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2002-364 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: P20020364 Date Issued: Wednesday, December 18,2002 This is to cettif that work requested to be done as shown by Permit Number P20020364-. has been completed. Tax Map Number: 523400-295.020.0001-022.000-0000 Location: 58 FARR Ln '' Via. Owner: TRA-TOM DEVELOPMENT,INC. Applicant: THOMAS FARONE 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 nforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020364 'Apphcation Number: A20020364 Tax Map No: 523400-295-020-0001-022-000-0000 Permission is hereby granted to: THOMASFARONE For property located at: 58 FARR'Ln in the Town�of Queensbury, to construct or place at the above location in accordance with applIcation'together with plot plans and other information hereto filed and approved and in compliance with the N-YSUniform Building Codes and the Queensbury Zoning Ordinance. t Type of Construction Value Owner Address: TRA-TOM DEVELOPMENT, INC. Single Family Dwelling 181,000.00 804 STATE ROUTE 9 Garage-2 Cars Attached GANSVOORT,NY 12831 Fireplace Total Value 181,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency FARONE CONSTRUCTION PO BOX 804 ROUTE 9 GANSEVOORT,NY 12831 Plans &Specifications 2002-364 lot 45 hse#58 FARR LANE 1791 SQ FT'SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $20.72 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,May 13,2003 (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 of Qu sbury; 0 day,May 13,2002 SIGNED BY for the Town of Queensbury;. Director.of Buil g&-&de Enforcement Buildintg.Permit Application l'o�wt of Quccnsbtu y-Dept of Gomns"ttity I�cvclopmcnt, 7'12 13ay Road, Quecusbury,T 1Y (s 18)761-8256Q Y (/ v /A/ 2002 A permit must be obtained before beginning construclioil. Permit Pile No. y=� '�; �r,f �S'90R,, No inspection will he made until appliciutt has received it fee Paid x�L` ..- J`/�-' -z. j valid building permit. All applicant:;' z:pacus on this [tee. Vcc Paid application must be t:ornpletc(l and r?xtst appear on the Reviewed 13 application lorul. Thomas' Farone Owner: Thomas Farone Applicant: ._ - - - --....--- P .-_-B -BO�I -�Ut- 9 Address: �'-�--nox $U 4, Route Address: _ Gansevoort NY 1.2831 �ansevoor , NY" 8 l Plionefl(518)587 - 8989 Phonell ( 518) 58? - 8989 FAX; ' 518 584-2093 office con--'tact .person: Geri Pastore Property Location: Lot Nuniber: S / (louse Number — Subdivision Niime: I�ndd`ian FtItJ9e Tax Map Number: a New I3uilttitt resiQe lt:v/conialc+rein? I:stintatcd Market Value of C'onslruelion: $--� u Addition: su ence/ cotluucrci''I 11':ut Addition, what will use of new addition be? u Alteration: residence/ Coll nlercial rJ NO change to exterior size: residence/cont'I — u Qtlicr work(clescribc Cheelt OccuprrttcyInfor11I'%Iloll I' i lour 2"'t Fluor t)ti+cr Anne Total1-e[ . . nelo/v � sit. rt. — sq. !'t. tiquare heel a single family dwelling a Two Amity dwelling Cl Townhouse j cl. Multifamily dwelling 11 11 ofunils _ ore££ ----- — � i cl Mercantile _ _ -- u ManuC:icturing _ - — ci I car detached gtiragc 02 car rletacherl garage ❑ :3 car delac bed garage _-_- u I bar r[ttndwd garage --- �^ �✓ 2 car altnt:Letl g:tragc ��j c,t- ��� cu 3 car atiaclted garage__ ct Slorupc - Coulutcrcial -- cl —sloragc building- _residential -----— -- --.----- ------- — — -__ Cal Olhcr — Will any second-hand or uiigradec! lulrtbcr be used'? If so, for what? Type of I leasing System: electric/ oil / gas -�w oo /forced hot Wit-/ baseboard/olher: - Number of I'!1'en elves to be inslalled Number of 11'oodytohe.y to be insialled I..ist tlelow the person(s)responsible for supervisicn of work is regards to building codes: Name Address Phone Number 13uildcr Thomas Farone same as above ! Pluiitbcr C & G Plumbing -_--� 654-7477 _ Mason Heath Russell - - 796-3033 (" I Iccticiatt Modern .Electric -_ 584- 83411 l2sts irl�tfim: please sibll below after you have a nreti+lly read the staleuleat: To the best 01,111y knowledge the.slalecoenls cootairled is lilis application,touctller with tile n e plas arid specifications subtuilted,are a Into and complele stalellicnl of all proposed Work to be done oil tire clescribcd premises Will that all provisions o1'111c lluilding Code, Ills 7.ouing C)rciinance and all other laws perlainitig it)the proposed work shall he complied with, whether specilied or noted,and that such wont is aulhorized by the owner. Further, it is tolderslood that 1/we shall stiholit,prior to it Certificate of occupancy or Certificate cif C'gnlpliauce being issuc.as rcgltested by the L.ouing Athttioislralor or Uireclor of 131jilding and Codes,all AN BIl t S'tn re by.,licensed surveyor;drawn to settle,showing actual loca[io+t c I' I+tcty conslruci tnt. Sigoattre: � �Ncr, er's agent,architect,contractor' Application for Permit—Septic Disposal System Towrr of Qrieensb;wy 742 flay Road Qrreerrsberry, NY 12804 (518) 761-8256 OWNER 1NFORMAT,bON: Indian Ridge Subdivision ...................................._..................... ffice.Use :!-J .__................. -_.._..._...__ �)�' O Location of installation:Lot NO 1 Blouse No_ Road Name: File.Permit Tax Map No. /. / . Fee Paid Thomas Farone A �. Owner's Name: _._... .. Address:. P.O. Box 80c1', Route 9 °4!' Zd Gansevoort, NY 12831 . 1�OU aFQU- Q2 2. INSTALLER'S NAME .r.��SBU "ONE NO. L? 3. RESIDENCE INFORMATION {circle year of dwelling, indicate #bedr"�oc n(s) and multiply N of bedrooms with applicable gallprrs per bedroom to equal total daily}losy) i Year ofilouse: No'of Bedrooms x Computation = Total Daily Flow 1980 or older x 150_gal/bdrm 1980—.1991 x 130 gal/bdrm = , 1991. —present 3' x t I0 gal/bdrm Garbage Grinder In'9talled yes / no Spa or Whirlpool Installed yes / no q, PARCEL•INFORMATION: (circle applicable information & indicate rimeastrrements) Ph a ure Ground Water Bedrock or Imaeryious Material Domestic Wateh SurrnlY I4al. var at what depth of what depth municipal r lug. loam feet feet welt I Sleep slope. clay .tf svell• water supply Slope other from any septic-system depth: absorption is� f. other Percolation Test: (T)be completed by licensed professional engineer or architect) Rate: rninitle per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be'designed by a licensed professional engineer or arcidlecl (tinless 'installed in a Planning Board approved subdivision). Add 250 gallons tb the size of the septic lank and leach field for each Garbage Grinder,Spa or.Whirlpoot Tub. Septic Tank: ' gnllan (inin. size ],000 gal) Tile Field: each trenclt. ��Sf., Total System Length: Seepage Pit(s): numbernf .•size ofeach: �f. by ,f. f Size.of Stone to be used: Il / depth or thickness — I Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if regtiired) Number oftanks: I Size of each: gallons I 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 yonr protection, please note that pursuant to Section 136-29 of tlse Code of the Town of Queensbtiry, 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 reguireirients of the Town of Queensbu Sanitary Sew a Disposal Ordinance. • sign U e o es slble esor� ate ., RC.- :`. ` & �A ''• aoz TOWN of QU'=?��SBURy Ufl -TOWN OF QUEENSBURY­ Richard A.Missita HIGHHighway Superintendent DEPARTMENT HI L e,7g8.5'27 742 Bay Road • Aueensbury, NY 12804 1Kichael F. Trri is Deputy Highway Superintendent Qffice Phones (518) 764-•8214 (518)798-0413 Fax: (518), 745-4466 I}RIVEWAV PERMIT DATE: 2 APPLICANT NAME: Thomas, Farone 587-8989 TELEPHONE NO.: ADDRESS TO BE INSPECTED; Lot No. / House No.S 7 Road Nam RETURN ADDRESS: P.O. Box 804 , Route 9 _371- ansevoort, NY 12-11 Applican(must show exact location and width of driveways)to be connected to the highway by . placing stakes at the specified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action has been taken: STEP 1:' (.)Preliminary Approval NEED: ( }Slight Swale. ( } Level with the road O Deep Swale Size pipe to be used(if necessary) , ( )12" O15" . ( }18" ( )24" ( )36" Preliminary inspection completed by DATE Approval by Highway Supt. Deputy Supt Upon completion,please resubmit this approved permit for a final approval. STEP 2: ( )Final Approval ( ) Rejected D ATE: Richard A. Missita,Highway Superintendent } NAY C' � 200,E. "0'�0 DUCE `a v LJ11 y _ C)Cl p Y 46 EL(REV..11/96) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING THE: NEW YORK.BOARD�OF.;FIRE UNDERWRITERS C>RTIRCAT> NO..,. i DO NOT;WRITB HERE FOR OEFiCE.USE'ONLY BUILDING PERMIT NO. . r , It I i r ,dwy>l 'TEMP M iCITY ,VIILAGE nP CODE t TOW NSH -^� COUNTY. STREET ANO OAD, /V � POLE NUYa R ♦a 157 BETWEEN WHAT TWO CROSS STREETS 15 PREMISES LOCATED? SECTION BLOCK 1 LOT ` +OCZOPANT'S NAME BUILDING OCCUPANCY - OWNER'S NAME AND ADDRESS y� � � � � HOME TELEPHONE NUMBER C RREHT SUPPLIED 8Y FROM I THEIR , OFFICE WORK TELEPHONE NUMBER BUILDING IS —•� --1 NEW OLO IJ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED 0- LIST BELOW OW ALL EQUIPMENT WHICH YOU INSTALLED EIA'E F OUTLETS No.Ol FXtures& MOTORS HEATERS BRANCH .OFFICE USE'.....: Lamp Receptacles CIRCUITS ��.;r•ONLY'`.•-._:;__. Attach't H.P, wans A.W.G. Rece°'1s 5witctr Pendant Bracket No. Type Each N°' Each No' Gauge ..INSPECTION': ) I BASE. i • 1st „— FL. 2nd FL. 3rd - Ir REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABODE. 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,At PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS Applicant affirms that there is not an application for electrical _-� CHARACTER OF WORK EXPOSED pending inspection P 7 4 with a-qualified electrical inspection .�� Q CONCEALED' P 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. ❑ OVERHEAO - L't UNDERGROUND - ' DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER.APPLICANT'S IDENTIFICATION NUMBER>- AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADORESS- ' NAME OF APPLICANT .DATE OF APPLICATION I NATURE OF APP t N' ' 1 TGI FaNf1NF NtT U Fire Marshal's Office Town of.Queensbury,742 Bay Road,Queepsbury,NY (518)761-8205 Application for Fuel Burnin Ao)pliances & Chimneys P VL applicable to.solid fuel zra S Date 200 7�e- MAY 0 8 20&rmit 0 Application - is hereby made to the Building&V k�%", SbiRyanee ofa Building and Use QiAy,,.W64,0EThe applicant or owner Permit pursuant to the New York State Fire PreventioiA&-9?ZR. agrees to comply with all applicable laws, ordinances, regulations, and all co`nditions that are part of these requirements and also will allow all inspectors to enter premises to petforin required inspections_ NOTE'to, applicant: Rough-in. and Final Inspections are required. Applicant Inf6rmation. Fuet.Burning Appliance Information (circle appropriate,words)r Name: Stove: wood coal pellet gas V Fireplace insert Address: qpq 02_tq mejaADf Fireplace, fActory-built: wood Fireplace,masonry: wood gas Furnace: wood' gas oil Phone: If non-masonary applicance, please provide Owner: Manufacturer Name: Address: Model Number:. Chimney Information (circle appropriate words). Phone: Masonry block brick stone Flue tile steel size: inches Exact AddreA:;;, of construcdql Factory-Built g;pr insfallation Manufacturer name: Model Number: Note: Listed By: Number: Construction lInstallation must, eon f grin to NYS Fire Prevention &Building. Indicate (circle)chimney material: Code. Consult available Town of-Queensbuq Handouts regarding required inspections. Double wall / Triple wall- / Insulated' Direct venting Chinmej,Liner Fire Marshal Code# $Collected S Refunded Receivedfto?n (refunded to): address: A 173 3389, (190) Public Safety A 233 2655 (230)Minor Sales DA TE: White(Applicant) Green(Fire Marshal) 1 Yellow(Bldg. Dept.) Pink Goldenrod(Cashier's Dept,) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 Acceptable Practice Method 1&2 Family Dwellings (only) PART 6* Thermal Rating - Component Tiade 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 APPLICANTIS 'NAME: PROPERTY LOCATION: Ll<— PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 17IEt1 square fee 2 . Type of Heat - Electric Oil �/(G a Other 3 . Is building mechanically cooled? Yes Gas 4 . Percentage of area of windows and door's Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: 3 e a. Roof R :> b. Exterior walls R C. Glazed areas R 3 d. Exterior do6rs R /0 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 device Conforms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Applicant's Signature Date Phone Number INSPECTOR' S REMARKS: TOWN OF QUEENSBLJRY BLJZLDSNG & CODE ENFORCEMENT 4Ea� 742 BAY ROAD QUEEN3SUE2Y NY 1280 4 (51 8) 761-8256 ARR S V E D E PA RT � S N S P �'Z2�IIAZ, Xl�S�"EC�XCfIi &tEE'Ogi.�' (hc►t�i, rricrte-.i, aft_ +cc�rnpl�x� DATE 2NSPECTSON R UEST RECESVED : NI1ME DATE K/ T Y P E O F STRUCTUR E �� FOOTSNGS BACKFSLL FnnmTNG PL,UMBSiV(-- S N S U LA T Z ON RYIA YES NO CH ZMNE Y1" "' H " VENT 2iE ZGIiT PLUMBZNG VENT` FSXTURES RO OF Z N G EXT"EF2ZOR FZNSSH I-IEATXNG/HOT WATER RE L=E F VALVE 5 FLOOF2S FOUNDATION Z N S U LA T S ON � S N T E FZ S O R STAIRS RA Z L Z N G S STOCKROOM ENCLOSURE F-IRE/DEMZSE WILLS PENETRATSON F Z R E DAMPER S CEZLZNG �'TRE STOPPZNG FZRE DOORS/CLOSERS E.X S 2' DOOR IIAk2DWAE2.E EXIT STASRs/Ftj%lILS PLATFORM ELEVATOR H AND Z CAP P E D ACC E S S F;ANDSCAPPEL? BATHS H AN D Z CAP P E D PARKIN G F Z NA L E LE CTR Z CA L S S T E PLAN/VAR Z AN C E R E Q _ FINAL SURVEY PLOT PLAN S F R E c)K 'ra X ssvE Ic O pR +c c INDIAN RIDGE PUD PHASE ONE DATED JANUARY 26, 2000 REVISED APRIL 3, 2000 BY VAN DUSEN & STEVES LAND SURVEYORS, LLC UTILITIES Y e e • • •Y e e W" /�+ • `� e 0� 11&��l&MpIa HEREBY CERTIFY THAT THIS MAP WAS PREPARED ROM AN ACTUAL FIELD SURVEY. HIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS OR WHOM THE SURVEY WAS PREPARED. AND ON THEIR EMALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY ND LENDING INSTITUTION LISTED HEREON. ERTIFIGATION5 ARE NOT TRANSFERABLE TO ADDITIONAL ISTITUTIONS OR SUBSEQUENT OWNERS. ERTIFIED TOl BERNARD BRENNAN AND DIANA BRENNAN CHICAGO TITLE INSURANCE COMPANY CERTIFIED BYl� �— ----- ----- MATTHEW C. STEVES. LLS NY5 50135 DATEDs DECEMBER 11. 2002 D u ^ L/�.`f%/VA eves Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12804 (518) 792-8474 New York Lie. No. 50135 'UNAUTHORIZED ALTERATION OR ADDITION S A SURVEY NAP VIOLATION OF A LICENSED LAND SURVEYORS SEAL H A NOtAt10N OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW.' 'ONLY GOINGS FROM Tm ORIGINAL OF THIS SURVEY "M WITH AN ORIGINAL OF" LAW SURVfl'OR'.� SEAL SHALL BE CONSIDERED TO BE VAUD TRUE COPIES.' -S SURVEY WAS PREPARED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN ACCORDANCE MITIi THE ERISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED LA THE NEW ORS, AN) C ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAS CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR MOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUITION LISTED HEREON, AND TO TMA55M MOrTMU!NDINGINSTITUTION' Map made for Bernard and Diana Brennan Town of Queensbury, Warren County, New York Date, M 0 02 Scale 1"=30' S 1 SHEET I OF I BRENNAN DWG. NO. IR-45 NO. DATE DESCRIPTION J-L Office Use �/ GENERAL:, INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received. �G /7 Meet: Building& Code Enfor=cement At time: 742 Bay Road .Queensbury, NY 12804 ARRIVE-am/pm: DEPA am/pm Not . l (518) 761-8256 Inspector's Initials NAME: PERMIT# d r 3 LOCATION: fyv 1a--Q— INSPECT ON(date): 60 TYPE OF STRUCTURE: S ) RECHECK • ` N/A YES NO COMMENTS Footings/Piers Monolithic PourVorm 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 He 'lag Rou In nsutafion 0 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 ' netration Sealed e Wa112,3 4 houri— es of•ung L:\SueHemingwaylBuilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: A,144 �`s-\ Dept. of Community Development Request received. /0 Z/ Meet: Building& Code Enforcement At time: 742 Bay Road , Queensbury, NY 12804 ARRIVE am/pm: DEPART�t am/pm Notese�"u�5,�o (518) 761-8256 Inspector's Initials NAME: cm& PERMIT# LOCATION: , j j-( L #t fV INSPECT ON(date): 10 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 f` of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place �"CC c�C� Foundation/Dainpproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Hcatiirg `oun frsrs Iatio oundation Walls Interior R- frfo v 5 �� Foundation Walls Exterior R- ��''�� �� t / ���� Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Frammg Jack Studs/Headers Bracing/Bridging Joist Hangers Jac 1 Posts/Main Beam r L p Air Infiltiarier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:1.SueHemingway\Building.Codes.hispection.FORMSIGENERAL INSPECTION REPORT.doa Office Use GENERAL INSPECTION REPORT Inspector: Town ofQueensbury Ready at time: Dept of Community Development Request received: Meet: Building& Code Enforcement At time; 742 Bay Road I "rQueensbury, N.Y 12804 ARRIVE am/pm. DEPART'l am/pm (518) 761-8256 Inspector's Initials NAME: D A)C--- PERMIT# )Z= Cp LOCATION: LrJ< INSPECT ON(date): —1b 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 0 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- .Kop. r, ent, ttic.Vent -jo n�g 101, Jack Studs/Headers Bracing/Bridgmig— Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fw Wall 1 nn2a�Ireso P L L.-\SueHemingwayN]Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc FIRE M��2SHAL -VC>WM OF CXUaF-:Vq.'-SE3UF;,,`ir NY 1.2a04 (518) 761-82-05 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT :# NAME LOCATION 00�01�, ,000e SCHEDULE INSPECTION ONz -z_--- ie5!z AM PM ANYTIME APPR40VED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMEROENCY LI(3HTIN(:3 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTA.LLAT,[C3N INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIONAOIE CHIMNEY V--::> Z— selloo". WOOD STOVE FIR LACE - MASONRY V- LACE - FACTORY BUILT -40,eZ* REMARKS: EEJO'bi< TO THIS DATE INSPECTOR Office Use GENERAL INSPECTION REPORT Inspector: To-wn of Queensbury Ready at time: Dept. of Community Development Request received: 1 a Meet: Building& Code Enforcement At time: 742 Bay Road f i Queensbury, NY 12804 ARRIVE am/pm: DEPARTI,6"Gam/pm (518) 761-8256 Inspector's Initials NAME: PERMIT# 2-00 2--,36 V LOCATION: INSPECT ON(date): 2-T TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation[Dampproofmg_ Backfill Approval Plumbing Under Stab Plumbing Vent/Vents in Place jto7u;ggjgP4-,,rY,u mg, -Rearing Rougll% Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- P open Ve Vent wag Jack Studs/Headers Bracing/Bridging_ P6K4- T§ Joist Hangers Jack Posts/Main Beam Toe zf�' Fi-- eparation 1,2,3,hour enetration Sealed ire Wall 2,3,4 hour M�Sue em-ingway\]3ui2fnUC-Edes.In-spectibii.FORMS\GENERALINSPECTION�REPOPT-doc Office Use GENERA, INSPECTION REPORT Inspector: Tawn of Queensbury Ready at time-� Dept. of Community Development Request received.- 13 0;)-- e-, Meet: Building& Code Enforcement At time: 742 Bay Road 4., amlpm Queensbury, NY 12804 ARRIVE am/pm: DEPART Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# � LOCATION: �° G�`�-►z�2'�r�INSPECT ON(date): Y TYPE OF STRUCTURE: RECHECK F f NIA YES 0 COUNTS opting ler 0�n c ur Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place _ Foundation/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls 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:\SueHemingwaylBuilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc d N � /�� �n0 �}n-n/ °� v /�� � v� cnV�cng /rD -/�rn� 000j f�r� Z1 , bCCnroN0O. T0NmNO0N -0-ho M r� n 2 (A Ir �+ wl *�{ a. > z Z )1:1 r+ w m:3 (D Ia rD (+(a 0 m c r ro 2; ro m < mi m ct n -4 0 1 a 0. Z ro > :T 0 ;0 0 ct 10 c0 �p �!► +� (D ct c+ ct (Q 0 c+ do ch m-h 0 -q )1*0 V1 � 0 M s cn .J,-i.-1, 9(n a .J, �h 0 H -j 1 3 . r w 6r! `S iC3 0 0 0 ' , k C N (A-,,0 M C� m 0 V, � � � (4(A -J 0 Ut- (D Su; H ct c+ Cl "f1 N + . o c+ 1v a r w � �m Poll ryV -ha 0 1 fi ro :3MMot /D Ai tilil ro ( �ro r I ro � n .�1 M —� � � � N � v Q t" ,� -',Cr 01 * -.1(D 0 -h 0 C C" o"o C m X ro n 0 (D (D ! m IA (D (A z C+ # -< (+ 1 4 or 00 n m(D X0 L' ' � � a C+ N 0 � (A V (D m � No. 0 0< 1+ a ro 0 (D 0 ct ct c+ 0) Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept of Community Development Request received: Meet: Building& Code Enforcement j, At time: 742 Bay Road t' Queensbury, AT 12804 ARRIVE am/pm: DEPARTI am/pm Notes: (518) 761-8256 Inspector's Initials NAME- �o N PERMIT# LOCATI INSPECT ON(date): TYPE OF STRUCTURE: Z RECHECK N/A i YES4�0 COMMENTS Footings/Piers--c Monolithic Pour Form Reinforcement in Place.� :±P 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 Ron 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.FORrv[S\GENERAL INSPECTION REPORT.doe GENERAL REPORT 51$ ) 761-$256 Town of Queensbury Dept,of Community Development Date inspection request received: f `. Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 ArriveZ a mr Depart pm ' Inspector's Initial NAME: PERMIT# r 3 LOCATION: S z rr/'A�TE: �— TYPE OF STRUCTURE: r RECHECK �r N/A YE NO COMMENTS ootin /Pie l 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 VentlVents 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 4- Penetration Sealed .� Fire Wall 2, 3,4 hour Firestopping RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Z 0,7 Building&Code Enforcement Dept.of Community Development Arrive Depart ' Town of Queensbury Inspector's Ini 742 Bay Road Queensbury,New rk 12804 NAI�E PERWF# LOCATION rlr- DATE--17h4ld2-'._ TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Heightl"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 FurnacetHot 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 Bathro6m/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing•across window in stairwells Vol Smoke Detectors. every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation ,l~t 1G, s/4 hour fire door/door closer Garage fireproafmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room TQ ��[^ Safety glazing 18"or less from floor V1 IC� Final Electrical ,")T EEL Site Plan/Variance required C ! 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} RESIDENTIAL FINAL.INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart , ai Town of Queensbury Inspector's Ini' s 742 Bay Road , Queensbury,New York 12804 g / NAME : P # 7ne LOCATION TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightM'VentlDirect 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 operatin Relief Valve(s)installed Headroonr,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Aumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations settled Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor E ElectricalPlanlVariance requid Survey Plot Plan As Built Septic System layout required liiayy to issue C/C(Certif of Compliance) y to issue temp.C/O(Certif.of Occupancy)to issue permanent C/O(Cer f.of Occupancy) T4up- Town of Queensbury SC 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: ZQZ, Permit# INSPECTION ON: Name: PM ANYTIME Location: APPROVED N/A YES NO COMMENTS vcf k�&— EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING ec+l FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED 5A--S CLEARANCE TO SPRINKLER A 00u CLEARANCE TO HEATING rt r UNITS 10 CLEARANCE TO ELECTRICAL ex REQUIRED SIGNAGE EMERGENCY PLAN - vK MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUG IN CHIMNEY JINAL Fr if FACTORY BUILT R040H IN INAL kk WOOD STOVE ROUGHIN FINAL VENTED GAS Ve)Ad 1A , 6wld1 APPLIANCE ROUGH IN FIREPLACE FINAL �/\6�e4o(5 AYK ,`ot - MASONRY ROUGH IN OK THIS DATE OK FORDO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN SPECTED BY FINAL COMDEV/CHFZISJNVORD/LETTERS20011FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY