96-738 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date FG bru 1 • 19
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a SINGLE FAMILY DWELLING W/2-CAR GARAGE
LOT 1 #21 J;,e` 1'LES WAY
Location
Owner 'JP.THE L. L. C.
By Order Town Board
TAX HAP NO . 148. -3-40
WN OF QUEENSBURY
a,
Director of Bldg. be Code Enforcement
BUILDING PERMIT
VALUE S 13790TOWN OF QUEENSBURY No. 96738
TAX MAP NO . 148. -3-40 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP,THE L.L. C L.L. C.
OWNER of property located at LOT 40 #21 KETTLES WAY
Street, Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING W/2—CAR GARAGE
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.
1. OWNER'S Address is
1810 STATE RT . 9 SUITE 3
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP
3. CONTRACTOR or BUILDER'S Address
1810 RTE 9
LAKE GEORGE , NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction— (Please indicate by X)
SINGLE FAMILY DWELLING
( I Wood Frame 1 1 Masonry ( I Steel ( 1
7. PLANS and Specifications
205h1o.SQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECIFICATION
8. Proposed Use
SINGLE FAMILY DWELLING W/2-CAR GARAGE
292 December 4 98
S PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
December
Dated at the Town of Queensbury this A Day of 19
SIGNED BY -�V� for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
.13 BUILDING & CODE ENFORCEMENT
NOTICE Requirements prior to issuance
A permit must be obtained before '�-4
of this permit: PERMIT FILE NO. 01 Ari
beginning construction. No inspections a(0 " ;� �C7
will be made until applicant has received Zoning Board Action PERMIT FEE PAID$ ,,(,
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE /�DD$
MUST be completed and the signature Planning Board Action REVIEWED BY: /_--f!of the applicant must appear on the
application form. n SPR / Subdivision /Other
Building Inspector
J Recreation Fee Payment
Applicant: The M1chaets Gkoup, Inc_ Owner: Same
• Address: 1810 Route 9, Lake Geonge, NY 12Wdress:
Phone # ( 518 ) 668 - 3376 Phone # ( ) -
----
roperty Location: - .
Subdivision Name: Hurl/sonPo-in�:e. Cedar Count T Map Number --J 7
Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
x New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family DwgT 1i11g,.
no change to exterior size Family wt?lliftg '
Office
Other Work (describe below) Mercantile NOV 2 51996
manufacturing
> Other TO ;It Ci}E� �, ,JF«Y
GROSS AREA OF PROPOSED STRUCTURE: -' bu:iNG AWL CIO' E
1st Floor sq. ft. If ADDITION, what will use
2nd .Floor S' of new addition be? :
sq. f N/A
Other Floors sq. ft.
(not unfinished cellar or ba mend) ACCESSORY BUILDINGS:
o'C 1 .. Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. X Attached Garage 1, car
Private Storage Building
SIZE OF NEW STRUCTURE: a Commercial Storage Building
Other
FEET X FEET
Foundation Type: Pouted Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) No
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whit lies)
to be installed: Electric / Oil Gas- / Wood
Forced Hot Air / eboard / Other
Person responsible for supervision of work as regards to building
codes is : Jim Chand.Pen, Pno joc,t Mavtagon
Name Addresss Phone •
Builder: The Michae.f4 Group, Inc. 1810 Rte 9, Lake George, NY 12845 518-668-3376
Plumber: Fava Plumbing, 16A Rank Road. G11en4 Faff4, NY 12801 518-798-4399
Mason: JV Boucher, Box 268, GnanvLfYt . NY
Electrician: n FPo� nrr, 9446 not ��hQ�o adU Nv 12308 518-371-9922
DECLARATION.• 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 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 BUILT PLOT PLAN by
a licensed surveyor; d J scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
07/03/95 13: 27 5187454423 TOWN OF QUEENSBUR`I PAGE 01
4111i1
TOWN OF QUEENSBURY Fee Paid _
101, BUILDING & CODES I'3EPARIMENT Permit #
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
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 be
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 SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: The M-i,chaea Group, LLC
P.O. Address 1810 Rte 9, Lake George, NY 12845 _Phone # 668-3376
Property Location Tax Map #
Subdivision Name (If applicable) Hudson Pointe •
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jim Chandi'er Address Same Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square ootage) : _
Foundation Material : Width 8" Concke-e PieFilickness
Depth of Footing, below grade: To 4ro4t tine per code
Size of Posts or Studs: 4" x 4" x per gradeLong
Size of Floor Joists: 2" x 8" x 10' Span
Decking or Flooring Material : 5/4 x 6 pre64ure treated
How will Porch or Deck be fastened to building? £aq bolted
If Roof Will Be Ins alled , nswer hollowing Questions:
Size of Posts or Stu s : _ x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-el in ered spacing) : Span
Type of Roof: oped 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 all- buildings, 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 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
)f all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
;hall be complied with, whether specified or not, and that such work is authorized by the
Amer.
)ATE: —_ L SIGNATURE
n r ner s Agency, r it t, Co tractor
;EVIEWED BY CODE ENFORCEMENT OFFICER, DATE l SMUT
S:EPTIC DISPOSAL PERMIT I STAMP RECEIVED
Location of properly for installation:
PERMIT NU ER
Owner's Name: The Michaets Gnoup, LLC9'
Address: • 1810 Route 9, Lafze Goonge,NY 19R45 (39— 7
Installer's Name: Fntiedman Excavating FEE PAID
Phone #: ( ) 518-639-4035
Number of bedrooms (if residential): FOun
600
Total daily flow (residential -compute @ 150 gal. per bedroom):
'topography: X Flat I Bolling Steep Slope % of Slope p r4.7.v.,4
Soil Nature: I X) Sand 1 i loam I Clay n Other —/Depth:
NOV 2 51996
Ground Water: at what depth? 30 feet ', aUI�Y
TOWNTOWNO x ts.
BUILDING AND CODE
Bedrock or Impervious Material: at what depth? feet
Percolation Test: ( i Not Required IX I Required/Rate 1 min. per inch
• Domestic Water Supply: I I Municipal Well E-1 Other
If domestic water supply is a WE1.1.: water supply from any septic absorption is feet
PROPOSED SYSTEM:
Septic tank: 1250 gal. (minimum size: 1.000 gal.)
Tile Field: each trench 54 feet. / total system length 216 feet.
Seepage Pit(s): number of N/A / size each: ft. x ft.
Size of stone to be used: # 2 Stone / depth or thickness feet.
HOLDING 'TANK SYSTEM:EM: (if required) •.
Number of tanks: N/A Size of each: gal.
11- Alarm system and associated electrical work to be inspected by a certified 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 based upon or is granted in reliance a pon
any material misrepresentation or failure to make a material fact or circumstance known by or on
behalf of an applicant, shall be void.
I have read the regulations with respect to this a pplicalion and agree to abide by these and all
requirements of the Town o f Queens! try t ary Sewage Disposal Ordinance. ' C.
l
Sienature o f responsible person: Date: Il! ?(L
4 bed home
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date S �� ,19 Permit No. c9
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 APPLIANCE (check appropriate boxes)
Address ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas
0 FIREPLACE INSERT
L.y_ l.t` ; . Zip IR FIREPLACE, FACTORY-BUILT:
Phone t ❑ Wood ` Gas
`)�" : , - fi. ❑ FIREPLACE, MASONF�Y':
Owner ❑ Wood ❑ Gas
` 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address _ IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
FLUE: ❑ Tile o Steel
f '\ Size: inches
CONSTRUCTION / INSTALLATION MUST; ig4., FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title C
A 173 3389 (190) Public Safety .
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: _...w f
I
Address: ;
Dated: Town Clerk or Deputy: ~'
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
- 734.
HAANEN ENGINEERING JOHN L. HAANENI, P.S.
THOMAS W. NACE, P.S.
' r
NO v ‘.3F;' August 9, 1995
iN w GOD
Jim Chandler
The Michaels Group
6 Century Hills Drive
Latham,NY 12110
Fax: 798-8182
RE: Hudson Pointe PUD
Percolation tests
Dear Jim,
In accordance with the PUD approval for this project we have performed site specific
percolation tests for lots#35,#37,#39 and#40. These tests were performed in the area
of the lots where the septic systems will be located according to the plans.
The stabilized percolation rates are as follows:
Lot#35 1 minute 10 seconds
Lot#37 1 minute 5 seconds
Lot#39 2 minutes 10 seconds
• Lot#40 1 minute 5 seconds
These tests were performed on August 9, 1995.
Please call if there are any questions.
Sincerely,
G.Thomas Hutchins,PE
• LJC 253 BAY STREET,QUEENSBURY,N.Y.'12804
�C TEL:(518)793-7444 FAX:(518)793-7061
41/1 --- •
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TOWN OF QUEENSBURY
..#��t�Ak BUILDING & CODE ENFORCEMENT
tsx1 4 742 BAY ROAD
�_ QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: C9 — g(9 -9 7
NAME _ Q
LOCATION //
DATE f� 9 ? _ PERMIT # CYO—23(10(
TYPE OF STRUCTURE 5
FOOTINGS FOUNDATION BACKFILL FRAMING _—
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPSIRAILINGS
RELIEF VALVES
FURNACE HOT WATER OPERATI G __
INTERIOR TRIM PRIVACY DOOR
FINISH FLOORS:
BATH/KITCHEN WATERTI T
OTHER FLOORS SWEEPABLE _
OTHER FLOORS CARPETED _
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS — —_—
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION T--
GARAGE FIRE PROOFING
DOOR CLOSERS -////
FINAL ELECTRICAL
SI LAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN ---
OK TO ISSUE C/O OR C/C
. .►F_1 fill
TOWN • •UEEN :URY
,�1i11 BUILDING & CODE ENFORCEMENT
742
AD
QUEENSBURYYNYO12804
(' (518) 761-8256
` J f L/
ARRIVE: If [ 1) DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST REC. VED: W 9 7
NAME
LOCATION
DATE _ PERMIT # `773 '1(
TYPE OF STRUCTURE S
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT H GH'
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPSLRAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE -
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS -
SBOKE DETECTORS - ---
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION -
V GARAGE FIRE PROOFING
VOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. -
ANAL SURVEY`r 1.1T PLAN --
OK TO ISSUE C/O OR C/C
DL/i'lLiAj& 0 v.,
J9i5r 4.'o6-es J
ab{ -17) &�50 - 9,)
k'/ f AmL
6 ti;e v6-41 Ar1'2c u� -
ii..
3 fr
TOWN OF QUEENSBURY
Alflfti
FIRE MARSHAL
'1/4` QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED r}7 1 1
NAME .G.6./.2,(s
LOCATION -"- i 67 -e kiI \--/L4,
DATE PERMIT 44-49 79(,'
kAPPROVED
N/A YES NO
EXIT
AISLE WIDTHS C. ..-‘ /''.
EXIT SIGNS
EMERGENCY LIGHTI G
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE -MASONRY f
FIREPLACE - FACTORY BUILT �✓
REMARKS: ❑ OK TO THIS DATE
INSPSLIP.PUB ,--IN PELT R
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT iv.
kj R 742 BAY ROAD
QUEENSBURY NY 12804
(! (518) 761-8256
ARRIVE: J/ ( DEPART: ')-(:) INSP:�e-4 1
FINAL INSPECTION REPORT - RESIDENTIAL l�j
DATE INSPECTION REQUEST RECEIVED: ;I 4/ / 7
NAME
LOCATION e
DATE l c,Spi PERMIT 96- 73
TYPE OF STRUCTURE vJ
FOOTINGS FOUNDATION BACKF LL _ FRAMING
ROUGH PLUMBING _ SEPTIC __ INSULATION
FINAL ELECTRICAL WOOUSTOVE OR FIREPLACE
N/A YE NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT /
ROOFING V`�
EXTERIOR FINISH V
DECK/PORCH/STEPS ILINGS i _
RELIEF VALVE 'I
FURNACE/HOT WATER OPERATING Y
/:(
INTERIOR TRIM/PRIVACY DOORS 1://(
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE _
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS /
SSIOKE DETECTORS li
BATHROOM FANS ://r// '
PLUMBING FIXTURES
FOUNDATION INSULATION
-
7:17:
GARAGE FIRE PROOFING
DOOR C O S E,RS�
FINAL LECTRI'AL 4.1916 V
SITE PLAN/VARIANCE REQ. 1
FINAL SURVEY PLOT PLAN �/
OK TO ISSUE + kR C/C
3 AA iv �eS C CeLLk l.4umtA)c'.a
Co cpp6�Z— I/'t06(A)(n lguru5
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71-374-P
TOWN CF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
\ w kya 518-745-4447
05- SEPTIC DISPOSAL SYSTEM INSPECTION
•
Name Id,<)e
Location
e2/'
Date, (2- !) 7 Permit # %-73E3
SOIL TYPE. Sand Loam- lay-
Results of Percolatio est-
(if applicable) Ra -Mi ute/Inch
TYPE OF SYSTEM:
ABSORPTION FIEND: Total Lengt11. i (\-7
Length of each trench
Depth of trenches 3
Size of stone /v -�wFic.�1�
SEEPAGE PITS: N tuber-
Size - ft. x ft.
Stone size
PIPING: Size
Bldg. to Tank
Tank to Dist. Box cf
Dist. Box to Field/P't r
Openings Sealed? ' Ye No Partial
LOCATION/SEPAVRATION
Foundation to Tank /0 feet
Foundation to Absorption --AZ, feet
Separation of Pits rfeet
Conforms as per Plot Planed No
LOCATION SYSTEM ON PROPERTY
(circle' rw
Front - Re Left Side - Right Side
Middle F ,.t - Middle Rear
COMMENTS:
\
SYSTEM USE APPROVED: YES ` NO
Arrived: 3
Departed: t '
<f711�.
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY (0111
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
�
T/
INSPECTOR'S REPORT: ARR DEPAR'ly r` 3 IN'f ��F�
REQUEST FOR INSPECTION RECEEIVED: 21I li /
NAME Al(c./ejeZ-' . 6 /1-
LOCATION '1 C� t- oM-r s
DATE 42--iii/(f 7 PERMIT I -7"',g
TYPE OF ST///RUC RE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE --
THE CONTRACTOR IS RESP S BLE FOR
PROVIDING PROTE TIOR ROM REEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. ,---
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE --
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING -
PLUMBING UNDER SLAB -
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AI INFILTRATION BARRIER
EATING ROUGH-IN -
INSULATION: u/--f/.1./(:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
_ CEILING R=
DUCT WORK OR PIPING IN
UNHEATED SPACES R- .t_
rr b rviD
(518) 761,8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 128047-- r
INSPECTOR'S REPORT: ARcrl 5 DEPART)-c,�"� 1
REQUEST FOR INSPECTION RECEIVED: � 3� `
1 4`7
NAME �\C\-\AFZ-`-)
LOCATION t \ 3.Q_ 1 1� 0-4r'
DATE *213 HI PERMIT
TYPE OF STRUCTURE: 1)ED� t LJG C CAR
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
, MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE -_
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _
IR INFILTRATION BARRIER Y -
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
2_ P (518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURYt,NY 12804 Q/
INSPECTOR'S REPORT: ARR2• /v DEPART ? 2NT
k, `�
REQUEST FO INSPEC ION REC VED: I --a 3 !7
NAME \ (--Y 7 L/1)9°
),a-tt
LOCATION 2 e-1�. k
DATE ) -7 PERMIT # W
TYPE OF STRUCTURE: `�1 E)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RE 0 IDLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING TH PLACE-
, MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING: _ Y
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIR NFILTRATION BARRIER
H TING ROUGH-IN
////7
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _ d
CEILING
DUCT WORK OR PIPING IN
______71EATED
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,A4If\ (518) 761-8256
TOWN OF QUEENSBURY (Oh
BUILDING & CODE ENFORCEMENT ,
742 BAY RD., QUEENSBURY NY 12804
KDE
jamP(INSPECTOR`S REPORT: AR . PAR$ ,b`' INTJP-6
REQUEST FOR INSPEC ION RECEIVED: I - a V,Q /
NAME ` A C
LOCATION
DATE I",4 1 -9 7 PERMIT A 9 L A
TYPE OF STRUCTURE: )� 80 -3 3S
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCE ENT IN PLA
THE CONTRACTOR IS S ONSIBLE FOR
PROVIDING PROTE ON ROM FREEZING
FOR 48 HOURS FO WIN THE PLACE-
, MENT OF THE CO RETE.
MATERIALS F THIS PURPOSE ON SITE _.
FOUNDATIO /WALLPOUR
REINFORCEMENT IN PLACE _.
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _ _
ROUGH PLUMBING _
PlUMBING UNDER SLAB
FRAMING: AC '1��*, (JNi. 1114 %'
JK STUDS/HEADERS '✓
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM ,/
AIR INFILTRATION BARRIER
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-
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j' ► t (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPARY� N1^'
REQUEST FOR NSPECT ON REC VED: 7
NAME (" '
LOCATION ' J ` es V •
DATE )`alJ_ 9-7 PERMIT T --a,
TYPE OF STRUCTURE: i ! `)'
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _
THE CONTRACTOR IS RESON ISLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
, MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _.
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLU ING VENT/VENTS IN PLACE
OUGH PLUMBING / FAA v_vt V
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
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-
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4°alir- -7/1') if:Yrn /1 ita,
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPEC N RE VED
NAME 11) Li
LOCATION / e Q
DATE PERMIT # F i
j
APPR VEb
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTI
FIRE EXTING ISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATIONill
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE- MASONRY
-4IREPLAE - T RY BUILT
/i2 {:iNDC..Yt
REMARKS: D6K TO THIS DATE
07-ifia./17-Al ,///7 :cam" ►
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INSPSLIP.PUB INSP CTOR
C7219/1 (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR -` DEPAR ',Z NT"
REQUEST FOR I SPEC ON RECE D: / -=-7-(c)
NAME { ,
LOCATION % l-�' b
DATE /9 // PERMIT ,-73i
TYPE OF STRUCTURE:
RECHE APPROV
N/A Y NO
OOTINGSIPIERS I
MONOLITHIC POUR F
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR ----
REINFORCEMENT IN PLACE -
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE - -
ROUGH PLUMBING
PLUMBING UNDER SLAB _
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- -
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A. THE NEW YORK BOARD OF FIRE UNDERWRITERS r
j, BUREAU OF ELECTRICITY T
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-v 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 y
Date Application Ng on file
THIS CERTIFIES THAT 'sk,,,,. _ -- Ir
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only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 'Y
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in the following location; Basement L_ 1st Fl. _ 2nd H. Section Block Lot y
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was examined on and found to be in compliance with the National Electrical Code. j
.' i
-0 �r
i'C; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHA ST FANS '�
RECEPTACLES SWITCHES r
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. "-
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1 :.
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:.' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS M SYSTEMS T DIMMERS ,
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS '
4
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W. SERVICE DISCONNECT NO.OF S E R V I C E r
P AMT. AMP. TYPE METER 1,0'2W 1 Al 3W 3 B 3W 7,B'{W NO.OPER COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUT W.RAL '}
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:,,..,; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;
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..OPY FUR BUILUiNI DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.