irrC — PLr�MIT FEG pdiI 05 lrcgittning construction. No inslrcx li4nls � 1w3illpigP Board Aclio l will Irc 1111(le. until nlxl1licrtnt Inls received Awn 1 tine l2cCltCrt7rvly rcr $ n VAl�t!) E3UII,DIN( I'!3lLAtl'I'. AllAwn nl.l.iicnnts' siuucs 4,rk this nl,l.]ientiork rvius-r Ixe conllxleted and lite signntrlrc p1tillyling 13uard Action RE IJ BY, alxlrcar on SI EZ I Sulkdivisi4nl / other Building Inspector• of the nlxlrliellit rntl4st nlllxllc:+I141i1 xr..IA x,.�� Etccrenlion lee l'slyiner]t I (Le Michaef 5 GJlvctTJ , Iitr . Owiles: S cull e Aplrlicsut t: ,r ,d n�atess: 1 s l o I�u(t.te 9 , T.afae GV0)tr e , NV 1 28A5clress: I Ilorl4r # ( _ "r 18.) 'F,Gts _ - � 3376 # - l'rollerty l .ocntiun: . t -� `� - 'ask Mall Number 5utrclivisiutl N :tntc: C as LU J Section Block E r7t PIIII'Uftl OF I' ilt]PC]sEU FloitlC : FESTIMATED MARKET V3►LUE OF 7i'IIE Pew Bui_ ld—ltig : NSTRUCTION :r. e, iAddit_ ion t. o E31111di. 113 : CUprtNC7l' INFOLU4ATION : r_ esidelice / conlsttercial primary Building Illt' er:nl-. E-crrl to Iltt .i101- 11g : yt Sillgle Family Dwelling r er, J deuce / co]Ilulc: rclal Two Family Dwelt Etc i.clellce { C0314111k`ra1a1 __ Family Dt+ieL<� llo change to exterior r3i. 7e 0ffl,Ce Ile SAY Oothercr Work ( describe below ) Mercant;Manufacturing j Other '71Y r f • I . (111OSS AREA OF PROPOSED STRUCTU" : ff 11 I ! If ADDITION , what will ussT 19 L Floor s9 • L . c3L new addiLi ozi be ? : 2nd ,Floor . . . . . . . . 1 sc3 . f NIA ( not ullf itlislted cellar or base]tient, )ICCESSORY BUILDINGS : 2 r Detached Garage It P aa c,�.., D SQ . F`i` . x .. Attached Garage 1 , "TOTALI]'LtJC3 EI AREA : T�„-"�—'_' r i V at e Storage T3 tx ]. l s. 1g Collimercial Storage Building SIZE, .I "LIs ///O L' ESEE_'.W s,alpitUii..TURE'a : Other - � e : T'olrlLef� Will any second-- hand or ungraded Foundati-otl 'I'yI lustttier be used? If so , for what: 7 t7u1n15et' of ( Ilabit,able space only ) feet TypE OF , IIEATING SYYSSTTJEM : Ile ]-gllt. ( grade to ridge ) circle all why �P ` Aes I`lltniber of fireplaces and / or woo stove lect:ric / Oil Gas Wood to be itlstallecl : � forced Hot Air / Seboard f Other of workas regards to building Persoll reap or Eric Rice I' codes 100 Wit,. Jn rxh , Ik �niq�- • e s s s ' x,} y`�1� & 45 a ! t - 6G8 - 337G Builder . I'he a4f tcTlaef,�s G)t.out� . I ifc . 10 T�.te 9 , �afze GPoncae , Plumber T'A'urnLxtilia ' Gtt ira�l fz IZOa.d . Gi' _L f a °.Pd NY' 1 2 p T 51 -r 7�9�8�-G� 3 �4 R.I1.S 43-� n n rE i �' �i;'f'�.V1=P Ci _tf - -t"t. ✓ 1 8 - 3 1' 1 - 9 9 2 2 f� lectriclall ; � II�ErC — DLCL✓IIL^l'r7UN. 1'lense s#gn belownf#er yoti have careflI read the statetttenrr. .fcr (lie best of illy knowledge the statementstogether contained isr tills application, with t11C plants ll sed work to be done and sI>cciCicatiorls subinitted, are a true and complete state' Ig of , the onik g ordinance and all 1 the clescribed I)rclllises and that alt Inovisluns cat the Building Cede, or ith, wile otlier lawswork isr:li It r to 01C tryi�eeow►owner. Furthed work shall r, it t]is Iusrcleied rstoocl tl atl I/we s aler l submittprior to a tikat sue CcrtiEicalc oC C3cculrailcy'crr litic.1te fsbow ll Cotlltal al locatioatice n or project lcrll rr AS Bct 11 cTsPL(7T PLAN by a licellsed surveyor; dr Signature: (owner, ©WilCr'S agent, architect, contractor) SEPTIC DISPOSAL PERMIT 1 S1tMF' RI3C=LS VE?D Location of property fur installation:: �[ } ." _� --. i s . ,Thz 1' ; ckiaz-Ls Gx Lcu., . 9 t'- MERhi17' NU11A11UR Addi-ess : 1 ,3 1 a Rn+1 }o l rrho Co ^ � qez 1ifV 1 ? kdS �l Installer ' s Na ineo. F„ � rrtwrt E n �yw r w Ir131r. 1'rtlS) PlloIle m : ( ) 519 - 3 ? 1 - 4055 r4un3licr or licdreonss (;f rasidant; at } : Fou 604 `1`ntal diaily flow (residentiar - ct)ni1,utc Cx, 15u gal . per bcdroom ) : Tot:ogrII'iry: = fla Rc:i !iclg = Siccp S1017c To e)f Slt'lic Sd:iI Nature : Sat1d 1 .uani Clay Other '/Ucpth: �pround Water: at what dicf+lls? 30 L'cct Dc -Snick or Irnrcrvious Material : at what d avLh? fact Perculation Test: Not Rc;luircd � Ircdluircd/lZcxlc 1 ns; n. liar inch Dv:ncstic Water Supply-. htuuic;lial Well Othcr [f dontestic water supply 4s a '4' FSA .: water supply frdi,re any saline uiisorlil`scin is feel PI�OPOSI?I7 5YS1"1A Sclitic tank: 1 250 gal _ (init:; tsttiell s;7c : 1,t7i7t} ga1 . ) 'iilc Field: each trench 54 feel. ! total systcns length 276 fact. Seepaga 1'; l(s) : nunrticr of r'ifA ! s;r,e cacti: ft. x ft. Si7.c or stone to be uscd -. # 2 / dclvth or thickncss feel. ' 1101A) INCi 14ANK SWY 1'13h1 : (if rcquircdS) Ad Nunibocr or tanks: N /A Size or cacti: gal. /Marry, systems and trssociated electrical work to be inspected by a certified agency. ror your protection, please more dhat pursuattt to Section 136-29 ofthe Corde of the Town of Qrreen.rhury, dirt v permit or a ,7provaI granted tioliich is based upon or is granted in reIiar= ce sslxnri atty material inisreprescrttcation or ferilure to make a i7taterial fact or circuiitslarrce knowir by or on hehaff ofnn nppticernt, slrall be void. l have read the regulations witlr respect to t ilication and agree to abide by these and all rrerlrrirerrtcrrt.s of (lie oitoi; o f (7u eeit.%h rye . it Pi C y ,Se1vagc! DLrl)o sett 0rdinititee. X. Sietrature ol' resvoitsihle person: _ 1.) crtr: 4 bed (tome �r-' pC9i'oW ':v.'.w;;•.:"..o+hs n:.:rsr . .rr.. -�. TOWN OF Q UEENSB URY � 742 Bay Rd., ©ueensbu ry , IVY 12804 { APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date , 19 ` Permit No 1 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 Cade. 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,lor chimney. Applican . �,� k_r-)Cnc -, APPLIANCE (check appropriate boxes) I� Address i4r I,") ' r' 4c CA ❑ STOVE: ❑ Wood ❑ Coal ❑ Pellet ❑ Gas ❑ FIREPLACE INSERT � Zip FIREPLACE FACTORY-BUILT:P f :� S ❑ Wood G as Phonels ❑ FIREPLACE, MASONRY ❑ Wood ❑ Gas Owner P_,,. ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address -i IF NON-MASONRY APPLIANCE: { -" Manufacturer: ,r- Zip Model : Phone j CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction y ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone I f I r 1 12 'y �Pt. ��., c a f '-n . r�` ti`-,, � FLUE : ❑ Tile ❑ Steel I Size : inches CONSTRUCTION l INSTALLATION MUST 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 ❑ Direct Venting ❑ Chimney Liner i Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230 ) Minor Sales `,,Fee Collected Frorn,,a Refunded to: \ ) Taff __. - Ir Dated : Town Clerk or Depu y: White: Applicant Careen: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSSURY NY 12804 (518) 761-8256 I 3 ARRIVE : DEPART : INSP : i 1 FINAL INSPECTION REPORT - RESIDENTIAL 1 DATE INSPECTION REQU � T RCC VED . NAME { LOCATION DATE '�..A �� } P. _ PERMIT / !! i TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICl1,L WOOUSTOVE OR FIREPLACE N A YES no N VENT!"ZIGHT PATAUMBINO VENT $DOPING EXTERIOR N SH DECK/PORCH ST i' RA Li GS BELIgF VALVES W T OP NG IMTERIOR TRIMZE ACY PGO S N S . W G QTH&R FLOORS 5q B E OTHER ZLOgogS CA ET STAIR CLEARANCE/RAILINGS E E C RS DATHR kLUM Bi G TUR S U T O ON j ARA E FIRS .RROOEING i O L R .E114AJA EA IT VA&AANCE RZQq INAL SURMEY P&QT ELAN i 9F TO ISSUE C/o R C C I i i FIRE MARSHAL TOWN OF QUEENSBURY QUEENSSURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUESTRECEIVE�. PERMIT # " NAME LOCATION ^�- SCHEDULE INSPECTION ON g _c g A aNYTIMr ' APPROVED EXf TS - NIA j YES + NO AISLE WIDTHS EXIT SIGNS _ �^ EMERGENCYLIGH ING FIRE EXTINGUIs S _ - f FIRE YSTEM ~-- -�-- E SPRINKLER SYSTEM - - f FIRE SUPPRESSION SYSTEM HOOD INSTALLATION _.---- — INTERIOR FINISHES -�-- STORAGE: --�__-- - - - --- - -- T -- } CLEARANCE TO SPRINKLERS � - CLEARANCE TO HEATING UNITS- 11 REQUIRED SIGNAGE CHIMNEY -- - - - dd _ 1 WOOD STOVE -It-- FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT _~- - REMARKS:_ -, OK TO THIS DATE INBP'9LIP.PUIB INSPECTOR MAP REFERENCE: � \ LEHLAND PARK sue, K N 9' BY D.L. DIC INSO ASSOCIATES FILED NOVEMBER 3, 1987 o, �� CABINET A SLIDE 128 F' LOT 11 I.R.F. - IRON ROD FOUND .� an D u s en 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York (518) 792-8474 New York Lie. No. 12801 50135 2, LOT 12 31,936 sq. ft. 108.68 N85'10'10"W UMTHOBgD ALIENATION OR AOOTIOI TO A SRYEY MAP BEARING A LICENSED LINO SURVETgIS SEAL IS A VIOLA71M OF SECTION 7400, SUB-0MSION $ OF THE NEW YON STATE EDUCATION LAIL' 'QNLY COPES FROM THE ONIGNIX OF THIS SURVEY MARKED MIN AN ORIGINAL OF THE LAND WRVEYM SEAL SHALL BE CONSOFRM 70 BE VALID TRITE COPIES.• 'CO rA'FIONS INDICATED HEREON SINIF, THAT THIS SLIRYEY SO PREPARED N ACCORDANCE MTIH THE EXIMN0 CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YOM STATE ASSOQAITIQN OF PROFESNOTM LAND SURVEYORS SAID CERTRICATIOHS SHALL RUN ONLY TO THE PERSON FOR MNOM THE SLIRWY HI PREPARED, AHO OI HIS BEHALF TO THE 717LE COMPANY. GOVERMENT& A99M AND LOOM NSB7U" U81ED HEREON. AND TO THE AMONEES OF THE LOOM Ns1RUTI0N.- `N .R.F. LOT 13 Map of a Survey made for PATRICK J. ESMOND & MARILYN A. CROWLEY Town of Queensbury, Warren County, New York .. ,�,�tipF NEyyyO ' EW C. s� Q- F ��� �•' MR, !-AND NO. I DATE IN 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: PATRICK J. ESMOND & MARILYN A. CROWLEY GLENS FALLS NATIONAL BANK AND TRUST COMPANY, IT'S SUCCESSORS AND\OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 DATED: AUGUST 28, 1998 DESCRIP77ON 1 "=30' S-1 SHM 1 OF 1 LEHLAND LOT 12 DWG. NO. 89423-12 RESIDENTIAL FINAL INSPECTION REPORT Office (518) 256 Buildingg Bc Cade Enforcement Date inspection request received: En .�r r Dept. of Community Development Arrive am/pm Depart+'" 'Town of Queensbury - 742 Bay Road Inspector's Initials �- = Queensbury, New York 12904 NAB PERMIT # ��} LOCATTON TYPE OF STRLJC DATE N/A YES NO COMMEWS Chimney Heightr'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. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulatar 18" a ve grade Gas Furnace shut--off within30 feet or to Iv of site Oil Furnace shut-off at entrance to ce ,area F'urnace/I lot Water Heater operat' - Relief Valve(s) installed Headroom, 6 ft. 6 in. stairs Basement stairs, 6 ft. 4 1 Handrail exterior stairs bo es more than 3 risers. Interior privacy/trim/doo main entrance 36" Floor Finish Bathroont/Kitche: atettigbt Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells Smoke Detectors• every level every bedroom outside every bedroom inter connected Bathroom tans Phunbing fixtures Foundation insulation 3/a hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing l 8" or le 81 oor Final Electrical j' Site Plan/Vanan­ce r Final Survey Plot Plan As Built Septic Svstern layout required �E�+4� !mac N4�- �v/2GE� Okay to issue +C/C (Certif. of Compliance) /4-5 � �� ter Okav to issue temp. C/O (Ccnif of Occupancy) Okav to issue permanent C/O tCertif. of ()ccupanev) �t� 4028769 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I BUREAU OF ELECTRICITY 1I I WASHiNGTON AVE., SUITE 7049 ALBANY, NY 12210 Date AUGUST 27 , 1998 Application No. on file 43506298/ 98 � - THIS CERTIFIES THAT PERMIT NO . 98231 A 1.." 5F37(A only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of THE MICHAELS GROUP LLC.' , 48 SARA JEN , QQ,I�UEENSBURY , NY in the following location; $_I Basement ® lst Fl, El 2nd FL GAR was examined on AUGUST 10 , 199t3 Section Block Lot 12 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCE FLUORESCENJI OTHER AMT, K.W, AMT. K.W_ AMT. K-W, AMT. E.W. AMT, H,P. 32 5_� 36 30 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC' UNIT PT. TFME CLACKS HEATERS MULTI-OUTLET .3 SYSTEMS � AMT. K,W. OIL H.P. GAS HIP, AMT, NO. A, W_ AMT. AMP, AMT. qM PS, TRRNS. AMT. DIMMERS NO. OF FEET AMT, WATTS 2 F 1 2 14 4 - 1 SERVICE DISCONNECT NO. OF AMT_ AMP. TYPE METER S E R V I ,C., E EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO. OF GG C4NR. A. W. G. w, W, G. F'ER CF CC. COND. NO, OF HI-LEG F/EU pF HI-LEG NO. [7F TRA LS DF NEC.IT'RAL 1 150 CB � 3t OTHER APPARATUS: 1 ' I0 1 1 /0 SIAOKE FOREVER. ELEC/BOEL ELECT . LIC . #2.03 ►ate WILLIAM D . MCPARTLON 2446 JAFFREY S * GENERAL MANAGER SCHENECTADY , NY , 12309 239 Per This certificate must not be altered In any manner•, return to the office of the Board It incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT.—THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL INSPECTIO'.N REPURI" Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road f y Arrive a Queensbury, NY 12904 ritttU�prrtDepart + ' Inspector's I(n'iitiah NAME: PERMIT * I LOCATION: DATE : TYPE OF STRUC RECHECK N/A 'YES NO COMMENTS Footings/Piers j Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour. Reinforcement in Place Foundation/Dampproof n Backfill. Approval Plumbing Under Slab Plumbing VentNenis in Place Rough Plumbing, Hsu ing Rough-ln Foundation Walls Interior R- Foundation Walls Exterior R.- Floors R- Walls R- Ceiling R- Duct work or piping, in unheated spaces R- Proper Vent, Attic Vent Frami Jack 5 n tu.d�s/Head�ers BracingMridgin Joist Hangers Sack Pasts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall. 2. 31 4 hour Firestoppmg r GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: e' d Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv . :am/pm Depart 1� am/Dm Dnspecto 's Initisls -- � NAME: RS xp LQCATICI PERlw12'I' 1� `" ��7 F-DATE : TYPE OF STRUCTURE: RECHECK N/ YES NO CO]NI11!IENTS Footings/Piers a 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/Darnpproa6 n Backtill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough. Plumbin 0,Hea ing Rough-In ,r ation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiiing R- Duct work or piping in / unheated spaces R- /Proper dent, Attic Vent Framing. Jack Studs/Headers Bracing/Bridging yst Dangers J Jack Poi#s/Main Beam 'hl z .A,ir Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping GENERAL INSPEC'TIC7N REP012T Town of Queensbury ived. - r �J g cA Dept. of Community Development Date inspection request rece Building & Code Enforcement 742 Say Road Deps rtl- ptn Queensbury, NY 12804 Arrive Insp ector's Initials y ' NAME: ATE LC3CATIClN: r`c �� TYPE OF S C I 1 RECHECK NIA YES NO COMMENTS Footings/Piers � ,l� �rP l�`9 7 ► \ � ! � S � �h`I'c Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 4$ hours f0110vftg the placement of the concrete- Materials for this purpose site FoundationlW all pour Reinforcement in Plane Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P ush Plutnbin 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 rr / o A) ' ming s-, .z s //ga Jack Stu+d.�IHea�ders 1� ' . ►� �-�`� �.l3�ctiW � CC- BracingBndgiu �'i ` �' '� 5 , Joist Hangers Jack posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour FirestaPpin TOWN OF QUEENS FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION--7REPORT REQUEST FOR INSPECTION RECEIVED / ^ /C] -�7c� i NAME LOCA14 Te P Cs DAT PERMIT # APPROVED N/A YES NO + EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. E TINGUISHING SY M HOOD i STALLATION AUTO. SP KLER SYST ALARM SYST INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEYE �T � W OODSTO V E FIREPLACE - MASONRY I FIREPLACE - FACTORY BUILT 1 REMARKS: OK TO THIS DATE 9 1 { INSPSUPRUB INSPECTOR ' Tear F D QUEEIrsa3uRY BUILDI1NG & CODE ENFORCEP"T 742 Bay Road Queensbury My 12804 (sxs) 76I-8256 SEPTIC DISPOSAL SYSTEM IINSPECTIOr Name Location --- ' Date PeY�i r SOIL TYP - Clay~ Resu7 is of P rcol ati.on Test- ( if applicab e ) Rate-Minute/I ch TYPE OF SYS ABSORPTION FI LD: Total Length ! Length of eac trench t Depth of trenc es Size of stone - SEEPAGE PITS : tuber- size _ , . f x f Stone size BPIPING : Size ype g . to Tank .r Tank to Dist . Box �, v Dist . gs to Field/ ` t ��� Openings Seal ed ? o a rt7 a LOCATIONr/SEpARATI Foundation to Tank �� feet Foundation to Absorpti feet Separation of Pits feet Conforms as per Plot Pl -`-"`es LOCATION OF SYSTEM ON RO ERTY: ( circle one ) Front - Rear - Left e - fight Side Middle Fron CO - �, , ►� C. LA SYSTEM USE APPROVED: YES Arrived Depart a. i di rig s ttrr i s Clemente Latham Concrete Corp . 40 River St., P.O. Box 448 Bus. Ofc. 270-1767 Troy, NY 12181 -0448 Dispatch 272-5750 G TO k Cr op 3 O 40� Sep C� GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Load Queensbury, NY 12804 Ar-rFve�arrdpm Depart ,� prn ~ Inspector's Wtial�___ �`� NAME: [ ,1~. Q PERMIT 4 c; 3 LOCATION: }}�i DATE : 2 TYPE OF STRUC RECHECK ti NIA YES COM14lENTS Footings/Piers_ I Monolithic Pour Form Reinforcement -n Place The contr.tcto is responsible for Pro" prat ion from freezing for 48 hours fol I -ng the placement of the concrete. Materials for this purpoise on si Foundation/'Wal ipour Reinforcement in Place Fo dation/Dampproofing Looffackfill Approval Plumbing Under Stab Plumbing Vent/lr'�nts in P Rough Plumbing_ Healing Rough-lr Insulation _ Foundation W aIls Int 'or R- Foundation Walls Ex rior 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/Ma i n cam Air Infiltration E3 er Fire Separal� `1 , 2, 3. hour Penetratitrl[Caealed Fire Wall 2. 3. 4 hour Fi restoppi ng C\ al GENERAL INSPECYIOIN REPf7RT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road _--- Queensbury, NY 12804 Arrive "? ann/pm Depa anVptn Inspector's Initials NAME: U"�7 PERwr # LOCATION- , . DATE TYPE OF STRUCTURE: - RECHECK NIA YES O COMMENTS Ungs/Piers I Monolithic Pour Form Reinforcement in Place The contractor 's responsible for providing pro inn from fr g for 48 hours fnl wing the pl me of the concrete. Materials for this pu site Foundation/Wallpour Reinforcement in PI Foundation/Damppr fing - _ Backfill Approval to t�l Plumbing Under Slab �Tf`'-�' Plumbing Vent/Vents in Place Rough Plumbing Nesting Rough-In Insulation_ Foundation Walls Interior R- Foundai ion Walls Exterior R- Floors R- Walls R- Cei ling R- Duct work or piping, in unheated spaces R- Proper Vent, Attic Vent Framing 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