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2002-087 TOWN OF QUEENSBURY 742 Bay Road,Queensbuy,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATEOF OCCUPANCY Permit Nuinber: P20020087 Date Issued: Thursday,June 20,2002 This is to certify that work requested to be done as shown by Permit Number P20020087 has been completed. Tax Map Number: 523400-301-014-0002-001-000-0000 Location: 14 MC ECHRON Ln Owner: MICHAEL J VASILIOU INC Applicant: MICHAEL J VASILIOU INC This structure may be occupied as a: By Otder of Town Board Fireplace TOWN OF QUEENSBURY Garage-3 Cars Attached Single Family Dwelling Duector of Building&Co4Enfont N TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020087 Application Number: A20020087 Tax Map No: 523400-301-014-0002-001-000-0000 Permission is hereby granted to: MICHAEL J VASILIOU INC For property located at: 14 MC ECHRON 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: MICHAEL J VASILIOU INC Single Family Dwelling 170,513.00 23 SUNNY WEST Ln Garage-3 Cars Attached LAKE GEORGE,NY 12845 Fireplace Total Value 170,513.00 Contractor or Builder's Name/ Address Electrical Inspection Agency VASILIOUMICHAEL J INC 23 SUNNY WEST Ln LAKE GEORGE.NY 12845 Plans &Specifications 2002-087 LOT 41 HSE#14 MC ECHRON LANE The Grove, Phase 1 1900 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER APPLICATION $321.36 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 the XVWP--,Of Queppsbury; Tuesday,February 12,2002 SIGNED BY C for the Town of Queensbury. Director of Buil "Ag& de 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 beFlr-EiTrMUMED Permit File No. No inspection will be made until applica�alli s received a Fee Paid valid building permit. All applicants' sph dlev. o-Ql-&s 20('j2 Rec. Fee Paid $ application must be completed and V ust appear on the Reviewed By: application form. Wj\l r)F QU�TF=NSSURN Applicant: _X,-,,_Qwner: f yam? Address: S�7 ,- -7 7, 7. Address: Phone# Phone ft Property Location: Lot Number: House Number Subdivision Name: Tax Map Number: 'a 01 u- New Building: <r.=sid. .. commercial Estimated Market Value of Construction: C3 Addition: residence/ commercial If an Addition,what will use of new addition be? Ci Alteration: residence/ commercial 0 No change to exterior size: residence I com'l L3 Other work(describe Check OccupancyInformation V Floor 2"d Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Felt IL Single family dwelling 0 Two family dwelling U Townhouse 0 Multifamily dwelling #of units U Office U Mercantile U Manufacturing 0 1 car detached garage C3 2 car detached garage El 3 car detached garage CO3 1 car attached garage - 2 car attached garage 109 3 car attached garage Ej Storage building- commercial Q Storage building- residential U Other What is the proposed height of the structure feet � inches Will any second-hand or ungraded lumber be used? If so, for what? 11114, Type of Heating System: electric/ oil /(0 wood /forced hot air` > baseboard/oth6r: I Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision�of work as regards to building codes: Name Address Phone Number Builder Plumber Mason "Y' e5r Electrician 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,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 nstruction. Signature: owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,2ff'12804 (518) 761-8256 1. OWNER INFORMATION: ........................... ............. .............. Office Use Location of installation:1-07- File Permit Nc� Tax Map No.v'3 Fee Paid Owner's Name: ............... ................. ............................... Address: 2. INSTALLER'S NAME PHONE NO. ­6Z:;-,1 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or 'older x 150 gal/bdrm = V 1980-1091 x 130 gallbdim = FEt3 0 ,5 1991 —present x 110 gaVbdrm = `Jc Garbage Grinder Installed yes no SUILINN(J'A Iy Spa or Whirlpool Installed yes no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) ra h atu— Ground Bedrock or Material Domestic Water SLipply Fla San at what depth at what depth unici a t g feet well o ing oam feet slop Z'7 — if well; water supply Steep slope clay /711.1-:P1;-111-15:- from any septic-system slope other absorption is ft. depth: 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: /, 0 e-1,0 gallon (min. size 1,000 gal.) Tile Field: each trench Z11 ft. Total System Length: ZI t. by t Seepage Pit(s): number of size of each: _f _f. Size of Stone to be used: depth or thickness_feet Bed System Size: x Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) 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. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section I based 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 oft1he 'own of Queensbury Sanitary Sewage Disposal Ordinance. Date signature of respon!015le person TOWN OF QUEENSBURlt _ PeePaid I :9_7 BUILDING & CODES .OEPARTMENT II/ � permit # APPLICATION FOR: i,PORCHES=DECKS- DOCKS & BOATHOUSES 5 20,92' Est. Cost A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRtiC•a°' tC; , SrPLMHOWER ALL OF THE FOLLOWING: 00E The undersigned hereby applies for a Building Permit to do the, fo lowing 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 Prope , P.O. Address Phone # Property Location Tax Map # . Subdivision Name (If apX1cle) PERSON RE5PONFOR SUPERVISION OF WORK AS GARDS TO BUILDING CODES: Name! Address Phone# BUILDING SPECIE ATIONS: Type of work to be done: Porch De Dock r Boathouse (Circle one) Size of Structure to be built (square ootage) : - Foundation Material : Width Thickness Depth of Footing, below gA Size of Posts. or Studs: x Long Size of Floor. Joists: - x Span Decking or Flooring Mater How.-will Porch or Deck beding? If Roof Will -Be Instalhe Answer Following uestions: Size of Posts or Studs: _ x Long Roof Rafters: x Spacing Span Roof' Trusses "(pre-en neered- spacing): Span - Type of Roof: -S1 ed Flat` Shed Other Circle one) s Material of Roof: ZONING INFORMATION: TWO PLOT PLANS MUS BE .PREPARED• AND SUBMITTED•, drawn reasonably to _scale and attached hereto, showing c ear y and distinctly a u ngs, whether existing or proposed and Indicate all set back imensions from property lines. Show location of water supply and location- and .configur ion of septic disposal area. - Siz of Property: ft. x ft. Existing bui.lding(s): Size ft, x' ft. Size ft, x ft. Use of Existing 'build;ing(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, area 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 pertai-ning to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner.. . DATE: SIGNATURE Owner, Owner's Agency, Architect, Contractor REVIEWEDIBY CODE ENFORCEMENT OFFICER," DATE SIGNATURE- ENERGY CODE COMPLIANCE APPLICATIA 9 7 TOWN OF QUEENSBURY, WARREN COUNTY RPCEIVED 9000 HEATING DEGREE DAYS FEB 0 5 2002 Compiiance Methods : PART 5 - Acceptable Practice MetTO&OF OUEENSBURY 1&2 Family Dwellings (03M' '.)1NrjANDCQDE i PART 6* - Thermal Rating - Component ti Trade _f s- 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: /4 1ttap Zdr PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes V No 4 . Percentage of area of windows and I doors Over 17% /Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R.-VALUES AS SHOWN ON PLANS SUBMITTED: a. 4U)44- ilid R. So' b. Exterior walls R. /91 C. Glazed areas R 3. d. Exterior doors R. e. Floors over unheated spaces R. f. Edge of slab on grade (heated building) R 13 g. Basement/cellar walls (above grade) R. h. Basement/cellar walls (below grade) R. i. Heating/cooling-ducts-piping in unheated space R. 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code VYes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED S�F Date Phone Number INSPECTOR'S REMARKS: Lire Marshall,office Town of*Queensbury. 742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances &.Chimneys,: applicable to solid fuel & ventfi ances tt @IVE Date 20 O-R 0 Permit N Q- . 52002 APPlicalioll is hereby made,to the Building& C0 400f, 61-the iMlance ofa Bifildingand U.ve Pernlit'lwirsuan' t to the New York State Fire Prevention , R NUNDI"4ftyiCant Or 011wer agrees to c onlPly with all aplilicable laws, ordinalicey, pegil 41 Wffons that are part 0j, these rq'quirent'enis and also will allow all inspectors 10 eater PI-el"ise-v topelforin required inspections. NOTE to applicant: Rough-in and Pinal -Inspections are required. Applicant Information Fuel Bu*riiing Appliance Information (circle appropriate words) Name Stovb: wood coal 1;ellef gas Fireplace insert Address: :7"q Sit Fireplace, factory-built: wood C901-Y Fireplace, masonry: wood —gets Furnace: wood gas oil Phone: 4:11 -_V" e_ _<rse If non-masonary applicance, please provide Owner: xis"'?1"5- Manufacturer Name: 6w'T 44. Address: Model Number: Chimney Information Phone: (circle appropriate-words) Masonry block brick stone Flue tile steel size: inches Exact Address: of constOwdon or installatioisl Factory-Built Manufacturer name: Model Number: Note: Construction lInstallation nizist Listed By: Number: conform to NYS Pire Prevention &Building Indicate(circle) chimney material: Code.-Consult available Town ofQueensbtay Handouts regarding required inspections. Double waH Triple wall 'Insulated Direct venting Chinillev Liner Fire Alarshal Code# Seollected S Pe funded c>ircd hcanr IJcbJ t to): .4 173 3389 90). Public Safqv Cgs ---------------------- .4 233 2655 (230)Afijjjoj.saje.v 7osu., White(Applicant) Green(Fire Nlarshal) 1 . Yellow(Bldg.Dept.) i e-itik&Goideiii-od(Casliier"sDelit.) o m ►� xxxro � � � ln ►� ;� NH ►� � � x � � ron H� �3d � zd � M N H x O r x z0 k 0 z z z z z H H g C O r ,� H O C W VI O ro n y © c r a o d a a q r, r n M z o M I H > m m H H H H I H x P a f� H H �) ' ro n n n O M G d z d d H Z N z H z O H H H cn r q O 0' 0 4 O H 0 O 0 'z 0 z cn n r ro ro ro O O 4 H C 0 H to z ro 14a nroHn � � n aocnrczn or � � � an ►� H � v� a rav� x � x � z n [ ozr � xc� or � c� o r � r HH x � zm IA p H N cn ro N C C� A M G z N N N ro Cf H H H d !O H (rf z n z H z � r � � H F? n � I y � N �� I M x z N ► � ro � � ro � p 0 x H H M1 I n �' �cx0I H Ozz r ~�I w so z � V MAP REFERENCE: THE GROVE SUBDIVISION DATED NOVEMBER 6, 2000 LAST REVISED MARCH 3, 2001 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC 162 3 I 2 .� {{ D u S UAUMOItlIID ALIM71011 OR AM" TO A "VEY V i Stever WW BEARM A LICENSED LAM NIRVEYOIS W-AL 12 A MOIAVON OF SECTION 720C. S1IS-DMSION 2. OF THE NEM YORK STAR EDUOARON LAW' 'OILYCQ16 CRI T1!OrT ML N URYM [/ 1AYM�lD OYIII NI OICNIMLOT M LAND SlAMY010 SAL SNALL RE CONSIDERED TO It VALID IR IE CONES.' 'CUMMATIONS NOICAM HCREDN SKNPY TWAT Land Surveyors, LLC 189 Haviland Road Queensbury, New York 12804 THIS SINVEY W MIMANED N ACCCINDANCE IMTN TIE COMM SMWMNEW �` ° "SI NIMPI& ° ar THE NETC YOMf STAR ASlOC111TKN D< PROFESMQIAL LAND SLOWYCIM SAID CERTF" I" SIML MN ONLY TO THE PERSON MR RIOM RIE "*Y IS PWAM AM ON HIS MAW TO THE MTIE MPANt GOVERNMENTAL AgENC' AM LEM" 011SW R ION `IM "OEM AM TO TM A950M OrM IeIEW NDORlINAL' (518) 792-8474 New York lAc. No. 50135 +_ 55.00 -- 161 N06°38'00'E 137.50' 0 k NO -GUT AND BUILDING 5ETBACK5 1 43,687 sq.ft. 1.00 acres 2 STORY WOOD FRAME HOUSE W N � N co � y 22.10 I I r I 137.50' I S06°38'00'W McECHRON LANE Map of a Survey made for 159 RECEIVED AN 2 0 2002 TOWN OF CUZ_E;4 SSijR l E31111 l7lnlr % COL)l= �\ L I HEREBY GERTFY THAT 1M5 MAP WAS PREPARED C�rOM AN ACTUAL FIELD SURVEY. S CERTRIGATION SHALL RUN ONLY TO THE 5 Fl; OM THE SURVEY WAS PREPARED. AND O " ALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY V AND LENDING INSTITUTION USTED HEREON. GERATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TOt BRAD L. ♦ DRITTNEY E. DENJAMV TRUSTGO BANK NATIONAL ASSOCIATION. IT'S SUCCESSORS AND/OR ASS045 UNITED iFrlrE INSURANCE GOMPANY Brad L. & Brittney E. Benjamin Town of Queensbury, Barren County, New York �ba-off/ NO. I DATE DAMS AI'M 12. x %tAW DESCRIPTION L Scale 1'=40' S - 1 SHWT1OF: 1 DWG. NO. 85418-1 r RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm. Depart " )L/Mil Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 NAME V-� I L IY6 PERMIT# LOCATION L-0:c N VK<!�e—K jp 0 iu L'v DATE 1-2-o TYPE OF STRUCTURE I N/A YES NO COMMENTS Chimney HeightPB"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Irderior/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 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade_ 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 operating 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 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertightL_ Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofnng Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical e Site Plan/Variance rerun Final Survey Plot Plan� As Built Septic System lay6ut rchuired 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)_�—Vrl FIRE MAF�SI--[AL MY 12804 (518) 761-8.205 FIRE MARSHAL INSPECTION REPORT REQUEST R (WIVED PERMIT 9V NAME LOCATION SCHEDULE INSPECTION ON 2��:"M ANYTIME APPROVED Nl^ YES NO EXITS AISLE WIDTHS EXIT SI(3NS, EMEP,<3ENCY L[43HTINC3 f=IF:;,'E EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLERS STEM FIRE SUPPRESSIO SYSTEM IO HOOD INSTALLAT :INTERIOR FINISHES STORAGE: CLEARANCE TO 8 INKLRS CLEARANCE TO HEA\N 3 UNITS -17;,"EQUIRED SI NAC3E oo� CHIMNEY WOOD STOVE F=I R:;,' CE — MASONRY Vl<E PLACE - FPLC,--F(DF:ZY BUILT RE[VtARKS: a-2-1-3K TO THIS DATE INSPECTOR Am RESIDENTIAL MAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart t pm Town of Queensbury Inspector's Ianiti s 742 Bay Road Queensbury,New York 12804 NAME V P 1� ► PERMIT# ?-00 2... LOCATION T v'y""-� _yG.�-.G�n r cr, L tJ DATE /0& TYPE OF STRUCTU.9E N/A YES NO COMMENTS Chimney Heightf`B3'Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/ExteriorRanlings 30"to 36" cYY 77 Exterior Handrails,balconies,landing 18 in.or more j 1 P,t`J� /�4&A Interior Handrails stairs both sides 3 or more risers v Grade 2%away from foundation S f�L L RA-+L 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade 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 operating 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 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected IIA \ Bathroom fans Plumbing fixtures _..- Foundation insulation �,' ( - �� �✓ c tC s/4 hour fare doorldoor closer Garage fireproofing Garage penetrations sealed Furnace.in separate room protected(in garage) Light ventilation per room Safety glazing 18"Ar les, fr. Final Electrical G� Site Plan/Variance Yeqhfred L Final Survey Plot Plan 7vie wtr— 60'e-V'dc,- 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) FIRS MARSHAL TC:)VV" C3F QUEENSSUFZY QUEENSBURY, NY 12804 {51 8) 781-82Q5 FIRE MARSHAL INSPECTION REPORT REQUEST R EIVED PERMIT O NAME �lz-- /.6 LOCATiC)N SCHEDULE INSPECTIC)N ON � 6 7 AM PM ANYTIME APPROVED NIA YES NC:)EXITS AISLE WIDTHS EXIT SIGNS EMERCCENOY LIC3HTINO FIRE EXTINC33UISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HC)OD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TC3 SPRINKLERS CLEARANCE-TC3 HEATING UNI S REQUIRED SIGNAGE CHIMNEY Gam' WOOD- STOVE FIREPLACE - MASONRY F PLACE - FACTORY BUILT REMARKS �/� Tt3 THIS DATE ar�snsLEp.�ua .INSPECT©R i Office Use GENERAL INSPECTION REPORT Inspector: i Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am m- _ PAR kc,0 a pm Notes: (518) 761-8256 Inspector's Init als f7NAME: � ` �C'J PERMIT# V� LOCATION• -- --!/_J G G INSPECT ON(date): .Y TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Foam Reinforcement in Place The contractor is responsible fo providing protection from freez ng for 48 hours following the plac me t of the concrete. Materials for this purpos n site Foundation/Wallpour Reinforcement in Place _ Foundation/D ainpproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heatiiig Rough-In Hsu atio oundation Walls Interior R- , Foundation Walls Exterior JR- Floors R- Walls RZ 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 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 Queensbury, AT 12804 ARRIVE am/pm: DEPART �/pm (518) 761-8256 Inspector's Initials NAME: \fA-t.(.t-L o PERMIT# LOCATION: L61 LC-CkOLO A) INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsibl for ns f from T ezIng providing protection from fr ezing for 48 hours following the pl ement of the concrete. site Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin 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- uct work or piping in unhea ed spaces R- roper V t Attic Vent 11PP07cT—Studs/Headers V 7z racing/Bridging Joist Hangers �e_"_PQs-1M-w'nwBeaM lr ,ff-affi—on'S'arr-i Fire Separation 1,2,3,h6tu ------- Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.hispection.FORNIS\GENERAL INSPECTION REPORT.doc EtJ9e oc�0 ETU:��= GENERAL MSPECTION 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 am/pm epart am Inspector's Initllasl D NAME: PERMIT# ZCD7-- LOCATION: V.g-T- A- Hc-'Ec"ao� DATE : 4 —11 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form 06 k U00 Reinforcement in Place The contractor is respon for providing protection fro f r ing for 48 hours following pla ent of the concrete. Materials for this purpose site Foundation/Wallpour�_ Reinforcement in Place Foundation/Dampproofing Vj BacMI Approval Plumbing Under Slab Y Plumbing Vent/Vents in PI Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R­ Floors Rr Walls R- Ceiling R- Duct work or piping in unheated spaces R- /Proper Vent, Attic Vent Jack SMER-eaders Bracing/Bridging_ VIC mi,PL<`— Joist Hangers C2 Ar Jack osts i ,ea— lon IgiltRin fficr�� Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 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 Roadj Not -/— — ;_ej Queensburj� NY 12804 ARRIVE am/pm: DEPART am/pm (518) 761-8256 Inspector's 'NAME: PERMIT# LOCATION: 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/Dampproofing Backfill Approval Plumbing Under Slab P biti enthTnts in Place ,ugh Plumb` g eating Rough-In LA-e, L+A-)>ttor, 1A) Insulation Foundation Walls Interior R- FoundationWalls;Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- 4 Pro er VV ent Attic Vent n rfung ng u Jack�tu MEE Studs/Headers Bracing/Bridgi ing— Joist Hangers Jack Rosts15059051&n- ierNI w&v,, � 6ft-e, (f,-- Fie SUFFIB-5art,3,hour MP=etration Sealed Fire Wall 2 our P g_sToppin 'Pin* L-.\SueHemingway\Building.Codes.Inspection.FORrvfS\GF,.NERAT,INSPECTION REPORT.doc u z OW 41 �1 v � E� � -P a) C W I u I 0 J ,� V Q. I S Q V) LL (0 n W 'r r�� r "�yr r-- �. to Cy r{-1 t1 z �J V) I 0 1 +J.0 S. >- 0 -P z V) 0) VI W '� Q1 "r v v 1v. V r' it G r 1 °l7 C .5G 0 tll r- " 4- W [[[������J�yyy][][][ Q ��}r0(j. /{�ad CL V) IN 0it. ) m 41rwm u C (v � � � r-� 0' 0 '� aft, Q �* M C� 4- u >- P +J H d1 I-' "r o o c C Iw o C C 0) 0 W ' t i A W 0,r. 1l 4- W I N c X k, 000 0C� ) I~ rM Iwl 0 4. 'r 0 0 0 V� � r 0ua 0 4-W -- 4J 0 M 0 +a 4J 4 Ql Qfl r- Q v .r•1- U."0 S` 0 U4J4J aO I Z 00 0 4J Cl-4000E*r-1 UJca . � W 0 014J v Q Qa : w 0).Y +a C Q C C 0 4-+(E u W o4-Q.VlcaN 'WNOL000Q) U:3 :1aCU'(a 0 ro C v,r. br m Q} (D"r W "r�• +j b r ro "r CLO 0 0 a) 0ca u) SwF -100V) 0 (6 :LmF- oo jLL Lcnc� t� 1 . RECEIVED FEB oTOWN OF QUEENSBURY 5 2GGZ :r BUILDING AND CODE Z. NO•-CUT ANDSUILDINC SETBACKS (TYP) �m ! 43,687 sq.ft. �o /A . 1.00 acrss 1 >01 { F ve seen or observed, or believe I saw evidence of, jects such as houses, wells,trees,fences,.etc., n on this document. I also represent that I have personally measured the distances set forth on the diagram." SIUNAI UNt PATE q C_Z� Afn 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 am/pm Depart Aa Inspector's Initials NAME. PERMIT 4 0 1"(1 %_ LOCATION:— DATE: TYPE OF STkIJETUkE: Z51;_,C7,� 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 ment of the concrete. Materials for this purpose on s 7te Foundation,!Wallpour�_ Reinforcement in Place Fours Slati proofing, llApproval 0'tBa" L/ Plumbing Under Stab Plumbing VentfV, is 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 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL.INSPECTION REPORT (518 ) 761--8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road r Queensbury, 12804 Arrive Y an� Depart Inspector's Ini _ NAME: j�— PERMIT# 0�7 LOCATION: — f DATE : TYPE OF S. CTURE: RECHECK NIA YES COMMENTS tings/Piers E Monolithic Pour Farm Reinforcement in Place The contractor is respo ible for providing protection from eezing for 48 hours following the lacement 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 Rr Foundation Walls Exterior R- Floors Walls Ceiling Duct work or piping' unheated spaces R- Proper Vent,Attic Vent Framing f Jack Studs/Headers Bracing1Bridgdg Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INCO Main Me 176 Doe Run Road - Manheim, PA 1754 MUNICIPAL CERTIFICATE III ELECTRICAL APPROVAL NO 7016 ! 160 M Panel hoard No,}###r#}4#}#t}!4#f4}•f!4!!Nl1 +*i u in Card No./,,1A zed49401111.P'. A /"yw Ownerlf4ffif1lilll141 14filff lfffflflifff tffi#I li�yfritiii ##ttt}t�i1i#}#1},}#}}}4}r}f}ftrftfflrftri}tiit#ff#,fit/f,ff 41ft11/tf//fff}i}#ii Location,,00,W,1�Itdttrrrlltf q#4114# fii••u i } lutq# !t###t!i!t#•}It 1#i1#•irt•ufiul##INti# r it 4 #t r 4 !•if • nIt#ii}}#tiii!•iltf! Installation Consistin g of �, �� �� i t}1flfitttttpt'�'F(ifufTr4�'f!!i ufgffftf�4ff144ift}1fi4 1ff1tfltflritftfftft11f4ftf 11t}1tf} tfi } L n Ic .A fill ffiff!(ft# 4 fa#l,4f } IN i }lliilfril 11� +1T1} } •ri! i�i!•ii(r+t1Poo 4iu1 tlfi t•11/'i11#!} !i t}}}} tiril•it• tt�frt r erf l 011## l-Yi4I,i•#r1 iiM}N!}}#}1}firNiillll}f#frtfrl}1ri114rir#f1f•4tr1rlifNif4iil•4414if•ifiritiiliifitir4fiti4f4H 4f#1f0451001}4}}}#f}iftiftt•1t1116111ti,11i41 Installed /l�I Lief No.n ►4afanai,a.•iu#i#!}M4•}# fk44}fflft!#f,till4f##tf4#}f4}#11f}4f1f}f14141f41f1iiU11t}1i}t},lftffftiffffifffffft••4ftt••tff}#Ifi The conditions following governed the issuance of this certificate, and any certificate previously issued i! 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 privilege of making inspections at any time, and if its 4 rules are violated, the Company shall have the right to revoke this certificate. /��JJ] (r�jl /dry' y Date * �r 4 I * P�+'r+'T� 4 r ti4 4l1.N #} # } rlfi} 4 1144r1#t}rtif }}t f ttf! turf !4 t.. !1 i i.. 11rt ii!! # #i RECUIVED TOWN OF QUEENSBURV BUILDINGAND CODE n" NO-CUT AND ` 7.' SUILDW r' SETBACKS (TIYP) M' 43,687 sq.ft. }} 1,00 acres rJ.f�1 •f' ,!ads., %< '4 •r''�r,.,'� 1 137.50' "I have seen or observed, or believe I saw evidence of, all objects such as houses, wells, trees, fences, etc., shown on this document. I also represent that I have personally measured the distances set forth on the diagram:' SIGNATURE � DATE