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98-565 CERTIFICATE OF C CU-7PAN CY TOWN OF QUEENSBURY WARREN COUNTY, NEW 'YORK January 13 9 Late 19 Ac �IAA 98565 This W to certify that work requested to be done as shown by Permit Na. hss been completed. SINGLE FAMILY DWELLLING This structure may be occupied as WAYNE COURT w Location PASSARELLI , GUIDO Owner TAX MAP NO , 12 5 . - 9 - 101 By Order Town Board TOW 4 OF QUEENESBURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 125000TOWN OF QUEENSBURY No. TAX MAP NO . 125 . - 9 - 101 WARREN COUNTY, NEW YORK IN PERMISSION is hereby granted to O1NNfwR of property located at LOT rlrm 1p cr Street, Road or Ave. in the Town of Gueensbury. 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 Gueensbury Building and Zoning Ordinance. t. OWNER'S Addrect Is 465 LAKE AVE . LAKE LUZEI NY 12846 2. CONTRACTOR or BUILDERS Name LAMOTI MICHAEL 3. CONTRACTOR or BUILDER'S Address 1 MABEL TERRACE +QUEENSBURYr NEW YORK 12804 4. ARCHITECT'S Nsrne NEW YORK BOARD �TTOR `�`BDARD OF FIRE UNDERWRITERS 6. TYPE of Construction — CPiaase indicate by X) SINGLE FAMILY DWELLING I ) Wood Frame L ) Masonry ( ) Steel t ! 7. PLANS and Specifications 191 %osq ft SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE AS PER PLOT" PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLLING 247 September 15fg 2000 $ PERMIT FEE PAID -- THIS PERMIT EXPIRES , III a longer period is requir an s Pi�iona�i eutie'^�n � be n� to the Saildine and Zoning inspector of the town of OueeirRxrrY 15 September 1998 Bated at the Town of Queensbury this Day of t9 SIGNED By ^ for the Town of Gueensbury LLLLBuilding and Zoning ImpsnAor Building Permit Application Town of Que'BITSII?l. ry - Dept. of Conunu► ity Developirnew, 742 Bay Road, Queennbury, NY 12804 [761-82561 BUILDING & CODE ENFORCEMENT NOTICERequirements prior to issuance ^-J of this permit: PERMIT FILE NO. A permit must be obtained before �Yry] ram] oj. a�E beginning construction. No inspections PERMIT FEE PAID $ <Q i+ ! will be made until applicant has received 0 wing Board Aclwn a VALID BUILDING PERMIT. All Area / Use RECRtvA77ON FEE AID $ applicants' spaces on this application MUST be completed and the signature Q Pkwvdng Board Acdon REV1 .D BY.• of the applicant must appear on the Spl{ / Subdivision / other Building Impretar pplication firm. n�► s Recreation Fee Payment Applicant: T4�3r-r ec, =UMSX owner: Address: 9P-V /y�GdL. r"' 6 jg• Address: Phone # (e,.'v_ L$-) .1� s!f` iJ�rf Phone # C _ --- ----- -- --- Property Location: �1 ", �' Tax Map Number - , Subdivision Name: Section Block 1 int IV m7 NATUSE OF PROPOSED WORK * ESTIMATED MARKET 'VALUE OF THE New 133a Idinct : CONSTRUCTION : $_ /a� � aao residence commercial Addition uilding : residence / commercial OCCUPANCY INFC7RMATION : Alteration to Building : Pramsxry Building residence / commercial ✓ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) MercantileSEPO TEM Manufacturing Other GROSS ,AREA OF PROPOSED STRUCTURE : 0 �� If ADDITION , what will use lst Floor . . . . . . . l � sq : t . U of new addition be? 2nd .Floor . . . . . . . Ff:� a s ' Other Floors * , . * `-�`! sq * ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS * mac ,.-� -� Detached Garage if 2 car TOTAL FLOOR AREA : �/�f/ See- F�7 Attached Garage 1 , ca Private Storage Building SIZE of NEW STRUCTURE : �� Commercial Storage Building _ a other FEET X FEET —5 Foundation Type : rsr r4 Crazir_• --Q7�, will any second-hand or ungraded Number of Stories : -- lumber be used? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF . HEATING SYSTEM : Number of fireplaces and wooctstove ( circle all which appl. ' es ) to be installed : 0inez-- E t is Oil / 7 b Wood Dread Hot a / aseoard / Other Person responsible for supervision of work as regards to building codes is : /etc Ndme Addresss Phone Builder : avy /de � 47 Plumber : & :r1 " e Electrician . Tlae»rxx�s DECLARA7TON• Please sign below after you have carefully read the sWenwnt. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the. Zoning ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy' or Certificate of Compliance being issued, an AS BU LT PIA:)T PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: r (owner, er's agent, architect, contractor) a Applicatiuu for SEPTIC DISPOSAL PER. 171 sINAMP II.I:c.1:Ivt .13 1 .ere:alioil eyl' lrrrrlmtarly Ittr installatkin. (1 ) COTO " {7tvticr`s Nanir: �7t y ;✓G f • `"' 1'A 1�1 �2*1 r� `, / I EAMSI'1' NUMBER CJwrtcr's 1V[ ailial; Address. _ �f'G"��+ 'L'' � � ty'"s � f..110 . /Lef 7 y --��^^ L Io"131: I AII) C Installer's Nan1c : S/� 1h YeLy Phone #: jy� on Num her or hcdrorrnts (if resi tic ntia1 ): 1-otal daily flow (residential - co", little trrr gnl. Per INcarcxtsu ) : 'Iorrctgrafrlry. 1-win 1 FJ Rolliyib © Stecp Slope fro of Sitip„c Soil Nature: Sand [ Want clay /Delhi* Oround Water: at what dcptls? rest Bedrock or lmltervimm Material . at wh:tL ciclIth ! feet Isl YetrlrSt14/11 1ts{; Nt)t pvr ilseh 1Jrrrrrestic Walcr soplAy. L� hlutticilral © Well ( Mier Ir domestic water sul.ply is a W 1:1_.I .: water stlltyrly, frtrtu arty septic ab%orplieut is Feet I'I2OPOSED SYI 1NV I . .Sc ptic Lauk: gal, ({ssitl it'tall %ixc : "iilc l ic1t1: each tres)ch '50 rect. / tvital system length tact. Seepage PiL(s): nunrter or / size each: ft. x rt. Size of sLetne tta Ile awed: # / Jcrrth or tltickttcss reef_ IIC7U.) INiG TANKSYS'Il:iul: (irrcquired) Nu at tic r of tanks Size c0F caell gai. Alarm system rrrtd etssvr itrtecl electrical x•ork tv be inspected by a certified agency. I''crr yuser profet:tion, lrlea.ser rterle tlrctt pttrsetarst tv Sccticeie 13t5- 29" ofthe Code oftlte 7os1•12 a:f QfIvetrsbury, terry hermit or a p jartrvttl grarsled lvlticir is hascd re pore or is graitfell in relietnve it port ally rrralerial misrelrreserrtertiun or fetilttre to rrterke a rrraterial fret or circantstanre knowlt b t' or On liehaI f o f att .t Plrlic•errtt, slsce11 he void_ I Isave read the rrgalatiuers Wide respect tct this a pplicotiort aml agree to abide by thcsr alrrl all regtt ire r+trrrr.r of I It e f•olt n 0 f Qreeenshptery Sell rilary SettooRe Dispasat Urtlinalrce. dLr9 � Signatureprrn Of jrersnu: 1JateC .. _f . —_... ._ . . ._ . _. ti TOWN OF QUEEN►SBURY 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date W !Z !z 15� 119 Permit No. APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant 72yye /Ii!q - s Ti c� = y7e, , APPLIANCE (check appropriate boxes) Address f rs'�rsL, r ► r.+✓ Ct"` , �.., CI STOVE: ❑ Wood ❑ Coal ❑ Pellet o Gas ❑ FIREPLACE INSERT Zip jig Iro ,sj WOOVIREPLACE, FACTORY-BUILT: ❑ Wood ❑ Gas Phone ?y+'d ❑ FIREPLACE, MASONRY: r] Wood C3 Gas owner © FURNACE: ❑ Wood ❑ Gas p Oil Address IF NON-MASONRY APPLIANCE: Meinufgtotu Zip Model : Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Black ❑ Brick © Stone FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT: 4 CONFORM TO NYS FIRE PREVENTION & Manufacturer: mm I .. ,%Tc- Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number; TOWN OF QUEENSBURY HANDOUTS Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ [direct Venting ❑ Chimney Liner Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 ( 190 ) Public Safety Z2 A 233 2655 (230 ) Minor Sales Fee Collected From or Refunded to : A. ! Address: ,Dated : C f" Town Clerk or Deputy, M 6Vhite: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING & COOK ENFORCEMENT 742 BAY ROAD QUEENSHUR.Y NY 12004 ( 518 ) 745 - 4447 ARRIVE : 17f:E':.f2'L' : 9� FINAL INSPECTION REPORT - RESIDENTZA16 DATE INSPE ON REQUEST RECEIVED : LOCATION DATE PERMIT 0 7 TYPE OF 'STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A S ,.no— C tf IY4NEY HEIGHT B VENT 11 GHT . PLUMBING V NT RaOFING EXTERIOR INIS DEC PORCH STEPS IL N S RELIEF V LVFS FURNACE HO W TEFL PE T N INXgRIOR T I PR VA DOORS FIN I H 'OR ATH KITCHEN WAT RT GH OTHER F. ORS SWEEPABLE OTHER FLOORS AR ETED STAIR CLEAR.ANC RAILIN S St-10KE DETECTORS S ATHROOM A S p LU Ma NG_FI T�i12, .S _ FOUNDATION INS CATION GARAGE FIRE PROOFING noaEt car QSO FIN AI. E—LECTRICRL S PLAN^,./VAR?ANCE REO F 1NAL SURVF T PLAN PEG TO IISS E C O R C C (�8 CIE CEIVED LOT 100 JAN 111999 LOT 35 TOWN OF QUEENSBURY -BUILDING AND COQE, See O'o 10. 42.5 ,200.00.00.00 0 a- O O I HEREBY CERTIFY TO: GRAVEL DRIVEWAY 1)NORWEST MORTGAGE OF NEW YORK, INC., O IT'S SUCCESSORS AND/OR ASSIGNS. . ..... 2)MATTHEW A. & KELLY K. CROWLEY LOT 101 LOT 36 3)FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK. 20,000,1-SQ.FT. THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND U77LI71ES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR OR'10.Ir EXPRESSLY STATED HEREON. 200.00, DAVID J. BOLSTER DATE: DECEMBER 22, 1998 LOT 107 LOT 102 MAP OF A SURVEY OF LOT 101 HERALD SQUARE MADE FOR MATTHEW A. & KELLY K. (71ROWLEY TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK MAP REFERENCE: "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY DAVID J. BOLSTER MAP ENTITLED "HERALD SQUARE-PHASE TWO" MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR PREPARED BY DATED MAY 1992, REVISED 5-21-92& STEVES SURVEYORS VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 VANDUSEN NEW YORK STATE EDUCATION LAW." FILED IN THE WARREN COUNTY CLERK"S OFFICE ON "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DATE: DECEMBER 22, 1998 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534 OCTOBER 22, 1992 IN PLAT CABINET Al, SLIDE 190 MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS MAP #142 SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." DWG. NO. 98166 B RESIDENTIAL FINAL INSVVCTION REPORT Date Inspection request received' office No. (518) 761-8256 � � D t-f'�' Building &. Code Enforcement Arrive amiprn Depart . WfPM . _ Dept. of Community development lzc�>s Initials Town of Qlueensbury 742 Bay Road Queensbury. New York 12804 �r� �— {� PERMf•T # ✓ NAME i r2 C-- G HATE � -... LOCATION TYPE OF STRUCTURE CO NIS NIA YES NO CldmneY 14ci&tr'13" VentlL)irect Scent 1. mation Fresh Aar Intake Plumb Vent through roof Roof Complete Exterior Finish 'C01111i1e „ rtteriorlE���Railings 30" to Exteriar s, balconies, 1 ding 18 ini or more Interior Handraili-OA Ts both si 3 or in rites ��- Grade 2% away Ito foundati 8" clearance to sill pIa ulator 1 ' above grade_ Gas Valve shut-off 0 within line of site Gas Furnace shut-off within oil Furnace shut-off at en ce to furnace area Furnace mot Water heater a Relief Valve(s) installed Ileadrnom, 6 ft. 6 in. on Basement stairs, 6 fl- 4 Handnkil exterior stairs bath sides more than 3 risers Interior privacy/trirrtldoomJrnain entrance 36> Floor Finish11 SathroornlK.itchen watertighn a„�i.,Q 18 in. or more Interior f l mdrrwls Balconies. Railing across window in stairwells Smoke Detectors; every level every bedroom outside every bedroom inter connected Bathroom farts Plumbing 'fixtures Foundation insulation 3/4 hour fire door/door closer Garage frrepr00fm9 C;arage penetrations sealed tested (In garage) Furnace in separate morn pm Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required_ - Okay to issue CIC (Certif. of Complianu.:)__— ----- Okay to issue temp. CIO (Certif. of (-)ccupancy) Okav to issue pertnancrit CIO (Certif- of Occupancy) l " _ REPjQBX office No. (518) 761-8256 Arrive, p' �- -- Building & Code Enforcnient oprncirt Date ItxSp tiCtrt Request Received: m Dept. of Comunity ce Town of Queensbury -742 spy Road Queensbury, NY 13804 a c. DATE 1 w NAME LOCATION + Nr� 6' - TYPE OF STRUC'i URE Chimney Heightl"B" VentfDjrect Vent Location Fresh Air Intake Plumb Vent Through Roof �Loof Complete ,f xter. Finish Complete 3 " 36" teriortExlerior Railings 18 or re L �xterior Handrails. Balconies. or More rs biterior Handrails Stairs Both Sides Grade 2% Away From'Fo ndatton $" Clearance To Sit ate Above Grade Gas Valve Shut-Off Ex Feet or within Line of Site Gas Furnace Shut-Off within a to Furnace ,Area oil furnace Shut-offat En FurnacefHot Water Heate Operating Relief Valve(s) Install Headroom 6 ft. 6 in. Stairs._____---- Basement Stair4 in. n 3 Risers s 6 Sdes More i Than Hamlrail 'Exterior Stairs Both ain Entrance 36" Interior privacylTrirnll]oc" Floor Finish Watertight .,,AativrooM Kitcfien' 18 . or more nterior Handrails BalconiestLandinS Railing Across Window in stairwells Smoke Detectors: every level every bedrxiant out, ,do every bedroom inter connected Bathroom Fans plumbing Fixtures 'Foundation Insulation Closer 314 H©ur Fire Door/Door Garage Fireproofing Sealed Garage Penetrations tted (in Garage) Furnace In Separate Room prc�tec Light Ventilation Per RooI-x F m Floor safety Glazin8 l8 4Finat Electrical Site Planiva ianee Final Survey Plot Plan out Re4 As Built Septic System l ay Okay to Issue ' Q CIO .arnw�t_ FIRE: MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 i FIRE MARSHAL INSPECTION REPORT REQUEST FACEIVED PERMIT # NAME I LOCATION _— SCHEDULE INSPECTION ONLt AM PM ANYTIME APPROVED N/A YES NO EXITSytql - �AISLE 4NIDTHEXIT SIGNS EMERGENCY __FIRE EXTINGFIRE ALARM FIRE SPRINK ..FIRE SUPPREHOOD INSTA - - - - INTERIOR FINISHES STORAGE: --- CLEARANCE TO SPRINKLERS _- CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE - - CHIMNEY WOOD STOVE __ - -- _------- _ _-- — FIREPLACE - MASONRY _ /FIREPLACE - FACTORY BUILT - -- - ~— — REMARKS: l r- 1+4r �-- - —[] OK TO THIS DATE IHsrsupdpw INSPECTOR e FIRE MARSHAL. .TOWN 4F CIUEENSB 2s04 CIUEE(5ig)-1 1- 5 FIRE MARSHAL INSPECTIaN REPORT RE©LSEST RECEtVrc4� �� PERMIT # NAME LOCATfO_N SCHEDULE INSPECTIi�N ON WE �s�� t,� Y AM APPROVED NIA YES No E7C1-TS v------ --- _ -- -- EX1T SIGNS _-- --G— ------ ----- - y E.MERGIrNG QGH HERS _ - - - --- - - _ - - FiRE. EXTING YSTEM -- - FIRE AL R - FIRE SPRi KI. SYSTE - 1 4 - FIRE SUP RESSIONOSYSTEM Ho()D iNSTAI LA IfiTER10R FINISHES __ - -- STOP,AGE: --- -- - _ 4 - - CLEARANCE TO SPRMItLEUNITS �y y _t-_ _ - _ -. CLEARANCE T() HEATING _ REQ1JiRED SIGNAGE - CHIMNEY - WOOD STO\le ----- -- FIEPL_ACE - L MASONRY ----- - - - �- V FIREPLACE - FAC-TOR' Bl3ILT �� OK TO THIS DATE REMARKS '�� J t - LNSPECTOR ilySP9LIP.P� RESIDENTIAL FINAL *NSPECTION REPORT Date inspection request received: 0frice No. (518) 761-8256 i Building & Code Enforcemen# Atr`ve am/Pm Depat Dept. of Community I)evelapment inspector's Initials Town of Queensbury 742 Bay Rowed Queensbum New York 12804 PERMTf # 1 DATE NAME 1,OCATI()N TYPE OF ,;Tjt ICTURE COM1 NrS NIA YES NO Chimney Rcightl"B" Vent(Direct Vent L oc,3tior► Fresh Air intake plumb Vent through roof Roof Complete 44 I&J AI&P Exterior Finish Complete to 361 InteriorlExteor Railings0 l V 1kc +� 1rp% RA-I ore ore Exterior Handrails, balsa landing in. n ers Interior Han ils tl► sides 3 ar ore risers Cn-ade I awa-1 aundation 8" clearance to s plate e Gas Valve sh -off expo�rregulatar lg" above grad Gas F shut-off within. 30 feet or within line of site Oil F ce shut-off at entrance to furnace area F of 'Water Heater operatvag Re ' f Valve(s) installed Headroom, 6 ft. 6 in- on stairs Basement stairs, 6 ft- A ir►. H b Handrail exterior stairs oth sides more than 3 risers interior privacy/triitVd�rs+'nnInm entrance 36„ Floor Finish BathroonvY,itchen watertight interior Handrails Balconi ding i 8 in. or moreesll...an Railing across window in stairwells smoke Detectors' every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3f4 hour fire doorldoor closer Garage fireproafing Garage penetrations sealed otected (in garage) Furnace in separate room pT Light ventilation per roam Safety glazing 18" or less from floor Final Electrical / t r,rp, { La uje v i site P1anIV ariancc required Final Survev Plot Plan As Built Septic Svstem layout required Okay to issue C/C (Certif. of compliance)__._.._----- Okav to issue temp. CIO (Certif- of Occupancy) Okay to issue permanent CIO (Coif- of C7ccupancY) THE NEW YORK BOARD OF FIRE UNDERWRITERS +�80P B SREEAU OF ELECTRICITY ALBANY, NY 12210 111 WASHINGTON A ., E ,€ -; ; .- 1 �RtTlir3Fx`t f ,3 , « if7 4ppl' ation No_ on file Date p ff T M(l . + - :i v= THIS CERTIFIES THAT named on the above application number is in the premises of only the electrical equipment as described below and introduce T' ilrA}�3£ CT , .f.[} ' ? e)i , i�(I 'E1V f3Uli . Vy _� ci ; 1' ii2L IfA of tit ._ L. P!L" . ® r3,1R Section Block Lot in Basement tit Fr. � znd Ff. was examined on �'A1�TL:AFt]�� -� i � T uyt3 and found to be in compliance with the National Electrical Code. the following location; FIXTURE FIXTURES RANGES COOKING oECKs QVENS. DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANflESCEN FLUORESCENT O►HER AMT. K.W. AMT, SC.W. AMT. K.W_ AMT. K,W. AMT- 35 33 _ty 4 `r" UNIT HEATERS MULTI-OUTLET p1MME DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC"PT. TIME CLOCKS BELL SYSTEMS AMT WATTS AMC. NO. AMT. K.W. OIL H.P. GAS H.P. A. W. 6. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO. OF F i" NO. OF 5 'E R C E V I �. A. W. G. �yO, pF NE LLTkAlB OFF NEUTRAL ,F N - A. W. G. NO. OF HI-LEG OF NI-LEG SERVICE DISCONNECT METER O OF CC COND. 1 0 2W T O 3W 3 0 3W '� 0 4W PER 0 OF CC_ COND- AMT. AMP. TYPE EQUIP. t i 50 OTHER APPARATUS: �tfV.Fix�" L7L 'L � L 'TC7_p -b R&T CONST, GENERAL MANAGER r? pfj,AATT RL? . Per This certificate must not be altered in any manner, return to the office of the Board if Incorrect. inspectors may be Identified by their credentlais. LTEPAF4TMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREO IN ANY MANNER. COPY FOR BU1LLlfNG — FIRE MARSHAL. r TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST REC ED PERMIT # J NAME LOCATION SCHEDULE INSPECTION ON /AMJPM ANYTIME APPROVED �llt'-'r NIA YES � NO ITS -- - - AISLE WIDTHS - . ----_- --- --- EXIT SIGNS -- -.--- --- EMERGENCY LIGHTING -_-. _-. - ----- - FIRE EXTINGUISHERS - - FIRE ALARM SYSTEM --- _.__-- _ _ - -- -- FIRE SPRINKLERS TE FIRE SUPPRESSIO STEM - HOOD INSTAL ON ---- _ - . .--- --- INTERIOR FINISHES -_ . -- � I----- -- - --- STORAGE: -- -- - - - - CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS -- REQUIRED SIGNAGE _ _- -_-- --_-, 1 CHIMNEY �� -- WOOD STOUT -- --- --- -- _.. -�FIREPLACE - MASONRY ---- FIREPLACE - FACTORY BUILT ... _ REMARKS:- -- --J--^ - -� - [ OK TO THIS DATE INuP'3lIF.Pl1B INSPECTOR a GENERAL Ih'SP.EC.TTUN" REPORT Town of Queensbury Dept of Community Development Date inspection request received. �i Building & Code Enforcement kn 742 Say Road prrfive�lCQ I c Dp� Queensbury, NY 12804 Inspector's Initi NAME: C DATE : g LOCATION: YPE )f STRU T RECI]EC N/A YES NO CONOAENTS FaoUin�'Piers � Monolithic Pour Farm Reinforcement in Place The contractor is responsible for providing protection i for 48rhours toll g the p ment of the Materials for on site Foundation+'W ur Reinforacaien in Place Foundatio fing Backfill plumbing ader Slab Plumbing VentlVents in Place Rough P1 Heatinpou -In LU on r Foundation Wan Interior R- Foundation Wails Exterior R.,- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack StudsJHeaders BracingMridging, Joist Hangers Jack PostsJMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 31 .4 hour Finn mwwwwwwmow� FIRE MARSHAL OF QUEENSIBURY ISBURy I gy 12804 Cku'I 761.8205 (sis) IFIRE MARSVIA� iNSPECTION RE P R 2 - r, , q% PERmi REQUEST A covEll NAME LOCATION Kl SCOEDULE NGPEC�-I ON AM19 APPROVE[) YES NO EXITS ------ IT SIGNS N Eoj�aGENCY LIGHT FIRE ExTiNG FIRE ALAR SYSTEM --- - - - FIRIF SIP KLEp SYSTEM FIRE S PRESSION SYSTEM HOOIDIINSfAlINTION INTERIOR 'F'N'S"ES STORAGE:CLEARANCE TO SPR%1qyL,,ERS CU F TO VilEATING UNITS CLEWARC RE.QU;RED WOOD STOV'E , MASONIR E - F FIREPLACE %-ToR BUILT IFIRE-PLAC AC OKT 0 TFIfS BATE -------------- ttAspEC [OR GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community development Date inspection request received: Building & Code Enforcement 742 Bay Road Arrive ain/pm Depart r � QQ ueensbary, NY 12804 Inspector's Initials f-J� NAME: '`. PERMIT # `�J LOCATiO DATE TYPE OF STRUC'I : RECHECK NfA YES NO COMMENTS 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 co Materials for this on site Foundationf Wail Reinforcement in Place Foundaltion/Dampproo5n Baclaill Approval Plumbing Under Plumbing Vent/Vents in Place6A.)-1- Rough Plurnbin ting Rough-ln �ation Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Wails R- Ceiling, R- Duct work or piping in Op unheated spaces R- Proper Vent„ Attic Vent Framin Jack Studs/Headers Bracing/Bridgin joist Hangers rack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 31 hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL IN PE 11V R+E'PDRT Town of Queensbury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Itoxd Queensbury, NY 12804 Arrivea ,� D e srt eCtOrS NAME: PER »I1T # DATE LCCTI TYMOF STR CTURE: RECHECK NIA YES NO 'CON ME 17S FootingslPiem Monolithic Pour Form Reinforeement in Place The contractor is responsible for providing protection from freezing for 48 hours following the t of the con Materials for thi on site Foundation/Wall Reinforcement in Foundatio Backfill Plumbing U Slab pluW6ing Ven ents in Place Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walis R.- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attie Vent Framin 1% Jack Studs/H rs_ Bracing/Bridgm joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin I TOM of [UEENSWRY WILDING & CODE ENFORCEPIENT / F 742 Bay Itoad ()ueensbury NY 1260 (5,8) 761-8256 SEPTIC DISPOSAL SYSTEM[ INSPECTION Name Location , Date 0 T Permit #�� SOIL TYPE- an - -Clay- Results of Percolation ( if applicable ) Rate TYPE OF SYS11340 Tot a th ABSORPTI Length of ach tre Depth of t nche Size of ston - SEEPAGE PITS: ft . f t . Size - �- stone siz Size YPe PIPING: ►► Bldg . o Tank ��3„ Tank o Dist . Box NIL Dist . Box to Field/pit I 0 artia openings Sealed? LOCATION/SEPARATI feet Foundation to Tank - ti feet Foundation tn► Absorption -- et Separation & Pits Conforms as per Plot Plan LOCATION OF SYSTEM ON ( circle one) Left Side - Right Side Front - Rear Left Middle Front c , COMIA�TS Ilk SYSTEM USE APPROVED A. Arri ! j Building I sp r f Q V � 1,9507a » 1( !p' Jsre •y: r 0 .0 goo / \�/ A WY E COURT GENERAL 1NSPEC77 N REPORT Town of Queensbury Dept_ of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Qhueensbury, NY 12844 ,Arrive am/pm Dept Inspector's Initials NAME: _ RMIT LOCATION: DATE G j g TYPE OF STRUCTURE: RECHECK N/A YE NO C NTS 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 Fo ud tion/Dampproofin N,,SaaAll Appmval 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 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 Firesloppin GENERAL LNS�F'EC�T`I 1V RE►PQR?' Town of Queensbury Dept_ of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 32804 Arrive epart Inspector's Initials - --�� - NAME: PERMIT # LOCATION: DATE : TYPE OF STR.UCTIFRE: RECHECK N/A Yj NO COMMENTS F tings/Piers onolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fre for 48 hours following. the iEm �ff of the concrete. Materials for this purpo n site Foundation/Wallpour Reinforcement in P Foundation/Dam. roofing Backfill Appr Plumbing, Under Slab Plumbing Vent/Vents in Place Rough Plumbi 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 Framin Jack StudslNeaders Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # NAMEA LOCATION! SCHEDULE INSPECTION ON _ TAM PM ANYTIME APPROVED NIA YES NO EXITS _ AISLE WIDTHS EXIT SIGNS - - EMERGENCY LIGHTING -- - -- FIRE EXTINGUI FIRE ALARM SYST FIRE SPRINK SYSTEM FIRE- RESSION SYSTEM HOOD INSTALLATION INTERIOR. FINISHES STORAGE; ----- ------- _.. . . . f --- - - - CLEARANCE TO SPRINKLERS _ CLEARANCE TO HEATING UNITS - -- - -- REQUIRED SIGNAGE -- - - - - - CHIMNEY WOOD STOVE ^ ._ - - ---- -- - - - 41REPLACE - MASONRY _ 1REPLACE FACTORY BUILT - REMARKS: .I OK TO THIS DATE INSPSLIPPU9 INSPECTOR LOT 100 LOT 35 x 1� ( j S8z02' 10"E .200, 00' � w F a F ca Q 42.5' 4 il o �- Q l � �) 1 t=j w 4 x C f 2y a r LOT 36 LOT 101 � W 0 000+I' SQ• T GRAVEL DRIVEWAY + h � 4 4 p UT1LI11E$ N82'02' 1 O" W 200,00' LOT 107 L9 NEAP o A SUR\