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2002-099 TOWN OF QUEENSBURY 742,Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERT IFICATE OF OCCUPANCY : LL Permit Number: :P20020099 Date Issued: Wednesday,August 27,2003 This is to zerti£y thatwork requested to.,be done as shown by Permit Number P20020099 has been completed, } Tax Map.Number: , _ 523400-295-017-0001-005-000.0000 Location: 27' VERANDA Ln Owner:. FREDERICK&SUSAN ZM ERMAN. Applicant: HAROLD T RAVEN This structure may be occupied as a: By Order of Town Board Fireplace TOWN 0F_QVEENSBVRY- Garage.-2 Cars Attached Single Fatnily`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: P20020099 Application Number: A20020099 Tax Map No: 523400-295-017-0001-005-000-0000 Permission is hereby granted to: HAROLD T RAVEN For property located at: VERANDA -Ln 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: HAROLD T RAVEN Single Family Dwelling 200,000.00 70 MC CORMACK Dr Garage-2 Cars Attached LAKE GEORGE,NY 12845 Fireplace Total Value 200,000.00 Contractor or Builder's Name Address Electrical Inspection Agency RAVEN INDUSTRIES 70 MCCORMACK ROAD LAKE GEORGE.NY Plans &Specifications 2002-099 2700 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $391.20 PERMIT FEE PAID- THIS PERMIT EXPIRES- Wednesday,February 12,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date) Dated at die T fQueembyry; Ti4esday,February 12,2002 1 SIGNED BY —for the Town of Queensbury. Director of Blin7&Co Enforcement Building Permit Application Town of Queu'tZS`bu y - Dept. of Community Developneerrt, 742 Baja Road, Qttc eirsbtuy, NY 12804 1761-8256J BUILDING & . CODE ENFORCEMENT 1�OTICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. ��j� � , 0 beginning construction. No inspections PERMIT FEE PAID$ will be made until.applicant has received ® Zoning' Board Action `s a VALID BUILDING PERMT'. All Area /Use RECREA770117 FEE jAID applicants` spaces on this application SPR / Subdivision /Other MUST, completed ae a signature 0 Planning Board Action REVIEWED BY.- of the applicant-must appear on the IieatiOn form. 7nm�k ion. .. &� iRS tec ar Recreation Fee Payment Applicant:' fr''� ,''�- i� - �-•� Owner: •- Address, —`� Address: /N"'j Phone # ( } ` ,�-, Phone # ( ) 7Pz_ --� Property Location: . -_� � �, .-" Tax Map Number1 Subdivision Name: fS — Section Block int NA/T N OF B PROPOSED WORK: ESTIMATED MARKET VA THE "mow iYTg`�s CONSTRUCTION: $_ � UE OF commercial Ad ion to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Prima v- Building - residence / commercial L==-- Q`ingle Family Dwe _ng�® Residence / Commercial, Two Family , no change to exterior size Fami 1.�1`3 Office Other Work (describe below) Mercantile FEB U 8 2002 Manufacturing Other TOWN OF QUEENSBURY GROSS AREA OF PROPOSED STRUCTURE: BUILDING AND CODE If ADDITION, what will use lst Floor. . . . . . . sq. ft. of new, addition be?: 2nd .Floor. . . . . . . - sq. ft. Other Floors . . . • sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: ] Detached Garage 1, 2 car TOTAL FLOOR AREA: SQ. FT. u attached Garage 1, •Vrivate Storage Build SIZ'EE OF NEW STRUCTURE: Commercial Storage Building - G-� Other. ' FEET X FEET Foundation Type: �v'r r'- Will any second-hand or ungraded Number of Stories : �� lumber be u e �f so, for what? (habitable space only) Height (grade to ridge) : feet TYPE OF. HEATING SYSTEM: Number of fireplaces a d/or woodstove (circle all which applies) to be installed: '� Electric / Oil ¢- "'��Wood Ho_t__A-i_T== Baseboard / Other Person responsible fo supervision of work as re ar s o building codes is: � /� ��/�_ :, ' V :7•7-- Name Addresss Phone Builder: Plumber: t Mason: Electrician:_ - DECLARA770N. 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 BIJIL.T PLOT PLAN by a licensed surveyor; dr to sca1g,.s ing actual location of project on premises. Signature: er, owner's agent, architect, contractor) Application for Permit_Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: . f-- -- ; OfFce Use Locations of installation., File Permit No. Tax Map No. I Fee Paid { Owner's Name: Address: 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: -(circle year of dwelling,.indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per Bedroom to equal total datly flow) Year of House No of Bedrooms x Computation = Total Daily Flow 1980 or-older x 150 gal/bdrm = 1980—1991 x 130 gailbdrm = x 110 gal/bdrm = Garbage`Grinder Installed yes_ 410= Spa or Whirlpool Installed yes 4. PARCEL'INFORMATION: (circle applicable information&indicate measurements) - Too H ' Soil N r Ground ater Bed_rock or I ervious-Material Domestic Water S 1 Flat s at what depth at what depth municipal of oam feet feet Steep slope clay if well,water supply %slope other from any septic-system depth: absorption fs Z.�- other Percolation Test- (To be-completed by licensed professional engineer or ahitect) Rate; MtJc�1�-minute per inch ��i•�i!' r; 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be.designeiiby 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: gallon (min.size 1,00 gal.) Tile Field: each trenc ! _ft Total System Length: Seepage Pit(s): number,of-- size of each: 1i By i l " feet Size of Stone to be used: #. depth or thickness f Bed System Size: x ; Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if reguired)' Number oftanks: / Size of each: gallons /TOTAL Capacity: gallons Notes Alarm System and associated electrical,work must be inspected by a Town approved electrical inspection agency. 7• SIGNATURE 8c INFORMATION FOR RESPONSIBLE PERSON(please read) Far your protection,-please note thatpursuantto Section 136-29 ofthe Code ofthe Town i 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 ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance. S gnature�of responsible person BLDG. PERMIT NO. 2002-099 ,�G � APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; Lot G, House No. 27 Ve%anda Lane for the following uses: SingZe-Aa►niZy duct;t; ing with 2-can attached garage Tvr Fekr zu 13, W03 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()QAPPROVED ( )DISAPPROVED with the following conditions: 1. eomptete siding 2. comp'ete nait inge 3. dubbin .6uxvey TEMPORARY CERTIFICATE OF OCCUPANCY F $10.00 EPOSIT:)(X)$100.00 received on Febnuany 13, 2003 , /_4�__ Date of Issuance Director of Bldg. & Co of ement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. '"WN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date 2 Permit No.r_XY)') _ APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Buildin,&�,, o4 UsetP,&rxnit/ t' , 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) Ad d ress ,�A/ 13 STONE:ciWood r3Coal c3 Pellet c3Gas 0 FIREPLACE INSERT Zip lle_?? 0-FIREPLACE, FACTORY-BUILT: d rj G as Phone 0 FIREPLACE, MASONRY: [3 Wood E3 Gas Owner 0 FURNACE: [3 Wood o Gas [3 Oil Ad d ress IF NON-MASONRY APPLIANCE: -_-...Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 7fl > 0 MASONRY: 13 Block 0 Brick 13 Stone FLUE: 13 Tile w�gtfeel Size: sr inches CONSTRUCTION / INSTALLATION MUST [3 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS tdo' uble Wall 13 Triple Wall REGARDING REQUIRED INSPECTIONS. [I Insulated o Direct Venting c3 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 A 233 2655 Minor Sales t,;_eCollected From 0 efunded to: [4c Dated: Town Clerk or Deputy-L—c-i V White: Applicant Green:Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. ENERGY COD;:* COMPLIANCE APPLICATION TOWN OF QUEE:NsBURy, WARREN COUNTY 9000 ?.*E:ATTNG DEGREE DAYS Colmollance Methods : PART 5 — Accept-able Practice Method 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Farally Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* - Design -by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APgLZCA2 T' S 'NA214E: PROPERTY LOCATION: 7Z 4�K PART 5 METHOD OF COMPLIANCE ;BY ACCEPTABLE PRACTICE: I . Grots Floor Area scuare feet.. 2 . Tv-oe o'_F Heat - - .Electric 041 ��C_as__ Other 3 . 1s building mechanically cooled? Yes 4 . Percentage. of area of windo;qs and doors Over 17 nder 17z-- 5 . F.-VALUES FOR INSULATION G7-V=P IN M-EL07,-T MUST COR]RESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTEED: a . 'Roof R- b I Exter-Jor walls C Glazed areas R ;_P d- Exterior doors . e . Floors over unheated spaces P f . Edge �of slab on grade (heated building)I R g. Basement/cellar walls ( above grade) R h- Basement/cellar, walls (below g=ade) R 1. Heating/cooling-ducts-piping In unheated space R 6 . Service (domestic) hot 'water heating device Conforms to minimum efficiency per code �Y e s No TEMPERATURE CONTROL MAXIMUM SETTING 1400 = WILL NOT BE EXCEEDED Applic s tuts Date Phone Number 5 INSPECTOR' S REMARKS: Application for SEPTIC DISPOSAL PERMIT Town of Queen'sbury Dept. of Community Development Permit No. 60 Building &Codes Office 742 Bay Road Fee Paid Queensbury, NY 12804 Location of property for installation: ........ Z%� 7,24 /A.1 Property Owner's Name: Property Owner's Mailing Address: Installer's Name: Phone # Number of bedrooms (if residential): Total daily flow: (residential - compute @ 150gal./bdrm.) , Topography: flat, 4.,rollling, steep slope Soil Nature: sand, loam, 7, of slope loarn, clay, other /depth: Ground water: at what depth? feet J Bedrock or jxpervious Material: at what depth? feet Percolation test: �ot required, _ required [rate- min. per inch Domestic water supply: _ municipal, well, - other If domestic water supply is a WELL, water supply from any septic absorption is PROPOSED SYSTEjyf Septic tank: gallon (minimum size: 1,000 gal.) Tile field: each trench 31Z' feet Total system length: feet Seepage pit(s): number of I size each: fL by ft. Size of stone to be used: de*pth or thickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: gallons Alarm system associated�elo-tr�icaI v��to b,�i,,��by,�,..tffid certified 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 misrepewntation 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 Signature of responsible person: Date: t I �'��,J i Residential Final Inspection ItAl Office No. (518)761-8256 ~i '� Date Inspection requ ceiv 4pnspector's Queensbury Building&Code Enforcement Arrive: p art: `- „a742 Bay Rd.,Queensbury,NY 12804 .I Initial : . � NAME: ' V Mom' T#: � `� LOCATION: 27 TYPE OF STRUCTURE: E Val' 1 Comments L4 j cQ ChimneyHt.1"B"Vent/Direct Vent Location Y N N/A ' Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more1�� Exterior Finish Complete Interior/Exterior Railizi s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating. -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safet lazing Window in stairwells safely glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: 1 Battery backup: Bathroom Fans,if no window } Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches '1 hour fire door/door closer Garage fireproofing Ductwork Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s . ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C Cert.Of Compliance) Okay to issue Temporary C 10(Cert.Of Occupancy) Okay to issue Pezmanent C 1 O(Cert. Of Occupancy L:ISueHemingtvay\Building.Codes.Inspection.FORMSIRes.Final Insp.form 2.doe edited January 28,2003 XNI " o H z ti �U a a 0A MdANi H Via 0 . `' zz0rh�' m �W�z " H i H Ad 04 H OH z � lu w 12 u H z ,,Nut HH IH H 0 H o-' z a W x m z 0 z U N'M w d w t7 w z H z H a 0 a w z a a U a A' w zd { w x H H W a H (� a H.,� 'a A "" +� x H H a a N w W z w A' Wzu t W .wN X a d A w a x x w w w H U H 0 x x H , H w a W a 0 w d a 0 w x a z 0 W x U z w x 'H a W 0 a H N g H H U H d 4 a 0 H H g w N d w a 4 d 0 0 A ' d U d d U H a H > H H N z H U ►� a s > d A• a H + U O H z z w H d z w w U d w a d u d = W H H 5 H w W N x a A A A H > W W w t H z m > w 0 4 z N W W H 0 w w w w U N > ] a 0 0 x d ' 0 z H a w H Na a a w z x mH N 0 aN > H a 0 X 0 0 d z 0 t4 0 p z 0 0 0 H 0 0 0 0 0 p E w a W H H 0 zd w H z H z w w d H x A 0 z A A M 0 U U U a H4 z A H a H W � A a :G N H w H H H a A 0 H w w d w w HA z w W H H 0 z w U w w a w H H H A A A d W d H a H U H a Ow �H 0 0 H d a 0 ] H 0 a x H x H H d Z41 z z w Z z d 4 0 d + ,0 z x a 0 �c w W a 0 z H H H w ' H x x 4 d d dH HI 9 Az4QPWH Ua � xa, wwHwwwUw , wwaxxxwcnw0 Residential Final hispection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: an,/Dm Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#. LOCATION: DATE: TYPE OF STRUCTURE: Comments Y N NIA Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof 67 Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more uard at deck,porches 36,in.or more Pxterior Finish Complete V—Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in,with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: _ / Every Bedroom: Outside every bedroom area: . Inter Connected: — / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq. ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical /Site Plan [Variance required V Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C 0(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occupancy L:\SueHeningway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept,of,Community Development Arrive am/pm Depart ain/pm Town of•Queensbury Inspector's Initials 742 BayRoad Queensbury,New York,12804 NAME ��A. AJJ [TE LOCATION :71-1 P TYPE OF STRUCTURE N/A YES NCO Chimney HeightF B" ent/Direct Vent Location Fresh Air Intake. Plumb Vent through roa €Complete xteroor Finish Complete InteriortExteriorRailings 30" 36" Cd'�„�/�LCt� xteroor Handrails,balconies,I 18 in.or more 1L Interior Handrails stairs both sides or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposedlregulator 18' bove.grade Gas Furnace shut-off within 30 feet or wi line of site Oil Furnace shut-off at entrance to furnace ar FwmacetHot Water Heater operatin Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 n Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomes/Landmg in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroo inter connected Bathroom fans 1 Plumbing fixtures Foundatio ation 3/a b0 fJre door/door closer Garage f#eproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18".or less from floor Final Electrical to Plan/Variance required mat Survey Plot Plan DY As Built septic System layout required Okay to issue C/C(Certif.of Compliance) CID ® yT 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 ho ) 761-8205 Fax(518)745-4437 Fire Marshal's Inspection Report Request SCHEDULE �2� —0 Received: Permit# INSPECTION ON: Name, 118,iAc-pebu A-A) AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIG CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN zFINAL, .VFIREPLACE MASONRY ROUG IN OK THIS DATE OK FOR C NOT OK U IN FIREPLACE ---RO/'FINAL FACTORY BUILT ROUGHIN ----INS-ECTED BY FINAL COMDEV/CHRISJfWORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCe Main Office 176 Doe Run Road*Manheim, PA 1754 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Pert No. •.f1}iHR..ff•••.M/N/f•.11.Ri.i•f#..• fN C 7 9 5 2 0 Cut-in Card No.••••144i•.#}MRRf.iirf4l r/.!!••i!./4 -s Owrterf fR••.#ii. ! 11lfi,.. }.. i As... 4!1! . f t Ili ir•tt••1•►►..1111111Ifilf.n••4f►if►ffl►i1i1►1Riif.RNlH►!i!lla.u.44i4f•u...•4i•t/iii•Iii# ! / Locat+� illtlfff...•ifi�l441!►rfi. r►..,•.fR►11Ntf►4►••../../##i ffi11lt4•r4ff1#f//lllffiitlr►r4►►r.f.RR.t.►f111tl141i 4u.f}i ►tllitf. •i1!lffl/N.ii.u111►!till 4 Installa 'on Consisting- of., }4f.fi4t1i4l11.4u.••..u•..•.fr ►►//14►► GIM06.NN..f#f.i4f.i4}M Msolv}frf4ll44/fr••• Mts •R...u#►Nf1 96repi 11ff ff0F4f#}!!! .► fif..# /gffilH}R}•f.•••##i/f•ftliilli1/ !/I NI #fit# F. # ►1ft#i► 4.#.t4.if.#}H#u}iililtfi•1Nut}/f•}.ili4l4i••••f�fi►ft.••••ff.l.fi.if4.#auf 0�0 co IV t1! 4 i i..#09#4146164041 r•f/#114 itfflififrliu•Ni.•#�IiNi141 f#Hi•f•.t.4.4itiilff►til.i.fiiff.#ff Nlffflii•!4•##Rif.#Niif iiNllf••i..u/fff.Iii.f•••##.#.g11R1 R►.Ni.f#►iN4# t l B f Installed tuft►ifff...• •••##•ffftlfiHiiNi..•iRff•.f.•111#ifRiRi.f....fiN.liftii!•f•ii••//ii•••4•ii4li Lie. No. •••Ii.ili•••R..f•/14.if4f..#f..f4i444i.i.i...f4.ii i The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelledI - This certificate only avers 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 privilege of making F ns at any tune, and if its rules are violated, the Company shall have the right to v e this c b63 Datei! .IR.NiRi141►4■lilM11+!!!4 INSPECTOR •.../ #f•##►f rifil.ir R/iN1.►i l..........f .!!M •N.H •ii•..••#•••ti4iili.Nrfi 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: DEPART0, amApm Notes: 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: Qc-t-wt zp,- o-- 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 of the concrete. Materials for this purpose on site FoundationiWallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing ]�,,�ea ig R ugkh�---,,:,-1 m u u su 0 sulation- Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- olls R- Ceiling R- e2 0 V 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 lr W`511,2,,3,4�bour p"'estbppm L:\SueHemingway\Building.Codes.Inspecdon.FORMS\GENERAL INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: Building& Code Enforcement Meet: 742 Bay Road Queensbuiy, NY 12804 ARRIVE_am/pm: DEPART P. N L (518) 761-8256 Inspector's Initials�44�1 I NAME: PERMIT# LOCATION: INSPECT ON(date): vi &310-2- 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/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plqmbing Under Slab Pg','entl, � is in PlaceX- Hearing Rough-In Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- ------------- Walls R- Ceiling R- WA Duct work or piping in unheated spaces R- ?zdper Vent.&gic Vent TM,19—E09-:17-4 — ac kStuds/Headers oC-e- 14— Bracing/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour �e etration Sealed Wald 3,j re 2�4're F topp J� L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: -�A Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE aml P&I am/pm Notes- pm: DEPART /Pm (518) 761-8256 Inspector's Initials 4& NAME: aft,Khlleit'�y w- Q.1J PERMIT# LOCATIOM-W71, INSPECT ON(date): '16 TYPE OF STRUCTURE: RECHECK N/A YES i NO COMMENTS Footings/Pier Monolithic Pour Form N Reinforcement in Place The contractor is respo ible for 20L fro providing protection freez' g for 48 hours following the lac meatof the concrete. se Materials for this purpose on si Foundation/Wallpour— Reinforcement in Place Foundation/Dampproofing Backfill Approval Plu bmig Under Slab P bing ent/Vents 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- raper ent, Vent L zck Studs/Headers 1,A)6-1&t1 4TU05 Bracing/Bridgin U,5�:�6-5 I A /7 Joist Hangers 7-4 C I < Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour L-.\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: Meet: C-14 4 Building& Code Enforcement At time: 742 Bay Road Queensbui�� AT, 12804 ARRIVE am/pm: DEPART� am/pm Notes; 0- 1-001w—01 (518) 761-8256 Inspector's Initials, NAME: PERMIT# (9 LOCATION: \6&A:r,,A— P9, 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 of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg__ Backfill,Approval Plplilbing Under Slab_ ,Kumbing 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- en ttic Vent�___ 0 e V ra rin g Jack S tudslHeaders_ t . Bracing/Bridging C.li> bly-o Ck Joist Hangers Jac s earn fir io arrier -Fire Separation 1,2,3,hour Penetration Sealed re Wall 2,3,4 hour L:\SueH,ei.�g,,.y�Biil�diig.Cod�,s.l.,pe.�tio..FOR��S\CiFN�ERAL�INSPEC�TION ;r 0 I m x x x ` N n N ' H x ? ro 0 H d r x a > 1�14 H H � � r H , M H H x 0 r } r x x0 k p 0 > > x g x x x x H H H 0 g 0 0 g 0 C K 5 > U00q aM M Z 0 H q N X 0 r r H H H M H 0 M H H x ro n n 0 0 a a x H N x H x H z 0 H H N rA g 0 0 0 0 0 q 0 0 0 x 0 1 0 z N C ' h1 'd h1 0 0 X 0 H c 0 H xAsksto N C� ro ro ro H ro H z 0s x z r 0 m � c �aaaar � x m < H H z H z z n H ro C $ n H x N H c �1 H , 00 � r � rn ern r0 c a, x roz nc `xm 0zvNzm0r M0 r0 r m o a 0 H � � �, N � � ro ur a � p ro ro M H H v 10 0 x n r z r 0 It4 C r� n x 4 a Gzi 1 H in axi ''o y ro i z H,x z 1 N^i ro �w x z c`� H Lq I ZPOC z so Hz 022 z qN>10 np 0 Q � , v Residential Final Inspection T Office No. (518)761-8256. Date Inspection'request received: 1001* Queensbury Building&Code Enforcement Arrive: am/ m Depart: am/pm 742 Bay Rd.,-Queensbury,NY 12804 Inspector's Initials: NAME: lYQA1'fY\9VV_"-,PERMIT#: LOCATION: CK DATE: -= 3 TYPE OF STRUCTURE: �1 Comments . Y N N/A. Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete _ Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more uard at deck,porches 36 in.or more xterior Finish Complete (5 Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to"sill plate Gas Valve-shut-of e used/regulator 18"abov6"grade Gas Furnace shut-off within 30.ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shutoff boiler Relief Valves installed Interior privag/trim/doors 1 main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors:. Every level: 1 Every Bedroom: ' Outside every bedroom area: Inter Connected:j' ! Battery backup. Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency Enjergency egress below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer - Gara e fire roofm Duct work Sealed ppoperly Attic aCCCSS 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft,-150 s ,ft.vents Building No./Address Visible from road F'nal Electrical j ite Plan /-Variance re uired. Final Survey Plot Plan As Built Septic System Z Sewer Dept.-Ins ection Sticker Flood Plain Certification,if re aired Okay to issue C/C Cert.Of.Compliance) Okay to issue Temporary' C/O Cert.Of Occit anc Okay to issue Permanent C 1 O Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspeetion.FORMS\Res.Final Insp.form 2.doe,edited January 28,2003 Office Use G GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: G .Dept. of Community.Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 1Z5, a m:, EPA Notes: (518) 761-8256 Inspector's Initials f I NAME: PERMIT LOCATION: r />�5 V �~o INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES i 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 ` oun a ron/Dampproofmg Backfrll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-lr 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 / BracingBridging: ` Joist Hangers { Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping LASueHemingway\Building.Cod es.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development hate inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NV 12804 Arrive tLpeCtOr's Depart Initi NAME: P\aPERMIT# O'�--OCV:1) LOCATION: DATE : - -12 - TYPE OF STRUCTURE: RECHECK N/A YE SINO COMMENTS tings/Piers [ Monolithic Pour Farm Reinforcement in Pla The contractor is r sponsibI for providing protectio from fr ing for 48 hours follotivi g the lacement of the concrete. Materials for this purpo e n site Foundatio all ur Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in PI cc Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Ext 'or 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, 3,4 hour Firestopping