Loading...
2007-115 FF TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20070115 Date Issued: Friday, December 28, 2007 This is to certify that work requested to be done as shown by Permit Number P200701.15 has been completed. Location: 96 SEELYE Rd Tax Map Number. 523400-227-017-0002-012-000-0000 Owner. JOHN & MARTHA SCHMULBACH Applicant: JOHN & MARTHA SCHMULBACH This structure may be occupied as a: Fireplace By Order of Town Board Residential Alteration TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, VVV Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070115 Application Number. A20070115 Tax Map No: 523400-227-017-0002-012-000-0000 Permission is hereby granted to: JOHN & MARTHA SCHMULBACH For property located at: 96 SEELYE 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. Twe of Construction Valu Owner Address: JOHN & MARTHA SCHMULBACH Fireplace 96 SEELYE Rd Residential Alteration $75,000.00 CLEVERDALE, NY 12820-0000 Total Value $75,000.00 Contractor or Builder s Name /Address JAMES MOONEY BOX 234 CLEVERDALE, NY 12820-0000 Electrical Inspection Agency Plans & Specifications 2007-115 345 SQ FT RESIDENTIAL ALTERATION AND 1 FIREPLACE $40.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday, May O1, 2008 (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 To of ens ,,~ ay, May Ol, 2007 SIGNED BY ~ ~ for the Town of Queensbury. Director of Building & Code Enforcement ~- -------------------------------------•---------.. r--.....------------• ;.-~~+ 1~ ~~ ^ j~ OFFICE USE ONLY ~j ' ~ TAX MAP NO. / PERMIT NO. ~ T ~ ll ,~ ~ i RE,C' ~ ~t~~~~ ; FEES: PERMIT RECREATION ENGINEERING ~ ' ' ,, , ' (If applicable) ~ ' ~~ °t ~ ' TOVviv lir° c..~~Lr 3vv,~ovRY PRINCIPAL STRUCTURE: BUILDING AND CQDE APPLICATION FOR ZONING APPROVAL F~ BUILDING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. APPLICANT/BUILDER: ~'r~w, is c oo rJ ~-~ ADDRESS: ~ ~- 3 c1.~9~~A~~, l2. d ~ Nn^~r~ - ,6r6 -3ry PHONE NOS.~~ ~, ~ _ .r's''- n z-2-~' OWNER: ~l~RT4~A- ~ ~fmu[.(3~¢cH m'I~~L Gc13c~g~o~~.~, N•y,282~ ADDRESS: Sk' ~'l- ~ ~ D ~u~t~ruS6~ / ~ N /Z~~ Y PHONE NOS. -7 9 $ - 3 g3 / lr 6 s'c- 3 sue! 2-- CONTACT PERSON FOR BUILDING & CODES COMPLIANCE:~I~S 1'ti'tio/SN~S~HONE: ~ rJ "dyzy' LOCATION OF PROPERTY: 96 SEA L ~/Ya l~'~ G~ 1,~c.1~Elt,2s Ci ~.... 2~ ~ ~ ~ ~ ~ p ~/ SUBDIVISION NAME: PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT APPLY TO YOUR PROJECT z O ~ ~ a ~ ~ O ~ C'1 ~ w ~ y p t- _ ~ ~ „r ~ w = w ~ i ¢ a t~ z z ¢ Q ~cOn NvOi O~ ~~ _ a=,~ SINGLE FAMILY ~`~~ r _ rn~ 1v TWO-FAMILY MULTI-FAMILY (NO. of UNITS_~ TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACHED GARAGE(1,2,3) OTHER ~- 2~ IF COMMERCIAL OR INDUSTRIAL - NAJvIE OF BUSINESS: ESTIMATED CONSTRUCTION COST: ~~ G DOS / " -FUEL TYPE: ~I2® rJs- a~ ~ HEAT TYPE:~,~ ~~ "HOW MANY FIREPLACE(S): I AND / OR WOODSTOVES(S): ZONING CATEGORY: CUR - J ~ ARE THERE WETLANDS ON THIS SITE? /V IS THIS A HISTORIC SITE? /'/(~ PROPOSED USE OF BUILDING OR ADDITION:~Sir. ,- % ~'~,-,,, ~~ ALV.c~L/ R ~ *Please complete a separate Application for "Fuel Burning Appliances & Chimneys" available in our office B 3-LGL 11-05 Tozun of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? N ~ ARE THERE EASEMENTS ON PROPERTY? ~J~ I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true and complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy. I have read a d agree to the a ve. Signed Director of Building & Codes' 761-8256 (for questions regarding Building Permits, construction codes or septic systems) Zoning Administrator 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) Permission is hereby granted to the above Applicant to erect or alter the building ; described herein in accordance with said Application: BUILDING 8~ CODES APPROVAL ; ;DATE ; This application /proposed action described herein is found to be in accordance with the ; ; zoning Laws of the Town of Queensbury. ZONING APPROVAL DATE QUESTIONS ? CALL 761.8256 OR EMAI~ codes[t~aueensburv net VISIT OUR WEBSITE FOR MORE INFORMATION 1NWYV.gUeenSbUlY tlBt Tozrn of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 CJ-7-l/S- Community Development Office ' ~ , .Town of Queensbury • 742 Bay Road •Queensbury, New York •12804 i ; Maril n R ba Executive Director • David HaHn Director o Bui ' "~ ~~' ~ ~ ; y y f Idtng £~ Codes Craig Brown, Zoning Administrator • Michael J. Palmer, Fire Marshal ; , ; APPLICATION FOR FUEL BURNING APPLIAN~.~~S Application is hereby made to the Building 8~ Codes Office for the issuance of a Building Z;< Use Permit pursuant to the New York State fire Prevention 8, 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. IMPORTANT NOTE TO APPLICANT: ROUGH-IN AND FINAL INSPECTIONS ARE REQUIRED OWNER: ADDRESS: PH ,NE NOS{~yj1~~ LOCATION OF ROPERTY: INSTALLER/BUILDER: ~L-~c, ~"1 R-ivP~~tC, CC7 ADDRESS: _ ~ ZS 1, ~.. ~lC..~- SNa~..~ 1"~f2.,1 Y'~, J... A~ IC..~ 2 ~~ , PHONE NOS. C,o(vg "`9' 3L'YJ ~ pT 3 OLP ~S` UgDIV~SION NAME: Cllz~ ~, _ ~ ~ ~ , ( ~ 1 LOCATION OF PROPOSED CONSTRUCTION AND/OR INSTALLATION: CONTACT PERSON FOR BUILDING & CODES COMPLIANCE: ~~, .. ~ `~n'{~}4 .,' WQO~ Ct?AL !'!GLLG3 ~7~:: ~i{~ STOVE _.__.. FIREPLACE INSERT FIREPLACE, FACTORY BUILT* ,/ FIREPLACE, MASONRY ' FURNACE (GARAGE ONLY) 7 *IF FACTORY BUILT, PLEASE PROVIDE: MANUFACTURE~R{N~AME: m qS~.S i ~ L MODEL NO..~~ i,~y R~~~, LISTED BY: l.J~ ~ - C' ~ C. ~c`121 l ~~ MBER: QUESTIONS ? - ~- , - { $y-ii~,' '71;~~`vr?~!ll~~i~'+4~a~ 'c .~ f.~, ,. ., -: .. ^ ,y 7 ~', }~ ra ~ CALL 761-8205 or 761-8206 AIL: OR EM , ' ~" :~-~ ~ . - ~ ~.. ~._ :; flremarshal(aaaueensburv nel . MASONRY•• CHECK ONE / VISIT OUR WEBSITE ,. `: ' `' ~ " ~~ a.,, ,, FOR MORE fNFORMATION www.aueensburv.net FLUE CHECK ONE / ~ ~ ~ WAgI Tc21FLE 1-I-u4d:L 1NS~L-A~~ DfiT Li[~EF2 CHIMNEY MATERIAL CHECK ONE / **IF NON-MASONRY, PLEASE PROVIDE: MANUFACTURER NAME: M ~~Z-5T" L ~ MODEL NO. 33~.C7J R.~f ADDITIONAL NOTE: CONSTRUCTION/INSTALLATION MUST CONFORM TO NYS FIRE PREVENTION E. BUILDING CODE AND/OR MANUFACTURERS REQUIREMENTS. CONSULT AVAILABLE TOWN OF QUEENSBURY HANDOUTS REGARDING REQUIRED INSPECTIONS. 0~ -lIS RICHARD J. BARTLETT PAUL E. PONTIFF ALAN R. RHODES ROBERT $. MCMILLEN PHILIP C. MCINTIRE MARK A. LEBOWITZ J. LAWRENCE PALTROWITZ MALCOLM B. O~HARA PATRICIA E. WATKINS MARK E. CERASANO MARTIN D. AUFFREDOU BRUCE O. LI PINSKI PAULA NADEAU BERUBE JONATHAN C. CAPPER BENJAMIN R. PRATT, JR. EILEEN M. HAYN ES JAMES R. BURKETT HAND DELIVERED BARTLETT, PONTIFF, STEWART & RHODES, P. C. ATTORNEYS AT LAW P. O Box 216a STEFANIE DI LALLO BITTER 14ARLA WILLIAMS BUETTN ER ELISABETH B. MAHONEY JOHN D. SVARE STACEY M. BARRICK ONE WASHINGTON STREET GLENS FALLS, NEW YORK 1 2801-2 1 68 TELEPHONE (518) 792-2117 FAX 1516) 792-3309 EMAIL info~bpsrlaw.com WEBSITE WWW.bpSfIBW.COm ROBERT $. $TEWART 1932-2001 BERT RAM J. DueE 1916-1999 August 23, 2006 1-~ ~~~ ~ Dave Haitin, Director of Building & Code Enforcement Community Development Office ' ' Town of Queensbury ' 742 Bay Road ~ 1 L ~ C o~~ Queensbury, New York 12804 RE: Martha Schmulbach Dear Dave: ~". Pursuant to the instructions of Supervisor Stec, I am hereby providing to you the septic variance application for Martha Schmulbach. At this time, Ms. Schmulbach currently has an application for Site Plan Review before the Planning Board for her proposed 609 square foot second floor addition to her existing residence. It was brought to our attention during this review that due to the fact that her existing well and existing septic system are within 100 feet of each other, that her parcel is deemed non-compliant under Chapter 136 of the Town of Queensbury Sewers and Sewage Disposal Regulations. As a result, Ms. Schmulbach hired an engineer to install a brand new septic system on the property which would be compliant. Unfortunately, when we looked into this, her immediately adjacent neighbor who just recently installed a well, installed it in anon-compliant location within 100 feet of her existing septic system. As a result, and due to the small size of her parcel, there is nowhere on her lot that she could place a compliant system. Due to these circumstances, Ms. Schmulbach is forced to apply for the following variances from Appendix A of Chapter 136 of the Town of Queensbury Sewers and Sewage Disposal Regulations: (1) 20 feet of relief from the 100 foot separation requirement for the well and the septic system; (2) 5 feet of relief from the 20 foot separation requirement for the dwelling and the septic system; and (3) 9 feet of relief from the 10 foot separation requirement for the property line and the septic system requirement. We would like to discuss these variances with the Board on August 28~' as well as the possibility of obtaining a waiver from the existing test pit requirement. Ifthere is anything further needed in order to maintain our spot on the August 28, 2006 Town Board's Workshop agenda, please contact me. Sincerely, Bartlett, Pontiff, Stewart & Rhodes, P.C. Stefan e DiLallo Bitter Enc/220624 cc: Martha Schmulbach Supervisor Dan Stec 9 t ~" ~, •`~ j~;. ; aF~ a ;~ a ~r '' `~ ~ .' ~- .,„ fY ~t, ~,t, r ~.~~' -rvk; ~ C; ~i }. .. ~- t~ ~ t ~1 ~ , ~ ~ ~~r ~ ,;t=? ~ ~ ,~: ~.: G s+ - _ .,~ Lam.' _ k~. ~t.. =~ Pi- } N~ ? ~. ~: ~....'..., L ~: ~~e ,y 0 N N~ O r~ O ~, ,~ \. Fr ~f anung / Firestoppmg Inspection Report ~~ C Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: ~ PERMIT #: ~~- LOCATION: INSPECT ON: TYPE OF STRUCTURE: ` Y N N/A Framing Attic Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses . er less on center Ice and water shiel 24 inches from wall ion~l, 2~ 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in caul min. Garage Fire Separation House side %i inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade COMMENTS /- ~ Framing / Firest pping Inspection Report ' Office No. (518) 761-8256 Date Ins ec Queensbury Building & Code Enforcement Arrive:~~ 742 Bay Road, Queensbury, NY 12804 Inspector's v NAME: LOCATION: TVD~ !1L` OTn r rr. m r t\ 1\/h Attic A ss 22" x 30" minimum 1 Jack Studs /Headers Bracing /Bridging i Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly ~ / 12" O.C. / I ~ Headroom 6 ft. 8 in. v ~ Stairwells 36 in. or more , Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls { Metal Strapping for Notches Top Plate 1 '/z w 16 au e 8 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ; Ice and water shield 24 inches from wall 1 separation 1, 2, 3 hour s Fire wa112, 3, 4 hour i e n sea ed i 16 inch insulation in cavi min. ~ Garage Fire Separation House side %z inch or 5/8 inch Type X j Garage side 5/8 inch Type X ~ Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf ade PERMIT #: INSPECT ON: ~~ /~ COMMENTS l -- -------- `~~ ~e~ py~~ Rough Plumbing / insulation I sn pec~tion Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 NAME: ~~~v LOCATION : • . ~ TYPE OF STRUCTURE: Date Inspection request received; Arrive: ______-_am/pm part: ~", am/pm Inspector's Initials: HERMIT #: INSPECT ON: -x=21 ~-~~. Y N N/A Rou h Plumbin Nail Plates Plumbin Vent Vents in Place 1 ~/z inch minimum Drain Size Washin Machine Drain 2 inch minimum CleBnout eve 100 feet than a of direction Pressure Test Drain /Vent Air /Head 5 P.S.I. or 10 ft. above hi hest connection for 15 minutes Pressure Test Water Supply Piping d P.S.I 5 minutes Insulation idential Check Commercial Check Attic Vent Duct /Hot Water Piping Insulation If re uired unheated s aces Combustion Air Su I for Furnace Duct work sealed ro erl No duct to e COMMENTS: , -- ~l~ ` y~'v~~ L:~Pam Whiting~Building & CodesVnspection FormsUtough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15, 2005 Town of Queensbury Fire Marshal .742 Bay Road Qneensbury, NY 12804 761-8205 / 761-8206 faa'745-4437 F~ctorv Built Gas Fireplace /Stove Inspection Report Notice: New York State requires that all UL Listed, factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's instructians or specifications is allowed. Permit #~_~~~ Schedule Inspection_ '' 1 Time ~ ~ pm anytime Inspect Name-*~~~~(` Address Rough In Final Appliance Manufacturer ~-~ (,~~~~ ~j~~,~iQ,~el #~~~~ Direct Veut~Factory Built Chimney Flue Size Double WaU Triple Wall Insulated Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Yes I No I N/A Comments Vent /Chimney Termination / Chimney height mast be 3 feet above roof penetration; 2 feet above any combustible construction within 10 feet Gas Shut-Oty Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement (i~ I.~ White - Builaini Deft CJ l n .'S/ Yellow .~ ~z°~ ~~~ 3 Plok-Fire Marshd C;UMMUNWEAL'I'H ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE -ELECTRICAL APPROVAL ~_. Permit No...~.. '( ~t ~ .Cert. N~ 3 ~ 9 6 ......................... Cut-in Card No.................. Owner ..................... ~....:SC .~'-fit /~~'rt- .................. Location..... 'P v L-~r `-"` ( ~, ..................................................... / .........................2~.........~'............... CSc~~_........ ....................................................... In allation Consisting of ............ l'7Z~/ ~ lL~Z6'~ '~ ~ ~ ~-p .........................; ........: ~ ....................,t............................... ..... -P~.: ~f.Gu ~. ~-~ ........................ .................................................... ................................................................. ................................................... --y~ ~ ........... Installed By..........~...........!~F. s., ................................................... Lic. No............... .................................... The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled: - This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privile a of mak' spections at any time, and if its rules are violated, the Company shall have the right toe ke th' ce 'ficate .Date.. l Z .l3 °-~ ~ .................. INSPECTOR ............. ..................................................... ..................... Member N.F.P.A., LA.E.I. ~~ r~~ `~ Queensbury Building & Code Enforcement - Resi ential Final Inspection Office No. (518) 761-8256 Arrive: am/p~ Depart: ~~4~am/ m Date Inspection request received: Inspector's Initials: ~/' / P NAME: PE CRMIT #: LOCATION: DATE: TYPE OF STRUCTU --, Comments Ye No N/A Buildin Number /Address visible from road c Chimne Hei ht / "B" Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbin Vent throu h roof minimum 6 inches Roof Com lete /Exterior Finish Com lete Platform at all exterior doors Guards at stairs, decks, atios more than 30 inches above ade Guard at stairwell at 34 inches or more Guard at deck, orches 36 inches or more , Handrail Termination at Newell Post or Wall InteriorBxterior Railin s 34 inches to 38 inches Interior Handrails stairs 2 or more risers Grade awa from foundation 6 inches with 10 feet 6 inch clearance to sill late Gas Valve shut-off exposed /regulator 18 inches above grade Interior rivac /trim /doors /main entrance 36 inches Bathroom /Kitchen waterti ht Safe lzin /Window in stairwells safet lzin ,~, Interior Smoke Det ors: Every level: Every Bedro Outside every bedroom ea: Inter Connected: Batte backu Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches hei ht) in accessible area Crawl S aces 18 inch x 24 inch access, 1 s . ft.-150 s . ft. vents Bathroom Fans, if no window Plumbin fixtures Foundation insulation Floor truss, draft sto in finished basement 1,000 s . ft. Emer enc a ess below de . Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater o eratin Low water shut-off boiler Relief Valves installed /Heat Tra /Water Tem 110 Enclosed Stairs Sheetrock Underside minimum %z" Gypsum Basement stairs closed rise > 4 inches Gara a Floor Pitched Gara a fire roofin /'/. hour fire door /door closer Duct work Sealed ro erl Gas Lo sin Sealed or Glass Enclosure Final Electrical Z,,, C Final Surve Plot Plan As Built Se tic S stem /Sewer De t. Ins ection Sticker Site Plan /Variance re uired Flood Plain Certification, if re uired __ Oka to issue C / C or C / O Tem o /Permanent ~ ~~~ ~z~, .-_ ~~~ ~ ~~~ L:~Building & Codes Forms~Building & Codes~Inspection Forms~Residential Final Inspection Form revised 100405.doc ~. Framing / Firestoppin Inspection Report Office No. (518) 761-8256 Queensbury Building & Code Enforcement 742 Bay Road, Queensbury, NY 12804 NAME: yl ~ (~i L LOCATION: TYPE OF STRUCTURE: ~ ~~. j ~1 Y N NIA Framing is Access 22" x 30" minimum Jack Studs /Headers Bracing /Bridging i Joist hangers Jack Posts /Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches /Holes /Bearing Walls Metal Strapping for Notches Top Plate 1 '/z w 16 au e 8 16D nails each side j Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall ~ Fire separation 1, 2, 3 hour ~ ~ Fire wa112, 3, 4 hour Firestopping I Penetration sealed 16 inch insulation in cavi min. Garage Fire Separation House side `/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceilin wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf grade ~-1v~~- Date Inspection request received: ~Y ~ l(o_ o~c)7 Arrive: am/p Depart: ' am/pm -- Inspector's Initials: PERMIT #: QZ_r f S INSPECT ON: ~ ~~7 COMMENTS