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2002-555 TOWN OFQUEE' SBURY 742 Bay Road,Queensbury,NY 12804.5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 rr, DT r UU ATE F OCCUPA Penn itNumber: P20020555 Date Issued; Thursday; April 10, 2003 This is to certiif that work requested to be done as shown by Permit Number P20020555 has been completed. Tax Map Number, 523400-315.007-0002.048-000-0000 Location: 5 PAULS Way Owner. ROBERT&ONALEE LIPPMAN Applicant: ROBERT&ONALEE LIPPMAN This structure maybe occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBtaY Garage-2 Cars Attached Single Family Dwelling 7 Director of Building&Code En orcement TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020555 Application Number. A20020555 Tax Map No: 523400-315-007-0002-048-000-0000 Permission is hereby granted to: For property located at: 5 PAULS Way 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 Budding Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ROBERT &ANALEE LIPPMAN Fireplace 17 H1GHGATE Rd Garage-2 Cars Attached GANSEVOORT,NY 12801-0000 Single Family Dwelling 180,000.00 Total Value 180,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2002-555: Robert and Onalee Lippman Lot 48,House No. 5 Pauls Way,Hudson Pointe,Phase 1 Construction of a 2,568 sq. ft. sfd w/2 car att. garage as per plot plan and specifications. $391.76 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, July 18, 2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow of T*,-ftly 18,2002 SIGNED BY 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 No. a 00 ssz No inspection will be made until applicant B=d­a� Ape Paid.vL permit. All applicants' spac valid building per E LWec. Fee Paid $ tlTl application must be completed and must appear 3b 2002theN 8 Reviewed B 2 application form. JOW"'I OF C11jLz- "I Applicant: mer G ANpj ;U��: Address: V\( -A? Phone 0 623 Phone= (5— i 36/ a-770 Property Location: Lot Number: House Number c!r !Z' Subdivision Name: Tax Ma Number: __­�Ujjq 5—�w� r=Y.WC% P � : 1 J 5. rl 'r ' 4]S &/New Building:(! e�sidgn. commercial Estimated Market Value of Construction: $/sj,&-,n ❑ Addition: residence/ commercial If an Addition.what will use of new addition be? Lj Alteration: residence/ commercial C3 No change to exterior size: residence I com'l U Other work(describe Check Occupancylnformation I't Floor 2""Floor Other floor Total. Below sq.ft. sq.,ft. sq.ft. Square Feet Single family dwelling 0 Two family dwelling U Townhouse 0 Multifamily dwelling #of units 0 Office 0 Mercantile Li Manufacturing 0 1 car detached garage C3 2 car detached garage U 3 car detached garage C3 _j car attached garage 4" 2 car—attached garage I-S3 4 U 3 car attached garage U Storage building- commercial ci Storage building- residential 0 Other What is the proposed height,of the structure .3c) feet 0 inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil fi(gas wood orced hot air) baseboard other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder Cla-ff //-,// 3.61—,2770 Plumber W 9 3 Mason _3 '911yer Electrician -RcL- HLtj-,ii:Z -R-95- c4: 6 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 Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new 77 c tru 1'tion. -) - .Signature: —loyjl�� owner,owner's agent,archite<.jonfact-r Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Uueensburv, t rY 12804 (518) 761-8256 ..................... c e _......_-•------•---------- ER INFORMATION: ....._...--/ Use , J Location of installation: �-�`F � a s 4t, �`�"`' �'40 File Permit Tax Map No. / ,* Fee Paid Owner's Name: _ �� VIED Address: ``© �JU/V `y zoo'? ��o' r- PHONE NO. INSTALLER'S NAME f��'"tq ll--� 1' ` = r RESIDENCE INFORMATIO (circle year of dwelling, indicate#bedroom(s) and multigly#�o9f l 4 Z\15 �Y bedrooms with applicable gallons per bedroom to equal total dailyflow) Year of House, No. of Bedrooms x Computation _ Total Daily Flaw 1980 or older x 150 gallbdrm = 1980— 1991 x 130 gallbdrm = _ 1991 —present x 110 gal/bdrm = � Garbage Grinder Installed yes_ no Spa or Whirlpool Installed yes A/ / no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) ater SLIPPly a h Soil Nature Ground Water Bedrock or I ervious Material m'gm a 1. o sand at what depth at what depth feet feet well g loam if well; water supply slope clay » from any septic-system Yo slope other absorption is ft• depth: other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch .-uction: All 5. PROPOSED engineer SY TEM: Vor ee or architect.unless installed in a Pindividual- nanning Board approved subdivision). Add 250 designed by to the size profession gin of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: gallon (min, size 1,000 gal.) Tile Field: each trench _r' ft. Total System Length: ft Seepage Pits): number of size of each: ft. by .ft. Size of Stone to be used: -9 / depth or thickness �-- feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: Z 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 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 aDisposalagree o d ae b these and all requirements of the Town of Queensbury Sanitary g Signature of responsible person Date ,--Nr- ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE PAYS Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings (only) Part 6*- Thermal Rating—Component trade Offs 1&2 Family Dwelling; Multi-Family Dwellings (3 Stories or less) roe Part 4*- Design by Component Performance, Commercial Buildings-Hi Rise Residential JUN 2 8 *Requires submission of worksheets 710wiv0j, APP CANT'S NrAME: PROPERTY LOCATION- 11 A 9 �- Ot-,, 0 1 1 PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE 1. Gross Floor Area- c2S__o61? square feet 2. Type of heat- Electric—Oil Gas—Other 3. Is building mechanically cooled? ��yes No 4. Percentage of area 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: R3..9 a. Roof R / ? b. Exterior walls R J.J�' C. Glazed areas d. Exterior doors R/r e. Floors over unheated spaces R_16 f. Edge of slab on grade (heated building) R 9. Basement/cellar walls (above grade) RI_ 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 41�Yes_No. TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Applitt!�Lig nye Date Phone Number INSPECTOR'S REMARKS: Fire Marshal's Office Town of:Queensbury,742 Bay Road,Queen I sbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas a Date 20 Aliv 8se3 Application is hereby made to the Building& Codes Office for the issuance of a&,ilding and -ire Prevention and Building Code. Theappli�ad�1,Mwierr",— Permit pursuant to*the New York State r agrees to comply with all applicable laws, ordinances, regulations, and all conditions that to enter premises to perform required inspectioils:­ �­Dr-,z these requirements and also will allow all inspectors NOTE to applicant: Rough-in and Final inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Stove: wood coal pellet gas Name: 101EW Fireplace insert fireplace, factory-built: � wood � as o Fireplace, masonry: wood gas S Furnace: wood gas oil Phone: If non-masonary applicance,please provide Manufacturer Name: Owner: "T7 Address: 2 'Model Number: 3. Chimney`Information -Ilk (circle appropriate words) Phone: 'I Masonry block brick stone Flue tile steel size: —inches Exact Address: g(construction or h llatiou Factor Built 0 Manufacturer name:a A Model Number: Note: 14*1 Listed By: ; Number:_ f Construction I Install io con onn to NYS Fire Prevention &Building Indicate(circle)chimney material: Code. Consult available Town of Queensbury Double Trifle wall�� Direct venting Handouts regarding required inspections. Chimney Liner qr -Are sm V it -zbr <ec:e�ivedfr?onz�(r inded to): Fire Marshal Code $Collected S Refunded C/ address: A 173 3389 (190) Public Safety C:A5QC— A 233 2655 (230)Minor-Sales DATE: /0 6"O'l, D6Pa-7 White(Applicant / Green(Fire Marshal) / yellow(Bldg.Dept.) 1 Pink&Goldenrod(Cashier's Dept.) x I ' H c z a I H (� w �H � 0 0 W N NO44H H a w zz0 0 •• 10000 aw� z H > z aA � HZOH H z I W NUN H r a I gu z z o x ,. 0(a'tD m 1 w W1-000 H z a It z I a a' 30 Q HI Au N ©H w 4 A I w t7 w /Zo H �7 w 4 u W a 9 0 a H a a W z a u a :) w 3 a a w :) H H a H (� a H [4 �. a w N w cNn rn H u F 0 x E H w 0 w p 0 w x x a z 0 z n U 0 4 , N 3 H N U P w 4 0 01 U 1 w \ 4 m a 4 cn 0 p 4 4 U Q 4 U H a u = w H H >I w w z a p 0 a H w w w w z a > >4, 0 a. z N w H w w w w w u > 0 a w 0 41 0 z H a x H a a a w a w z �H c� x > Hx0 00 aaaa 0w z 0 w U Hz 0 0 0 0 0 w � c7 0 0 w H 0 z 9 w H z H 2 H x a p z 0 U U U a > N H H a H H W H H H a 0 H w w w w t++a s H H 0 z w U w W 4 W H ;� H 0 Q a w c E+ U H a 0 t� H p 0 H a 0 a 0 t� H c H H z z z z H 0 4 0 z 0 �t w a 0 z H H H W H ,� 4 H H p z 4 p tr+ w H U a wl x N w H rn W L, U W w, w a x x z w cn W 0 r Residential Final Inspection /00-T) Office No. (518) 761-8256 Date Inspection nest iv d: Queerlsbury Building&Code Enforcement Arrive: at a 's it 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initial NAME: P IT a ��� LOCATION': ATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent'Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level. / Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches -/4hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents OF Building No./Address visible from road Final Electrical V Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept, Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C 1 0(Cert. Of Occ-ijpancy) Okay to issue Permanent C t 0(Cert. Of Occupan L-\SueHeming%vay\Building.Codes.Inspection.FORMS\Res.Final Insp..form.2.doe edited January 28,2003 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 7-1 Fire Marshal's Inspection Report Request SCHEDULE 1 Received: Permit# 00A - INSPECTION ON: —�� Name: �2+ P_ IME Location: APPROVED N to YES Na 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 ROUGH IN FINAL FIREPLACE MASONRY ROUGHIN OK THI AT (3R„C� � NOT OK FINAL =�`� _ FIREPLACE FACTORY BUILT ROUGHIN INSPE BY FINAL COMDEV/CHRISJIWORD/LETTERS2001/FIREMARS LINSPECTIONREPO 11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Residential Final Inspection Office No. (518) 761-8256 Date Inspection re nest received: Queensbury Building&Code Enforcement Arrive: art: 9 a In 742 Bay Rd.,Queensbury,NY 12804 Inspectors Initiat NAME: 1 q, Q E T#: LOCATION: ATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 141 ' 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Det ctors: Every level; / Every B droom: Outside every bedroo ea: Inter Connected: / Battery backup: Bathroom Fans,if no window a Carbon Monoxide detector Plumbing fixtures - Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 314 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required- Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C 1 O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occu anc L:ISueHemingway\Building.Codes.Inspection.FORMSIRes.Final Insp.form 2.doc edited January 28,2003 Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 7454437 Factory}'wilt Gas Firevlace/Stove Inspection Regort Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufactu ` instructions or spe ifications is allowed. Permit# � '�5 S Schedule Inspection J CG`�Time p anytime Inspector Name /`��rt I�/� C_L�.S ;' — Address � S G✓ Rough In Appliance Manufacturer Model# Direct Vent Factory Built Chimney Flue Size Double Nall Triple Nall Insulated Yes No N/A Comments Floor Protection VCID-r.-c- Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof 1 penetration;2 feet above any combustible construction within 10 feet C Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening .,�/ Witness Operation �� U3(J> 'r Tank Placement(if LP) Widte—Buiiding Dept. Yellow Cast ee Ibi cr Pink—Pi "ud Residential'Final Inspection Office No. (518) 761-8256 Date Inspection request ceived- Queensbury Building&Code Enforcement Arrive: D a p art: m/pm 742 Bay Rd., Queensbury,NY 12804 s ector's Initi - NAME: /v`�cSl "$ �^ P/� RMIT#: LOCATION: DATE: 44/ TYPE OF STRUCTURE: Comments PZ Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 41 7 3 inch Plumb Vent through roof Roof Com lete 9i"t Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Rail iri s 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation 6 in.with 10 ft. EZ t� �i.'� �- R� Handrail Termination at Newell Post or Wall --�-- 8 inch clearance to sill plate r Gas Valve shut-off exposed/regulator 18"above grade t Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low,water shut=off boiler Relief Valve(s)installed Interior privacy/trim/doors/main.entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Det tors; Every level: / very Be oath: --� Outside every bedroom ea: Inter Connected: ✓A / Batter backu : \ 1 - Bathroom-Fans,if no window jMU, V\F-V AC \� Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency e ess below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Gara e fireproofing �-- V- wz1IZA\ VA4A G& Duct work Sealed pro err Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft.vents Building No./Address visible from road Final Electrical . Site Plan /Variance required Final Survey Plot Plan As Built Septic S stem/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Tem oral C/O(Cert. Of Occupancy) Okay to issue Permanent C/0(Cert. Of Occupancy) L:ISueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp,form 2.doc edited January 28,2003 Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 — Fax(518) 745-44,37] Fire Marshal's Inspection Report Request SCHEDULE Received: Permit# N-):) INSPECTION Of Name: AM PM ANYTIME Location: A N IA YE NO COMMENTS YE EXITS AISLE WIDTHS EXIT SIGNS-NORMAL _rpdaLy .-C-CT rT ov - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS VW+ � i� �. FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM 0 P&M I tj HOOD INSTALLATION INTERIOR FINISHES 4,0) '11pa ja 7U STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL_ REQUIRED SIGNAGE EMERGENCY PLAN .40 CA MAXIMUM OCCUPANCY SIdN­ CHIMNEY ROUGH MASONRY P)v em CHIMNEY FINAL FACTORY BUILT ROUGH IN FINAL WOOD �(� ye STOVE ROUGH IN--- . Do 0, VENTED GAS FINAL C s( aA� 11 113tjA APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN NOT 0 OK THIS DATE OK FO CCO FINAL FIREPLACE leg C FACTORY BUILT ROUGH IN _____YMSP_ECTED BY FINAL COMDEV/CHRISJMORD/LETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY 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 -z Received: Permit# C=- INSPECTION ON: -3-03J Name: A PM IME Location: APPfZOVF-D- N to 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 ROUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH INl` � �� FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN K THIS D R CO :IZN FIN L /P :T_O:K FIREPLACE 6 FACTORY BUILT ROUGH IN tF�b CTED BY FINAL COMDEV/CHRISJANORD/LETTERS20OI/FIREMARSHA;INSPEICTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time. Dept. of Community Development Request received: L, OZ- 4A Meet: Building& Code Enforcement At time: 742 Bay Road Queensbut ARRIVE am/pm: DEPA 3,, ArY 12804 RT111). hmlpm No (518) 761-8256 Inspector's Initials NAME: o62,, S7S-S'— PERMIT# -2 LOCATION; INSPECT ON(date): TYPE OF STRUCTURE: Sa RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Ko­nn 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 Toundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill,Approval Plumbing Under Stab Plumbing Vent/Vents in Place Rough Plumbingj��-,- Heating&0�1%1W.t- Ro tr ndation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated,;;5paces R- Prgop,,eeli feWfARc Vent _ 01 WT4ack Studs/Header E B�ingBridging olst Hangers Jack Posts/Main B earn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemitigwa3`@uilditig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT-doe 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:—f L Name- AM PM ANYTIME 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 ROUGH IN A) FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIgEPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO CNOT 0 FIREPLACE F1/AG�'�;_.__.--- FACTORY BUILT ROUGH IN INSPECTED BY AL COMDEV/CHPJSJ/WORDILETTER$2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time Dept. of Community Development Request received: It 6 ,.,` Meet: .Building& Code Enforcement ,, At time: 742 Bay Road t' �� Notes: t`S os?s�# Queensbury, .NY 12804 ARRIVE am/pm: DEPARR am/pm ri.(518) 761-8256 Inspectors Initials' L NAME: �`` � PERMIT# ZOO,? ./ ZZ ta-z--- W-�d � t l� {f} LOCATION: (� o1,�4b NVAIIA T ) INSPECT ON(date): i TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FaundationlWallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing ent/Vets in Place �R�'u�gh Pltlambing�` _ _ eating Rough-I Mdation' Fo �d tioWa'Ils Iiaterior R- Foundation Walls Exterior R- Floors R _ Walls R- Ceiling R- -- Duct work or piping inl��c�✓�' unheated spaces R- f n 4'roper Vent,Attic Vent [i✓S(��— �f v�L f��D�r� r"Mting,� a&1 to waders Bracing/Bridging Joist Hangars Jack Posts/Main Beam u�(. �L tr nfltxatg arrzer C�-�- '�-'CG�- AS Ake te—t, Eire SFp ation-1;1 LL.1 our .Penetration Sealed F're Wall 2,3,4.hour_ 40 Tres" "pinga -�. L:ISueHemingwaytBuilding.Codes.Inspection,FORMStGENERAL INSPECTION REPORT.doc TOiwlN OF QUEENSBURY BUILDING A CODE EWPORCEMEN-F (SILS) SEPTIC DISPOSAL SYS-TEN INSPECTION N am e- A�- I -S7 Location Ae!;- Da -te- P r-rn i -t SOYE -TYPE: San Loam-CZ ay- Re-sul is 0-F cola-t-fon Test:- ( i -f applicable- ) Rate—Minu-tee-ZInch TYPE OF SYSTEM= ABSORPTION FIELD : To-tal Length of each -tr-each A Depth of -tr-enchew Size of s-tone . SEEPAGE PI-rS : N u M-t>- St-one size PIPING : o V S— Si dg . t Tank- 4e, Tank- to Dist _ Box K a. 7-2! Z Dis -t : Box to Field,/Pj AA Op e-n 1 n g s Seal t---d e No Par-til EOCAIFXONZSEPARA-TZ�� a Founaa-t1c)n to Tank feet Founda-tion -to Abso-f-p -t-ion Separation ofPits -feet T-Cke Con-forTns as per- Plo-t plan =Ye-s---- N o LOCATION OF SYSTEM ON pROPER-Ty: Front Rear- Lo-F-t Side Right Side 1 a Middle F M ddl e Re COMMEN-TS SYSTEM USE APPROVED= YES 140 Dc--p a r-ltietid Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbur-Y Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement 47 " At time: 742 Bay Road Queensbury, NY 12804 ARRIVE--aml�m: DEPAR J-K5. am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# a?00a� LOCATION: < INSPECT ON(date): fvLo 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 Foundatio'n/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 i. - Ceiling R- Duct work or piping in unheated spaces R= Proper Vent,Attic Vent j Framing_ Jack Studs/Headers Bracing/BridgingJoist 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\Biiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc