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2002-153 6 , S r TOWN OF'QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020153 Date Issued: Monday,March 03,2003 This is to certify that work requested to be done as shown by Permit Number P20020153 has been completed. Tax Map Number: 523400.308.018.0002-065-000-0000 Location: 21 MCDONALD Dr Owner: NORMAN,PAULINE&STEVEN MILES Applicant: STEVEN MILES This structure may be occupied as a: By Order of Town Board Fireplace - TOWN OF QUEENSBURY Garage-3 Cars Attached Single Family Dwelling Director of Building&Co Enfo ent TOWN OF QUEENSBURY Lj 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020153 Application Number: A20020153 Tax Map No: 523400-308-018-0002-065-000-0000 Permission is hereby granted to: STEVEN MILES For property located at: MC DONALD Dr 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: R.OBERT&MARGARET MC DONS Single Family Dwelling 150,000.00 593 CORINTH Rd Garage-3 Cars Attached QUEENSBURY,NY 12804 Fireplace Total Value 150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MILES CUSTOM.HOMES,INC. 6 COTTAGE HILL Rd GLENS FALLS,NY 12801 Plans &Specifications 2002-153 STEVEN N. MILES hSE#21 MCDONALD DRIVE 2562 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $397.44 .PERMIT FEE PAID - THIS PERMIT EXPIRES: Tuesday,March 18,2003 (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 n Que . bu ay,March 18,2002 BY for the Town of Queensbury. SIGNED Director of Building&Co e Enforcement Building Permit Application Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File Nope 3 No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By: application form. ,) Applicant: z ^—' N Owner: E C E L D Address: 5 ; ; , �,f/! o'' ,-`., Address:�_ i/.� "---'---MAR Z 2 2D07 Phone#(42$)Z�1..3-_R 7,9 t, Phone# ( ) - c�t 1 3 6 t .2 770 Town-OF QUEENSBURY 6.&/ SUI 1 G AND CODE Property Location: Lot Numb r: ! / House Numbe Subdivision Name: Tax Map Number: 30 :3- - 0-j -- LIS New Building: Esi sidence commercial Estimated Market Value of Construction: $ ❑ Addition: E./ commercial If an Addition,what will use of new addition be? .❑ Alteration: residence/ commercial ❑ No change to exterior size: residence 1 com'l ❑ Other work(describe ) Check OccupancyInformation 1"Floor 2" Floor I Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet I/ Single family dwelling j�fc� C�oZoZ g ❑ Two family dwelling Li Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ 1 car detached garage ❑ 2 car detached garage _ ❑ 3 car detached garage 0 1 car attached garage ❑ car attached garage 3 car attached garage 90 O ❑ Storage building- comtnercial ❑ Storage building- residential o Other What is the proposed height of the structure v2- `J� feet inches Will any second-hand or ungraded lumber be used? If so,for what? A)O Type of Heating System: electric/ oil gas/wood orced ho at i baseboard/other: Number of Fireplaces to be installed Number of Woodstaves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder" 793 -60CIZ a-341 a7� Plumber S4- j— .-s� '9' Mason 6--23 —9OO/ Electrician ►�„l, f r tQ im's C-46" /3X--� Declaration: please sign below after you have carefully read the statement: To the best.of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new o struction. Signatures ����ownar,o er's agent,architec contractor Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ................... ................................. ..................... Office Use , Location of installation: r-1 V File Permit No. Tax Map No. Fee Paid Owner's Name: ------------ ........ .................. Address: 2. INSTALLER'S NAME PHONE NO. -7 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 Cgmu tation = Total Daily Flow 1980 or older X 150 gal/bdrm = 1980- 1991 X 130 gallbdrin = 1991 -present x 110 gaL/bdrm Garbage Grinder Installed yes no X Spa or Whirlpool Installed yes_ no X- 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) T a h Soi ature Ground Water - Bedrock or jmpervious Material Domestic Water Su I Flat sand at what depth at what depth nunici 'a Rolling loam Meet feet well Steep slope clay feet if well; water supply _Vo slope other from any septic-system depth: absorption is—ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate:. —minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank:/o?tj'�- gallon min. size 1,000 gal.) Tile Field: each trench �-rO ft. Total System Length: ft Seepage Pit(s)- number of size of each: ft. by_&_ft 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 13 6-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. •pt:j 11JA� W� Date - Signature of responsible person lire 11:11-sltal's office Town of,QueettsburY, 742 Bay Road,Queensbury, N (518) 701-8205 Application for Fuel Burning Appliances &.Chimneys applicable to solid fuel & vehted gas appliances Date ; 20 0 Permit No. I, _j_ � Application is hereh),name to the Building& (vice f)r-the issuance qJ'a Bldldil 4g and Use Perntit pttrsuartt to the Nets, Fork State fire Pict errtiort ttrrtl Bitiltlink ('odc. 77re ctpplic•ctrrt or'otvrter agrees to comply ivith all applicable laths, ordinances r�gtilations, and 4111 conditions that are part qf* these rerlttit�einents and also will allow all ins jiector^.s to*cirt'e,r prenris'(�s to per or•rn required ins7.?eelr"ons. NOTE to,applicant: Rough-in and Final"'Inspections are required. Applicant Information Fuel burning Appliance 111foi-mation ;l (circle appropriate words) Name: , e-15 + w,�t'tt_� X4" , SLovc: Wood coal pellet.' arts y Fireplace insert @ �Address: -� Fireplace, factory-built: wood - gas Fireplace, masonry: wood ins Furnace: ivood gas oil Phone: 7,9. 3 - OS12' d 770 if non-masonary applicance, please provide owner: - �'=+� ate': � � Manufacturer Name Address: A Q'43�.- :N � Model Number: ,y Chimney Information Phone: < (circle appropriate words), fi Masonry block brick stolre E � e tr,.- 1 Flue Mile steel sire: inches Address: ofconsn•trc#an utstallatior Factory-Built Manufacturer name: . Model,Number: Note Listed By: Number: Construction llrrstallation must ; coil fiorin to NYS Fire Prevention &Building Indicate (circle)chimney material: Code. Consult available Town of Queensbro), ' Handouts regarding required Inspections. ,Double ii1tiff / Triple tveill l Insulatetl / Direct veining Clrinrrrc�i I.-incur i C�rsx�x��x-��r:?3ca,,pi ��ae:a�t-a' Tca�srrx +csaP'QX.ac�,�:r�a�a►arac�c-fir, 217"�e�r�r Yox*,7Fr � Fire Alarshal Code# S Collected S ReJiurded Kec,ived litorrr (re/irndt(l to): .4 173 3389 (19Q) Public Safety —� r-A — .4 333 2655 (230)Minor Sales _ Y� . jj �sL�S•VI.G � (QWi1 (/L!/1.1u 42 •�GL�?, white(Applicant) Green(Fire Marshal) ,; , Yellow(Bidgg. Dept.) Pink&Goldertroci(Cashier's Dept.) P BLDG. PERMIT NO. APPLICATION FOR A TEMPORARY'CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY ;is hereby requested for the property located at; 21 McDonaZd Dxi.ve for.the following uses: Single Family Dwe, ng `De;cemben 27, 2002 DATE SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby APPROVED . ( )DISAPPROVED with the following conditions: ee%z L6icate o f Occupancy '-W be .€zzue.ci upon w*4Q4�e�appuvaZ a6 Vaj"c ance. bat zetback!+ .TEMPORARY.CERTIFICATE OF OCCUPAN FE' OqDEVISI 00.00. Decembex 27 2002 received on , Date of Issuance Director of Bldg. & Code Enforcement TIIIS TEMPORARY CERTIFICATE 'OF OCCUPANCY EXPIRES DAYS FROM THE DATE OF ISSUANCE. _NOTE: This,Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. rQ.pLrL3rr3j'r3jr3jL3rLJrL3rL3rL3rL3rL3tE, I�1 11 1 1: 1 1 1,rL3pLpLrL3jL3pLpLrr3jupLpLrL3rL3pr-�i::���:!ll BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 5NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF !ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 Upon the application of upon premises owned by N S/�ks�'N 5 MURTHA, BOB STEVE MILES 5 28 FITZGERALD ROAD 21 MCDONALD ST QUEENSBURY, NY 12804-1�3_58, QUEENSBURY,_NY 12804 __--5 5 5Located at 21 MCDONALD ST QUEENSBURY, NY 12804 , 5 5 Application Number: 1057381 Certificate Number: 1057381 5 5 Section: Block: Lot: Building Permit: BDC: A239 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 19th Day of December,2002. c5 5 Name _QTY Rate Rj!fiU ,'Circuit Type 5 Alarm and Emergency Equipment Sensor 6 0 Smoke 5 Appliances and Accessories ----- - --. -- _ _ __ _ _ - _ __ _-_ - 5 . Dish Washer 2 0 5 Micro-wave 2 0 Exhaust Fan 3 0 5 5 Bell Transformer 2 0 Panels 5 1 100 20 5 5 Wiring and Devices Fixture 83 0 Incandescent Outlet 1 0 Fixture Fixture 28 0 Fluorescent ij 5 Switch 97 0 General Purpose Receptacle 1,14 0 General Purpose 5 Receptacle 13 0 GFCI 5 Receptacle 2 0 Range seal 5 Outlet 12 0 Telephone 5 Continued on Next Page 1 of 2 5 P, This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. jPLPCJ"L3rj MPLrL3Prj"L3PLPLjjjPfflr3j _Mf 0— .j ral I --E- jffl3PCfflrL3Pr I IrL3rL3rd3-L3rL3rL3rL3rL3rL3rr3j f�l I RjRPLPLrL3rL3rL3PLrL3I 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5c 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 55 5 MURTHA, BOB STEVE MILES 5 5 28 FITZGERALD ROAD 21 MCDONALD ST 5 5 QUEENSBURY, NY 12804-1358, QUEENSBURY, NY 12804 5 5Located at 21 MCDONALDST QUEENSBURY, NY 12804 ' S 5 Application Number: 1057381 Certificate Number: 1057381 Section: Block: Lot: Building Permit: BDQ A239 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: C5 5 Basement,First Floor,Second Floor,Attached Garage,Outside, 5 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 19th Day of December,2002. 5 C55 Name QTY Rate RgilIg Circuit Type , Outlet 13 0 CATV 5 Arc Fault Circuit Interrupter 8 0 General Purpose Service- - -.- - -_ .__ -. __- 5 1 Phase 3W Service Rating 200 Amperes 5 Service Disconnect: 1 200 cb 5 5 Meters: 1 5 5 S 5 5 5 5 5 5 5 � 5 5 5 5 - 5 seal 5 S 2 of 2 5 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 11311 21 IpLrL3pLrL3,���'L3�'igl�@'�'Eli% �gprj"[:3prj"L3rL3rL3pLpLrL3pLpLpLfC3j IE PLrd3-LME�ig 0, FL3j-L3j'L3rL3PLrL3j-L3I M a > x � H w wHHzo orx zok o > x Hzzz ' z > HH w 0HG0 Hoaw cnoroHn H a a a H H ' H t r m m n m z a w H m ro x x [q m n w w w H N w x a M H ;U H 0 z rw a ro r n n' n a 0 a a z a a w z H z w M z o H H wcnr � � H000 00 000Z4 � ca1 a z 1, cnC. s� rrororo oo o H c o H z , raro C1 c H a q C1 C 0 x > w G n H ro C r n w Z N w H C n I w rown > aom p \ mH o a r H n H H r o 0C H x 14 A azrx o o rx r wH xx a H n w N N P ro U) C > H A Z r a n z C� Z z � � l �a .p z z o H•. I H H „ U) 02 ro , � W� z H 0 H 1 ,� kNnpf o zz z �1rF�� 1• N N>ft1U) x b � Z'C>WN OF QUEENSSURY BU I LDS NG & CC)EDE ENFORCEMENT 4&a� 742 BI1Y FtUAD QUEH;WsnuRY NY 12804 (518) 761-8256 ARRIVE DEPART SNSP F'xE3AZ. xI3lSPECTxQP7 RIEP'OR� C4t-f3ERCx.Ur- -. IfLTZ.T3CPZ.E Ia6�ELlC.xFaC3 (tote 1, rnotc�l. apt. cc> lax) DATE INSPECTSC)N FtE+QUEST FtEC'E2VED s > � ���+Cr+�,..� ,, LC>CAT S C)N . T'S�"P� C►F SZ'RL7C2'LTRE � +� LrJ► FC�4 'I•INGS 0ACKFSLL F'RII.MING PLUMk3INC-- INSUL]'3TIC7N Pt j A 3[E S PIO CHIMNEY/ •• 8 „ VENT/HE S GIiT PLLTMSING VENT FIXTURES RO O F S N G EXTERIOR F S N=S H FiEATS24G/HCDT WATER RE L S E F VALVE S FLOOR S FOUNDAT=CDN INSULAT=C1N Z N TE R I O R STAIRS/RA I L S N G S STOCKROOM E N C L©S U R E F-IRE/DEMISE WAS_.LS PENETRATSt7N FIRE DAMPER S CEILING FIRE STC7PPING FSRE 3D6QPS/C1L.OSERS EXST DOC7R IIARDWARE E.XST S`�AZRS �FL�2Ls P LATFOIZM,+�E LE`JATC)R H A N D I C A P P E D AC C E S S I-IANDXC,A.PPED S.+F�.THS HANDICAPPED PARKING FINAL LG"L,EC'Z'RI+CAL.. SIZE PLAN VARIANCE RE _� FINAL SURVEY' PLCtT PLAN IF moo. . �— OK Z'C3 ISSUE C1Cf QR C/G f " � S a� <-� tom-��-- LEGEND o I.R.F. o I.P.F. o I.R.S. 10, 0000 -x--�c—x- i W.F.P. -ohw- n /f NOTES: IRON ROD FOUND IRON PIPE FOUND IRON ROD S UTILITY POLI STONE WALL BARBED WIR POINT WOOD FENCE OVERHEAD 1 NOW OR FOI 1) THIS SURVEY WAS PREPA BENEFIT OF AN ABSTRAC' THEREFORE SUBJECT TO COVENANTS OR RESTRICT ANY STATEMENT OF FACT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATIG11 W1, „Llull l � ..,v[.VL- MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. MAP REFERENCES: 1) MAP ENTITLED "PROPOSED MODIFICATION TO AN APPROVED SUBDIISION "SOUTHERN EXPOSURE SUBDIVISION" A SUBDIVISION BY ROBERT E. McDONALD" PREPARED BY VANDUSEN & STEVES LAND SURVEYORS DATED MAY 1994 LAST REVISED JULY 22, 1994 FILED IN THE OFFICE OF THE WARREN COUNTY CLERK 2) MAP ENTITLED "SOUTHERN EXPOSURE" A SUBDIVISION OF LANDS A SUBDIVISION BY ROBERT E. McDONALD" PREPARED BY RAYMOND J. BUCKLEY L.S. DATED APRIL 1981 FILED IN THE OFFICE OF THE WARREN COUNTY CLERK 3) MAP ENTITLED "HUDSON POINTE P.U.D. SITE PLAN" PREPARED BY VANDUSEN & STEVES LAND SURVEYORS DATED MAY 1994 LAST REVISED MARCH 16, 1995 FILED IN PLAT CABINET B, SLIDE 43 IN THE OFFICE OF THE WARREN COUNTY CLERK REVISED DECEMBER 16, 2002 TO SHOW IMPROVEMENTS RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 4 f Q� Building&Code Enforcement Dept.of Community Development Arrive ,p Depart a a y Town of Queensbury ector's Initi s 4r, 742 Bay Road Queensbury,New York,12804 �7 NAME PERMIT i# !.�o 2,—/i5- LOCATION '21 kn c D , DATE �z; 402 , TYPE OF STRUCTURE S E D N/A YES NO COMMEN TS Chimney Heightf B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof r 1 Roof Complete 1 Exterior Finish Complete I Interior/Exterior Railings 30"to 1136" Exterior Handrails,balcanies,1r's, g 18 in.or more Interior Handrails stairs both r more risers Grade 2%away from foundatio 8"clearance to sill plate I I Gas Valve shut-off exposed/regulafor 18"above grade Gas Furnace shut-off within 3q fee'or within line of site Oil Furnace shut-off at entrantofnmace 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 I Bathroom/Kitchen watertight Interior Handrails Balc we!e Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level 0 every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures 1 Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical / Site Plan/Variance required Final Survey Plot Plan t 11 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) . 1 RESIDENTIAL FINAL INSPE POR•T Office No.(518)761-8256 Date inspection request received: / t Building&Code Enforcement Dept,of Community Development Arrive Aj--fQm Depart Town of Queensbury Inspector's Ini' s 742 Bay Road Queensbury,New York 12}804 / LOCATION Z` - 4)DATE TYPE OF STRUCTURE 3 N/A YES NO COM VIENTS Chimney HeightP B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railinas 30"to 36" �t Exterior Handrails,balconies,landing 18 in.or more I V 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 j � Interior privacy/him/doors/main entrance 36" c, 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 Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan 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) N 0 (D0 0 0a 'J' ,� a .� r)(D 4. 'Z 0 N M N -0 A 0 rt Ica H 3 (D '0(D rtQ 0 m c r rD t � w a r+ 0 100 � � 0� rf .it � .�, � � a rhso t4 `� 0 on� v► Q 0 0 (D � 0 a 7 > 3 N W .r. ..� (D H rah rF : a (D11(n 0 rt rr~ 0 r z *1 (D N a N M 0 � .�tr v cn 4 _ b I � -� 00A � � " m � 0 (DIWO r •{ -J. N „' �.�, 0 T (+ IZ 0 '�' A 0' 0 0 7C 0. tt c ;q.� 1" r j c C� d � tD Ala �., ,� rM r+ At N q nCID 1 -jo 'U —4. OD *�M ; ; (+ a 0 Pi Z N N L!i NJ a z(D (D tD ro (D 0 rt rh C+ Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbzcry - Ready at time: Dept. of Community Development Request received. Meet: Building& Code Enforcement At time: 742 Bay RoadZi 0 ! Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials c c,C�- NAME: �l PEIZ:MIT# LOCATION: j% ' T'1� iD l INSPECT ON(date): C� TYPE OF STRUCTURE: RECHECK NIA 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 i' 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/Bridgiug Joist Hangers : Jack Posts/Main Beani Air Infiltration Barrier Ij 're Separation 1,2, 3,hour netration Sealed re Wall 2,3,4urrestopping C L:iSueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT,doc ' Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at tune: .Dept. of Community Development Request receive& Meet: Building& Code Enforcement At time: 742 Bay Road Queensbui}; NY 12804 ARRIVE am/pm: DEPARF am/pm (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: 21 INSPECT ON(date): L6 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 Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumb* P 7'at�n ough 't'n 0"" I.4Z=n-s'ur,1WatPor: /<<— "w-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/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration SSeall -d- 3 A ,'120 F1 eWa 4 ru% tom- f 7Z ping,instorp Vol L-.1SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time&&L-7 Dept. o Communi Develo meat Request received. lr .f tJ' P q Meet: Building chi Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE ar EP RT pIn Notes: (518) 761-8256 Inspector's In' as s NAME: / t� PERMIT# ��! LOCATION: r.{---INSPECT ON(date): 71, �. TYPE OF STRUCTURE: RECHECK N/A YES NOI 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 ouatio nd tion Walls Interior R- Foundation Walls Exterior R 1 Floors ��4.•C,,�� r 'Rd.�." Walls V _ R- Ceiling R- L`1 7 \C Duct work or piping in unheated spaces R- Proper Vent,Attic Ventp � Framing i Jack Studs/Headers i BracingBridging Joist Hangers Jack Posts/Main$earn Air Infiltration Barrier G' Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc F=IF;ZE=— MAJR,'—<3FtokL- -r(DVVM C>F= ClUr-=l=Mr-3E3UfZ,;,l'Y <:;2Uf--e"S;E3LJP,VY. MY 12804 (518) 761-8205 FIRE MARSHAL INSPECTI€JN REPORT REQUEST RECEIVED PERMITO NAME LOCATION SCHEDULE INSPEOTIC)N ON ic A 7 AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERC31=NCY LI(3HTINC3 FIRE EXTINGUISHERS FIRE At—ARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATICPN- INTERIOR FINISHES STORAGE: CLEARANCE TO SF4it& EE R S CLEARANCE TO HEATIN UNITS REQUIRED St NA(:3E ' CHIMNEY WOOD STOVE FIREPLACE — MASC3NRY -000 FIREPLACE — FACTORY BUILT REMARKS: Q OK TO THIS DATE 07 INSPECTOR Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: A Building& Code Enforcement At time:. 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART$ am/pm Notes", (518) 761-8256 Inspector's Initials . vo�NAME: [�c \L-K4 PERMIT 4 -07L"" LOCATION: t -0bios d INSPECT ON(date): TYPE OF STRUCTURE: CL 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 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- �Kper Vent,Attic Vent ARF,ra-ffu-n- MdM/Re—iders Bracing/Bridging Joist Hangers Jack Posts[Main Beam Mf Tion-Be�Tr�Mfiltrk��rrier V, Cq"Pe&,X— rep Fire Separation 1,2,3,hour Penetration Sealed F' e Wall 2,3,4 hour W V L:\SueHemingway\]3uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time:A" Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: L /041,40,1 INSPECT ON(date): 713 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/Darnpproofing_ Backfill Approval P mbing Under Slab lambing in Place V 1� u Heating Rou Nation V oundatirin 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 r,2ng% -M�-L �-5, )MONF31c'k—Studs/Headers JA{e-1, �7-V,0 0 Fi2&A:f Bracing/Bridgmig— Joist Hangers Jack Posts/Maiii Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour 0/" s t" �?"p.Lln*g� i�cc--eelf) r--ee L-\SueHemiiigwayNBtiilding.Codes.hispection.FORMS\GENERAL INSPEC ION REPORT.do F=IF;Za MARSHAL_ -r(:>VVM CIF (=jUr-=F=",<3E3UFz,"')r <=tUr-=r-=MSE3LJF-Z-N-, "-Y- 12804 (518) 761-8205 FIRE MARSHAL INSF>ECTIC:>N REPORT REQUEST RECE VED PERMIT 0 NAME LOCATION SCHEDULE INSPECTION ON e,- /cy !2 'A YTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIC3NS EIVIERCMENCY LIC3HTINC3 FIRE EXTINC31JISHERS, FIRE ALARM SYSTEM FIRE SPRINKLER S-YSTEM FIRE SUPPRESSION SYST M HOOD INSTAL-LATIC>N INTERIOR FINISHES STO RAG E: CLEARANCE 0 SPRINKLERS CLEARANC TO HEATINC; UNITS REQUIRED SIONAC3 CHIMNEY WOOD STOVE FIREPLACE - M ONRY FIREPLACE - F TOR"y BUILT REMARKS: F-1 OK TO THIS DAYE. 2z INSPECTOR Office Use GENERAPLINW-SPECTICON REPORT Inspector: Town of Queensbury Ready at timeAm Dept. of Community Development Request received.-'711 Meet: Building& Code Enforcement At time: 742Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPAR9 4t am/pm Notes irk r- (518) 761-8256 Inspector's Initials -NAME 1'9 PERMIT# c2 -63 LOCATION: �V-, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS F 9 ootin s/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 FoundationtWallpour Reinforcement in Place 7Z Foundation/Dampproofing A Backfill Approval Plumbing Under Slab tumbi Vw ents in Place l-,u ing tating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling Duct work or piping in unheated spaces R- 4-r Pro ent,atticVe t 4-& ac Studs/Head s Bracing/Bridg' g Joist Hanger Jack Posts: ain Beam �I , 1 Barrier Fire Separ 'on 1,2,3,hour Penetrati n Sealed - ire W 123,4 hour crest in L:\SueHemiiigway\Building.Codes.Inspection.FORMS\GE,NERAL INSPECTION REPORT.doe Office Use GENER.A.L, INSPECTION REPORT Inspector: 22\\ Town of Queensbury Ready at time: - O e .Dept. of Community Development Request receive& Meet: Building& Code Enforcement At time: 742 Bay Road a 1 Queensbury, AY 12804 ARRIVE am/pm: DEPART am/prn Notes: (518) 761-8256 Inspector's Initials r � NAME: PERMIT# LOCATION: CRIA j INSPECT ON(date): TYPE OF STRUCTURE: RECHECK NIA 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 Foundatio m raaEng ckfill Ap rov 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 Firestopping L:1.SueHemingway\Building.Codes.Inspection.I'ORMS\GENERAL INSPECTION rtEPORT.doc Office Use GENERAL INSPECTION REPORT k 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 m F T m/ otes: (518) 761-8256 Inspector's Initi is NAME: P PERMIT# LOCAI'IC NN INSPECT ON(date): 7J9 TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS VF mgs/Piers onolithic Pour Flo] Reinforcement in`Pl e The contractor is r spo ible for providing protectio fro freezing for 48 hours follow' the lacement of the concrete. Materials for this purpos on s e Foundation/Wallpour Reinforcement in Place Foundation/Dampproo Ing Backfill Approval . Plumbing Under S1 bb Plumbing Vent/Vents in Place Rough Plumbing Keating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls ! R- Ceiling ! R- Duct work or piping m' s unheated spaces R- Proper Vent,Attic Vent Framin 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:1SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc i Office Use GENERAL INSPECTION REPORT Inspector: Q Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code-Enforcement At time: 742 Bay Rodd Queensbury, NY.12804 ARRIVE e0 *m F T s m otes: (518) 761-8256 Inspector's Inita " ; T,! NAME: PERMIT# LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHE NIA S NO COMMENTS Votings/Piers nolithic Four Fo Reinforcement in PI e The contractor is r pons'bie for , providing protectio from freezing ;for.4$:hours followin .the, lacement of the concrete. _ Materials for this purpose n� 'te Found ation//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 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 L:\SueHemingway\Building.Codes.hispection.FORMS\GENERAL INSPECTION REPORT.doc r _ Cr" MAR 2 _ .. . rowt4 OF a R)CODE C3• ' 00 -l_� ` 0 V P VVt 0 ... 1 , UU S 15*36*31" lit "I ave seen or observed, or believe I saw evidence of, all jects such as houses,wells,trees,fences, etc., -p► sho on this document 1 also represent that 1 have --� • Cif perso Ily a ured the distances set f h on the d'agr t ." to SIGN ATU E DATE s 00e pC e :