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98-352 CERTIFICA►.TE CJF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK March 22 99 Date t 9 _ 98352 This is to certify that work requested to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a 39 NORTHWOOD DR * Location cNvt+er DICKINSON , MICHAEL TAX MAP NO . 3 7 . - 4 - 2 . 51 By Order Town Board Town OF QUEENSBU er Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No. TAX MAP NOa 37 . - 4 - 1 . 51 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to DICG F"T• OWNER of property located at r NOR Street, Road or Ave. in the Town of oueensbury. To Construct or place a SINGLE 7tAHIT Y DNRT T TNi , 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 Oueensbury Building and Zoning Ordinance, 1. OWNER'S Address is 11 HERESFORD LANE QUEENSHURYr NY 12804 2. CONTRACTOR or gl ILDER'S Name DICKINSONr MICHAEL 3, CONTRACTOR or BUILOERS Address 4, ARCHITECT'S Name 6, ARCHITECTS Address 6, TYPE of Construction — (Please indicate by x) SINGLE FAMILY DWELLING i wood Frs w I f IlAasonry ( I Steel ( I i. PLANS end Specifications 20 :y§. sq rt SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER. PLOT PLAN SPECIFICATIONS $. Proposed Use SINGLE FAMILY DWELLING 257 June 24 2000 S PERMIT FEE PAID THIS PERMIT EXPIRES , 19 III a longer period is required an application for an extension must be fnede to tM Building end Zoning inspector of the town of Chaeansbwry before the expiration date.l 24 June 1998 Crated at the Town of Queensbury tth�i`s��_ 'Day of 19 SIGNED BY for the Town of aueensbury BOW rgand ZOMAV In�eaor Building Permit .19pplica ion Town of Queensbury - Dept. ofComtnunity Development, 742 Bay Road, Quev sburv, NY 12804 1761-82561 BUILDING & CODE ENFORCEMENT N,OTI�£ Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FIGS N4. 4ovw000l beginning construction. No inspections PERMIT FEE PAID $ -� will be made until applicant has received Ll � g Board ` cdon a VALM BUILDING PERMIT. All Area I Usc RECREATION FEE PAID $ applicants' spaces on this application MUST be completed and the signature Pkwnirrg Board Action REVIEWED BY- of the applicant must appear on the SPR t Subdivision 1 Other Building ItLywrrnr @Pphcation form. now& y. Recreation Fee Payment .Applicant: AI� Owner: p: l�'c' lr.,�utlS+r�✓ Address: I J`t'�►IG .aJI�G " /4� Address: Phone # Phone # Property J.ocation: IV �iltyoc, +s.G ' • + MC�a { ♦ S Fax Map Number Subdivision Name: a�•�T Section F31«ck i :nt NATU OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Bu CONSTRUCTION : $ e / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial towoo ' Single Family Dwelling - Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Ju� $ other Work. ( describe below ) Mercantile IM Manufacturing j� Other GROSS AREA OF PROPOSED STRUCTURE : /ems / l If ADDITION , what will use 1st Floor . . . . . '+'` _ Cl sq - new. addition bE, � 2nd "r' 1oor . . . . . . . ly sq . Et . Other Floors . . . . . sq . ftoZ947 — ( not unfinished cellar or basemen j ACCESSORY 'BUILDINGS % �7CJ� Detached Garage If Z car TOTAL FLOOR AREA. : 00AP S•�_ • Attached Garage 1 , C:� j_ Private Storage Building S T Z E OF NEW STRUCTURE : Commercial Storage Building Other 3 - FEET X g FEET Foundation Type : V G Will any second- hand or ungraded Lumber of Stories : �- lumber be used ? �rflof for what . ( habitable space only ) 8zo .s Height ( grad !: ldge ) : feet TYPE OF HEATING SYSTEM : Number of re lact� and/ or waodstvvc ( circle all which a lies ) to be insta _. .. � Electric / Oil / as Wood Forced Hot Air / asebvard / Other Person rr3spon ible fo supery Sion of work as regards to building codes is : _ LttKe i t6* e &Si Name Addresss Phone Builder : Plumber : Mason : Electrician *•• DECZAF,A710N, 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 authorised by the owner. Further, it is understood that 11we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licenseed surveyor; drawn too/sct aie, showing actual location of project on premises. Signature: _ ( ya��.=r�'Ar caner, ownernt, architect, contractor) Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No. { r ` } Dept- of Community Developmeat Building & Cedes office 742 Bav Road Fee Paid $ Queitnsbury, NY 12804 Location of property for installation: A�ales7� l�3aoiQS + b Property owner's Name: "t e iGi�S o Property owner's Mailing Address: /I f '!CC S rja,x A) g6 $Le Installer's Name: +U Phone # 7jr Number of bedrooms (if residential) : Total daily flow: (residential - compute Qa 15)0 gal.fbdrrn.) Topography: -OW'flat, rolling, steep slope of slope Sail Nature: sand, loam, clay, other I depth- {Ground water: at what depth?faQ. feet I Bedrock or Impervious Material: at what depth? _ feet Percolation test: ✓ not required, required [ rate mire. per inch ] Domestic water supply: Zmunicipal2 well, other If domestic water supply is a WELL, water supply frorn any septic absorption is feet. PROPOSED SYSTEM Septic tank: 10j2 gallon (i mum size: 1 ,000 gal.) Tile field: each trench k feet 1 Total system length: feet Seepage pit(s): number of / size each: ft- by h• Size of stone to be used: # 2� J depth or thickness feet HOLDING TANK. SYSTEM: (if required) Number of tanks: Size of each: gallons PSar�n system and associated electrical work to be inspected by a cartified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is Erased upon or is granted in reliance upon any material misrepr"entaiion or failure to make 8 material fact or circwnstanca known by or on behalf of an applicant, shall be void. i have read the regvlatiom with respect to this application and agree to abide by these and all requimments of the Town of QudLensbury sanitary Sewage Disposal Ordinance. ,.� '" Signature of responsible person: �s� .�.r /." L)ate: J? � ,/!�"~ " TOWN OF Q UE.E.N►S.B URY 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date ! t 919 L Permit No." � _ Ck 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 andlor chimney. �a . Applicant j IOU !G )' /ALsav APPLIANCE ( check appropriate boxes) Address )Jo r TAwood 401Q + ❑ STOVE : o Wood ❑ Coal ❑ Pellet ❑ Gas ❑ FIREPLACE INSERT Zip r 2 4u tl GO FIREPLACE, FACTORY-BUILT: 7 3 � ''f �c� Q4 Wood ❑ Gas Phone Cl FIREPLACE, MASONRY: Owner Id f ❑ Wood ❑ Gas / Ow - ❑ FURNACE: ❑ Wood ❑ Gas ❑ Qil Address IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model : Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction �, ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone 11 FLUE: ❑ Tile W Steel Size: inches CONSTRUCTION / INSTALLATION MUST If FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall d(Triple Wail REGARDING REQUIRED INSPECTIONS. ❑ insulated ❑ Direct Venting ❑ Chimney Liner r 3 Cashier's Department Town of Queensbury, New York Dept : Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 ( 190) Public Safety �� f A 233 2655 (230 ) Miner Sales Fee Collected From or Refunded to: C) Address : Dated : Town Clerk or Depu y: White: Applicant Green: Fire Marshal Yellow; Bldg. Dept. Pink & Goldenrod: Cashier's Dept. i ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURYt WARREN COUNTY r J 9000 HEATING DEGREE DAYS Cortiollance Methods : PART 5 - Acceptable Practice MethQW14 8 1998 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 APPL I CA- T ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - t77a1,e square feet 2 , T—v-oe of Heat - Electric Coil Gas other 3 . Is building mechanically cooled ? 'ices — x No 4 , P = rcentage of area of windows and doors Over 17 % Under 17 � 5 . R. -VrLUES FOR ZNSULATION GIVEN BEILOW MUS CORR.ESPiOND TO R-VALUES AS S _aWNT ON PLANS SUBMITTED : R a . Roof b . Exterior Wells R ^ c . Glazed areas R d h Exterior doors R e . doors over unheated spaces R Edge of slain on grade ( heated building ) R C . Basement / cellar walls ( above grade ) R .. _ . 3asement / cellar walls { below grader R Heating/ coo _ ing- ducts -piping in unheated space R 6 . Ser-vzce ( domestic ) hot water- heating device C0 _1forms to mi n ; mur. e "'C ' ency per code ✓ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED UMID +G4= � ' Phone N IItiSP El S R_"14ARKS . TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 C {518) 761-8256 J f ARRIVE : DEPART : R ' INSP : FINAL INSPECTION REPORT — RESIDENTIAL DATE INSPECTION RE��QI1U�ES`i' RECEIVED : NAME L(J C=A'I' ION ( CJ,ef ,TL-r`)CJrCI'�'E_—+' . . . DATE'' PERMIT I J G " 'CYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE y N A YES NO CHIMNEY HEIGHT VENT/HEI AllVENT/HE PL10MBING VENT ROOF I N EX ER OR FINIS DECK PO H STEPS LIN S RE F VALVES FURNACE 110 WATER OF IMG INTERIOR TR M PRIVAC DOORS FINISH S • BATHZKITCUENWRT TIGHT OTHER FLOORS SWEEPA LE OTHER FLOORS CARPETED STAIR CLEARANCEIRAILINGS SMOKE DETECTORS - BAT31ROOM rANS PLUM INC. FXXTURRS FOUNDATION I ULA ION GARAGE F E PR. OFING LOOK LOSE S F E ECTR C L STK RN VA IANCE REQ. F SU V T LAN O S C OR C .< v.2 vC m p�� L W �b�e ui �✓o` 3 aG � C �` Q � � L tie i cb_z oLij o g o Q a o h �yoz3ly ~\` J\ a� q om o � Q3uc��oW 2. p V W � 3 � �/1Ia'Q Ctoo/r�h'1a't�JV ` o`Q�"F o CZ) vz W ns ;6/ ;zo _-----------+ O ° � �� W as II � � o °�ti ,�•sz � ( � Q W © R O Cz �6�12SG� O/�"G7'�"df •b b'id't 7,')I �o ./V.A'dJ 1�Qr �656�19%� d.�6'aM ( 7 �?,�i �� � 4! Q \ 0 � ' I I RESIDENTIAL FINAL INSPECTION REPORT /PL`'` Ciffice No. (518) 761-8256 Bate inspection request received- J `rf "99 Building & Code Enforcement ' — Dept_ of Community Development Arrive am/ptn Depart Town of Queensbury Inspector's Initials 742 Bay Road Qlueensbury, New York 12MM ft4„6414eL � NAW4 PERNUT # to 3 S� I.(7CATION DATE :5 - ze'a TYPE OF STRUC`I'UR.F N/A "�"! No c"N 'I'S Chimney Height/"F3" Vent/Direct Vent tion Fresh Air Intake v Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railingsi 3 " to 36" VExterior Handrails, balconieA landing l in. more ri Inteor Handrails stairs both 'des 3 or- ore `sets (Trade .1% away from fc)undatto 8" clearance to sill plate Gas Valve shut-off exposed/regulator 8" above grade Gras Furnace shut-off within 30 feet or within line of site Oil Furnace shut--off at entrance to I" ace area Furnac4l, 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 m e than 3 risers Interior privacy/trim/doors/main ent, ce 36" qf� Floor Finish Bathroom/Kitchen watertight �} 4615 interior I-itutdrails Balconies/Landing 18 in. or more t D I AJG-;P/ � p,n1C�C•-- '} f �f Itailing across window in stairwells Smoke Detectors t> (V2, every level every bedroom outside every bedroom- - interconnected. Bathroom fans Plumbing fixtures oundation insulation /3/4 hour fire door/door closer vz y �iarage fireproofing 4iarage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room ,Falety glazing 18" or ie s froVn floor /Final Electrical -7 r-Kt n . ,r tte Plan/Vanance required ,/F trial Survey Plot Plan As Built Septic Svstern layout required Okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/O (Certif. of Occupancy) Okay to issue permanent Cif) (Certif. of 0cc:upancN ) FIRE, MARSHAL -TOWN Or. OLIEENSBURY QUFF Arm& .t4SBURy, t4y 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # q&�j�ir� NAME I 04 ,6f4ffr Aldvgg LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED NIA YES f NO EXITS -------- AISI-EWIDTHS EXIT-f SIGNS EMERGENCY LIGHTI FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM S FIRE SuPPRESION SYSTEM,' HOOD tNSTALLAT'ON INTERIOR FINISHES STORAGE: -to SPRINKLERS CLEARANG -fo HEATING UNITS CLEARANC REQUIRED SIGNAGE CHIMNEY 17D STOVE F E"CE - MASONRY REE PLACE - FACTORY BUILT OK TO THIS DATE REMARKS' INSPECTOR RESIDENTIAL F NAL INSPECTION REPORT r Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept, of Community Development Arrive anVpm Depart 1 Town of Queensbury inspector's hutials 742 Bay Road Queensbury, New York 12804 car NAME I�La C*ef PERMfr # +'4' LOCATION 1[ RT, t ., sere{] DATE "` /00 o y 9 —_ TYPE OF STRUCTURE NIA NO COMMENTS ° Ze Chimney HeightPWI VentfDirect Vent L.canon Fresh Air intake Plumb Vent through. roof Roof Complete Exterior Finish Complete lntcrior/Exterior Rai s 0" to 36" -71 Exterior Handrails, balconi landing 18 in. or moreN Interior Handrails stairs bo sides 3 or more risers Grade 2% away from founda n 8" clearance to sill plate Gas Valve shut-off expo sedlre�ila 18" abov grade Gas Furnace shut-off'within 3Q'`feet or wi me of site Oil Furnace shut-off` at entpifice to furnace area_, _ Furnace/Hot Water Heater operating_ Relief Valve(s) install+�+3 Headroom,. 6 ft. 6 im/on stairs Basetnent stairs, 6 tt- 4 in- Handrail exterior stairs both sides more than 3 risers Interior privacy/tiimidoors/mam entrance 36" Floor Finish ] BathroomlKitehen watertight Interior Handrails BalconiesJ'i..anding 18 in. or more Railing across window in stairwells ; Smoke Detectors: �tJ every level nl r`'i} r2z'Ur every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixture )3c�5z Foundation insulation a/4 hour fire door/door closer - Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per mom Safety glazing 18" or less from floor *— Final Electrical =..� Site PlantVariance required Final Snuvev Plot Plan / C> U'p V i As Built Septic Svstern layout required Okay to issue C/C (Certif. of Compliance) _.. Okav to issue temp. C/o (Certif. of Occupancy). Okay to issue permanent C/O (Certif. of Occupancy) GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart a�lpm Ina 'a Initialsc ] --�" NAME: 10 tC(mo[ A� 54A.) PE # [ --- LOCATION: DATE / r TYPE OF STRUCTURE: RECHECK N/A YE NO CO11CV1ENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dam pproofang Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Znsu gh Plumbing eel/tang R.ough4n lation O Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- ql 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 IMSPECTI DN REPO RT Town of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement of 742 Bay Road 71 Queensbury: NY 12804 Arrive am/pm Depart asn/ Inspector's In( t�ials NAME: C (C �/S CX) PE # - f D " 5 LOCATION: DATE 3` TYPE OF S CTURE: RECHECK NIA YES NO OMMENTS Footinp/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 4$ hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproo5n Backftll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rou Plumbin tang Roughen ation V. Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping, in /r unheated spades R- ,f4per Vent, Attic Vent Framing Jack StudslEleaders Bracing/Bridgin Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3. hour ti Penetration. Sealed Fire Wall 2. 3, 4 hour Firestoppm GENERAL INSPECTj0N REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code >Enforeement 742 Bay Road r Queensbury, NY 12804 Arrive am/pm Depart 1 amlpm Inspector's Initials NAME: PERMIT #'E LOCATION: 65 ' DATE : ? 7 8 TYPE OF STRUCTURE: RECHECK. NIA YES NO COMMENTS FootingsJPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the ment of the concrete. Materials for this purpose on site Foundation/Wall Reinforcement in Place Foundation/Dampproafitn BaGkfill .Approval Plumbing Under Slab Plumbing Vent/Vents in Place )lough Plumbin PJeating � n r J Lnsulation 0 [0 Lc �< - p Foundation Walls Interior R- Foundation Walls Exterior R- A u_ 1,.=ti & 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 luliltration Barrier Fire Separation 1, 21 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppi n GENERAL M6SEEOUON XUBQRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart/O ` wpm ,��''�� MIT Inspector's Initials NAME: lot G t rL) S D n) PER # _�i L �"2Jj LOCATION: A2e,e N o ] k' DATE : -�5 TYPE OF STRUCTURE.: RECHECK NIA YES NO CON4MENTS FootingslPiers 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/Wallpaur Reinforcement in Place Foundatiolroofi Backfin Approwk Plumbing Under S Plumbing VenUVents in lace Rough Plumbing Heating Rough-In Insulation Foundation WaIU Interior R- Foundation Walls Exterior R- Floors R- Walis R. Ceiling, R- Duct work or piping, in unheated spaces R " Proper Vent, Attic Vent Frarnin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts(Main Beam Air Infiltration Barrier. Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall2. 31 4 hour Firestoppin,g GENERAL M rPE '�'IO'.�J REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement } �t�n u Bay Road De art // ' � / Qeensbury, NY 128t14 Arrive �� p" ((�� i inspector's Initials NAME: C l C VI I A) �.,,t� PERMIT # C LO ATION: _ ..�cs r `wsd� 1 _ DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible fib providing protection from iutg for 48 hours fol ng the me t of the concrete- Material L si Foundatipour Reinforc PlaceFoundatippr 9 BackFill l Plumbing Under Slacks Plumbing vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- W alls R. Ceiling R- Duct work or piping, in unheated spaces R- Proper Vent, Attic Vent Framin 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 Firestoppiu GENER-4I- iNS'PECTION IMPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ' ant pm Queensbury, NY 12804 Arrive arnlprn Depl uspectoes ]ni s i r PERMIT # NAME: ue5 d -�' l LOCATION: /rJ�a ']a! wcy '1 •�' • DATE TYPE OF STRUCTURE: RECHECK N/A YES Nfl COMMENTS Footings/Piers Monolithic Pout Form Reinforcement in Place The contractor is responsible fox. providing Proton reezxng for 48 hours folio the 1 t of the concrete_ Materials for this se on site FoundationlWalI Reinforcement i Place FoundationlD n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough4n 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 PostslMain Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL IN.4PECTl N7 REPORT Town of Queensburyf(,) , ' Dept. of Community Development Date inspection request received: _ Building & Code Enforcement 742 Bay Read k Queensbury, NY 128€14 Arrive am/pm Depart Ir psN_ nm f Inspector's Iaitials '• f k' •+� NAME: IC1�,1f1'el'�, .. _ PERMIT # LOCATION: _ - _ ! �i�d Jd D7 DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is respo le for providing protection from for 48 hours following th aoement of the concrete. Materials for this purp on site Foundation/Wallpour, Reinforcement in Place Foundation/Dampproofing. B,ackf ll Approval Plumbing Under Slab Plux9bing Vent/Vents in Place R.06gb Plumbing reating Rough- im Usulation ....- Foundation Walls Interior R- / Foundation Walls Exterior R- ! -c yS UG Floors R- Walls R- Ceiling R- Duct work or piping in unheated Spaces R- per Vent, Attic Vent Framin jpdk Studs/Headers racing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 37 4 hour Firestopping GENERAL k 'f17EEtr.lt l7.Lir.t l/ Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ''- Queensbury, NY 12804 Arrive ani/pm Depart ` '� WPM inspector's batisis NAME: t hh JtG [,r,RSt"y PERMIT # o 3 S~� LOCATION: Cuelz)40 /24> . DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsibl or Providing pro -on from g for 48 hours foil wing placeme of the concrete. — N5 Materials for this on site lroundaii41) allpour Reinforcement in Foundatio Back6n Plumbing Unde Slab Plumbing Ven eats in Place Rough Plum4in tpe(ating Rough-In r � nsulation " CJOi .s✓yf . � Foundation Wails Interior R- Foundation Walls Exterior R- "` Floors R- Walls R- Ceiling, R- Duct work or piping in unheated spaces I?roper Vent, Attic Vent ramin Jack StudstHeaders BracingtBridgirx • i 4�� 1L7 '4� } t f2r � �ntN Joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1 , 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement ' Z Arrive am/pm Depa� 742 Bay Road � + Queensbrury, NY 12804 , Inspectors initials NAME: 1 c[,�r ry'S �1 PERMIT # " LOCATION. it.lyR22Z42eV A=) DATE : I � TYPE OF STRUCTURE: RECHECK N/A YES NO CONUVMNT'S Foo iers 1 1 1 Monolithic Pour Form Reinforcement in Place The contractor is responsi le for providing protection from ing for 48 hours following the t of the ooncrete. Materials for this purpose on site Foundation/Wallpour ASS i� r4R . � L1hiC� Reinforcement in Place Foundationl Da mpproofin Backfill Approval Plumbing Under SlabZ. Plumbing Vent/Vents in Place gh Plumbing Ieating Rou -In .'tK I'A-GL ` I Gi' r� c r nsulation Z--- Qt� Cj5r j L, A.CC Foundation Walls Interior R- Foundation Walls Exterior R- �, , ,xf5 �^• � �"� '� - Floors R- l Ceiling R- Duct work or piping in �.w. unheated spaces R- VFrar Vent, Attic Vent Nu 6FA e nun Jack Studs/Headers �.•cC-irtif+� � \,,OracinglBridgin 1 joist Hangers N 5 7 a c ►Eli.C?l ��� -1 e> 105 i '`� .':S jack PostsfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestopping GENERAL INSPECTION REPQRT Town of Queensbury Dept. of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart I ] Inspector's Initials,l NAME: - t lli.`��sIP1Y^r PERMiT # U al 3 LGCA-110M DATE TYPE OF STRUCTURE. RECHECK NIA YES NO COMMENTS FootingsJPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for provi g protection from freezing for 48 ours following the pi t of the co Materials for site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo Bacld 11 Approval Plumbing Under Slab jPlumbing VentlVents in Place ' Rough Plumbing, � c Heating, Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duck work or piping in unheated spaces R- ack Atti Vent '� Stu4s/H ka - 7.a Bracing/Bridging t-� ' Joist Bangers „ '. IEU I /C C /4 Jack Posts/Main Beam Air Infiltration Barrier. Fire Separation 1. 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour. Fire:stopping GENERAL INSPECTIUN REPORT r� Town of Queensbury ► Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road / [ Queensbury, NY 12804 Arrive am/pm Depart ar`) am/pm Inspector's Initials NA1V�: PERMIT # ' L LOCATION- DATE ; ) — cAf 'R TYPE OF STRUCTURE: ,... RECHECK NIA YES NO CC311RMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from free-ring for 48 hours 'following the place t of the concrete. Materials for this purpose, on site Foundatio=F Reinforcement in Pl Foundatio BackU Approval Plumbing Under Slab Plumbiniz Ve t}ts in Place Heating Rough-In Insulation �'��' f 5 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R,- Duct work or piping in unheated spaces R- F'ra ent, Attic Vent Its Jack Studs/Headers lvpr*et<- Day. 3q K �T++� �° ' �a�"t� X7"� , Bracing/Bridging. -��.�T � Pi4f ff Aj<�* ►��, Joist Hangers Jack Pasts/Main Beam � �S A�OplrIOAjqe., Syvfa j.�or..t , JZ+a.• ��i-r_[ Air Infiltration Barrier Fire Separation 1, 2, 3, hour It �►? '`+G' . '', Penetration Sealed � 'S 7"rK� ACIE' ( Y!'fis�4s Fire Wall 2, 3, 4 hour i 'fF-� t AvZ C7 t.N'C't Firestopppin roWN OF QUEEt FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 i FIRE MARSHAL. INSPECTION REPORT ' REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # APPROVED q EXIT$ N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING !r ! FIRE EXTINGUISHE a AUTO. EXTINGUISHIN YSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYS'fl p, t INTERIOR FINISHES STORAGE. j CLEARANCEv TO SPRINKLERS J CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTO VIE FIREPLACE - MASONRY FIREPLACE . FACTORY BUILT REMARKS: OK TO THIS DATE �I 1p iNsPsup.POB IN ECTOR k TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Say Road Queeilsbury NY 12804 j (518) 761-8256 SEPTIC DISPOSAL. SYSTEM INSPECTIONI � Name r Location ++�� Date , � P e i t # t.+ SOIL TYP Sa ay- Results of Percol ati n Test- ( if applicable ) Rat Minute/ In h TYPE OF SYSTEM: ABSORPTION FIELD: To al Leng Length of each trenc Depth of trenches Size of stone SEEPAGE PITS : umber- f t . Size - ft . x Stone size PIPING: i4 S1 z pe� Bldg , to Tank � -T { k Tank to Dist . Box Dist . Box to Field/Pi li> f Openings Sealed? Y S p Partia LOCATION/SEPARATIONS feet Foundation to Tank feet Foundation to Abso tion fe Separation of Pits LOCATION OF Conforms as S er l YSTE ONPPROPERan . e Ec ( circle one ) Front - Rear - L ft Side - Rig t Side Middle Front ear COMMENTS: I I SYSTEM USE APPROVED : YES CEC; Arrived : ., Depa Building Inspector ro5 � ti tr- tnv] t,rs r6 �r GENERAL INSPECTION REPf'7RT Town of Queensbury DepL of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road It Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initials zo NAME: ( A^e"1 � PERMIT # i'C ) '" LOCATION: DATE : ��"s 3 TYPE OF STRWTURE: HE RECCK ✓ NIA NQ1 COMMENTS 400 inV/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsib a 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/Dampproofin Bacicfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Braoing/Bridgin Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT Town. of Queenshury Dept. of Community Development Date inspection request received. Building & Code Enforcement , 742 Bay Road Queeusbury, NY 12804 Arrive amlpm Depad� Pm 1� Inspector's Initials NAME: \ PE # 1 - LOCATION: DA —t - 1 '7 _�t TYPE OF STRUCTURE: RECHECK N/A S N COMMENTS tingsfPi ! Monolithic Pour Form Reinforcement in Place • j 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/Wallpourr, Reinforcement in Place Foundationliampproofin Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbic 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, Attie Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack PostsNilain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2. 31 4 hour Firestoppin GE LNSPEC ZM REWW81 Town of Queeasbury DepL of Community Development Date inspection request received: Building & Cade Enforcement 742 Bay RoadU` Queensbury, NY 12804 Arrive am/Pm Depart Inspector's Initials NAME: � �'`� LOCATION: D TE : TYPE OF STRUCTURE: RECHECK N/A YES NO C NfMENTS FootingslPiers � 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 FoundationlWallPoaur Reinforcement in Place Founds n/DamPProofing_ L. 11 Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough-ln insulation Foundation Wails Interior R- 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, 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour FirestoPPin GENERAL MaEECTION REPORT 3 P Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement (� 742 Bay Road + C - Queensbury, NY I280�1 Arriv sa Tn Depart . -spector's Initials r NAIVE, :.2 k7 i \ l-iriSLrL1 L /P LOCATION: r DATE TYPE OF STRUCTURE. ��- RECHECK N/A YE NO COMMENTS tings/F'iers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from, freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Plabe Foundatiox>rDarnpproafin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents i lace Rough Plum Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracmg/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestop}ain