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2002-322 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CE RTIFICATEOFOCCUPANCY Permit Number: P20020322 Date Issued: : Wednesday, October 16,2002 This is to certify that work requested to be done as shown by Permit Number - P20020322. has been completed. Tax Map Number: 523400-300-000-000 1-002-00 1-0000 Location: 241 CLENDON BROOK Rd Owner: TREVOR&CITRISTINA SCHMETTERER y Applicant: TREVOR&CIIRISTINA SCHMETTERER This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-9256 BUILDING PERMIT Permit Number: P20020322 Applicatibil Number: A20020322 ' Tax Map No: 523400-300-000.-0001-002-001-0000 Permission is hereby granted to: TREVOR & CHRISTINA SCHMFTTERER For property located at: CLENDON BROOK Rd 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: TREVOR& CHRISTINA SCHMETr 135 MOUNTAIN Ave FireplaceGarage-2 Cars Attached PARK RIDGE,NJ 07656 Single Family Dwelling 300,000.00 Total Value 300,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency COLIYTTE CONSTRTJCTTON. COMMONWEALTH ELECTRICAL A 9 COLLETTE LANE PO BOX 706 MJDSON FALLS.N.Y. HACTIJE.NY Plans&Specifications 2002-322 3406 sq ft SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $465.12' PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday,May 23,2003 (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 Toln of May, 23,2002 SIGNED BY _ �fw 4c! -for the Town of Queensbury. Director of Building&Code 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 Noss/ No inspection will be made until applicant has received a Fee Paid $ It 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: Owner: 5 �i 1° u Address: 13 5 X u./t j,;o A U e- Address: pa.,e.k 2rc �A /�3v . flrt�e� cs-7�SG Phone#( ) /S- o t Phone# Property Location: Lot Number: / House Number Subdivision Name: Tax Map Number: Sec. '�6Z 1?/94 C / 1 e v t�/Ldbl�' 9A GI New Building: - residence /commercial Estimated Market Value of Construction: $ 36-o i em ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) Check Occupancylnformation V Floor 2"Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet ❑ Single family dwelling (7 S-r� /6 , ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office APR ❑ Mercantile tqc�RURY ❑ Manufacturing �s G AND CODE ❑ 1 car detached garage ❑ 2 car detached garage 1 ❑- 3 car detached garage: i ❑ 11car-attached garage .W 2 car,attached garage j ❑ 3 car-attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the'proposed height of the structure 3 feet `2-- inches Will any second-hand or ungraded lumber be used? If so,for what? A2)6 Type of Heating System: electric/ oil / as wood /forced hot air/ baseboard 1 other: Number of Fireplaces to be installed / Number of Woodstoves to be installed c) List below the person(s)responsible for supervision of work as regards to building codes: I Name Address Phone Number Builder Ca,//e 77ph_ 3 — L Plumber IC2 r 1A 29 P,�- r/ $� Mason Electrician a c e nl C'.a 2 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 Survev by a licensed surveyor;drawn to scale,showing actual location of all new construction. Signature:Signature- t _O� owner,owner's agent,architect,contra. Application for Permit—Septic Disposal System Town of Oueensbury 742 Bay Road Oueensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: ..............._......—................................................... _.........._...._...........:........�_.: / Office Use Location of installation: File Permit No. Tax Map No. Ob Fee Paid Owner's Name: R S C.li e t-,e-V A e 2 _...................---.-................... € Address: / S /?7771�- 0?4�-c 2. INSTALLER'S NAME l/P� C��us� wz PHONE NO. `36�5—Spa�- 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—1991 x 130 gal/bdrm = 1991 —present S x 110 gal/bdrm = 5� Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes, / no i 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) I Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal of i oam feet r� feet 1+'e Steep slope clay i if well;water supply slope other from any septic-�ystent 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: gallon (min. size ],000 gal.) Tile Field: each trench i�O ft. Total System Length: 266 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 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 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 Queensbu-ry Sanitary Sewage Disposal Ordinance. 6-2 Signature of responsible person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance 4ethods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) PART 6* '- Thermal Rating - Component Trade Offs 1&2 Family Dwellings;. Multi-Family Dwellings (3 stories or less) PART- 4* .- Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' SiNAME.: PROPERTY LOCATION: le c _rk h-IPART 5 METHOD OF COMPLIANCE BY ACCEPTABLE- PRACTICE: 1 . Gross -Floor ,Area - -3 66 square feet 2 . Type �of: Heat - Electric Oil V_ Gas Other 3 . is building mechanically cooled? Y e s No 4 . Percentage of are.a of windows and doors Over 17% ,/Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof , R b. Exterior walls R I C. Glazed areas R 3• z, d. Exterior doors R e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service. (domestic) hot water heating devic- Conforms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED App rant'%!S&JXatur <43 Date Phone Number 0/6 x INSPECTOR'S REMARKS: Fire Marshal's Office Town of Queensbury,742'Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date ihx 20 t,., Peimit N ax Application is hereby made to the Building& Coday Of ice ficefor the issuai 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 peifbrin required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: _r; r_ff,I r., Stove: wood coal pellet gas Fireplace insert �r--- actory irepf ace.T9___FL1di'1t- <�?o 'gas Address: I �Ae "d LiMera—U;-Ma6my: wood gas Furnace: wood gas oil Phone: If non-masonary applicance,please provide Owner: Manufacturer Name: Address: Model Number: Chimnev Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: of construction 04 'Ilistuliatiall Factory-Built Manufacturer name: Model Number. Note: Listed By: Number: Constniction lInstallation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbuij, Handouts regarding required inspections. rMoZ17 ii;aT'/, Triple wall Insulated Direct venting Chimney Liner Fir e Marshal Code# S Collected $Refunded Received from (refunded to): address: A 173 3389 (190) Public SafLty A 233 2655 (230)Minor Sales .4- DATE: D-P- 7 White(Applicant) Green(Fire Marshal) I Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.) 0 ► � z � 1 z z to lu M '- p a �U o H E E0 / �O QN t! W " aaw ww�z Dol . , 0 a wzo ww�+ a E urii "w r 0�0m�'� 0 " � � w U N D 00". .. 0 0 ' . , 0.0 tu) V, z 9 9 U A w JHZr� z E E040 E 0 A H zap w A H W z 0 z U a H a >\ pO z w N u a w ►"� 0 4 U 0 � Nw � r wad x © z a x x oAuYN U E a z z ] ] w 4 0 4 z 0 H0 E 0 v U E W a z m N U a o cxn U\H a 0 U �z" x E M p 0 W a a z 0 0 E z a w a U 14 u �"� H W " x 0 0 z �+ zU W p 0 0 0 " W H W`,W ►� a 4 w , W w U A z v,aa U 4 a " w w w E 0 H w z 0 x > , xwx w w � 04gn w z 0 w c�a w �+ z 0 0 0 w 0 c� U A 0 E 4 w a N w O z w H HH U " x x w w H E HWa z A " W 4 v, x N w m A 0 U a 0 �? W w W EU w w " w " E x x z z ! 2 0 p N o5zoom w 0 U E z W 0 0 0 E D 0 A z � A E WWw': U a � W w � W W w 0 z E z N w � � W � 0 W N w Q MAP REFERENCE: A MODIFICATION TO AN APPROVED SUBDIVISION MAP OF K SURVEY RVSA MADE ADGEREAU FOR WILLIAM 1998 DATED: APRIL 21 LAST REVISED. DUSMARCH & STEVES02 By" VAN LAND SURVEYORS, LLC 45. 03 V 25.43' IRF IRF CRUSNED 153.16' 455. 82 , ----------- �- D-Li S e� a & Steves s LLC surveyor Land 12804 Queensbury, New York 169 Haviland Road New York Lip. No. 50135 fe, Eli 7QP-8474 N03053'39"E sr2,-- 0.. 24 11 W LANDS N/F OF HAROLD LEGEND: O IPF = IRON PIPE FOUND 0IRF = IRON ROD FOUND e) = WELL = UTILITY POLE o = STONE WALL -UNAUTNORIZED ALTERATION OR ADDITION TO A SURVEY IS A MAP BEARING A LICENSED LAMSURVEYORS S�8—SON. OF SEAL THE NO1A11F SECTION 7209, NEW YO0N ORK STATE EDTMC OtiGiNAi TN69Vty .ONLY COPIES PROM µWy,W WITM AN ORIGINAL OP TTIC BCE COPIES. - SEAL SHALL BE CONSIDERED 'CERTIFlCATIONS INDICATED NEREO�+ SIONIfY TViAT TNIS SURVEY WAS PREPARED IN ACCORDANCE WITH VEYORS ADOPTED E7dSTING CODE OF PRACTILE FOR LANORPR PROFESSIONAL BY THE NEW YORN STATE ASSOCIATION LAND SU,, ORSF SSAI��R TME �� S PREPARED,LAND TO THE PERSON ON MIS BEHALF TO THE T1,l COMPANY. GOVERNMENTAL AGENCY AND LEHOL�N q IINNSIffufIONUSIED '�EON AND TO THE A55IGNP=9 WETLANDS 67 394.g2, LOT2 LOT AREA 218,791 sq ft 5.02 acres Map of a Survey made for 742.87' m/ IRF 55� 0�� 8� S08`37'48"W w _ 05 N N 1 CO oCY T IRF NA SCHIVIETTERER EV4R & CIIRISTI TR Town of Queensbury, Warren County, New York 1221.1/300.-1-2.1 SO-CALLED ORCHARD LOT 4�- >tWW*?*0t1 NO. I DATE PART OF LOT 5 �= o IRF DESCRIPTION Scale 1"=50' S.1 SHEET 1 OF 1 5GtiMETTERER C 840 DWG. N0.0231G RESIDENTIAL FINAL INSPECTION REPORT r Office No.(518)761-8256 Date inspection request received: �- Building&Code Enforcement Dept.of Community Development Arrivg4*am/ dart J Town of Queensbury Initi 742 Bay Road Queensbury,New York 12804 NAME P # AA .'� LOCATION DATE TYPE OF STRUC N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)'installed Headroom,6 ft.6 in.on stairs Basement stairs,6&4 in. J Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doorslmain entrance 36" Floor Finish BathrooniMitchen 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 O� Foundation insulation 6 %hour fire door/door closer Garage fireproofmg 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) # >r Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: permit INSPECTION ON: Name: �:3o 40 AM NYTIME Location: le &uDkAIL�- 1 -2 ..E-- d APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL IV WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS KFORCO NOT OK FINAL FIREPLACE 77�7 FACTORY BUILT ROUG INSPECTED BY 4L-Q&A L . ........ co RISJNVORDILETTERS2001FIREMARS LINSPECTICONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: 0 Building&Code Enforcement Dept.of Community Development Arriva-�� m e a Town of Queensbury spec or's Initi s 742 Bay Road Queensbury,New York,12804 VeA V1— NAME SC P(Yo) LOCATION VartA) DATE io It it 4) TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightPT"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete V, Exterior Finish Complete— Interior/Exterior Railings 30"to 36" 41 Exterior Handrails,balconies,landing 18 in.or more 41 Interior Handrails stairs both sides 3 or more risers J) Grade 2%away from foundation 1/1 8"clearance to sill plate }QLJ LEAS 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_ I/ Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. JA risers Handrail exterior stairs both sides more than 3 rjj Interior privacy/trim/doors/main entrance 36?' Floor Finish BathroomMtchen wateitight� 1EV71 Interior Handrails Balconies/Landing 18 in.or more 7 Railing across window in stairwells Q> Smoke Detectors: .7 every level every bedroom outside every bedroom \J/ 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) I Light ventilation per room V/1 Safety glazing 18"or less from floor 41 — Final Electrical A Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC(Certif.of Compliance)_ Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Cerdf.of Occupancy) OCT. 11- 2002 12:34PM COLLL11t CONHUMUN Us JJ5 r. I Cr 17 w L I kit" cool CA x9fal9l v N 4- �. 0 ib 0 0 � ct �,, -', rD tD Cq -'� p a 0 a { 00 C90bCCM(D (n0A. 10NmN '0 y �7�hV1 rf 0 CL :1 ~s >-, Pu :3 :3 ca H:3 (D I(D rrca � m -J rf 0 0 1 a 0. -�,, C m c r rD (D rD H ct a a a r~ 00 � � p�o � «� � Go rg 4 '� � 0Oti ++ �' m + fiow �sv► o 0 rh rh ' a 0 rh : 0 r Cr 0) , .�0 0 �, z oa o ( N; C �,cn 0 k cf c w -1 +, M -4 r m �+ v ► -i. -4 - d a f D a mN � (D (D 0 C+ r* a - � ST yy-it x "I have seen or observed, or believe I saw evidence of, . all objects such as houses, wells, trees, fences, etc., shaven on this document. I also represent that I Have personally measured the distances set forth on the diagram." — IVED SIGNATURE SATE_._ .w Ay 2 2 200 roe, z UI D9G,U D Co URY + 9 ,e�/ 6 'd -80 'VN NCIDHSNC� Ad75 8 i'QI�l 'yZ 'bdy M311;. U14IC.'d 7AA7 t7 Office Use -,GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received: ti Meet: Building& Code Enforcement -14 At time: 742 Bay Road Queensbury, AT 1280 1 4 ARRIVE—amIpm: DEPART Lam/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# 2 2— LOCATION: IT (7[41+.. INSPECT ON(date): TYPE OF STRUCTURE: RECHECK 01A Ll—(a+—M . N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationiWallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Stab Plumbing Vent/Vents in Place Rough Plumbing Heati ng g # ,Rtl� C� - 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/Bridgin Joist Hangers IL Jack Posts . a4in Beam Posts fion flamer Airvlft,01;flfi�on- Fire aration 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingwaylBuilding.Codes.hispection.FORfvfS\GENERAT,INSPECTION REPORT.doe Town of Queensbury Fire Marshal's Office 742 B4Y Road Queensbu�, NY 12804 Phone (518) 761-8205 Fax(5 18) 745-4437 Fire Marshal's lnt*tion Report Request SCHEDULE Received: ---Permit# INSPECTION ON. oz- Name: Ito — M ANYTIME YTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN FINAL FIREPLACE MASONRY ROUGHIN OK THIS DATE OK FOR 1PO OT OK FINAL FIREPLACE e, FACTORY BUILT- ROUGH(N !RSFE—CTEDIBY FINAL COMDEVICHRISJJWORD/LETTERS20011FIREMARSHALINSPECTIONREPORT1102LO00W21 _OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY YEL Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: ermit# r�Q - INSPECTION N: r -- Name: © 0 AM PM ANYTIME Location: `6�, 11 N; 19 r L l APPROVED N/A I YES NO COMMENTS EXITS `� AISLE WIDTHS , c, i� ON r jltfmf EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM l C FIRE SUPPRESSION SYSTEM HOOD INSTALLATION � ,�� - INTERIOR FINISHES STORAGE � � bolwea COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING t} rI UNITS Ab.AA- CLEARANCE TO ELECTRICAL I �!� 1 REQUIRED EMERGENCY PLANE r 71 61 MAXIMUM OCCUPANCY SIGN / CHIMNEY -y�f1 I MASONRY ROUGH IN bAog�r `� �. FINAL 1 �t +� CHIMNEY �Q 1 I�� AwfoA � JFACTORY BUILT ROUGH IN t 1 FINAL }� �- �1� '- ,w t aZ+JR1 A,+ 1� WOOD . STOVE ROUGH IN w,) FINAL -qe VENTED GAS APPLIANCE ROUGH IN 9 Pled. 4 a+afYA �1.V FIREPLACE FINAL MASONRY ROUGH IN OK THIS DATE OK FOR C® =NOTK FINAL > f FIREPLACE �(? VLki FACTORY BUILT ROUGH IN x INSPECTED BY FINAL COMDEV/C HRISJAfNORD/LETTERS2001/FIRE MARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury Fire Marshal's Office law—, 742 Say Road Queensbury, NY 12804 Phone(518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# INSPECTION ON: . Name: vo 00 0 �0 I/ AM ANYTIME Location: � � f APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS ) P* EXIT SIGNS_NORMAL ItA 1*�l t Ld - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS CAW�IX41cb FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM 1�41 IJ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION r7t-6,0 INTERIOR FINISHES IMV kavkAu it STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING 0-ombv 06 kir UNITS CLEARANCE TO ELECTRICAL LoK REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN 4 A FINAL CHIMNEY FACTORY BUILT ROUGH IN K FINAL WOOD . STOVE ROUGH IN FINAL VENTED GAS 4o � APPLIANCE ROUGH IN FINAL — FIREPLACE MASONRY ROUGH IN OK THIS DATE OKOORCO �TO FINAL FIREPLACE FACTORY BUILT ROUGH IN --WE-CTED BY FINAL NS COMDEV/CHFUSJNVORDILETTERS20DI/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY �OC Office Use -GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at timeR Atwo Dept. of Community Development Request received: C' Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART�` Pam/pm Nat (518) 761-8256 .Inspector'slnitials.jt�� NAME: rvl Q,`��YL_R-e_ PERMIT# ?-C36 Z. "39-.— LOCATION: INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fo i Reinfo�isement in Pla e The con for is r sponsible for providing pro i from freezing for 48 hours folio the placement of the concrete. Materials for this p ose o ite Foundation/Wallpo Reinforcement in PI ce _ Foundation/Damppr f Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing eating Rough- f 5. (At D ©�S ulation A L- Foundation Walls Interior R- d�� Foundation Walls Exterior R- d Floors R- t Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracingfBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed lei S� Z Fire Wall 2,3,4 hour / ��-� 8A-,7—j/ C'/� /C� � rz2 irestopping.�. n�- `VJ3-e S CcA& rj r6 / V�" ,� a r� L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERALINSPECTIONREP RT.doe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet:- I Building& Code Enforcement At time: 742 Bay Road L Notes:' ARRIVE '>Queensbury NY 12804 am/pm: DEPART am/pm (518) 761-8256 Inspector's Initials NAME: PERMIT# LOCATION: (2j-Q ft-,4o 0,0 INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this,purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing H ting Rou If C,-JA, TatiofiWalls 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 Sealed I NF. Wall 2 3 - 0, o L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL,INSPECTION REPORT Inspector: Town of Queensbury i Ready at time: Dept. of CommunityDevelopment Request received: Meet: Building& Code Enforcement At time: 742 Bay Road 35 Queensbury, NY 12804 ARRIVE a a" mlpm Notes: (518) 761-8256 Inspector's Initi NAME: PERMIT 10t, OD LOCATION: --�Z:Z— LOCATION:. C INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS L 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/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing— Heating Rough-In insulation ? Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- 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.Inspcction.FORMS\GENERAT,INSPECTIbN REPORT.doc Office Use GENERAL INSPECTION REPORT FInspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: bl�Am- or Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 A E�lb am/ T am6LNotes: RRIPE 2,- i- (518) 761-8256 Inspector's Initial NAME: cS&k rV'Le,4eV--e r- PERMIT# LOCATION: /1 L� Otvo k- 7q/ INSPECT ON(date): TYPE OF STRUCTURE: 2- bzt 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 C—C) of the concrete. Materials for this purpose on site FoundationfWallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 771, Plumbing VentlVents in Place )(Rough Plumbing Heating Rough-In Insulation 4 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,hom Penetration Sealed Fire Wall 2,3,4 hour Firestoppi g L:\SueHemingwaylBuilding.Codes.Inspection.FORrvfS\GENERAT,INSPECTION REPORT.doc 6tfflce Use OJET-NTEIR-AIL, 11*,TSPECT10T'-,T RIERO, Inspector: 7- Ready at time: 6 07 own oj--Qaeensbu7-y Inspec tor: J'-'ce'Ctf tor[P--ady at time: ,Dept. of Community Developynent Request J-eCeiVjd—.-, Meet: t t. Building- &- Code.Enforcement 742 Bay Road At tune: Queensbwy, IVY 12804 ARRIVE' (518) 761-8256 lrnspectors-Ty-litiat PERMIT # INTSPECr OIST (date): 'TYPE OF STRUCTURE: Tq4Aj YES NO C01\4MRI'4-rS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours f- -wing the placern6nt of the concrete. %A Materials for this n rpose on s K�e Foundaticm,rWa p U R-eii-iforcennent in Plac Foundation/lDarnpproo Duckfill Approval— V)C>C> Plumbing Under S Phumbing-Vent/ nts in Place Rough Plumb' Heating P-ou Insulation Found' n Walls Interior P-- Foundation Walls Exterior P— Floors Walls P-- Ceiling P-- ]Duct work or piping in unheated spaces a- ,Proper Vent, AVK'o Vent 'Frarrnng_ -Tack Studs/Headers l3racing/Dridging_ Joist Hangcrs--�=�r Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 31 hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestopping_ 1-:\SueFlemingwayNI3uilding.Codes.Inspection.FOR,MS\C3F,-,NF-R-Al-INSPECTION R-UPOr-Vr.doc �-Ogee Use GENERAL INSPECTION REPORT / Inspector: Town of Queensbury Ready at time: , 0 Dept. of Community Development Request received. Meet: Building c& Code Enforcement At time: 742 Bay Road Queenshury, NY 12804 ARRIVE---� aml r -pD a 1p Notes: (518) 761-8256 Inspector's Initi t NAME: JG.i71Y�c,�7et° PERMIT# a;ZG,ga- LOCATION: � , an l�jRrSn�f' INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing,- for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour' Reinforcement in Place Foundation/Dampproofing Backfill Approval $Plumbing Under Slab 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/Bridgig Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FOR1YIS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: tP Meet: Building& Code Enforcement At time: 742 Bay Road q p a b Queensbury, AT 12804 ARRIVE amlpm: DEPART /-.7 mlpm (518) 761-8256 Inspector's Initials NAME: -UF if 6—�Q- PERMIT# OZ-- - L4V' �.A-& 6;�' - LOCATION: �am &0,1k, INSPECT ON(date): �1-76 fi log TYPE OF STRUCTURE: /0 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 arZbfi1, A pP Val tt-1bingg Under Slab Plumbing Vent/Vents in Place R gh Plumbing eating Rough FUi-iiTdR ion W-a-.1-I interior R- /0 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 Firestoppin L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAT,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: .Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART~ amlpm Notes: (518) 761-8256 Inspector's InitialsS NAME: - G PERMIT# 0 LOCATION: INSPECT ON(date): Z--- TYPE OF STRUCTURE: HECK N/A YES O COMMENTS Footings/Piers j( 4, 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 1 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- Walis 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.Inspecdon.FORMS\GENERAL INSPECTION REPORT.doc 4 Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: — �-- Dept. of Community Development :Request received. Meet: Building& Code Enforcement ,/ At time: 742 Bay.Road Queensbury, NY 12804 ARRIVE am/pm: DEFARTO &4l m Notes: (518) 761-8256 Inspector's Initials. `"{'�. r NAME: � � (� � , '��nS��v'1� PERMIT � LOCATION: � �}� kr ��I�. INSPECT ON(date): TYPE OF STRUCTURE: RECH K N/Ai YES N COMMENTS l outings/Piers Q { 1t t lG 1A) Monolithic Pour Form e 0 o I p V c x C_ Reinforcement in Place to14� �N j The contractor is responsible for providing protection from freezing for 48 hours following,the placement �fQ( Lf J J f of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/D amppro ofing Backfill Approval / Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In AIL 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.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use 7 GENERAL INSPECTION REPO Inspector: Town ofQueens�bury -S:zo� Ready at time:Ll Dept. of Community Development Request received: Inspect or: at to Meet: Building& Code Enforcement 742 Bay Road At time: Queensbury, AT 12804 ARRJVE hl� am/pm: DEPART am/pm [Notes: (518) 761-8256 Inspector's Initials NAME: iaAT0Y- PERMIT# LOCATION: ,(�U INSPECT ON(date): TYPE OFSTRUCTIURE:-Z:S�S�-�� RECHECK N/A YE NO/otings/Piers COMMENTS ff Monolithic Pour Form V1,r6w -Arj A—l/ 1 Reinforcement in Place The contractor is respons ble f r providing protection fro free ing for 48 hours following th pla ement of the concrete. Materials for this p rpose of ite Foundation/Wallpo Reinforcement in Place Foundation/Dampproo 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 BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour- Firestoppmg L:LSueHemingway\Building.Codes-Inspection.FORMS\GENERAL INSPECTION REPORT.doc Ewa .yo � J �T i III have seen or observed,or believe I saw evidence of, all objects such as houses,wells,trees,fences,etc., shown on this document 1 also represent that I have persona ly measured the distances set forth on the diagram'► SIGNATURE d2- DATE P1VF.141J