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2002-085 TOWN OF QUEENSBURY a 1 742 Bay Road,Queensbury,NY 12804.5901 (518)761.8201 Community Development-Building&Codes (518)761.8256 nrDT IFIC.� E 0"'FOCCUPANCY Pennit Number, P20020085 Date Issued: Monday,-December 13,2004 This is to certiif that work,requested to be done as shown by Permit Number P20020085 'has been completed, Tax Map Number, 523400-295-020-0001-004-003-0000 Location: 48 FARR. Ln Owner. TRA-TOM DEVELOPMENT,INC. Applicants F,'ARONE CONSTRUCTION This structure maybe occupied as a: By Order of Town Board: .::. Fireplace TOWN OF QUEE SBURY Garage-2 Cars Attached - SingleFamily Dwelling Director of Building&Code Enforcement A TOWN OF QUEENSBURY 1 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020085 Application Number: A20020085 Tax Map No: 523400-295-020-0001-004-003-0000 Permission is,hereby granted to: FARONE CONSTRUCTION For propetty'located at: 48 FARR 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: f BUCKLEY BRYAN JR Single Family Dwelling 209,300.00 C/O QUEENSBURY ARMS Garage-2 Cars Attached 6E MANOR Dr Fireplace QUEENSBURY,NY 12804-0000 Total Value 209,300.00 Contractor or Builder's Name/ Address Electrical Inspection Agency -T- FARONE CONSTRUCTION NEW YORK BOARD OF FIRE UNDE] PO BOX 804 ROUTE 9 GANSEVOORT,NY 12831 • Plans &Specifications 2002-085 LOT#1 HOUSE#48 FARR LANE 2848 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Indian Ridge,Phase 1 $390.16; PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,February 05,2003 (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 Que b e ay,February 05,2002 SIGNED BY . V- N4 for the Town of Queensbury. Director of Building&Code Enforcement r - Buildiing.Permit Application Town ofQuccnsbury-Dcpl of Community Dcvclopnr ent,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit Pile No. No inspection will bc'made until applicant 11as 1"C(CtVC(I ❑ hcc Paid valid building perinit. All apt}lictuils' spaces on this [tee. 1'oc Paid $ dQ application mast be completed acid Most:111pear Oil the 12eviewed 13y: _ '0917 application form. Q Thomas Farone Thomas Farone Applicalit: _ Utivticr: _ _.-.-B-3 -8 t7�1�2ou E 9 Address: �.--Pox -'"-4 _I2odte 9 Address: Gansevoort NY 12831 ansevoort, NY 8 1 Phone (518)587 8989' Phonel# ( 518) 5 8 7 - 8989 FAX; 518 584-2093 Office contact person; Geri Pastore Property Location: Lot Number: I / House Number Sub(livision Name: IndianRidge Tax Map Number: w Ncw l3tidding: residence /commercial L"stimated Market Valtic of C'o tit r L U A(IdtUUll: !'CS1dCllet / conuna"cilia If an Addition, wliat will use of ne ai 1 b t u Alteration: residence/ commercial G No change to exterior size: residence/con-i'l 2Q02 eI Olbcr work(describe — -) 'OWN OF QUEENS13URY BUILDING AND CODE -- � -- -- r4' - -- Total ouiClo( )cctRpsutcyFufornialioti a h—eeluelow sq.ft. Nil.rl. tiqutt -- tp-- Single. family dwelling u Two family dwelling �(� u 'Fownliouse (�S �-y� C1 Multifamily dwelling ' `V l it of bilits _ u _Office _ o Mercantile _ _- u Manuli►cturing u 1 car detached garage v 2 car tlefached garage 0 3 car cletached garage -_ _•� rl I car atinel5led garage cat•affached garage (-/C1 C.) 3 car attaclied garage - u Storage buildilg- - -- - _commercial --- _ __--- -- .-_---- ---- ---- - u Storage building- fcsideittinl u (Bier Will ally second-hand or ungraded lumber be used? If so, for what? 00 Type of Ileafing Sysl'cm: electric/ oil / gas/wood ./ forced hot air/ baseboard/olher:_ ( &,<0 .__ Number of7%ireplaces to be installed Number of 1Poods1aves to be installed I List bclow the persons)responsible for supervision of work as i-6gards to building codes: Naine Address Phonc Numbci Builder Thomas Farone . ---_same as above_ Plumber C & G Plumbing 654-7477 _ Mason Heath Russell u-� 796-3033 Electrician Modern- Electric i� 584- 8341 Declnrtiti+ili: please sign below tiller you have carctirliy read the slalcntent: 'I•o the bust of nay knowledge like slatentents contained in Ihis applicalion,together Willi(he plans and specifications subniittcd,arc a truc and complete statenictit of all proposed work to be done on the described premises and that all provisions orlhc i3uiiding code, the Zoning Ordiriallec and all other laws pertaining to the proposed work shall be complied Willi,ivllclher specitird or noted,and Unit such work is authorized by the owner. t'urther, it is tioderslood that I/we sliall submit,prior to a Certificate of Occupancy or Certificate of Compliance bcitlg issued,as requested by the Zoning Adiiiiiiistralor or Director of Building and Codcs,all As 1111Ht Srcr•rcly Ilya licensed siti-veyor;drawn to scale,showing actual location of all new construction. �2 Signatttre� ��etf��QJ iwacr,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (5]8_761-8256 1. OWNER INFORMATION: Indian Ridge Subdivisioli Office Use Location of installation:Lot No.-I / House 'No.�4g Tax Ma NO. Road Name: File Permit No&- p Fee Paid Owner's Name: Thomas Farone ....................... ....................................... .............. Address: P.O. Box 804 , Route 9 Gansevoort, NY 12831 2. INSTALLER'S" NAME PHONE NO. t 3L) 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#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 = 1980- 1,991 X 130 gal/bdrm = 1991 —present X 110 gal/bdrm = Garbage,Grinder Installed yes_ I no X Spa or Whirlpool Installed yes_ J no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) is To o ra h Sail Nature Ground Water Bedrock or Ignpervious Material Domestic Water Supply san at what depth at w1yat depth municipal allin oam Q00-rftet feet well Steep slope clay if well; water supply _V6 slope other from any septic-system depth: absorption is t. _f 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: i gallon(min. size 1,000 gal.) Tile Field: each.trench Total System Length: Seepage Pit(s): number of size ofeach: fl. by fl. Size of Stone to be used: # f) depth or thickness feet Bed System Size: X .Alternative System: length and/or 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 136-29 of the Code of the Town ofQueensbury,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. Signature of esponsible person Date Fire �larshaCS t}t'rice 1 '1•u«•ct crl'Qucensbury. 742' kiNk olid,Quccttsburv, NY (al$) 70 1-8205 , ' Application for-Fuel Burning Appliances & Ct irf'neys' applicable to solid fuel & vented gas appliances Date 20��?r ['erniiC No. e1pplication is hereb),made tv the Building& Codes Clujice.f)r th.e issuance ofct Bllildilig and U.ye nernrithu/suaru to the Neu York State I=ire Prevention and Bllildh Au C ode. The appl icant or otu/rer a01 - to comply frith all applicable lcnvs, ol•clinances;.rcgtrlaticns, and all conditi-its that al-e pa/•t of- these re'gidrements-and also will allowa tttspactol.'s'10 e/Ttet•pYelltlsY's to peI Uf'11r 1'etlttU'$d!/1.1OeC(ioll.5'. " . NOTE to apIicant: Rough-in and Final Itlspections are required.- pplicant Infagrmation Fuel Burning Appliance Information- (circle appropriate xvords). : / Name 9 A '�� r;/ Stove: wood coal pellet aas '"" Fireplace rtsert 4 Address: � � jN�j;�� Fireplace, factory-built: wood Fireplace, masonry: tl.oad gas Furnace:" wood gas oil Phone:- If non-inasonary applicance, please provide Owner: tiianufacturer Name: L dx Address: ;Model Number: �n 11� t v�C r1 7 �. Chimney Information Phone; : (circle_appropriate Nvords) Masopry block brick stall Floe tile. ` steel size: � 1-4ndhes L Exaet Address: ofconstruction or installation Factory-Built Manufacturer name C Z5 tX Model Number: Dote: Listed By:_t�l_ Number: Construction lInstallation 1lttrst y c6n of'lTt t0 NYS Fire Prevention R Building _ Indicate (circle?).clailaaney material: Cocle.--Consult mvciilable.Town of Qtieelrsbuly Handouts r•egardin "reritdred inspections. `Double trail i. Triple wcill /:' Insulated Direct rc,rting Ctintner Liner i CS>�.T �ez�'is 33e�r�.rtm eut To �c.of QYa ezz6sbursr,-Ark- Yrttr York I I ` Fire atarshal Code-# 'S Colleclied S Re tttded Receil'ed fYN1t(/•Clinlded to): adchvss: .4 173 3389' (100). Public Safen --------�- --�- ------------- .4 233 2655 (330),Alhtoi•Sct1t;.r - - -. . �' �reaT-wee - �w,.• t'i�it/e oq,.'�ofJc.�1 ,, White(Applicant). Green(Fire Marshal) t . Yeltovv(131(ig. Dept:) Pink&Goldenrod(Cashier's Dept.) (rov Icire marshal's office Town of Queensbury,742 Bay koad,Queensbury,NY (518)761-8 205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 20(""' Permit NQZL Application is hereby made to the Building& Codes Offi ce the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees,to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are. required. Applicant Information Fuel Burning Appliance Information (circle appropriate words') Name: Stove: wood coal pellet I gas Fireplace insert .Address: ,:E, ,; r`r) IA Fireplace, factory-built: wood gas Fireplace, masonry: wood gas 'Furnace: wood gas oil Phone: If non-maso.nary applicance,please provide Owner; Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Exact Address-,,2r Factory-Built i Flue tile steel size: inches W _ Of�on�trtktion or installation Manufacturer name: Model,Number: Note: Listed By: Number: Construction lInstallation 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 Clihnney'Liner' Fire Marshal Code# $Collected $Refunded Received fi-onz (refunded I ve- to) ee� -ess: 41733389 a(ldi (190) Public Safety A 233 2655 (230)Minor Sales \D DATE: White(Applicant). f Green(Fire Marshal) f Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's Dept.) r f .r r 46 EL(REV.-11)66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING t THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE DQ NQ7�WRITE HERE FAIROFFICE VSE, BUILDING PERMIT NO. tc)&o IPAT TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANTS NAME BUILDING OCCUPANCY Nr C^f\1_0 OWNER'S NAME AND ADDRESS�� HOME TELEPHONE NUMBER 9 A 0 O� !&0 &1APW1)M , CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER '_— 'S R-)—&w2jJ2 BUILDING IS '9 WORK IS N E] NEW OLD ❑ ADDITIONAL❑ DEFECTS REMOVED C1 'X LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH pFFICEUSE Loca- Lamp Receptacles CIRCUITS LY'l, tion Side Attach't H.P. watts A.W.G. Ceiling Wall ReceDis Switch Pendant Bracket No. Type Each. No, Each No. Gauge IN§O -(bW� OUT- SIDE SUB_ BASE BASE- MENT '1st FL. 2nd FL. 3rd FL. % REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUSTTHE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS Applicant affirms that there is'not an application for electrical CHARACTER OF WORK 0 EXPOSED [3'CONCEALED inspection pending with a qualified electrical inspection DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. ❑ OVERHEAD 171 UNDERGROUND DATE INSPECTION.REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S IDENTIFICATION NUMBER)p AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF APPLICATION6GRATURE A'V L_5CA'A STREET ADDRESS TELEPN ONE INO. CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ E] 40 Fulton Street ' Washington Ave. E] 3291 Lake Shore Road I E]803 West Avenue 202 Arterial Road NEW YORK, NY 100:381 SUITE 704 BUFFALO,NY 14219 SUITE 106 1 SYRACUSE. NY 13206 (716) ALBANY, NY 12210 ROCHESTER.NY 146 (212)227-3700 (518)463.2122 1 827-115 (716)436-4460 111 � (315)463-8552 THE NEW YORK BOARD OF FIRE UNDERWRITERS Queensbury Building & Code Enforcement - Residential Final Inspection f Office No.(518)761-8256 Arrive: am/pr�aJFkpart: arn/pm Date Inspection request received: Inspector's Initials, NWE: [-*J-OA)C"" PERMIT#: Ix{JCATION: f1' L DATE: / ✓ TYPE OF STRUCTURE: is Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more xterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum '/" Gypsum Grade away from foundation 6 in, with 10 ft. Handrail Termination at Newell Post or Wall 6 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 Valves installed/Heat Trap/Water Temp 110 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: Carbon Monoxide Detector Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss, draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched _ I Garage fireproofing/'/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 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 L Final SurveyPlot Plan PP As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if required Okay to issue C/C or C/O Temporary/Permanent L:IPamW\Buildinp,&Codesllnspection FormslRes.Final Insp. form 2.docLast printed 2/12/04 final Survey Inspection 742 113ay Ito ucl Qiacaoiasbtiry, TQ 12804 Date received I,;!,- ,! NAME. ��-- L4CATIOI� C��C' � Final SiEmvo-y PlIcA Plan -rho attached final stir-.-f--y has been received by the cF ('-orrlrrllmaitY TJpc)xi re-vievv the sxxrve has beers: Craig 2_ojjjjjg A._CIXXIilliStlrat,017 Queensbury Building & Code Enforcement - Residential Final Inspection Office No, (518)761-8256 Arrive: am/pm epart, 14y�/ Date Inspection request received: Inspector's Initials, 14M NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Y IN/A Chimney Ht./"B",Vcnt/Direct Vent Location I/Y Fresh Air Intake 3 inch Plumb'Verit through roof minimum 6" V Roof Complete/Exterior Finish Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard atdeck; orch6s36 in.ormore Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum V2" Gypsum Ve Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall �11117A'"- �t/Al-A c,7 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator IS"above-grade /V r t 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/Heat Trap/Water Temp 110 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: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4hour fire door/door closer Duct-work Sealed properly, Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in,x 30 in.(ht.)In accessible area to, Crawl Spaces IS"X 24"access, I sq.ft.-150 sq. ft.vents Building No./Addrqsjisible from road 01 Final Electrical (jil4JOU V�k 9 Site Plan /Variance Ve ired Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C or C/0(Temporary/Permanent L:\PamW\Building&Codes\Insvection Forms\Res.Final Insp. form 2.docLastorinted 2/12/04 12111/2004 12:12 1-518-584-2093 FARONE PAGE 02102 �.. BpC- 169 Havitand Road, Queensbttry,NY 12804 Phone-'5 t 8-145-4400 Fax S l R-7�Z-S513 January 28,2003 Job#46138 Mr. Glenn BM%6 �— Neiv York State Dept. of Health 77 Mohican Street Glens Falls- NY 12801 RE:; Indian Ridge Sdbdivisian - Queensbury(T) Lot# 1 Septic System Dear. Glenn: This letter is to inform you that I inspected the completed septic system for the liouse on Lot 01 in the Indian Ridge Subdivision.on March 12, 2002. The septic system as installed was for-a four bedroom Douse and consisted of a 1,250 gallon and 220 lineal feet of absorption trench con.st acted with stone and perforated pipe. SEpiic tank The systeril conforms with the requirements of the approved subdivision design drawings. Please call me if you have any questions or. concerns. Sincerely, Thomas 141.Nace, P.E. cc: Dave Hati.n,'Town of Queensbury Tout Fazone i MIDDLE DEPARTMENT INSPECTION AGENCY, INC. that the electrical wiring to the electrical equipment listed below has been examined,and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued;subject to the following conditions. Owner: FARONE Date: 06/04/2002 Occupant: SAME Location: FACONE — LOT 1 48 FAIR LN QUEENSBURYr NY Occupancy: Sirliole Family Dwq . Applicant. Imrn anue'l Electri c 2 llohak Ave . - Alplaus NY 12008 No. -_`140864109176E - Equipment: . ,200 — Affip . Service EquiperiL 4/0; Service only to, be finished by others . % This c'edificate applies to the of o' 'ectrical wiring to electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon 6 change'in the use,occupancy or ownership inspection. No warranty is expr6'ssed or implied as to the mechanical safety,effi- of'the property indicated above,this certificate shall be immediately null and void. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid fora period of one year'from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc, An application for inspection must be submitted to Middle ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation 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 7V Queensbuiy, AT 12804 ARRIVE am/pm: DEPARTTY)V r am/pm Notes: (518) 761-8256 Inspector's lnitialsl,)�,L (7c- NAME7a��. ft�S PERMIT# LOCATION: L4 INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respons ble for providing protection fro freezing c' for 48 hours following the lace it of the concrete. Materials for this purpose on s fe Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi.ng--*1 Backfill Approval_ Plumbing Under Slab, Plumbing Vent/Vents in Place Rough PI bm Hie RNRIt�, ,0 out I - � 571, lgrlation `-0lv,-V—&T& Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PropprVent Attic Vent r�1&1-n*gjp. oco I/fj&. OK T9 c1Z Studs/Headers racing/Bridging oist Hangers Jack Posts/Main Beam IiAl' nfiltiatiorr Barrier_ Fire S"eTMaMraT5"nR1—,2, 3,hour Penetration Sealed F/e Wall 2,3,4 hour 4-01�,11 kes t 0 P P.Ln-91 I I&W 7 L:\SueHemingway\Building,Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe 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 amlpm Notes: (518) 761-8256 Inspector's Initials JAL- NAME: e go PERMIT# LOCATION: k INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A i YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the51 cement of the concrete. , Materials for this purpose o ite cemen'Foundation/Wallpour-Reinforcement in Place— Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plac V. Rough Plurnbing___ Heating Rough-In,_ Insulation Foundation Walls Interiox-"R- Foundation Walls Exterio R- Floors Walls Ceiling Duct work or piping in unheated spaces 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 enetation Sealed ire all 2 3, 4 hour___ Fire stopping LaSueHemingway\Building.Codes.Inspecdon.FORMS\GENERAL INSPECTION REPORT.doe office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuiry Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbut)�, A 12804 ARRIVE -am/pm: DEPART 115'am1pIn Notes: (518) 761-8256 Inspector's Initials,_ NAME: PERMIT# Z, LOCATION: f, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place u t in r Fo rm orn Place The contractor is respo sible for providing protection fro freez* g for 48 hours following th lac ment of the concrete.is purpose Materials for this Pour eon s Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Slab'j Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_ Vbat�mg,�oughefn r -Vlatjon nsulation %RtoundationWalls'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/Bridgmig- Joist Hangers__ Jack Posts/Main Beam Air Infiltration Barrier A/6 ire F* e Separation 1,2, 3,hour Y Se paration Sealed Wall ire.Wivj rl-1.jg,3 i4j our 'r�stop ping-- bi1�� LCllr?��! L.\SueHemingway\Building.Code&lnspection.FORMS\GENERAL INSPECTION REPORT.dGc 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 It, Queensbury, AT 12804 ARRIVE am/pm: DEPART U ' I ' am/pm Notes: (518) 761-8256 Inspector's Initials NAME: fh,�X-b RJR PERMIT# Z-- LOCXFION-. LA) 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 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 Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Frarnin � Jack Studs/Headers \ Bracing/Bridgmg- -rI6=-5 Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier ti Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.inspection.FORMS\GENERAI,INSPECTION REPORT.doe �' "�`%�� Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: 1,b meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE VU am m Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT# . out� LOCATIO)O!eV'11.Y-) F,-4-ltk. ZA'I)b�— 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 FoundationiWaRpour Reinforcement in Place Foundation/D amppro ofmg Backfill Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbing N 1� 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- ( V en t,Attic Vent Fra ''g�cKStudsffleaders Bracing/Bridgi ing— Joist Hangers�_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping V L:\SueHemingway\Building.Codes.Inspection.FORMS\GF,NERAL INSPECTION REPORT-doc F=[F;ZF-= MAkF;Z4SF#,AL_ -rC)lWM C:>F= QUF=F="SOUF;VY ClUr-=f=MSE3UFtY-, M-w- 12804 {551 8> 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT i V NAME LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES N40 EXITS AISLE WIDTHS EXIT SIGNS EMERC3 C�;HT(N(3 FIRE INOUISH R.S FIRE M SYSTE FIRE SPR KLER 8 TEM 8(3 Pp'No M U SY 'SH ST H E p KLER Z, FIRE SUP ESSi SYSTEM L HOOD INS T L-AT N IS INTERIOR FINIS ES 40 ST(DRA(:D E: CLEARAN E TO SPRINKLERS CLEARANC TO TO HEATING UNITS REQUIRED Sl(.3;NA4 CHIMNEY WOOD STOVE FIREPLACE - MASONRY 5FZEPLACE - FACTORY BUILT Ir TO THIS DATE INSP-SLIP.PU0 -INSPECTOR Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: -11 Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm Notes: r ; (518) 761-8256 Inspector's Initials NAME: PERMIT# Al LOCATION:�� `� INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings%Piers Monolithic Pour Form Reinforcement in Place The contractor is respons providing protection from freeze for 48 hours following the lacement of the concrete. Materials for this purpose on s to Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Unde•Slably urnks g VentNent$=ir1 P.lac �o.,ugh Pl bing Heating Rough-In Insulation / 5 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R- Ceiling R- j Or PL,471-C: Duct work or piping in D �- eated spaces R- Pro er Vent Attu Vent .amrCig .- ( d G��Q f�' C= l✓��'�✓ /� C~- ek Studs/Headers 'N`��'q'L�-- " t Z b (0/{,-L- BracingBridgmg Joist Hangers f Jacl Posts auk earn Air Inf Itxat'e Barrier �� Flre Separation 2,3,hour Penetration Sealed F' e Wall 2,3,4 hour ppmg � �=�� L:iSueHemingway\Building,Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Gr TOWN OF QUEENSBURY BUILDING-4 CODE ENFORCEMENT '742'-gay Road Queensbury NY 12864 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Location4.9 Y-2�,xaf 6'�,Q Date Permit # 'SOIL TYPE: n Loam-Clay- �I Results of ercolation Test- (if app able) Rdte-Minute/Inch TYPE 0 evY e ABSORP ON F LD: 'Total Len th(l. Z7- Length ' each trench 1. Depth of trench Size of tone Z— SEEPAGE P TS'- Nu ber- Size ft. X ft. Stone size PIPING: Size Type Bldg. to Tan r 4rs-f, Tank to Di A. Box -?_0 .3 et Dist. Box to,. iel /Pif Openings Seal Yes No , Yartial LOCATION/SEPA IONS: Foundation to T nk feet Foundation to A sorption fe.et , . Separation of-Pi s' et Conforms as 'per of Plan es No LOCATION OF-SYSTE ON PROPERT (ci rcl e/65ne�\. ' - ' I es IIERT Front -(Rear')- Left Side ,- Right Side Middle Nofre- Middle Rear COMMENTS: SYSTEM.USE APPROVED: YES Arrived: Departed: Building Inspector ,e Use GENERAL INSPECTION REPORT Inspector: Toilm of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road \-, Queensbury, AT 12804 ARRIVE -"Za R an�� ores:IP N (518) 761-8256 Inspector's Init NAME: PERMIT# LOCATION: INSPECT ON(date): 3 7-42:ao TYPE OF STRUCTURE: RECHECK C\ N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is resp ibl for in Fo rm 0"' Place n ce tor is resp protection following etc_s p : ose site Pour providing protection ezm for 48 hours following he acement of the concrete. Materials for this pu,r'pose site 11PQ r Foundation/Wallp4r Reinforcement in P Founswion/Darnpproofmg J>c�cill Approval Plumbing Under Slab Plumbing Vent/Vents in PI;ice Rough Plumbing_ Heating Rough-In > Insulation Foundation Walls Inte or R- x Foundation Walls E t(e '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 Scaled Fire Wall 2,3,4 hour Firestopping L:\SueHemiiigway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAOC 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 Queensbuiy, NY 12804 ARRIVE C) Notes: (518) 761-8256 Inspector's Initia NAME:�C^--4- PERMIT# C3L 00,)- LOCATION: f J1 1;vv— a � klc,� - g Z/ Xl 8 INSPECT ON(date): 13 �p�-- TYPE OF STRUCTURE: FO RECHECK N/A S NO COMMENTS /Piers NIF-0 Xtings ,,,,YES Pour F m Fol 01 Reinforcement in Pla m j The contractor is re onsible or providing protection m fre zing for 48 hours followiii the pi ement concrete. .s purpose ,A of the concrete. - Materials for this purpose ni to Foundation/Wallpour - Reinforcement in Place A Foundation/Darnpproo, 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 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firesto i pping— L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 r 76178205/761-8206 f` fax 745-4437 F ctory Built Gas Fireplace!Sbove his ectiop Re ort 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 instructions or specifications is allowed!, permit# 0� � Schedule Inspection Time am pan anytime :inspector ' 7'7 ' Name - A c�x)C- Address f"�`�'l l G-'� ___ Rough Appliance Manufacturer Model# !!Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) FirestoP(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chiffiney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shunt-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept, Yeatow Gbs er Pink—Fire Marshal