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98-505 +CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK November 25 98 Date 19 _ 98505 This is to certify that work requested to be done as shown by Permit No. di has been cornpEeted. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 65 # 16 LEHLAND DRIVE � Location MICHAELS GROUP , INC . 0wrner TAX MAP NO . 7 4 . - 2 - 6 5 BY (31rder Town Board _, Director of Bldg. 15c Code Enforcement BUILDING PERMIT VALUE $ 1495eOT40W N OF QUEENSBURY TAX MAP NO . 74 . - 2 - 65 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to M Street. Road or Ave, OWNER of property located at LOT 5 5 in the Town of aueensbury. To Construct or place a i to application together with plot plans and other information hereto filed and at the above location in accordance approved and in compliance with the Town of Olueensbury 'Building and Zoning Ordinance. rCOMTR ddress is OUTE 9 EORGEr NY 12845 TOR or SUI LOERS Name LS GROUPr INC . TOR or SUILOER'S Addreta ANDLER , PROJECT MGR 1810 ROUTE 9 EORGEr NY 12845 4. ARCHITECT'S Name NEW YORK BOARD �IT��RD OF FIRE UNDERWRITERS 64 TYPE or +Construction — (Please indicate by x) SINGLE FAMILY DWELLING I ) Wood Frame I I Masonry I ) Steel L 1 7. PLANS and Specifications 2047NdSQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8, Proposed Use SINGLE FAMILY DWELLING 265 August 21 2000 5PERMIT FEE PAID - THIS PERMIT EXPIRES 19 or of the a torr�ar period is required an application for an extension r W ning ust be rna to the SwIMIny and Zo hmpecti sown at Chwonsbury botonr ttr eepiration dste.l 1998 21 August Dated at the Town of (3ueertsbury this Day of 19 for the Town of Gueensbury SIGNED I3Y SuUdkV end onid" IntPaetar TOWN OF QUEEHSBURY Fee Paid BUILDING & CODES DEPARTMENT Permit # APPLICATION FOR : PORCHES-DECKS- BOATHOUSES Est . Cost - Da A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , PLEASE ANSWER ALL OF TIIE FOLLOWING : ll be The undersigned hereby applies for a on plaansding Pand} followingt to do the k speccificationssubmitted , and, f such, special done in accordance with the description , ated on the permit . TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED conditions as may be indic WITH THIS APPLICATION . Owner of Property : Phone aItp P . O . Address Tax MaiY # Ve Property Location —" y Subdivision Name ( If applicable ) `y PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES : Name : r � • ; � � � ,`1 Address ` rx ' ' - �' *:" 1 Phone # BUILDING SPE IFICATIONS : Type of work to be done : Porch Deck Dock Boathouse ( Circle one ) Size of Structure to be built ( square footage ) : Foundation Material : Width Thickness t Depth of Footing , below grade : y ' Size of Posts or Studs : — x `-t x Lang Size of Floor Joists : x x J Span Decking or Flooring Material : P '�Fkema 1` " L Haw will Porch orr� Deck be fastened to building ? If Roof bill BeeIIn'stalled , Answer Following Questions : Size of ' Posts or Studs : x x Long Roof Rafters : x Spacing Span Roof Trusses ( pre-engineered spacing ) : Span Type of Roof : Sloped Flat Shed Other ( Circle one ) Material of Roof . ZONING INFORMATION : TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scale and attached hereto , showing clearly and distinct7ypraal �erty lines buildings , whether existing or proposed y and indicate all set back dimensions from . Show location of water supply location and configuration of septic disposal area . Size of Property : ft . x ft . Existing building ( s ) : Size ft . x ft . Size ft . x ft . Use of Existing building ( s ) : Proposed structure , distance from property line : Front yard ft , Rear yard fto Side yards ft . and ft • If on corner , setback from side street : ft . DECLARATION To the best of my knowledge and belief 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 shall be complied with , whether specified or not , and that u work is authorized by the owner . DATE : �. ` Ei � `� SIGNATURE Own er s Agency r hite Contractor REVIEWED BY CODE ENFORCEMENT OFFICER , DATE SIGNATORE * TOWN OF QUI:ENSBURY Fee Paid _ t BUILDING & CODES DEPARTMENT Permit k APPLICATION FOR : PORCHES-DECKS. DOCKS & BOATHOUSES Est . Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE-' ANSWER ALL OF THE FOLLOWING : The undersigned hereby applies for a Building Permit to do the following work which will he done in accordance with the description , plans and specifications submitted , and such special conditions as may be indicated on the permit . TWO SETS Of STRUCTURAL PLANS SUALL BE SUBMITTED WITIi THIS APPLICATION . Owner of Propert P . O. Address Cd Phone p '� Property Location '- Tax Ma17 # Subdivision Name ( If applicable ) PERSOtj RESPONSIBLE FOR SUPERVISION Of WORK AS REGARDS TO BUILDING CODES : N ame :e' Address � r� �f"�{ — Phone# } t dz �, ��L�l. BUILDING SP�CATIpNs : Type of work to be done : Porch Deck Dock Boatho so (Circle one Size of Structure to be built ( square footage ) : It) I Z I .���^-_-t_="��i +)� tl� Foundation Material : width Thickness 2ti �eCCr ` Depth of Footing , below grade : "J ` Size of Posts or Studs : �.. L4_^ x Ll x Long Size of Floor Joists : x x Span Decking or Flooring Material : `riflrf How will Porch or Deck be fastened to building? If Roof Will Be Installed , Answer Following questions : Size of ' Posts or Studs : x x Long Roof Rafters : x Spacing Span Roof Trusses ( pre-engineered spacing ) : Span Type of Roof : Sloped Flat Shed Other ( Circle one ) Material of Roof : ZONING INFORMATION : TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scale and attached hereto , showing clearly and distinctly—awl 6611clings , whether existing or proposed and indicate all set back dimensions from property lines . Show location of water supply and location and configuration of septic disposal area . Size of Property : ft . x ft . Existing building ( s ) : Size ft . x ft # Size ft . x ft . Use of Existing building ( s ) : Proposed structure , distance from property line : Front yard ft . Rear yard ft . Side yards ft . and ft . If on earner, setback from side street : ft , DECLARATION To the best of my knowledge and belief the statements contained in this application , together with the plans and specifications suboritted , 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 not , and that such work is authorized by the owner. DATE : \�� SIGNATURE Owner r g ncy , r hitect , Contractor REVIEWED BY CODE ENFORCEMENT OFFICER , DATE S11;NATORF Jill,fe pop pill � t JJ way, a 0 V tip ..� . N1 Pa 'Ad tj lip t .01 Sol ppppp� pit � V If Fi Will pit L� { ref tj4 R+i _ Stipp, A 10 . . lip r to All, pit. P, t 1 i It, L1t f r . ! s Lj F, 1 TOWN OF Q U'EE1VN►SB U'RY 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ' , 19 CI� 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. s. Please till out additional form if more than one appliance andlor Chimney. Applicant :l�jr' /',�7�+ 1o�L� �-''�-� r' �'/?-�� APPLfANCE {check appropriate boxes) Address If IG k''f.,t.,r lr' `'1 ❑ STOVE: o Wood ❑ Coal ❑ Pellet ❑ Gas 0 -. FIREPLACE INSERT Zip f�' � c{ FIREPLACE, FACTORY-BUILT: t loe 000, L'/I/ T / ❑ Wood y as rr frU ! > �' / C� ❑ FIREPLACE, MASO Y : Gas Phone 1 p 'Wood p ❑ FURNACE: ❑ Wood 0 Gas ❑ Oil Owner Address ,.., / IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model: Phone HIMNEY (check appropriate boxes) * E ACT ADDRESS of proposed construction b �MMASONRY : ❑ Block ❑ Brick ❑ Stone eel ( Ild.� /Jrj !i-ew FLUE: cl Tile to Steel Size: inches CONSTRUCTION ! INSTALLATION MUST © yVlanufactuB erLT: Model : CONFORM TO NYS FIRE PREVENTION & r Number: BUILDING CODE. CONSULT AVAILABLE ListedDouble all ❑ Triple Wall - TOWN OF QUEENSBURY HANDOUTS ❑ Insulated ❑ Direct v'ertiting _ ...� REGARDING REQUIRED INSPECTIONS. ❑ Chimney Liner Cashier' s Department Town of Queensbury, New York Amount Collected Amount Refunded Dept: Fire Marshal 7 ,� Code Number Title A 173 3389 (190 ) Public Safety A 233 2655 (23 or Sales Fee Collected {ro r Refunded to: Address: Town Clerk or Deput a Dated : C White: Apo c t Green: Fire Marsha! Ye11nw: Bldg. Dept. pink A Goldenrod. Cashier's Dept. _? �1 ------ 'lit atiLon for F71111MIT TAMP m �CLIVED PTICI I� I.S' POS.,�..L PERMIT Location aC property fvr ixzstaLiaticri>s: — �Uu ��_`� '- � '" ' Hc.Eh HCR Owner' s Naitfe: _ The u.ich.uaE� LLC , Gnau>� Address: 1910 Ra t/ 178dS -- FpLiedtran Excava.tin FEV l'AID Installer' s Names 518 _ 639 - 4035 Number of bedrooms (if residentia1 ): 7Fth ae 450 'l'otal daily now (residential - col" Vute (FY 150 gal- per bedrocun ) : Toliogral,lty` ® Flat �_� ltuiling Stccli •Slope VA of :iloltc Soil Nature: Sand l .uam C 1aY = C7[hcr If)eltilt: Ground water- at what dcptlt? 30 feet Dedmek or Impervious Material : at svllat depth? reet E ercislatiort 'S'cSt; Not Required ltealuiredJlta[c 1 min. per ittcir Munici sal C� Weil [� Other - L3utne'stic Water Supply. � E feet If domestic water supply is a 14E ?E .1 : water supply fresrn any selitia al)s4orli0cm is PROPOSED S"Y%TEM : Septic tank- 1 P Q00 gal. (ntininrurxt siac; 1.000 gal. ) 'Tile field: each trench 41 feat. 1 total system length 1 b 2 feet. Seepage i'it(s1: nunrltcr of NIA / Size each: ft. x ft. Size of stone to tic used; # 2 )stony 1 dcl+tll tar thicicrtcss feet. IIOE..171NC1 'TANK SYS11IM : (if required) Number or tanks: NSA "size or each: Sal• lllarrn systelrt and etssaciaied electrical work to be inspected by a certified agency. For your ,protection, please note that pursuattt to Section 136-29 of tyre Code of the 7'01.•rt of Qraeensbury, arty permit or approval granted tulrich is based u post or is granted in relitrfrce st post any material tttisrepresettlation ar frrilsere to make a material fact or cireurrisitrrtce knonvrr by or ort belralfofnit appsricx:r:e, 5/tall he vaid- I frave read the re,gufertio +ts Wit/3 resprect to tlri.s tt p plicertiott and agree to abide by these ttnd till rtrgrsirenreitIs- oftlre Tou'rr o f {Jneerr.s-1 , e irary sert'cr,�r lJislrnsrsl C]rtlrraerrrce. 7 ,Si err attrre a rrestrorr Sib te pdrsar: : 1.)itte. 3 bed horre RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received BuHding & Code Enforcement ■ 1 -s Dept. of Community Development Arrive 3sg7"'rt Depjrt Town of Queensbury Inspector s 742 Bay Road l Queensbury, New York 138.404 F'ERMtF # NAME - DATE LOCATION TYPE OF ST RU TURF N/A YES NO COMMENTS Chimney l4eightJ"13" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete E erio; Finish 'Complete In "or/Exterior t s rsl to 36„ Exteri droll , es, landing 18 in, or more Interior its stairs I sides 3 or more risers Grade 2% away un tion 8" clearance to si I plate Gas Valve shut exposed/regulator 18" above grade Gas Furnace sh -off within 30 feet or within line of site Oil Furnace sh -off at entrance to furnace area FurnaceJFlot ester Beater 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 3 risers Interior privacy/trint/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails BalconiestLanding 18 in. or more Railing across window in stairwells .Smoke Detectors-. every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing f 8" or less from floor Final Electrical Site Plan/Variance required Final Survev Plot Plan As Built Septic System layout required okav to issue C/C (Certif. of Compliance) Okav to issue temp. C/o (certif. of occupancy) Okav to issue permanent C/o (Certif- of occupancy) RESIDENTIAL. FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement , �, Dept, of Community Development Arriwr�:�an4 ✓Depart ` Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME t G PERNIIT # �l LOCA"ITON DATE TYPE OF STRUC NIA YES NO COMMENTS Chimney Heightf"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 pl. to Gas Valve shut-off ex sed/regulator 18" abo Gas Furnace shut-off wi 30 feet or wi i lin of site Oil Furnace shut-off at en ce to area Furnacelllot Water Heater Relief Valve(s) installed Headroom, 6 ft. 6 in_ on rs Basernent stairs, 6 ft. 4 Handrail exterior staff both sides more than 3 risers Interior privacy/ doors main entrance 36" Floor Finish Bathroo hen watertight Interior drails Balconies/Landing 18 in, or more /tailing across window in stairwells Smoke Detectors-- every level every bedroom outside every bedroom inter connected , 1 Bathroom fans Plumbing fixtures / -�- Foundation insulation = ICE L h � 3/4 hour fire door/door closer 1 L_El UF', Garage fireproofin �- V>' 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 Final Survey Plot PlanE As Built Septic Svstem layout required Okav to issue CIC (Certif. of Compliance) r Okav to issue temp. C/o (Certif of Occupancy) Okav to issue permanent C/O (Certif of occupancy) FIRE A4ARS+4*AL TOWN or QUEENSauny QUEENSsuRy2 NY 12,904 (518) 761.8205 FIRE MARSHAL INSPECTION REPORT d d REQUEST RECEIVED Y PERMIT # NAME I N 5 LOCATION v SCHEDULE INSPECTION ON A M NY E EXJ Ts APPROVED AISLE VWDTl N/A f YES NO EXIT SIGNS EMERGENC LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM M FIRE SUPPRESSION SYS .... .. IG HOOD INSTALLATION INTERIOR FINISHES STORAGE. CLEARANCE- TO SPRINKLERS REQUIREDSIGNAGE CLEARANCE TO HEATING UNITS CHIMNEY WOOD STOVE --- - - - - -- FIREPLACE - MASONRY -- FIREPLACE - FACTORY BUILT REMARKS: VOW TO THIS DATE sp%1p pm A W INSP yr R TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12844 ( 518 } 745 -4447 I NSF' FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION' REQKWST RUC Evzoo � NAME LOCATION DATE PERMIT 1—T j TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING, ROUGH 'PLUMBING SEPTIC INSULATSOIN FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N ^- 9111MNEY HEIGH It VENT HEIG T PLUMBING VENT ROOFING EXTERIO FIN SH ECK PORCH STE RA RELIEF VALV S FURNACE OT TER OPERATING r i INTER I T P" ACY DOORS FI H F OOR ATH KITC EN W&TERTIGHT !LITHE FLOG S -SWE ABL OTHER FLO RS CARPETE STAIR cLEARANC RA INGS M OfOE DETECTO S BATHR OM FAN PLUMBING F XTURES OF` UNDRTION INSULATION GARAGE FIRE PROOFING DooR cLOs�Rs FINAL ELECTRICAL S ITE PLAN,LVARIANCE RE 1NAL SURVEY PLOT PLAN `V OK TO ISSUC C/O OR C C GENERAL INSPECTION RE ORT Town of Queensbury Dept, of Community Development Date inspection request received* Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive arn/pm Depart Inspector's In�i#,iaJs I� NAME: PERMIT' # l LOCA77ON: r. DATE : TYPE OF STRUCTURE: RECHECK N/A 'YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing -on from g for 48 hours fo wing the ent of the concrete. Materials for this n si Foundation/Walipour Reinforcement in Pffioe Fou Foundatio pproofing da Plumbing Under Slab Plumbing VentlVents 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, Attie Vent Framing Jack Studs/Headers Bracing/Bridging Joi4VIlangers J,w6k Posts/Main Beam Infiltration Harrier. Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping Eli GENERAL MSPECI'ION REFDRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive atn/pm. Depart � C� ,�r Inspector's Initials NAME: Y�1 t1c- ��y,-�-�t,S �s�Y 1�' PERMIT # " 45'0� LOCATION: ►�.v'f Co .�3 DATE : o TYPE OF STRUCTURE: _..fr r'�` RECHECK N!A 'YE NO CON 4ENTS Foo ' ers Monoli ur Form Reinforc5emnt in Place The contractor is respo a for providing protection freezing for 48 hours failowin the p t of the concrete. Materials for on site Foundation/Wallpaufr Reinforcement in Place Foundation/Dampproafin Backfill Apprc►val 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 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. Firestoppin GENERAL IN,S'PEGTIDN REPk71�iT Town of Queensbury IGt ,� Dept,. of Community Development Date inspection request received: � / Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrivc:Zj Its anij Depart 2' , PP Inspector's Initials NAME: C[5 PERMIT # LOCATION: � DATE TYPE OF STRUCTURE- RECHECK NIA YES NO COMMENTS �r Footings/Piers I 62� Gc�� Monolithic Four Form Reinforcement in Place %ISI RVI 6NE F�V The contractor is responsible for 'j�,TX>VXX* A providing protection from freezing N1�+ t t ►.� CCs u�t't� _ for 48 hours following the placement ,�t of the concrete. Materials for this purpose on s 0 1AQ6i?— Reinforcement in Plane Foundapon/Uampproof n F ,� �� Bacl�Il Approval 'W Plumbing Under Slab � ► �+' P t vz'v IEL� Plumbing Vent/Vents in Place TiU Rough Plumbing. Heating Rough-In C � VIE a 376 Ak k IFO Foundation Walls Interior R- K .J Foundation Walls Exterior R- Floors R.- Walls R- Cciling R- Duct work or piping in unheated. spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Foist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin (S18) 761-8256 TOWN OF Q'JEENSBURY BUILDING b CODE ENFORCEMENT "742 RAY RD , , QUEENSBURY NY 12804 INSPECTOR ' S REPORT : ARR_ DEPARTND IN REQUEST FOR INSPECTION RECEIVED : NAME LOCATION DATE PERMIT TYPE OF STRU—TUR RECHECK �—f 1� F' t]VE N/A YES NO s MQNOLITHIC FOUR rog REiNFOR E N IN P E THE CONTRACTOR IS R.LSPONSIBL bR PROVIDING PROTE Trom FROM FLING FOR 48 HOURS TOL ING T1 PLACE— OF THE CONCRE jMATERIALS OS 0 E �€ FOUNDATION WA LP EBINFORCEMENT IN PLACE FOUNDATI+OlFfDAMPPROOFING B-Ar�KFII.L_L P OVAL PLUMBING WENT/V ,NTS rN PLACE ROUGH PLUM ING PLUMBING UNpER SLAS •JACK S UDS/H ADERS R I�fi I NG JOIST HANGERS - 1 JACK POST /MATS gEJg i j AIR INF'ILTRATI N BARRIER { HEM] TInG ROUGH Ili IN U O e ,-.XOUNDAT 11 W LL I FOUNDATION w&L_rS rz.TBRIOR t(� S _ — wMLI _ N _ DUCT WORK OR PIPING IN U H SP CE R— s ' a I I f GENERAL INSPECTION REPORT Town of Queenslnnry r+^" Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road r4, Queensbury, NY 12804 Arrive am/pm Depart 91 y (Ram/om Inspector's Initials r NAME: i /G ��G-S "IP� . PERMIT # LOCATION: �,. _ DATE : Ilts TYPE OF STRUCTURE: RECHECK NIA YES NO CON4NIENTS FootingslPiers I __ Monolithic Pour Form + --- lQ<� R A � �.�H ^ r- >f:: Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this se an ' Foundat ionlWall Reinforcement in P Foundation/Dam Back ill Approval Plumbing Under S �. :. Po tubing Ven ents in Place .} Heating Rough-In Insulation Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r Vent, Aic Vent rarnin - Jack StudslH Bracing/Bridging, Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier rt.��f �s-� ,� Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour F'irest+oppin 1/y Y» GENERAL IN PECTI+QN REP+QRT j Town of Queensbury _ ,Q Dept. of Community Development Date inspection request received: l�d� Building & Code Enforcement 742 Bay Road �.. ••° `` Queenabnry, NY 12804 Arrive am/pm Depart p 's Initials NAME: LOCATIO D TE TYPE OF STRUCTURE: RECHECK N/A YES NCl S Footings/Mers 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/Darnpproo Backfill Approval Plumbing UnOer Slab Pl ent/Vents in Place Heating Rough4n. Insulation Foundation Walls Interior R- Foundation Walls Exterior R- C `' ~� �� + �` i- Floors R- Walls R- Ceiling R,_ Duct work or piping in unheated spaces R� " Pro Vent, Attic Vent Jack Studs/Headers Bracin&Mndging Joist Hangers Jack Posts/Main Beam �} 1 Air Infiltration Barrier oov -roe L i V Fire Separation 1, 2, 3, hour Penetration Sealed • YiU\M ,P— OUT Fire Wall 2, 3, 4 hour Firestoppin 3 CD e TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 1280A (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPkCTION RECEIVED A IJ i NAME LOCATION DATE PERMIT # PPROVED N YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING i FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR 'FINISHES STORAGE: CLEARANCE TO SPRINKLE CLEARANCE TO HEATING NITS REQUIRED SIGNAGE CHIMNEY W Od DSTOV E FIREPLACE - MASONRY FIREPLACE - FACTORY UILT Goo RKS: © OK TO THIS TE ` 0 aw-rp T% - � ra 'S7h� L • �"'E X-' PECTOR Ir�sPsup.Pus INS TOMS OF QUEEHSBURY SUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY I2804 (518) 76I,8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date - ennf t SOIL TYPE• and- m-Clay- Results of Perco7a ion Test"' ( If applicable ) Ra e-Minute/Inc _ TYPE OF SYSTEM: LLengthTof each trenohal Length Depth of trenches , Size of stone { SEEPAGE PITS:Size Num e - fte x ft i Stone size PIPING : S ze � 3 Bldg . ype to Tank J Tank to Dist . BOX Dist . Box to Field/Pit Openings Sealed ? s LOCATION/SEPARATION ; es o artia Foundation to Tank Foundation to Absorpti n ,Meet Separation of, . Pits feet Conforms as ,per Plot Ian Y feet LOCATION OF SYSTEM PROPER ( circle one) . i Front - Rear - Left ide - t t Side Middle Front - Mi ear ' COMMENTS: SYSTEM USE AP YED: YES Arrived: Departed: Bu Ing nspec r r CLClemente Latham Concrete Corp . 40 River St., P.O. Box 448 Bus. Ofc. 270-1787 Troy, NY 1 21 81 -0448 Dispatch 272-5750 ( $ c 1 i . • 1 - _ I A M Ernei s 10 GENERAL iNSPEC'.. N REPORT Town of Queensberry Dept. of community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensberry, NY 12904 Arrive am/pm part Ins is Laiitials NAME: '` repr RMJ'1' # LOCA7F1ON: DATE TYPE OF STRUCTURE- RECHECK N/A YES N COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Found�,;tiiaa/Dampproofin 4, II Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R_ Ceiling R- Duct work or piping in unheated spaces R- Proper Went, Attic Vent Framing Jack StudslHeaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Walt 2. 3, 4 hour. _ Firestoppin � r GENERAL INSFEG"TION REPORT Town of Queensbury ( � Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12904 Arrive am/pm Depart pm /` I Inspector's Initials NAME: l.�= E� [ 5 [ X�-�e- PERmrr # L5 LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA Nd COMMEN'T5 Monolithic Pow form Reinforcement in Place The contractor is responsible for providing protection from free: mg for 48 hours foilom)ng the place t of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Plau:e Foundation/Dampproo5n Backfiill Approval Plumbing Under Slab Plumbing Vent/Vents ' 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, 31 4 hour Firestoppg i ol NA ` .....� 1 00 JeN ' PO Jlkl r: r W N 4 4 r n n y. iti riff G.