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98-480 +CERTIFI.CATE OF OCCZTL'' A�l'� C�' TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK November 3 98 Date 19 _ 98480 This U to certify that work requested to be done as shown by Permit No. has been completed. SINGLE FAMILY DWELLING This structure m y be 422 occupied 7 ARAas a JEN DR . Location LOTMICHAELS GROUP Owner TAX MAP NO , 7 4k . - 2 - 4 2 By Order Town board TOW r4 OF QUEENS9URY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE S 167900TOWN OF QUEENSBURY TAX MAP NO . 74 . - 2 - 42 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to NIC OWNER of propet'ty located at SARA—J Street, Road or Ave. in the Town of Queensburya To Construct or place a 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 Queensbury Building and Zoning Ordinance. t, oyVNE R S Address is 1810 ROUTE 9 LAKE GEORGEr NY 12845 . CONTRACTOR w gUILOER"S Nana MICHAELS GROUP , INC . 3 CpNTR 11% or BUIL.OER"5 Add►*m JIM CHANDLER , PROJECT MGR 1810 ROUTE 9 LAKE GEORGEr NY 12845 IIIIIIIIIIIIIIIII III WARM....... A. ARCHITECT'S Nam* NEW YORK BOARD �I ' i� i RD OF FIRE UNDERWRITERS IPMIIIIII g. TYPE of Camstruction — (Pumme Indicate by X1 SINGLE FAMILY DWELLING I ) VVood Frame 11 Masonry i 1 Suer I ! 7. PLAN5 and Specifications 2714 Nqq tt SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOW PLAN SPECIFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING 333 August 6 2000 Is PERMIT FEE PAID — THIS PERMIT EXPIRES 1f3 (if a longer Wr is raquirad an application fw an axenston t must be meda to the f;uildInfl and Zoning inspectar of the town of Oveansbury before the expiration dote.! Cl 1 $ 6August Dated at the Town of Queensbinry this Day of 19 for the Town of Queensbury SIGNED BY gyitdirg and zoning insPUS" SEPTIC DISPOSAE PERMIT Location of Property for ittsiallatiotl: L{ 1...-��`] -�` ;�'� _ 1—'"K' , rs,.�„�I-r racs .,.s13 �Iz QGv:ter' s Na tile : _ rit2 ,tii ; ^ ittt ^1L5 GhCtx � . L1_C_ hdclt` e55 : I 7 R2t ' n 9 f 2 hZ y '� �f xnSta11er' S Nalite' F.uz an Exc��vatZiiu 1'I;1: 1'r"yIIJ Pltvtie ( ) 13 - a39 - uQ3 ---- NunJ%cr or bcdroottts (irresic!crttialy: 600 Total daily flaw (residc:dial - cc-Mputa rU 15o gal. par bee3retom) . Topography. Crlat r_� hulling = stccip S1017a ° + Or SI41I1a Scat N;A*Wre Sand IMatla Clay Other '/Ucptb- %ground Water: ae What depth? vf� Cect Bedrock or lnzperrious Material : at tvilat depot? Cect Parctaiatia$1 Tast: hoot itcquircd `� IiecluiradIitatc Z e11'tn. per inc'.s L)cntsc'stic Watcr Sullpiy: Nluuicii-ai Well Q other If daattcstic water surlily it a ='+' f :i l : water supply Croon any septic allsorpuatt Is Ccct pn'Opost- J SYsvr;AAm : Septic tams. 1 25a gal. (nrixtzzxlutn si:.c; 1,000 gat.} i Iilc Meld- cac'.t trenc:x rent. ! total s)stcatt length 2 T G rect. Seepage Pit(s ) : nurnlscr oC N/ / sine escfl; Ct. t Ct, Siac aC stone to be used: # 2 SA'.0 n e / detail or thicktscss rent. 11 (JI..I) 1NG •1•ANK SYS'I'L"• ht : (ir required) NurtalTar of larks: 'Nf A size or each: gal • lllurrn system +and associated electrical work to be inspected by a certified agency. For your protection, please note that prrrsucrrtt to Section 136-29 of the Code of the Town of i Qateensherry , any permit or opprovat grarited which is based a+ pan or is granted in reliance itpore arty ►material rrtisrepresarttation or frilt+ rG in rrrake a irealerial faet ar eirctrrnsdartce kraerzurr by or Ott = behalfofara applicant, shall he void. I herve react the regulations +1'irle respect to ilri.r cipplicatiou acid agree to " nixie by these aatd e111 recitt ire rracrtisafiheTOIv11 of (]taeeIt.sha+ ry Sanitary .5eavage 17ixposxrIOrelinaaneel [ , Sivnerf ere o rres0oaasible 17CrSOW _ � Vote: 4 bed home Application 7'01vil of Q1Iee 1,5bury - mvr. .f cntrttrinniry Uevrlolone"r, 742 Bay Road, Qaeensbury, NY 123W 1761/111 BUILDING etc CODE ENFORCEhIENT Kcc}tlileniews pl-ior to issuance PEORUIT FILE NO. of this perilut: A penlsii 111115t be t,I"ilicd 1wrore Y -- Prrj IT FE4E PAID beginning collt fllchVll. No inslxxtitll,s U 7trrtirrg I;rear d. A( liurr will be rttrteTc tnitil nl+Inlicnrtt Inns lee eiveJ Awn IFUS0 RECREA77ON EIb 1 x $ n VAI_IT) 13UILIANO l'i3I2hS1I'. Afl nlri,licnnls' Spaces oo lhis ly+iplicnliorr MUS•1' w contltictcci nail• tha siglsnlurc [� Plartrrlrrg I.kalr rl Acllar! RCVlGSNIsU l3I: Nurrdir,g L�rpccrar of ilia npplicanl mull nplxrrlr em the SI'it ! Sul,afivisiolt 1 UUlcr ipplicntir�u fl3rrll. 7h .,My.nc Itecl4:ntltllt I'cc Payment T1t1? �I.t�clr.cteC3 (3rtrrul�, 7 ►tc . Glwnvr: Sartre ,+\pl,licnr+ i: 1lticlress: 18lQ 1�' vta.Le 9 Lake Geurl. P , NV 128.Ai5dr"s: l'11ouc # ; 1 F 668 - 3316 11110nv - property Location: �`� i._ � ' ` Tax Map Nunitter. Sulrciivisicrli Ntullt : Scctivlt Block 3 nt 1tATUItE 4T pnopOSED WORK ! ESTIMATED MARKET VALUE OF THE New Bu i ld.i. 11g cONSTRUCTlON : residence f colnlnercial 1ldctiLi_vrl to 13ttiltliny : OCCUPANCY INFORMATION r. eslclenoe / commercial Prilnrxry DUA. lding R1LeLrti. i-crll Lca Utlicoeiinie X single Family Dwelling residence f coruttserciai Two Family Dwelling Res i.deltce / cornmerc -tat Family Dwelling —� Ito change to exterior size office Mercantile other work ( describe below ) Manufacturing ^� Other G11U5S AREA Or I?itUPOSED STRUCTURE :Iv`� � if 1t,1 DITION , what will use 1sL Floor . . . . . . . . (— � — sq • ft . r ��., of new addition be7 2 rtd .Floor . . . . . . . t �2 sq . f t . t U? N/A Other a: loors . . . sq . ft . ( not unfinished cellar or basement ) ACCESSony HUILI] XH0S ! - ar Detached Garage 3 , Attached Gara SCZ . F"1' . -- ge Su 1 2 TOTAL FLOOR AREA : 2 -1 � y Private Storage Ong Sii; E OP NGW S'1'ILEJC'1'CICLII : Commercial storage Building Other 4 FLEA T 3C �J GT�:'k' 1'rrttrl e 1 Will ally a econd--Band or ungraded FOttttc3C-tL3. or1 '111"Pe : lumber be used? if so , foie' What ? Ntusiber. of SL.oriel111 ( liabi Lab1 [! space o1nlY ) i f t, jjpE Ot . 11EATINO SYSTEMS IleigltL ( grade to ridge ) circle all w11i��l + es ) Nuttlber of fireplaces and / or woo sto + Electric f Oil Gas " wood to be installed : ...--._ forced Hot Air f eboard / Other Person rdspojisible -for - aupery1V.-Lgn - work as regards It building ' codes Is : tti�(tcltt or Eric Dice P - Adcicesss PN1Vn12845 518 - 668 - 3376 guilder : "Tlte MtchaefA Q)t.rru 1Ytc . 191Q Rate 9 Lake Gear e Plumber : lctyct f'Pwtllri a , 16A a) 1Z( cLd GE�eivl� iaC Nlr' 12801 518 - 79 $ - 93 9 Mason 1 arto +rr��t_r11'3vr�tlta�c .- 2r4 x . . - - - .-- 8_ 18- 311 - 9922 ElecLricialx !1^ FCL�1Ii�.A.3r7[?N.• Iplease stg+! helo►v after yogi lucre care read dw sfarerrler:r. To tlxc best of lily knowledge tilt statet11et1ts colltaitted i!1 this appl'scation, togetl3er will, the plans .and specifications subnliticd, are a true t1x1d cotrlillcle statement of all proposed work to be done on n described ifi cct prc11sob alto that all Pro of the Building Code, the Zoning Ordinance and all itt cirt Other such work rt il-kis is xor`l to drectl7'byI lee ow er- l4urtilersed work shatt be toms umlerstood llattlVwer e s11all s submit prio or noted, r to a Llu Certificate of Clecutrtncy' or Certificate ol' 'Cvntii�t`tatticc being issued, all AS BUILTP1L�T PLAN by ;1 licensed surveyor• draw to ale, showing actual lcx:aliott of project on premises, Signature: (owner, rawsler's agetlt, architect, contractor) TOWN OF QUEENSIBURY 74fo 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date 919 q {'r—' 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 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 andlor chimney. I Applicant { ` � APPLIANCE (check appropriate boxes) o STQVE: ca Wood o Coal a Pellet c3 Gas Address l`t`i1� ' L3t � ❑ FIREPLACE INSERT iLtY4CI�iL`1 `j._..► ' Zip 12,J�Lt5 — FIREPLACE, ❑FW FACTORY-BUILT: Phone _ro ❑ FIREPLACE, MASONRY: '" ' o Wood ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil 1F NON-MASONRY APPLIANCE: Ad d ress t� '4 t�- ' Manufacturer: Zip , Model : Phone CHIMNEY (check 'appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY: 0 Block ❑ Brick 17 Stone Ll .- -] t t� I'l l L FLUE: 0 Tile c3 SteeiInches Size: CONSTRUCTION 1 INSTALLATION MUST >`FACTORY-BUILT: Model : CONFORM TO NYS FIRE PREVENTION & Manufacturer: _ Number: BUILDING CODE. CONSULT AVAILABLE Listed❑ Q Double Wall ❑ Triple Wall TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. o Ch mney Liner ❑ Direct Venting Cashier's Department Town of Queensb'ury, New York Amount Collected Amount Refunded Dept: Fire Marshal , Code Number Title A 173 3189 (190 ) Public Safety A 233 2655 (230) Minor Sales Fee Collected From -or'� efunded to. r Address: Dated - L Town C erk or Deputy. s peps. White: Applicani Green: Tire Marshal Yellow: Bldg. Dept. Pink Goldenrod: Cashier' TOWN OF QUEENSBURY BUILDING & COVE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12004 ( 518 ) 745--4447 ARRIVE : nrtNr.rcT : ..` Itas FINAL INSPECTION REPORT - R$SI[�$NTIAL 4AT 3PECTION REQUES ECEIVED : NAHE LOCATION DATE TYPE OF STRUCT RE FOOTINGS 19'OUNDATION I BACKk.ILL ROUGH PLUMBING SRPT FRAMING FINAL ELECTRICAL C WOODST{7VEIORUFIREPLACE y A Z CfIIMNEX HEIGHT B VENT f E GHT PLUMBING VIE ROOFI G EXT R OR FINIS DECfE /PORCH 5 E S .RA JUGS ELIEF VALV S i F'UFNRCE HO T ! N E IOR. TR M PR TVA D - FINI H FLOOR i -BA 1CSTCFfEN WAT RTIG T C7THER FI,OO S S W E g ry OTHER FLOG S CARPETED 5'TASR CLEARANC RA I GS SORE DETEC O S A HROO FA S } PLUMBING FIXTtfRFS i FOUNDATION I SULATION GARAGE FIRC PROOFING DOOR CLOSERS FIfFAL ELECTRICAL, SITE PLANlVARIANCE REO FINAL SURVFY E'LOT PLAN 6K Tp I S$U,E C O OR C C FIRE MARSHAL. TOWN OF 'QUEENSBURY QUEENSBURY, NY 12804 i (518) 761-8205 I DIRE MARSHAL INSPECTION REPORT REQUESTRECEIVED I/ 9 PERMIT # 9 !NAME LOCATION _7 7 _✓�c'.r./_ �—�� SCHEDULE INSPECTION ON I — ��'� - - - M ANYTIME 6 ,APPROVED EXf TS — ---- A YES NO AfSLE WI HS EXIT SIGNS _ - -- - - _.- - - -- - EMERGENCY LIGHTING FIRE EXTINGUI RS l _ FIRE ALARM SYST - - -- F _._ _ .._,._. FIRE SPRINKLER SYS M - FIRE SUPPRESSIO YSTEM — - HOOD 1NSTALLA N INTERIOR Fl SHEs - - -- - - - - - - � _ - - - STORAGE; CLEARANCE TO SPRINKLERS __-- CLEARANCE TO HEATING UNITS - - REQUIRED SfGNAGE CHIMNEY ._ WOOD STOVE _ - - FIREPLACE - MASONRY -- FIREPLACE - FACTORY BUILT - --- --- - - REMARKS: - 1K TO THIS DATE ------------- �.----- s��p. INSPECTOR TOWN OF QuEEF#SBURY BUILD TOWN COOL ENFORCE�T 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location ?2 Date // Perm7t # — SOIL T]fPE: Sand- Loam-clay- Results of Percolation Test. ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of e h trench Depth of tre hes size Of Stone - SEEPAGE PITS : Numbe Size - t . Stone sizes` ft , PIPING: Bldg . to Tank ize ype Tank to Dist . 8 0 ------- ti� Dist , Box to F i d/P r` tom" - -------- Openr' ngs Sealed LOCATION/SEPA IONS Yes No artia Foundation to Tank Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan eet LOCATION OF SYSTEM ON PROPE . es No ( circle one) Front - Rear - Left Side - Might Side Middle Front - Middle Rear COMMENTS .: a i J SYSTEM USE APPROVED: YES NO Arrived.. Departed : �/ P' ui ding rrspector 1 11 / e311938 13 : 45 5166684523 MICHAELSGROJP PAGE 01 4rLClemente Latham Concrete Corp . 40 River fit., P*Ow Box 448 Bus. Ofc. 270-1TOT Tray, NY 121 W ftO448 [)[*patch 272-5750 w 051998 1 , -il r , O _ 4 f ' _.. fI W'. . � . F ... ..w . ..y . ._ . . k. :. web •' b I . As I e0o .RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement y Dept. of Community Development Arrive amfprn Depart Town of Queensbury Inspector's Initial 742 Bay Road Queensbury, New York 12804 NAMEPERMIT` # LOCATION DATE 33 "TYPE. OF STR[.3C'I'IJIZE NIA YES NO C4Iv114'Il~"hTi'S Chimney Heightr'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof, Roof Complete Exterior Finish Complete Interior/Exterior Railings 3W' 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/regulatox 18" above grade Gras Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Beater opera Relief Valve(s) installed Headroom, 6 ft- 6 in. on stairs Basement stairs, 6 fL 4 in. Handrail exterior stairs both sides mar 3 rs Interior privacyltrin /doors/main ce 36" Floor Finish Ba uchen waterti t Interior Hart 'is Bale e&4,anding 18 ' more Railing across stairwells Smoke Detectors: every level every bedr m outside erV bedroom inter nected Bathr fans bing fixtures Foundation insulation 3/4 hour fire door/door closer Cyarage fireprooftn Garage penetrations sealed Furnace in separate mom protected (in garage) Light ventilation per room Safety glazing 18" or 1 r Final Electrical D Site Plan/Variance requir Final Survev Plot Plan f �.- ✓aL-T JY'�G As Built Septic Svstem layout required _.. Okay to issue CfC (Certif. of Compliance Okay to issue temp- CIO (Certsf of Occupancy)Okay to issue permanent Cff) (Certif of Occupancy) tJW4E y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE -1 402878-9 BUREAU dF ELEoG4JUZITY 111 WASHINGTON AVE., TE 704, AL NY, NY 12210 F3C31fEf EF2 3 , 1 y�f Applscatson on fete 44.21 "� K A ; 7 a4 a Late PFRMI� Trl 4--480 THIS CERTIFIES THAT low and introduced by t licant n on the above application number is in the premises of only the electrical equipment as described be 7HE ff1 [ IiPlEl:s GF2C7UTP7i ' SAPA J N DR , LOP 4�' , �d1EENSf3ll32Y, t1�' � in flee following location; lam Basement ® 1st Fl. ® 2nd Pl. i74AP section Block Lot was examined on CC PER 2 7 o 1998 and found to he in compliance with the National Electrical Code. FIXTURES RANGES Cal KING DECKS LIVENS DISHWASHERS EXHA FIXTURE W. UST FANS FIXTLETURE RECEPTACLES SWITCHES INCANOESCEN FLLIORF3CENf OTHER AMT. K. AMT. K.W. AMT. K.W. AMT- K.W. AMT. H.P. 3 f' 31 54 1 36 ;1 FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS M SY9TEM5 ET DIMMERS DRYERS FURNACE MOTORS AMT. WATTS H.P. GAS H.P. AMT. N C+ D. A. W. G. AMT. AMP. AMT- AMPS. TRANS. AMT. K.W. ool AMT. N.P. NO. C1F FEET 1 F 3 SERVICE DISCONNECT NO. of S £ R V l C £ w. w. �. METER NO- OF CC CONP. A. W. G. NO. OF HI-LEG A. W G_ ' ND. OF NENTRALS OF NEUTRAL AMT. AMP, TYPE EQUIP. 1 0 ZW 1 0 SW ] Y 3W 3 3 dW pER OF CC, CONP- OF HI-LEG r 1 .4*10 CB OTHER APPARATUS: POST LIGHT-1 G , F. C . S: _4 SMOKE Df7T.ECT0R -- -fi FC?pEVVR ELECIBOEL. ELECT. wlf�LlAH D. MCPARTLO- N GENERAL MANAGER 2446 JAFFREY ST. � �y ;,CuE1VEC"7ADY, N1% 12309 9 Per This certificate must not be altered In any manner; return to the office Of the Board if Incorrect- Inspectors may be idantifled by their credentials. COPY FOR BUILDING f]FPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER_ GENERAL INSPECTION R PU.RT Town of Queensbury y Dept_ of Community Development Date inspection request receivedv C1 Building & Cade Enforcement 742 Bay Rand Queensbury, NY 12804 Arrive I Depsrtl Inspector's NAME: _ [Y) (, kA -6S Gf%Q PERMIT 4 TYPE OF STRUCTURE: �� RECHECK N/A YES O COMMENTS �ootirrgsLE*iers 1 Monolithic Pour arm Remfo t i Place The co or is responsible for providing 'on from freezing for 48 hours fo owin e p t of the concrete. Materials for on site Foundatio allpour Reinfo ent in Place Fo tionlDampproofin9 _ Backfa l 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- Wails R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack PostslMain Beare Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 39 4 hour Firestopp"1 GENERAL INSPECTION REPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Say Road Queensbury, NY 128" Arrive am/pat Depart1j Inspector's NAME: y PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO S FootingsOPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fallowing the placement of the concrete. Materials for this purpose on site Foundation/Wall pour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Roqo4n aiion r 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 Framin Jack Studs/Headers Bra,cingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestappin GENERAL IN,SPEG`IION RE+Pk'JRT �' . Town of Queensbury C\OY Dept of Community (Development Date inspection request received: Building, & Code Enforcement ` 742 Bay Road Queensbury, NY 12804 Arrive a��pro Depart rgs L��Jy NAME: PERMIT # ^ L� LC CATION: - DATE 'TYPE OF STRUCTL]RE: RECHECK N/A YES NO CONOAE 4TS FoatingsJPie rs Monolithic Pour Form Reinforcement in Place The contractor is responsi or providing protection from g for 48 hours following e p of the concrete. Materials for this on site Foundation/Wzd Reinforcement in Place Foundation/Dampproo Backlill Approval Plumbing Under Slab plumbing Vent/Vents in Place Rough Plumbing, Heating Rou -In in lation l NS�A�� l - 3vrnn y'' C,UT Foundation Walls interior R- Foundation Walls Exterior R- Floors R- L �GJ lC c1+G Walls It- Ceiling R- Duct work or piping in unheated spaces R- proper 'Vent, Attic Vent Framing Jack Studs/Headers BracingBridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestoppin GENERAL f1VSPECT N REPORT Town of Queensbury Dept. of Community .Development Date inspection request received: Building & Code Enforcement 742 Bay Road Depart amipro Queensbury, NY 12804 Arrive am/pat P , (,:, I Inspector's Initials ,h � NAME: V `+ `4- ' [_`7 , , -P PERMrr # LX)CATION• Pr DATE : t� TYPE OF STRUCTURE: RECHECK N/A YES NO 'COMMENTS Footings/Piers f Monolithic Pour Form Reinforcement in Place The contractor is responsible f providing protection front for 48 hours follovAng the pl t of the concrete. Materials for this i Foundation/Wallpour Reinforcement in Place Foundation/Damppr €t Backfill Apyaroval — Plumbing Under Slab _.— Plupibing vent/Vents in Place P06gh Plumbing.,, y ,•" eating Rough-In &A-tZ tl%kC C insulation Foundation Walls Interior R- Foundation Walls Exterior R- L) Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing, Jack Studs4jeaders Bracing/Bridging joist Bangers Jack Posts/Main Beam. Air Infiltration Barrier Fire Separation 1, 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INS ECTI N REIW�RT Town of Queenshuury Depw of Community Development Date inspection request received= Building & Code Enforcement 742 Bay Road Arrive am/pm Dep l Queenshury, NY 12804 juspector's Initials PERMIT # LOCATION: ' 77 DATE TYPE OF STRUCTURE: RECHECK N1A YES NO COb4MENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the Placement of the concrete- Materials for this on ite Foundatio allpour Reinfo in P FoundationlDa Back ill Approval Plumbing Under ab Plumbing VentN nts in Pla Zgh Pting Roluu - n mbin — (C�,t} 1s ErAf2/'F.u'Z" `� ghulation Foundation Walls Interior R- / .r�0 6440 Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R.- Proper Vent, Attic Vent Frame Jack Studs/Headers Bracing/Bridgin. Joist Hangers Jack PostslMain Beam Air lnfltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wail 2, 3, 4 hour Firestoppin GENERAL V PECT'IUN REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Depart Queensbury, NY 128" Arrive � "Maer's Initials NAME: 11 1 e"" PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO CohavUENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours foilo g the phu=m of the concrete. materials for this purpose s' FoundationlWallpour Reinforcement in Place Foundation/Dampproo Backfill Approval Plumbing Under S ab Plumbing Vent/vcuts 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 gent, Attic Vent Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers jack Posts/Main Beam W,bdr Infiltration Barrier Fire Separation 1 , 2, 3, hoar Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin f v 4 Town of Queensbury yyate inspection request received: Dept. of Community Development Building & Code Enforcement 742 Bay Road Arrive wpm Depart ZJ Queensbury, NY 12804 Inspector's Initials c— 90 PERMrf # A NAME: DATE : A LOCATION: TYPE (7F STRUCTURE: RECHECK NIA YES NO CC&4MENTS i Faotings�'i'iers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from t for 48 following the P of the can Materials for this o site FoundationlWallpour enforcement in P Foundation/Dam fin Backftll Approval Plumbing Under tab Plumbing Ven ents in Place Rough hough-1n A14bu f"AJAI f I I �' •vim �c5 atlon Foundation Walls Interior R- Foundation Walls Exterior R- �y Floors R g:;�a Walls R- Ceiling R- Duct work ar piping in unheated spaces R- Proper Vent, Attic Vent Fran"n Jack StudslHeaders Bracing/Bridging joist Hangers Jack PostdMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2. 3, 4 hour Fireskoppin GENERAL INSPECTION REPORT � [ /U-v . Town of Queensberry Dept_ of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm De am/l� . r Inspector's Initials NAME: r�L PERMIT 4 LOCATION: '1 Cn DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO CpMMENTS Footingso"ers Monolithic Pour Form Reinforcement in Plane The contractor is responsible for providing protection from freezing for 48 hours fo wing the placement of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Place Foundation/D pproofi Backfill Approval Plumbing Under Slab Pl 'ng Vent/Vents in Place ough Plumbing, Heating Rough-In Insulation Foundation walls Interior R.- Foundation walls Exterior R- Floors R- Wails R- Ceiling R- Duct work or piping in unheated. spaces R- per Vent, i Ven ranun r Jack Studs/Headers Bracing/Bridgin Joist Hangers 4/ Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Li A-U(-VPP > Penetration Sealed Fire wall 2, 3, 4 hour, Firestopping MMENEW TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED k�% � i NAME LOCATION DATE PERMIT # APPROVED EXITS NIA YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUI R AUTO. EXTINGUIS EM HOOD INSTALLA ON AUTO, SPRINKL SYSTEM ALARM SYSTE INTER!O FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY A. lR4-e-j 6Arr r° WOODSTOV E FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: 0900W - ! OK TO THIS DATE VA hS 5Tn e v i ' ;s INSPSUP.PUB INSPECTOR TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road 4. C.>6 Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION i Name Location Date Permit # SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length ?21 � Length of each trenches cd� sl-r+ Depth of trenches Size of stone SEEPAGE PITS : Size - ft x ft . Stone size — PIPING: Size ype Bldg . to Tank 1-yk'A,cNl 4u re we z�._-_ Tank to Dist . ox At ►1 PAC_ Dist . gox to Fi ?1d/ � �r Openings Sealed . as a Partial LOCATION/SEPARATIONS : Foundation to Tank ` feet Foundation to Absorption ;;vc&.v3 feet Separation of Fits feel. Conforms as per Plot Plan Ye No LOCATION OF SYSTEM ON PROPERTY : ( circle one ) Front - Rear - Left Side - Right Side Middle Front YPdTe bear COLTS : ic SYSTEM USE APPROVED: YES NO Arrived: Depa Zoor Buildi spec or GENERAL INSPEf.I+G?N REPr7RT Town of Quecusbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive am/pm Depart *�'amlpsn '" ff Inspector's Initials NAME: Lie, � 2 l5 PERMIT # - AIPA LOCATION: 'mil` `i.1 DATE : _ S � I TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Pic Monolithic Pour Form Reinforcement in Place The contractor is responsible for Providing Protection from fuzing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place FoundationlDamPproo6n $"ackfill Appr +al Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating Rough4n Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Walls R- Ep Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers BraGcinl;/Bri. n Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestoppin GENERAL LNSPECTION REBORT Town of t Qnecnsbnry Dept. of Community Development Date inspection request receiver!: �f - `�� 36 Building & Code Enforcement 742 Bay Road x Q►ueensbury, NY 12804 Arrive am/pm Depart am/pm , yy Inspector's initials..jg e = NAME: I [ . S PI?BMIT # LOCATION: f( S , DATE ; TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS oohngs/Pi'ers 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 thus purpose on site Foundationf Wallpour Reinforcement in Place Foundation/Dampproofin,g Backfill Approval Plumbing Under Slab Plumbing, Vent/Ven in Place Rough Plumbing Heating Rough n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- C.eiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framixt Jack Studs/Headers Bracing/Bridging. Joist Hangers Jack PosL%/NIwn Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin,g