2001-028 TOWN OF QUEENSBURY
` oo 742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 -
Community Development- Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010028 Date Issued:: Friday, May 11, 2001
This is to certify that work requested to be done as shown by Permit Number P20010028
has been completed.
Tax Map Number: 523400-074-000-0002-072-000-0000
Location: 37 SARA-JEN Dr
Owner: GUIDO PASSARELLI
Applicant: MICHAELS GROUP
This structure may be occupied as a:
By Order of Town Board
Single Family Dwelling TOWN OF QUEENSBURY
Garage - 2 Cars Attached N ___
Fireplace
Director of Building&Code Enforcement
E % TOWN OF QUEENSBURY
coo 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
•
Permit Number: P20010028 Application Number: A20010028
Tax Map No: 523400-074-000-0002-072-000-0000
Permission is hereby granted to: MICHAELS GROUP
For property located at: SARA-JEN 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: GUIDO PASSARELLI Single Family Dwelling 177,900.00
40 LEHLAND Dr Garage-2 Cars Attached
QUEENSBURY,NY 12804 Fireplace
Total Value 177,900.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MICHAELS GROUP LLC THE NEW YORK BOARD OF FIRE UNDEI
10 BLACKSMITH Dr Suite 1
MALTA.NY 12020
•
Plans &Specifications
BP 2001-028; Lot 72,House No. 37 Sara Jen Drive, Lehland Estates
2321sq ft SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$298.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 24,2003
(Ilia longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To o ensb . ; We s.1 s>•y, January 24,2001
SIGNED BY for the Town of Queensbury.
Director of Building& ode E.forcement
Application for Permit-Septic Disposal System
Town of Queenshruy 742 Bay Road Queensbury, NY 1280.1 (518) 761-8256
1. OWNER INFORMATION:
I
Location of installat'on: .3-1Sara Jem-��.
File Permit No Office Use
�'J . - O
Tax Map No. ✓ / �- / 7)' ii
-13
Owner's Name;Ttr1�. �c t e,`S Q o I
Fee Paid
Address: \Q la\i' K�\'`(\t(N NE. s A`4Y6 l' Q
2. INSTALLER'S NAME : G k r �� . 216, PHONE NO. (023- \(3 .
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate #bedroom(s) and multiply II 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- 1991 x 130 gal/bdrm =
1991 -present V- x 110 gal/bdrm = ii if 0
Garbage Grinder Installed yes / no x
Spa or Whirlpool Installed yes / no 2 •
4. PARCEL INFORMATION: (circle applicable information & indicate measurements)
IQp graphv Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Su I
y
12L___ ('sand'j at what depth at what depth mru7icipal)
Rolling loam ' �.feet feet 1--- --
steep slope clay if well; water supply
__%slope other from any septic-system
depth:______ absorption is _J i.
other
Percolation Test: (To he 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: •!Aria gallon (min. size 1,000 gal)
Tile Field: each trench s y ft. Total System Length: 2 ( (e) fi.
_, Seepage Pit(s): number of size of each: ft, by Ji.
Size of Stone to be used: II _g___ / depth or thickness_________-feet
Bed System Size: x
Alternative System: L`i ,r _______-1_engtb_ancUor size- _ __ -: _ .
•
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: N.A, / 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
. 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.
C., ) 3,„_ /,------„---- / / 7/ C/
Signature-of spo s' 'le person Date
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Buildin Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queen.rGnry, NY 12804 /76/-32S6/
• -c • BUILDING & . CODE ENFORCEMENT
NOTICERequirements prior to issuance
,
A permit must be obtained before of this permit: , PERMIT FILE NOrDIYA7112.8
beginning construction. No inspections 1 4 � -S
will be made until applicant has received V 0 Zoning Board Action PERMIT FEE PAID e
a AI,ID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION eti ifs
MUST be completed afd.the signature ElPlanning Board Action
of the applicant•must appear on the REVIEWED BE. /3
lieation form. Thank SPR / Subdivision /Other Al riiilelinS Inspecrnr
Epp .. J Recreation Fee Payment .
Applicant: ThE gt;,11c' (S CVe- 1UP Owner: SZf-lE. -..,•• • f
' Address: C41,--- 1t nDa- P6\6,\.Aq, "2.b Address:
Phone # (51Z`) ao_c� - ( \l Phone # ( ) .
Property Location; VQJA. 7Z n(.,�/ ��
Subdivision Name: 5( k c'tc. ‘..�up Tax Map Number / ( /
r �� _ Section Mock I nt
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION: $ (-11.
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family k ._,-r.,,'- � mV
ED
�'�^e'
no change to exterior size Famil 11
Office
Other Work (describe below) Mercantile .JAN 1 8 2001
Manufacturing
•
Other TOWN OF QUEENSBURY
GROSS AREA OF PROPOSED STRUCTURE: /6(!Ap BUILDING AND CODE
1st Floor �3'13 sq. ft . 9 0 If ADDITION, what will use
2nd .Floorq. S of new addition be? :
Other Floors sq. ft.
( not unfinished cellar or basement)p ACCESSORY BUILDINGS :.
�[ Detached Garage 1 , 2
TOTAL FLOOR AREA: 2'32` S• . ?C Attached Garage 1 , 4iChi
Private Storage Buy a
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
5 FEET X FEET
2
Foundation Type : i cr) Will any second-hand or ungraded
' Number of Stories : Z lumber be used? If so, for what?
(habitable space only) p
Height (grade to ridge) : Z a feet TYPE OF HEATING SYSTEM:
Number of fireplaces çnd/or woodstove ( circle all which a.plies )
to be installed: Electric / Oil / / Wood
Forced Hot Air / Baseboard / Other
Person responsib_ l_e for supervision_ of work as regards_ to building___ _ _ _
c oo d-e s -i s i U� �N a rrn e-,t QR 'E-2�2t�1 L-a'elvtZ C�1L., p..t. c,,.�-
�Cu. s o� t o a d y e s sz Svc k`-6 �Zo Phone -( \`
Builder: l
Plumber : Cn C. ' vrc\ 1 C'�'6 \-lkit.ec-lr 1 c\ I'2.�C) n-2 r
Mason: 1 1 CN
Electrician: ��c-4 �� a 1 rt. , ›cL,L+ 1? c ' 1 t '32Z.. • .
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, arc 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, an AS BUILT PLOT PLAN by
a licensed survey ; d awn to showing actual location of project on premises.
Signature: �( '�
downer, owner's agent, r hitect, contractor)
Fire I\lars ial's office Town of Queensbury, 742 Bay Road,Quecnsburv, NY
(518) 761-8205
Application for Fuel Burning Appliances & Chimneys:
applicable to solid fuel & vented gas appliances •
Date` �y , qof - ' - 1 Permiti
�,,, �r�'s...,at° 1 .,r 20;9'_ .� � No. (9_00 I
•
Application is hereby unadtetto the 13uitc4rrg& Codes Office,fin the issuance of a Building and Use.
Permit pursuant to the Neit York Src e Fll•e'Pi-eielrtron and Building Code. The applicantbr owner •
agrees to c•oinply, with all applicable(a1lr.S, ordl(nrnces °/�t'gnlatiwns, and all colydltlons that are.palsi 0J
these r•equrreiner ts'and also I,�ill'allon all ilispcctol's to enter premises to pei forin required inspections.
" NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
I, (circle appropriate words)
Name: i` ti'L" �`��...� Stove: wood coal pellet gas
'~` Fireplace insert
Address: t l�trVe i, ,gt.. ,k "`Thieu 1 Fireplace, factory-built: wood gas .
` � a �a 6 ;� Fireplace, masonry: wood gas
Furnace: wood (liDoll
Phone: , , - L-4,,1 I
If non-masonary applicance, please provide
Owner: A .� Manufacturer Name:
Address:--- - -- — - - Model Number: -_ - w —
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
• Flue tile rs ") size: inches
Exact Address: '� \
of consrruc'tioii or iirsuallation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction/Installation must
conform to NYS Fire Prevention &Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double nail I Triple%rail I Insulated / Direct renting
Chimney Liner
j Ca.scti3er'or 31:7exaazatmesat— Toorrxt of Queeaa abzzit:-r, lYexrsr Xeoz-k . - I
: • l
l .. 1
Fire Marshal Code# i
II` ) f tlr
S Collected S Re/iaded Recc°il•ed/i•orn treJinrded to): t, , ,;;;;1.. y i a
• • t 1 0 address:
.-1 173 3389 (190) Public Safety Ot j, —
.4 233 2655 (23Q)Minor Sales
• CtI \ 1{ m
4 �j\''��1t-- . `.
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04.}waTwLa - row.%. Geit�i o2 oYcg
7 J
White(Applicant) ; Green(Fire Ittarshal) / Yellow(131dg. Dept.) Pink&Goldenrod(Cashier's Dept.)
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
TEMP.,/ DATE
l2/k /oo - .-1 . . :
CITY OR VILLAGE I ZIP CODE TOWNSHIP ((( 1COUNTY
C\u� Okr� I (28CY- L tn..l��.,
STREET AND NO.OR ROD POLE NUMBER
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
—17_
OCCUPANT ME BUILDING OCCUPANCY
lC hr".8 S QDVC
1 OWNERS NAME AND ADDRESS HOME TELEPHONE NUMBER
16 � r itsvn1-t-�." �
CURRENT SUPPLIED i FROM THEIR OFFICE WORK TELEPHONE NUMBER
t I I/Y�C 7
BUILDING IS
NEWffff(���`` OLD ❑ I WORK IS NEW ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach'I H.P. Walls A.W.G.
Ceiling Wall Recep'is Switch Pendant Bracket No. Type Each No Each No. Gauge INSPECTION
OUT- I
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 ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS
SU a I S Applicant affirms that there is not an application for electrical
CHARACTER OF WORK I ❑EXPOSED
❑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 ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS I I I 2-1I 2 II
IDENTIFICATION NUMBER>
ci
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 1.ELICANT r DATE OF APPLICATION SIGNATURE OF APPLICANT
STREET ADORES 71. �/^ 'n�^,'AY^+ TELEPHONE NO.O.22
CITY OR POS ICE �� t �� � ZIP CODE LICENSE NO WHEN APPLICABLE
Al Q C 11- 17 30 T 2o"5
❑40 Fulton Street [�.111 ashington Ave. ❑ 3291 Lake Shore Road ❑ 803 West Avenue ❑ 202 Arterial Road
NEW YORK, NY 10038 /`SUIT 704 I BUFFALO, NY 14219 SUITE 106 SYRACUSE, NY 13206
(212) 227-3700 ALBANY, NY 12210 (716)827-1155 ROCHESTER, NY 14611 (315) 463-8552
(518)463-2122 (716)436-4460
THE NEW YORK BOARD OF FIRE UNDERWRITERS
W r_Pc_17. Pal-rJ��l-�l-rJ�r�rJ�rJ�r�rJ�r�rJ��n�l-r�r��l-.r�.rrJ�r�rJ�rJ��lrJ�rJ�r�r�rJ��n�.nrn�lr�rJ�rJ��l�n�n�n�nrJ��P�.r�r�rJ�r�rPr��lrJ��lrJ�rJ�cnrJ�rJ�rJU l
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5
5 BUREAU OF ELECTRICITY 5
(c .k ,
5 40 FULTON STREET - NEW YORK, NY 10038
5 CERTIFIES THAT i
5 5 �
Upon the application of upon premises owned by 5
au
5
FOREVER ELEC/BOEL ELECT. MICHAELS GROUP MICHAELS GROUP
WILLIAM D. MCPARTLON 37 SARA JEN2446 JAFFREY ST.
r5j SCENECTADY, N.Y. 12301, QUEENSBURY, NY 12804 c5
Located at 37 SARA JEN QUEENSBURY, NY 12804
Application Number: 1012211 Certificate Number: 1012211
5 5
Section: Block: Lot: Building Permit: BDC: A239 55
5 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: E
5 Basement,First Floor,Second Floor,Attached Garage, 5
5c was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 22nd Day of 04/27/2001 5
5 Name QTY Rate Rating Circuit Type 5
5 Alarm and Emergency Equipment
Sensor 7 0 Smoke 5
Appliances and Accessories S
Furnace 1 0 Gas 5
Hydro Massage Tub,Residential 1 0
Bell Transformer 1 0 5
10 5
Exhaust Fan 3 0 5
Wiring and Devices - 5
Lj Fixture 31 0 General Purpose C5,
Pole/Post Lighting Standard 1 0 Residential Cj
Receptacle 56 0 General Purpose 5
Receptacle 5 0 GFCI C5
Receptacle 1 0 30 Special - ' 5
5 Receptacle 1 0 50 Special ' ` 5
5 Switch 37 0 General Purpose
5 Service seal w _ -
1 Phase 3W Service Rating 200 Amperes _ 5
5 Continued on Next Page 1 of 2
5 5 q This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 E.
D,nrJ c_MPE JPrLEPEr_MPErJ�rJ LIMPE JPrJ [AMP UMM-3rJ J�r �rJ�r . LMIPcfrJ UM
Cr .2P[P[1�[J�[J�[1�[1��rJ�[J�[P[J�r�rJ�rJ�[J�[J�[J�[n[J�[J�[![n[J�[n[nLIE P[ r_Mr_PEEPE_ P EJERIE[1El
t_i N
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 5
5 5
CERTIFIES THAT 5
5 5
5 Upon the application of upon premises owned by 5
5 5
5 FOREVER ELEC/BOEL ELECT. MICHAELS GROUP MICHAELS GROUPWILLI C5
JAFFREYST A37 SARA JEN
2446 MCPARTLON QUEENSBURY, NY 12804
5 5 SCENECTADY, N.Y. 12301, r5j
Located at 37 SARA JEN QUEENSBURY, NY 12804
5 5
5 Application Number: 101221.1 Certificate Number: 1012211
Section: Block: Lot: Building Permit: BDC: A239 55
5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring,described below, located in/on the premises at: 5,
Basement,First Floor,Second Floor,Attached Garage,
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 22nd Day of 04/27/2001
Name QTY Rate Rating Circuit Type
Service Disconnect: 1 200 cb
Meters: 1 Lj
5
5
5 5
5 5
5 5
5 5
5 5
5
5 � . - _
5 seal
51 5
2 of 2 ;ti
5
_
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the lodation:indicated.
C. C.
OP LIMP LIMPED LPLI cnE PrJ�r..PL PcPrJ�r�rJ�r�rJ�rJ�rJE.PLLII..11 El
gat/ TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
i711 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPE TION REQUEST REC,IVED:
NAME C--'�✓ �X�l
LOCIy �� �� ev,
DATE 5 ---c9D ) PERMIT #O I -6)._
TYPE OF STRUCTURE ___La_ 0(2)
FOOTINGS FOUNDATION BACKFILL _ FRAMING ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL__ WOODSTOVE OR FIREPLACE
N/A YES NO I
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH _
DECK/PORCH/STEPS/RAILING
RELIEF VALVES
FURNACE/HOT WATER OPERAT NG
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA LB
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITTEE PLAN/VARIANCE REQ.
C 54NAL SURVEY PLOT PLAN !�
OK TO ISSUE C/O OR C/C
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-82
1
1
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT#o7--02e
NAME NN l�'\(:)k 290 CS1f�1�./'C
LOCATION Jo-4- 7 1
SCHEDULE INSPECTION ON 0 i►
`\ AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER - t
FIRE SUPPRESSION SYST M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SP• NKLERS
CLEARANCE TO H .-TING UNITS
REQUIRED SIGNAGE
/CHIMNEY
WOOD STOVE
FIyTEPLACE _ 1V
(REPLACE-FACMASONRYTORY BUILT f-/4 ,f
REMARKS: EKIV<TO THIS DATE
INSPSLIP.PUB INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT 1/4-4.7
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept. of Community Development Arrive am/pm Depart '/ m
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME 1 , U L PERMIT ii / `( R
LOCATION 5 DATE - %O--.2no)
TYPE OF STRUC 0
N/A YES NO COMMENTS
•
Chimney Height/"B"Vent/Direct Vent Location �J//
Fresh Air Intake ✓�
Plumb Vent through roof /
Roof Complete //
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,lan.' 18 in.or more o.//
Interior Handrails stairs both sides or mor risers ; //
Grade 2%away from foundation V/
8"clearance to sill plate t/f
Gas Valve shut-off exposed/regul. or 18".love grade ,/' /'
Gas Furnace shut-off within 30 fe4 or wi 'n line of site 74,
Oil Furnace shut-off at entrance to furna'e area
Furnace/Hot Water Heater operaf. g
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs ✓
Basement stairs,6 ft.4 in. ✓(r://
Handrail exterior stairs botl id:, more than 3 risers
Interior privacy/trim/d /main . trance 36"
Floor Finish ✓/
Bathroom/Kitchen watertight ,/
Interior Handrails Balconies/L.I ding 18 in.or more S
Railing across window in stain ells ✓ y
Smoke Detectors:
every level /�
every bedroom
outside every bedroom
inter connected /I7-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"7ess fr floor. r
Final Electrical Z.1 u1 mil/ �)
Site Plan/Variancuire 4 /1 i „
Final Survey Plot Plan / v7 •-'r
As Built Septic System layout required 1 /0se- -0 4- 6024.�4
Okay to issue C/C(Certif.of Compliance) / Gj6-,0 0 GL
Okay to issue temp.C/O(Certif.of Occupancy)_ j Okay to issue permanent C/O(Certif.of Occupancy)
riv‘
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: O 114
Building&Code Enforcement
742 Bay Road ij
Queensbury,NY 12804 Arrive am/pm Depar�•• l �{pm
Inspector's Initials ��
NAME: •yvi i 01 a-e-L5 G rovip PERMIT# __ (—_3--
LOCATION: 3 S, ;r bst- 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 freezin
for 48 hours following the places ent
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in,Rlace
Foundation/Dampprob g
Backfill Approval
Plumbing Under Slab 00-c (J
e "
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
itsui
GENERAL INSPECTION REPORT - -�
( 518 ) 761.-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: ` "t' C200
/
Building&Code Enforcement
742 Bay Road l
Queensbury,NY 12804 Arrive am/pm Depart ' a /
Inspector's Initials v
NAME: ' /` G -e PERMIT# D/
LOCATION: a/ �L jfa�—� / DATE : 3/ 3 7/143TO
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers C I
Monolithic Pour Form \
Reinforcement in Place
The contractor is res sible for
providing protection fr m freezing
for 48 hours following a placement/
of the concrete. f
Materials for this purpose n site /
Foundation/Wallpour I
Reinforcement in Place /
Foundation/Da ppraofing \ /
Backfill Approval \
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
oughiIn
mutation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- ,J
Duct work or piping in /
unheated spaces R-
Pr Vettt, Attic`Vent ✓✓✓
F. ( C-k
hack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire W ll 2 4 hour
F stopp
I
FIRE MARSHAL
/ ;;, TOWN OF QUEENSBURY
1111t-j • QUEENSBURY, NY 12804
14`-, °•,. (518) 761-8205.
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME ` C Fm..-c'(. 5 ��'5�-/2
LOCATION PERMIT#Of --61.4
SCHEDULE INSPECTION ON Z'7-9 d
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS 1
EMERGENCY LIGHTING
l!
FIRE EXTINGUISHERS /
FIRE ALARM SYSTEM f
FIRE SPRINKLER SYSTEM)
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLE"S
CLEARANCE TO HEATING NITS
REQUIRE SIGNAGE ' f /
~Le/
l e�C( V CCU j `.
WO STOVE
(REPLACE MASONRY FACTORY BLT.
OUGH-IN Ul 65%/ -
❑FINAL D U (2( 3(e Rit/ ,
REMARKS: OK TO THIS DATE
It 2///yo
--_ _e______---------..
INSPSLIP.PUB INSPECTOR
\ \ O\
GENERAL INSPECTION REPORT O 1* "` `
( 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 Dep • py/ m
Inspector's Initials
NAME: \ c lThin PERMIT# l -0 ag
LOCATION: ___ -(\ \._ pn� --,:a_ DATE : 33-aeb I
TYPE OF STRUCTURE: 5 \CD
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
/ '
for 48 hours following the placement i I
of the concrete. /
Materials for this purpose on site
Foundation/Wallpour ,1
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plu in Vent/lIents in Place C6 f 0 I
rrligl I�l�zmbing�--��
•
Heating Rough-In / 7-4- L_. �mL PeInsulation jqr
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro /
,•r .ent Attirent , i//
itiarcxing:., Z -�r2�i .
ack Studs/Headers
Bracing/Bridging / Lc. �j '�i Gl<<l iU�J tt
Joist Hangers / /A/4174 1 ` e L`�
Jack Posts/Main Beam t
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Pene ation Sealed
F Wa112 5a4 hour �(l7-L= '. nl�6••V 556 O
iresfoppingy l (/lL�L (3' I� J
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 Depa / " l m/pm
Inspector's Initials �, ,(
NAME: I41(ONIZ4 (C PERMIT# t Die
LOCATION: 1 - - &/szk DATE : 3 Z-6 jo/
TYPE OF STRUCTURE:
RECHECK
nN/A YES NO COMMENTS
Footings/Piers —I 1 I
Monolithic Pour Form 1
Reinforcement in Place
The contractor is respo sible for
providing protection fr m freezing
for 48 hours followinglthe placement
of the concrete. 3 i/
r
Materials for this purpo a on site
Foundation/Wailpour ! / ,
Reinforcement iin Place/ /
Foundation/Daipproohng
Backfill Approval"-,
Plumbing Under Slab
Plumbing Vent/Vents i Place ,
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In rior R-
Foundation Walls Ext rior 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
Queensbury,NY 12804 Arrive am/pm Depart/ (FA/E.,
Inspector's Initials
NAME: �� q-11;--"VN-_
f��LJPERMIT# d1
LOCATION: 7 Q`S\ .` 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 sit
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval /
Plumbing Under Slab
Plumbing Vent/Vents in Pla e /r
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interioi R-
Foundation Walls Exterior R-
Floors R-
Walls
Ceiling Duct work or piping in
unheated spaces
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging I
Joist Hangers
J_.arAc Posts/Main Bea � J
r Infiltration Barrier eCrG(C (h, (C F ( g(=,1--g
Fire Separation 1,2, 3,hour -�
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT e—.
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive to n/2Depart.1 t^ n
spector's Initials��
ipp
NAME: 1 C 'P.�S (SLL PERMIT#
LOCATIO : VG—3-e/Y)�Y DATE :
TYPE OF STR :C
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1.
Monolithic Pour Form
Reinforcement in Place
The contractor is r; ponsibin for
providing protec •.n from f4ezing
for 48 hours folio •ng the placement
of the concrete.
Materials for this pu ..se on si{e
Foundation/Wallpour f
Reinforcement in Plac• /
Foundation/Dampp :I.fins
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls In = 'or R-
Foundation Walls Exte 'or R-
Floors '-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
ik/
J k Posts/Main Beam
rInfiltrationBarrier jJ' 1�j r39—
Fire Separation 1,2, 3,hour nv1\
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
TOWN OF QUEENSBURY !:;;) for
BUILDING & CODE ENFORCEMEN
742 Bay Road Q w.-
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ' 4c65< . c,),f —
Locati on 37 .-Ju ,,L---
Date a741.// l Permit # oC � ��l�r�I
SOIL TYP . Sand- oam-Clay- ,
Results „yof Percolation Test-
(if appl:,icable) Rate--Minute/Inc,h
TYPE OF SYSTEM: +
ABSORPTION FIELD: Total Length' i z
Length ofeach trench //�. vt��-r-)�t �
Depth of drenches z t -3'
Size of stone . .t Ftt-t- XIpe_17
SEEPAGE PItS: Number- •-'
Size - ft. x ft.
Stone size \
PIPING: Size Type
Bldg. to Tank ',, LA",60-1-L-!a Tc� ,{lk3S---
Tank to Dist. Box IA" ?JQ
Dist. Box to Fi eel d/Pit .L1" C..„2allgaamig
Openings Sealed? k es No Partial
LOCATION/SEPARATI0 :
Foundation to Tank,, ; V) feet
Foundation to Absorption . zc-- feet . .
Separation of Pits,:A feet
Conforms as per P1'ot',Plan Yes No
LOCATION OF SYSTEM ON'';,PROPERTY:
(circle one) .,41
Front - Rear - L 4de---Right Side
Middle Fron Middle Re`f r
COMMENTS: . . . ,. .
SYSTEM USE APPROVED: Yj NO
Arriv.• JO:0 C `',
Depar2'
,,,
'I. Buildinr. .pector
C)--I 0 7)14/(
•
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road C_' 6
Queensbury,NY 12804 Arrive am/pm Depart ( mn/pm
Inspector's Initials ``
NAME: C\N GMNAPPERMIT V c)--g
LOCATION:? DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers r
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible fo
providing protection from fr ing
for 48 hours following the pi cemen
of the concrete.
Materials for this purpose on site
Foundation/Wallpour I /
Reinforcement in Place I ,
Founda 'on/Dampproofing ✓
ill Approval
Plumbing Under Slab
Plumbing Vent/Vents in.' •
Rough Plumbing----'
Heating Rough-In
Insulation
Foundation Walls Interio R-
Foundation Walls Exteri.r R-
Floors '-
Walls '-
Ceiling k-
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
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
If
GENERAL INSPECTION REPORT \ -
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Itbad •'•,
Queensbury,NY 12804 Arrive am/pm Depart Ii rta/
Inspector's Initials G
NAME: y\ 0 PERMIT# Og
LOCATION: -5 : -9/"Y-\ `DATE: O A
TYPE OF STRUC 5 V,9
RECHECK
I�.
N/A Y S NO COMMENTS
\, otings/Piers . '"" � rI
Monolithic Pour Form
Reinforcement in Place 4
The contractor is responsible for
providing protection from fr zi g
for 48 hours following the ace1 ent
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval /
Plumbing Under ab i
Plumbing Vent/Vent • • •
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
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