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2002-221 .411" TOWN OF QUEENSBURY Fos 742 Bay Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020221 Date Issued: Monday, December 16, 2002 This is to certify that work requested to be done as shown by Permit Number P20020221 has been completed. Tax Map Number. 523400-239-007-0001-037-000-0000 Location: 189 ASSEMBLY PT. Rd Owner. JOSEPH & CAROL SCRIVO Applicant JOSEPH & CAROL SCRIVO This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020221 Application Number: A20020221 Tax Map No: 523400-239-007-0001-037-000-0000 Permission is hereby granted to: JOSEPH& CAROL SCRIVO For property located at: 189 ASSEMBLY PT. Rd in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JOSEPH & CAROL SCRIVO Single Family Dwelling 250,000.00 15 DOGWOOD Ct Garage-2 Cars Attached MAHWAH,NJ 07430 Fireplace Total Value 250,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MC CALL'S CONSTRUCTION 251-3619 1485 COUNTY RT 29 NORTH CREEK,NY,NY 12853-0000 Plans & Specifications 2002-221 2440 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $352.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,April 10, 2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the own 3Qu/s ry; y le • .y,April 10,2002 SIGNED BY \ for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No,� J%. 02.1 I No inspection will be made until applicant has received a Fee Paid valid building permit. All applicants' spaces on this Rec. Fee Pai. ' ` application must be completed and must appear on the Reviewed : , application form. ' 07 Applicant: IvlCJ._NLLS (ijbA 11,()(1(O1\( Owner: TOE j CA 01. SCR1VO Address: COU toTti el, act Address: i 'g 9 ASS 4P)U1 V f MOR.tM GREEK Af. 1 Z.653 Q(.PE RT>60 IJ.(1, Phone#(518 )Z57 - 3i 9' Phone#(_) - �' 5 . t4\,6 DODU..�JOOIbC O?O Property Location: Lot Number: / House Number / A Subdivision Name: A. cnkPAA Tax Map Number:. .' 02�3 ,7--/$7 $ New Building: residence /commercial Estimated Market Value of Construction: $ Z SO O 0 0 ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l o Other work(describe ) Check OccupancyInformation i"Floor 2°d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet air Single family dwelling f of 2-0 il0 2..0 -r---- ZZS'4/0 ❑ Two family dwelling • ❑ Townhouse o Multifamily dwelling #of units ❑ Office , FIB ED ❑ Mercantile o Manufacturing APR 0 3 2007 0 1 car detached garage a 2 car detached garage TOWN CI a 3 car detached garage pi e_- ❑ 1 car attached garage 2 car attached garage � p 0 o 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure 2-7 feet 7 , inches M X. Will any second-hand or ungraded lumber be used? If so,for what? NO Type of Heating System: elect i h of gas/wood /forced hot air/ baseboar. other .L) 4 ' �N Number of Fireplaces to be installed Dill E Number of Woodstoves to'be installed /VOAJ( List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder f e(A L L Co, /s1 ,U CIO Ai ,th erfi CtE % /�/I( 2 S/ 3 /`9 Plumber pA V A, 2w/wei 1A/(5 4 ur6i 158!/ i/Gy. -79R-43 99 Mason t3An��)/ i MA5CA CV Gt/. 1-1:- 4MN /U! "792-- /37/ Electrician dip & trail . enorz_lifet-, /P/. hS' -Z355 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 I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all n w construe ' //ff//�� Signature: 466 T powher,owns agent,arcllutect,/contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: I g A SS 1✓.A46L4 PT. �, } Tax Map No. .23 9 7/ ' 7 File Permit No -'2'` - I Fee Paid Owner's Name: l70 6 4 Cli:Qa C. 5 C 12 I I/o Address: J 2 q As sem J L PT. QUl✓61058U2,{/ N I28O4 2. INSTALLER'S NAME : MC`NA l-U1' C111/ -n GIA1 PHONE NO. Z S f 56 Z 3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply# of bedrooms with applicablygallons per bedroom to equal total daily flow) N C J51"�VC7jv Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gal/bdrm = 1991—present -�if,Qc6(13 ) x 110 gal/bdrm = 3O 6R(fit Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes X / no • _ 656A C.., 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) To•ography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply 4 at ,eZIPP 5 E. at what depth at what depth municipal X LST I N G- Ro ing loam t,5-r. NOl'Jtfeet 1, NOT feet wellFeo4 a_,6EOR.GE Steep slope clay is t y UPTO 72- Fou NA if well;water supply %slope otherCo&Jt)Itlo'J from any septic-system depth: ON EN‘.).bPA• absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: 'COO gallon(min. size 1,000 gal.) 6X I S1/AJ& 56KE /9(3/ Tile Field: each trench 60 ft. Total System Length: Z 7 o ft. Seepage Pit(s): number of size of each: ft. by &X 6--5 Ef &V6 r ,)12 6S, P,2Q V/1O Ft Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) / 000 G 4 L pO M P 5i jQ T IO AJ `r9 tq K Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. YEv J �X 157(N 6 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) 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 upon 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 application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. NA A lita tLis bi\J$ e 130'►W""1166177- l/ l(o �✓ Signature of respons' I person ((( Date Fire Marshal's Office Town of Queensbury,'742 Bay Road,Queensbury,NY • (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 411 - , 20 .r�i- Permit No. - . Application is hereby made to the Building& Codes Office 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 perfarm required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: /ie CAL.. ,•c caith oCTh*\J Stove: wood coal pellet gas Fireplace insert Address: /4 6 5 co,1 Ay `/ Z1 Fir tory-built: wood gas tam C'�2T /l/. / ,�?5, ireplace, nr oo gas ' Furnace: wood gas oil Phone: Jt' -- t`' i If non-masonary applicance,please provide Owner: 1"ti`e- 1 Qv v Ct %V 0 Manufacturer Name: Address: 9 A 5::° 1.i,'�j(. txT. Model Number: • . 4 Chimney Information Phone: (circle appropriate won._ Masonry block brick sto < Flue tile steel size: a inches � Exact Address: , A;,41... A \J 4PPROX. / 'ifZtt of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: Number: Construction/Installation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / Insulated / Direct venting Chimney Liner Carethifr'a Depaz'tme t— t,o PQzzeeztgburrjr, New Thz4x- Fire Marshal Code# $Collected $Refunded Received from(refunded to):J`\1 •n t � r ,r... (W ) address: A 173 3389 (190) Public Safety d A 233 2655 (230)Minor Sales DATE: .. ..._ White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept) T fink&.Goldenrod(Cashier's Dept.) - g'' ' 1 • =a .� ENERGY CODE COMPLIANCE APPLICATION ()&ô = Hitt. TOWN OF QUEENSBURY, WARREN COUNTY (172\ 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) e4n1 PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - -� square feet 2 . Type of Heat - Electric V Oil Gas Other 3 . Is building mechanically cooled? VYes No 4 . Percentage of area of windows and doors Over 17 Under 17% 5 . R-VALUES FOR .INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R b. Exterior walls R let c. Glazed areas R '`•33 d. Exterior doors R 40 e. Floors over unheated spaces R %>47 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R --4 h. Basement/cellar walls (below grade) i . Heating/cooling-ducts-piping in unheated space R `` 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code 4120 No •. TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED App ica�it' Signature , Date Phone Number I !RVr,„,G,,, ACC of isle C,fusCokr-4 Z-5/- 3�!R REMARKS: TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD 5 QUEENSBURY NY 12804 (518)761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT COMMERCIAL MULTIPLE DWELLING (hotel motel, apt. complex) DATE INSPECTION QUEST RECEIVED: NAME CC�� v'© LOCATION 1/ ( Q ! '►ib L� �. j+i i d DATE / /4 / O 2-PERMIT # 24027-ZZ TYPE OF STRUCTURE SY-1) FOOTINGS BACKFILL FRAMING PLUMBING INSULATION N/A YES NO CHIMNEY/"B" VENT/HEIGHT PLUMBING VENT/FIXTURES ROOFING EXTERIOR FINISH HEATING/HOT WATER RELIEF VALVES FLOORS FOUNDATION INSULATION _ INTERIOR STAIRS/RAILINGS STOCKROOM ENCLOSURE . FIRE/DEMISE WALLS PENETRATIO FIRE DAMPERS CEILING FIRE STOPPING FIRE DOORS/CLOSERS EXIT DOOR HARDWARE EXIT STAIRS/RAILS PLATFORM/ELEVATOR HANDICAPPED ACCESS HANDICAPPED BATHS HANDICAPPED PARKING FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. ~' FINAL SURVEY PLOT PLAN IF REQ 45 OK TO ISSUE C/O OR C/C 'V /1-/,_,_ .,-e._...------ RESIDENTIAL FINAL INSPECTION REPORT14-6 I 1111 r� 1 Office No.(518)761-8256 Date inspection request received: a- .3 O Y Building&Code Enforcement , f„ c Dept.of Community Development Arriv Depa • :!' '� I hit,_ 5 Town of Queensbury tor's Initi: AI* , 742 Bay Road i Queensbury,New ork 12804 ;^ `� NAME L G-1 1 l/c) PERMIT# a` �� #: { LOCATION l8"ej c/ife�I �(/ DATE TYPE OF STRUCTURE ,. N/A YES NO CO v1M NTS ' Q Chimney HeightP'B"Vent/Direct Vent Location a// ' Fresh Air Intake /J Plumb Vent through roof Roof Complete J/ 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 0j/ 8"clearance to sill plate '/ Gas Valve shut-off exposed/regulator 18"above grade �j Gas Furnace shut-off within 30 feet or within line of site 1/4/ •/ Oil Furnace shut-off at entrance to furnace area �// Fnrnace/Hot Water Heater operating �// Relief Valve(s)installed // Headroom,6 ft.6 in.on stairs it Basement stairs,6 ft.4 in. �/ Handrail exterior stairs both sides more than 3 risers � Interior privacy/trim/doors/main entrance 36" J/ Floor Finish V Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells I Smoke Detectors: tii every level J every bedroom outside every bedroom VI inter connected Bathroom fans Plumbing fixtures ,�i Foundation insulation 1 3/4 hour fire door/door closer ,�� Garage fireproofing J/ Garage penetrations sealed J �/ Furnace in separate room protected(in garage) Light ventilation per room i/ — z' 4-� f t7C.-CC_ e L71a� Safety glazing 18"or less from floor ✓/ Final Electrical Vj CO' t.�TR-0.L._ \ Site Plan/Variance required > if Fi al P As Surveyp Plot sten / v- r�� ' ""`�✓ As Built Septic System layout required V —' fl�� Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) , RESIDENTIAL FINAL INSPECTION REPORT 1-1-/v-&, 'I''<-- Office No.(518)761-8256 Date inspection request received: // !a .2GZ?- \ Ls. 00 NA Building&Code Enforcement Dept.of Community Development Arrive V' ' Depart Town of Queensbury tor's Ini' s 742 Bay Road Queensbury,New York 12804 / NAME �c�/C-Aei :3 L 5r C '1/iu P # et)o2� -r�`� LOCATION /tg.4116.,6/a/ / Roe-----Roe----- DATE 1//J1- -2_CV Y TYPE OF STRUCTURE // N/A YES NO COMMENTS Chimney Height/13"Vent/Direct Vent Location `— i Wh-`-R�� �-- Fresh Air Intake OE `A11. 1 Plumb Vent through roof �AEC�� Roof Complete O 1 1 t, �-a ce _ Exterior Finish Complete J �C /-C'c ± , Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more / .. Interior Handrails stairs both sides 3 or more risers _ V/ — '�1 t -(k_ bucWE A Grade 2%away from foundation 4 8"clearance to sill plate ✓Gas Valve shut-off exposed/regulator 18"above grade 6 vv P ��l.� IJ t '`-'br Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area 4 -- �E -�-�Q �_\ �� Furnace/Hot Water Heater operating ,�/ `C t)l.� Relief Valve(s)installed J' D -17)-1 .L .-13A-1 t tN Headroom,6 ft.6 in.on stairs JV/ - Basement stairs,6 ft.4 in. 4 • ��� � Handrail exterior stairs both sides more than 3 risers J Interior privacy/trim/doors/main entrance 36" / '� 6TC� P<PP � � Floor Finish BaeriooHanitcils Baronies �g VR15 Gv_i\p _ FO�Interior Handrails Balconies/Landing' 18 in.or more Railing across window in stairwells %t 1 Smoke Detectors: -61-4 Vb>� every level every bedroom f outside every bedroom inter connected ✓/ t Bathroom fans �/` y \?/1 Plumbing fixtures ii Foundation insulation VI 3/a hour fire door/door closer Garage fireproofing / Garage penetrations sealed / ,/ Furnace in separate room protected(in garage) V / Light ventilation per room V/ Safety glazing 18"or less from floor j i Final Electrical Site PlanNariance required / '� Final Survey Plot Plan V As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) / Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire MarshePe Inspection Report Request SCHEDULE Received; Permit# `� � „7 i INSPECTION ON: Name: ' ,\ �� lJ •� _ AM P ANYTIME Location. ...__..j '.�l APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS �,"�� EXIT SIGNS-NORMAL V- BATTERY of EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM f FIRE SPRINKLER SYSTEM / FIRE SUPPRESSION SYSTEM r 7t vl� HOOD INSTALLATION �U` � INTERIOR FINISHES I STORAGE COMPRESSED GAS G� CLEARANCE TO SPRINKLERS J CLEARANCE TO HEATING UNS CLEARANCE TO ELECTRICAL �� I � REQUIRED SIGNAGE EMERGENCY PLAN �p 6 (1 1 E2J 44 MAXIMUM OCCUPANCY SIGN- CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN r^ FINAL WOOD . STOVE ROUGHIN FINAL N """� VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE ---�--� MASONRY _ ROUGHIN )K THIS DATE OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT GH IN IN PECTIED BY FINAL ( I COMDEV/CHRISJNVORDILETTERS200 VFIREMARSHALINSPECTIONREPORT11022001 WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY 2- h Office Use GENERAL INSPECTION REPORT Inspector: Town of Queen.sbury Ready at time: PA Dept. of Community Development Request received: a-7 0c)-- Meet:_ ' ___ Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE \\•tipen : P P, RT (rj a , . Notes: (518) 761-8256 Inspector's Initia NAME: v SG it�U PERMIT# O� - �,)- LOCATION: / A64)/ty. 4--- 0INSPECT ON(date): 4,10.,..141e, TYPE OF STRUCTURE: .:::, RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form _ b t-k Rv__ i\V A5 M-\�51 t AQtj?_\.)7ik�o._ Reinforcement in Place \ `lJ ALI,b GC1 L� ` p The contractor is responsible for NL� providing protection from freezing for 48 hours following the placement 6T\FF t.© ‘‘. t i�0. t-!7e� ( _ i W (_ of the concrete. 2-Ofl M . (. !\ — ��1� V3`10 Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/Dampproofing__ Backfill Approval ,'`' Plumbing Under SlabI Plumbing VentNents in Place -- Rough Plumbing II eati ough-In rsulation oun ation Walls Interior R- Foundation Walls Exterior R- -- Floors R- RN Walls �� eiling RR- - Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing A \--k\ M cA 1 B C > MsZ� , Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive-')amJJ Depart j spector's Initi NAME: PERMIT# ^ 24 LOCATION: It 1^ F MC3�. 7 DATE: % TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form i 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/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Y/ t O Insulation Foundation Walls Interior R- \` �/ J�Q— K 4� AF R � 5�b Foundation Walls Exterior R O% may, Floors R- Walls R- 'c\ 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 Firestopping U p` f Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury /i'�/� Dept. of Community Development Request received: 8f 2'(6 2- Meet: Building& Code Enforcement / At time: 742 Bay Road 1 y, ----:-qj Note . Queensbury, NY 12804 ARRIVE am/pm: DEPAR7�,/- J am/pm � /�/ 111 /v (518) 761-8256 Inspector's Initials r"`' zA NAME v-i 1i a PERMIT# d Z LOCATION: / Jet f 4.vs..b t p4-. Kd INSPECT ON(date): S/2 2( v Sf'r 1 A` —�--` TYPE OF STRUCTURE: RECHECK N/A YES NO 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/W allpour _ Reinforcement in Place Foundation/D ampproo fmg__ \ ' ,- '* Backfill Approval _ Plumbing Under Slab `L Plumbing Vent/Vents 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- romiper Vent,Attic Vent7 Frang Studs/Headers ., 3racing/Bridging V Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed $r eWal12,3,4hour irestopping - ___ L:1SueHemingway\Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc I0<_ ( Office Use GENERAL INSPECTION REPORT Inspector: Ready at ime: 7bck1 Or Town of Queensbury l �'li Dept. of Community Development Request received: y/2 VOZ___ Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART -' am/pm Notes: ...; (Afsp (518) 761-8256 Inspector's Initial 11) NAME: J O S ►'!i!'® PERMIT# 0 Z'2-2 LOCATION: /i9 I s -e- 15.tki ?f. INSPECT ON(date): _th6 Of TYPE OF STRUCTURE: t' bl RECHECK �— -- — - — N/A YES NO COMMENTS /../ Footings/Piers .,' Monolithic Pour Formf \\,, Reinforcement in Place The contractor is responsible forproviding protection from freezing � for 48 hours following the placement i of the concrete. r.,` Materials for this purpose on site i. Foundation/W allpour , Reinforcement in Place Foundation/Dampproofing_ Backfill Approval_ Zurnbrn8 Under Sb .\/7 ... ugh,Plumbing — �,.. . O IJ \0 \C:-----) / Heating Rough-In Insulation _ Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- W alls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent .XFranung 7;/, Jack Studs/Headers R 1 u - /J 6_ � �, 6 Bracing/Bridging N, h C Joist Hangers rR6 k-V ' ki li I 6P-(-5 Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour__ Penetration Sealed Fire Wall 2,3,4 hour ‘ Firestopping /` 4" 1 i f;cA-e- I itG £(�� 0 l 0 A 6 kAI n/� 12e&t p C0 c�� 0 f 4 H4`i L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERALINSPEC"IOIQtidP RT.doc r f,- fJUN 1.-----iii Town of Queensbury `, Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 f Fire Marshal's Inspection Report k Request SCHEDULE Received: Permit# /9 ' 22 I INSPECTION ON: 3- 11 �" oz- Name: LLWL ll"i 5UN CV\\fO 311 AO PM ANYTIME Location: 5 P 1 „ r APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY �, ►�1 a 5 0, 1 41'; iq a % J1lc/ - 40411-4- EMERGENCY UGHTING / FIRE EXTINGUISHERS FIRE ALARM SYSTEM e> � c ja ej r 1l(11P FIRE SPRINKLER SYSTEM ,/ t l FIRE SUPPRESSION SYSTEM . -- j;t(�bD?(i 5 b1E it.91 s f4, /' rt _. HOOD INSTALLATION 7 Cal INTERIOR FINISHES , STORAGE ^^� 41 le, > j jJ5-1 ft COMPRESSED GAS i, � ! � � ttAS CLEARANCE TO SPRINKLERS / \CLEARANCE TO HEATING \\ �J UNITS Ai)0A p 9 1(t,1 oicr---PCLEARANCE TO ELECTRICAL REQUIRED SIGNAGE ✓ C Cq ►"�'V u 41 �1 _ h Ok EMERGENCY PLAN (C�a � v ✓ MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN K - t , G� 1k7 Oka t I (L. h FINAL - IllflOkAik l 6.CPAL, Q._24-_ CHIMNEY (;l yt FACTORY BUILT ROUGH IN 9 ) FINAL .w � WOOD — Czd Ilv l{ 4100 Alf i rV c K-e t/1Q; STOVE ROUGH IN J FINAL A✓ ill av vvi ok VENTED GAS I APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN X • 0 HIS DATE OK FOR CO NOT OK FINAL < J x -.51Z? FIREPLACE FACTORY BUILT ROUGH IN INSPECTED \ FINAL COMDEV/CHRISJIWORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPARI`e, , c /pm Notes: — (518) 761-8256 Inspector's Initials___\ / NAME: -D WO PERMIT# O 2- Z2-l LOCATION: 42 i / . A INSPECT ON(date): • TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement ,'1 of the concrete. Materials for this purpose on site Foundation/Wallpour_ -.) Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Walls R- _ Ceiling R- Duct work or piping in unheated spaces R- _ roper Vent,/ ttic Vent K Framing 'c H c_,� /-- a '10 (6V6k Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2, 3,hour - Penetration Sealed _ Fire Wall 2,3,4 hour Firestopping ___--- L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: 0 Town of Queensbury � Dept. of Community Development Request received: 15 p Y Meet: r?)0 Building& Code Enforcement At time: 742 Bay Road lo Queensbury, NY 12804 ARRIVE am/pm: DEPART f l 1 am/pm Notes: (518) 761-8256 Inspector's Initials )1gL-740 NAME: r 7 ✓o PERMIT# o Oo af;') LOCATION: 1 cM rn l , , INSPECT ON(date): 7 /co 6 l LA.e- TYPE OF STRUCTURE: U '� RECHECK N/A YES NO COMMENTS Footings/Piers K/� Monolithic Pour Form _ I' ' - 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 siteil Foundation/W allpour / Reinforcement in Place / FoundationfDampproofing / Backfill Approval / __ Plumbing,Under Slab '" nothing Vent/Vents in Place ' Rt.- (� / "Routh Plumbing fir` it f ff'V ( Heating Rough-In I Insulation Foundation Walls Interior R- Foundation Walls Exterior R- _ Floors R- _ Walls R- Ceiling R- Duct work or piping in unheated spaces R- Vent, ' J / J Att) 1-'/ _ � (1 I idi LG.- CA'u' _f t / ^. 6-LJack Studs/Headst'+ Bracing/Bridging Joist Hangers _iA Jack�osts/Main Beam ir Infiltration Barrier /(-7 i i Fire Separation 1, 2, 3,hv,ur ✓V A /; f7- �{ n!� Penetration Sealed G✓J'�J ' ,re Wall 2,3,4 hour Ftrestopping_ - — ]/ LI L:\SueHemingway'Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road J Queensbury, NY 12804 ARRIVE am/pm: DEPAR/I dam/pm Notes: (518) 761-8256 Inspector's Initials -V NAME: CO 1 Vi() PERMIT# V -z---, LOCATION: Ali, 44 40-1' INSPECT ON(date): S4 D Z___ TYPE OF STRUCTURE: RECHECK 0 N/A'YES NO 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 orrsite-- Foundation/W allpour_ Re'�°orcement in Place ���e�iwdation/Dampproofin�� � Backfill Approval /�/'I 1'T/� v 67,1 .f<<`C' C .> 63-e-K ZU z__ Plumbing Under Slab Plumbing Vent/Vents in Place / Rough Plumbing `—"1" ----- '1 C11 C— Heating Rough-In Insulation Foundation Walls Interil,r R- Foundation Walls Exteri.r 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 r Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: 6,0' Dept. of Community Development Request received: a- Meet: Building& Code Enforcement At time: 742 Bay Road I; i Queensbury, NY 12804 ARRIVE i am/pm: DEPART` 1 am/pm Notes: (518) 761-8256 Inspector's Initials NAME: di 61 t 1 •.-J PERMIT# Oc c2cc. / (5-- I. ✓10 LOCATION: 1 gg INSPECT ON(date): 41 i TYPE OF STRUCTURE: RECHECK N/A YES I COMMENTS /Piers Monolithic Pour Form Reinforcement in Place-- 1,7 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/W allpour_ _ Reinforcement in Place _> Foundation/D amppro o fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents 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,Attic Vent Framing Jack Studs/Headers _ Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway'Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc i I DEED REFERENCE: JENNIE C. BULMAN O TO JENNIE C. BULMAN QUALIFIED PERSONAL RESIDENCE TRUST, ET AL. DATED DECEMBER 20, 1995 o W o IN 640K 998 PAGE 70 z MAP REFERENCE: SUNSET HILL FARM N DATED MAY 22, 1992 Q i LAST REVISED JULY 13, 1993 o BY GILBERT VANGUILDER & ASSOCIATES --_.._� PROFESSIONAL LAND DURVEYORS IPF $ 0 U© z S7g�3� r z iPF o g"E RECEIVED O O _ IPF' � 2002 412'# DEC, C 0 � '%n TOWN OF QUEENSBURY can N � �►,.., BUILDING AND CODE p, Z zn W� AREA 38,687 sq.ft. z04 0.89 acres CD o s CY D ( INCLUDING ASSEMBLY V o S 0 POINT ROAD ) O 01 AQP61 a� E IP.F j C� [O F..' r4 371.2* n 0� � SPRING M7 p N b I� 90332Nw i. y Imi,11 M ( bR .1 iD E+ h TTom�, H blip! HE E `r1 N C) VIE W illy CaBJN C.P. f.P,F. LANDS OF C.I.R.F. I.P.F. WILLIAM STAPLETON N -� .P.F. �1l x z � o W) z A1�, Cr I.P.F r I.R.F. � �1 C.I.R.F. LEGEND: %7 I.P.F. — IRON PIPE FOUND a p~ CQ co I.R.F. = IRON ROD FOUND C.I.R.F. = CAPPED IRON ROD FOUND gyp, = U11UTY POLE • . • • j Do* MAY 4 2M C sow* row • ;��QF NEy�r ,• 4ON C. GRAPHIC SCALE 20 0 10 20 40 ao r \— 1 ( IN FEET } SHEET 1 OP 1 SUBJECT TO THE RIGHTS OF THE PUBLIC FOR THE USE OF ASSEMBLY POINT ROAD. i inch = 20 tt DWG. NO. 99198