2000-054 t '
TOWN -OF QUEENSBURY
742 Bay Road,Queensbuay,NY 12804-5902 (5'18)761-8201
Community Development Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
C/O Number: 020000489 C/O Date:, Tuesday,July 25, 2000
Application Number: 200005.4
Permit Number: 2000054
This is to certify that work requested to,be done as shown by Permit Number; 2000054
has been completed. ,
This structure may be occupied-as a Sin'gle
Family Dwelling
Tax Map Number- 523400-125-000-0009=148=000-0000
Location: 'FOUNDERS Way
Owner: EILEEN SPINELLI
1 By Order of Town Board
TOWN OF'QUEENSBURY
Director of Building&Code.Enforcement
r
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518)761-8256
VALUE $ 227450 Building Permit No. 2000054—
TAX MAP NO. 125 . -8-148
Permission is hereby granted to M I CHAE i J. VAST 7 T OI T., TNT
Owner of properly located atr� _ T R �nT rnm�R Irl +y
in the Town of Queensbury,to construct or place / 3 CpAFdtAGE
at the above location in accordance to application toge er with p of p an a er orma n here a an
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
ASSOC. , INC. 14 STONE PINE LANE
UEENSBURY, NY 12804
Contractor or Builder's Name:
ICHAEL J. VASILIOU INC
Contractor or Builder's Address:'
Electrical Inspection Agency:
7`ype of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
SINGLE FAMILY DWELLING WITH 3 CAR GARAGE AS PER PLOT PLAN
A
Proposed Use:
S NGLE FAMILY DWELLING W/ 3 CAR GARAGE
$5 4 6 PERMIT FEE PAID-TMS PERMIT EMPIRES March 3 2002
(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 Town of Queensbury this Day of MA.r a h 2 0 g
SIGNS Q for the Town of Queensbury
Code Enforcement Officer
u t tg :PerM .A1�.x'iicaiion
TOWtZ Of Queensbury Dept. ofCo»ultiutity Development, 742 Bciy liorrcJ, Queensb»ry, NY 12804 1761-82561
BUILDING & . CODE ENFORCEMENT -
Requirements-prior to issuance.
' 1
A permit must be obtained before of this permit: ro
IT FILE, NO.
beginning construction. No inspections �j
will be made until applicant has received 0 Zwdng Boizrd.ACao9,,, r Y IT 11E,H SAIDa VALID BUILDING PERMIT. All Area /Use
applicants` spaces on Uus;uppIication ��� EATION FEE PAID
MUST'be connpleted attd•the signature 0 I'lartszing Board tzo of the applicant must nppear an the REVIEWED BY:
plication form: n,,n,k n, SPIL I subdivision I Otvt7er i fr'4Y B:dtd.'ng lnsjecror
Recreation.:Fee Paym�;)t 2 0000 5'4 2 2 5
14g v_ _ l
Applicant: _��iG'h'��L �. ,q ��j�L� � O �z c._ ' M:ECFiAEL J VIISILIOU,
4 "FOUNDERS WP,Y~
Address S�"oi?�•d�idrE .L'� �KE'e� ?SBG y.�. SINGLE FAMILY 04lELLING Wt. 3 CAR GARAGE ... _.
e
Phone #
Phone
Property Location: � � - `
Subdivision Name: - +�'E Z»�s�?L7 �Lps r "Tax Map Numbcr -L�S`�t - g9f✓
Section Block lot
NATU E OF PROPOSEBuilding:
WORK. . ESTIMATED MARKET VALUE OF THE
New Building: $ c,/�d d6
residence / commercial CONSTRUCTION: ,
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr�,mary Building -
residence / commercial ( Single Family Dwelling
Residence / Commercial ' Two. Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED _STRUCTUREO
1st Floor. . . . . . . . $r� vx
sq, ft.10) a: If ADDITION, what will use
2nd .Floor.. . . . . . .-2, ca6, sq, ft. C2 , &>f n,ew addition be?
Other Floors. . . . sq.' ft.
(.not unfi.nishedce.11ar or basement)
ACCESSORY BUILDINGS: "
Detached Garage' Ir 2
TOTAL FLOOR AREA: SQ.. FT. Attached Garage ,l, 2 car
Private Storage Building
SIZE OF NEW -STRUCTURE
Commercial Storage Building
FEET Other
Foundation Type: Will any second-hand or ungraded
Number of Stories : lu er be used? If so, for what?
(habitable. space only- ) c� Ave
Height (grade to ridge) : a feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle all which-applies)
to .be installed: electric / Oil- / -Gas /: Wood
CZo� Ai f 'Baseboard / Other
Person respoit sable for supervision of work as re ards to building
codes is : 6"i<'�6'
Name Address Phone -
Builder:
Plumber: F v Gum
Mason:
Electrician: �i,t,�,F•� ,� /sites
DELL'ARAHON. Please sign belmv after you luzve carefully read the state tent.
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, an AS.BIJEUX PLOT PLAN by
a licensed surve r, drawn to scale, s ing actual location of project on premises.
Signature ,
(owner,'owner's agent, architect, contractor)
Application for Permit—Septic Disposal System
Town of Queensbmy 742 Bay Road Queensluoy,NY 12804 (518) 761-8256
= J 1. OWNER INFORMATION:
..............._........................... ...._................---...._._............-._..........................._.....,
" � Office Use i
Location of installation:
03� ; File Permit '
Tax Map No. lC. �_ !`r. f'n'
y Fee Paid
Owner's Name:
............. FEB
_........................_ .QQ. ..........._.._.............€
...
Address: �.7tYYc�i'GC>E'l� T.�ir•-.%, C),.. (y.:::_«:: ;_? �Y
At�E C..C)DE
2, INSTALLER'S NAME : b,q y�'� �, r��}, � PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total dailyflow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older - 1' x 150 gal/bdrm =
1980— 1991 f,; x 130 gal/bdrm =
1991 —present �j2 x 110 gal/bdrm = yLjD
Garbage Grinder Installed yes 1 no
Spa or'Whirlpool Installed yes 11 no
4. PARCEL INFORMATION: (circle applicable information &indicate measurements)
ra h ature Ground Water Bedrock or Impervious Material Domestic Water Suppl
Fla san at what depth at what depth municipca
olling oam l�J/c�yl�feet well
Steep slope clay �duyr -6�yT , if well; water supply
slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional-engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(mnless 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: J, 50 gallon (min. size 1,000 gal.) v
1
Tile Field: each trench ft. Total System Length: yG:l ft. -
Seepage Pit(s): number of C� size,ofeach: ft. by ft.
Size of Stone to be used: #271_ / depth or thickness�_bw r _f t� feet `
Bed System Size: -_--J x `
Alternative System: /Y �i 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 inspectionn agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON (please read)'
For your protection,please note that pursuant to Section 136-29 of the Co\`ofthe Town
of Queensbury, any permit or approval granted which is,based upon or'is granted in
reliance upon any material misrepresentation or failure&make a material fact or
circumstance known by or on behalf of an applicant, shad be void.
I have read the regulations with respect to this application and agree to abide by these aril all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
:t
I have seen or observed, or believe I saw evidence of,,
all objects such as houses, wells, trees, fences, etc., R E C
shown on this document, I also represent that I have
persona measu e distances set forth on the diagram." � � 2 2 2000
IGIiIATURE DATE
j7 � 3
2-5
50
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t Y Ka+ l .15 4-ls 5w� f✓. iu•y f p apt 1 r "
ENERGY CODE COMPLIANCE APPLICATION--,r j
TOWN OF QUEENSBURY, WARREN COUNTY N��r�, �``9 D
9000 HEATING DEGREE DAYS
FEB 2 2000
Comrrliance Methods: PA?RT 5 - Acceptable Practice Me '�oc Cab ''` +'� .fY
1&2 Family Dwellings {ori�y��f�0 `'-3 j
PART 6 - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings ( 3 stories or less)
PF?2T 4* Design by Component Per=ormance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICAI'T' S NAME: PROPERTY LOCATION:
PART 5 .METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gros s Floor Area square fee�tt
2 . `-,roe of Feat - Electric oil Y' Gas Other
3 . =s building mechani caliv cooled? Yes No
4 . Percentage of area of w'-ndows and doors Over 17% yl Under 17%
5 . R-V.R .,UE S FOR INSUL'-'_TION GIVEN BELOW 111UST CORRESPOND _0 R-V.LUES AS
S_O_w_.N ON PLANS SuEBuITTED:
a . Roof R
b . Exterior walls R
c . Glazed areas R �
d- . Exterior doors R _ :?, a
e . Floors over unheated spaces R �,?4
f _ Edge of slab on grade (heated building) R /
9. Basement/cellar walls (above grade) R _/_9�
h . Basement/cellar walls (below grade) R lI
i . heating/cook ng-duc_s-pip i ng in unheated space R
6 . Service (domesti'c) hot-water heat-i ng device /
Canorms to mi riizmum e==iciericv per code t/ Yes No
TEMPERATURE CONTROL M_aXT'.4UM SETTING 1400 - WILL NOT BE EXCEEDED
S a�.u-e Date P=o_e Nurwe-
!NSP.L:.COR' S R.E 2M RKS.
Fire Marshal's Office Town of QUeensbury, 742 Bay Raacl,Qtteettsl)ttrN•,NN
(718) 761-3205
Application for Fuel Burning Appliances & Chimneys,
applicable to solid fuel & vented gas appliances
'Date a.: � �� � Permit No. C
Application is her-eli)r trade to the Building& Codes Pf/iCe ftrr the i,ssitance of a 13uila'hkg and Use
Permit prusttant to the Ne7v York State I-ire Pr-ettetrtion and Building Cue/e. 77ze applicant or owner
atgrees to comply it It all applicable laitrs, orzlinaztces, tx:gulations, and all conditions that at-e part ref•
these requirements and also will allow all inspeetoras'io enter premises to perfortu required inspections.
NOTE to applicant: Rough-in and Final Inspections are required-
Applicant Inform 'a►� Fuel Burning Appliance Information
(circle appropriate words)
Name: t . , � x ' Stovc: wood coal pellet gars
Address: „ Ft.t-el'ice,.£act� voocl gets
Fireplace; masonry: wood gars
Furnace:. rvooal gas oil
Phone:
If nan-masonary applicance, please provide
Owner: Manufacturer Nte:
- =-Add_ress - - - - - -" Model-Number:
Chimney 'Information
Phone: Chimney
appropriate words)
Masonry block brick stone
r Flue file steel size: incites
Exact Address:
-of Construction or urstallatioti Factory-Built
Manufactures-name:
Model Number:
Note: Model
By: Number;
Constniction Ilnstallation must.
eon or-nt to NYS Fire Prevention ce Rrtildirig Indicate (circle) cl7imiiey material:
Code. Consult available Torun of Queettsbzu-iy -
Handouts regarding required inspections. .. Double hall ! Triple wall r Insulated / Direct venting
Chimney Liner
�`a. �;.�'�c..�+e,��.a��.z�ar�.xart-��"vxr.�-az ea►.�'"Qx.�t�� rbu-�,�r, _N"�xr�r-�"cs�Iac E
Fire rtltrrslral Coyle 9S Collected S Rc,liutded Rtcei�c'd tiortr treJinrrlerl tW.
.4 173 3389 (190) Public Safetc
.a 233 2653 (330)Minor Sales
J.
i'hite{Applicant} Green(Fire Alarshal) ! • 'eiloss (13Ic1,=. Dept.) Pink&Gold'
nrotl(Cashier's Dept.)
r
9
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive Ap Depa• ' =' '"~ zn
Town of Queensbury ctor's
742 Bay Road
Queensbury, a ork 1-2804
NAME PERMIT# G'�IJoNAME �l f
LOCATION DATE ::::�2 -,
TYPE OF STRUCTURP, Al
N/A YES NO COMMENTS
i
Chimney HeightP'B"Vent/Direct ent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36'
Exterior Handrails,balconies,land g 18 in,or more_
Interior Handrails stairs both sides or more risers _
Grade 2%away from foundation
8"clearance to sill plate_
Gas Valve shut-off exposedhegulat r 18"above grade
Gas Furnace shut-off within 30 feet r within line of site � bG
Oil Furnace shut-off at entrance to ace area
FurnaceiHot Water Heater operating b
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides mo than 3 risers_
Interior privacy/him/doors/main en 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 1 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plat Plan
As Built Septic System layout required
Okay to issue C/C(Cerdf.of Compliance}
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
1
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MAP REFERENCE:
MAP OF SECTION
BEDFORD CLOSI
DATED MARCH 29,
REVISED NOVEMBER
BY COULTER & McCC
LICENSED LAND SUR\
� an. D u s en
8c
Steves
Land Surveyors, LLC
169 Haviland Road Queenslbury, New York 128,
[518) 792-8474 New York Uc. No. 50135
FOUNDERS
'UNAUTHONIND ALTERATION OR ADW*N TO A SIR%V
NAP 11E~ A LDENKD LAID SURVEYORS SIX If A
NOLATWN OF SECIM rAK SNl-DMSON 9, OF RE
NLI, YOW STATE EDUCATION LAB.'
'ONLY COPIES FROM AE WREN. OF 1NG SURVEY
MARKED VAIN AN ORMNA. OF I E LAND SLR WYORS
SEAL OWL K CONIISDIAM 10 K VAUD 1RIE COPEL•
EERVICARONS INDICATED HEREON slow INAT
THIS SURVEY YEAS PREPARED N ACCORDANCE VAIN lK
ELOSTWO OWE OF PRACW FOR LAND SURVEYORS ADCP=
BY TIIE NLY, YOM STAIN ASSOCUTON OF PIWFE9dWAL
LAND SURVEYORS. SAD CFRIFIGAONS WALL RUN (FLY
TO TIE PERSON FOR OW INE SKYEY LS PREPARED. AND
ON HIS MAU, TO 1NE TTLF COMPANY, WYUMDNTAL
AOOW AND LOWING IN"TURIION LISTED HEREON. AND
ro TIE ASDO OF AM MOM WSAIUTWi'
Map of a Survey made for
EILEEN SPINELLI
Town of Queemabury, Warren County, New York
NO. I DATE
I HEREBY CERTIFY THAT THIS NAP WAS PREPARED
FROM AN ACTUAL FIELD SURVEY.
THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS
FOR WHOM THE SURVEY WAS PREPARED, AND ON THEIR
BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY
AND LENDING INSTITUTION LISTED HEREON.
CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT OWNERS.
CERTIFIED TO: EILEEN SPINELLI
M do T MORTGAGE CORPORATION,
IT'S SUCP6SS0RG .AND\OR ASSIGNS
UNIT6D',�I�TI.E INSURANCE COMPANY
�� �,���w c s ��fi
DATED: JULY 24.
DESCRIPTION
et JULY c4, dUi
Le 1'=30`
S-1
SMEErlOF1
SPINELLI
DWG. NO. 00023
C-331
RESIDENTIAL FINAL INSPECTION REPORT �=
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept of Community Development Arrive �Pwofepart al m
Town of Queensbury s Initial
742 Bay Road
Queensbury,New York'12804
NAME PBOE
LOCATION — DATE
TYPE OF STRUCTURE
NIA YES NO COMMENTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Co plete
Interior/Exterior dings-30"to 3 "
Exterior Handrails,balconies,lan ' 18 in.or more
Interior Handrails s irs bth sides 3 4more risers C—
o
Grade 2%away fro foundation l�tlS
8"clearance to sill p ate ATE I_ Cuuomo6 6�(, MICQ��G
Gas Valve shut-off osed/regulator 18"'above grade � /�
Gas Furnace shut-off thin 30 feet or within1line of site �V
Oil Furnace shut-off air entrance to furnace area �A��Erik`��C,(:3
Furnace/Hot Water Heater operating C t X�M-F f�M(2.\
Relief om,6(s)installed \ � t3P,t�C`� �NaE
Headroom,6 ft.6 in.on stt�irs � V
.Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers\ E7 Fr�u�PtTtOt� t
Interior privacy/him/doors/main a trance 36" \ k
Floor Finish �.Ytau_
Bathroom/Kitchen watertight T�ilC � fl� { tip
Interior Handrails Balconies/[xwding 18 or more
Railing across window in stairwells t�
Smoke Detectors: I C- L:LsZ� CJ Q) C) %,
every level 1 t�-'�� �1 �n � t
every bedroom 1 -JJ���,
outside every bedroom \ Z tLl G `}Zj 1�j�lJ G �9 p
inter connected �M
Bathroom fans \
Plumbing fixtures 0 l t) oLo U omp- t�1 tu—
�'Foundatian insulation � `�fi nn
*31a hour fire door/door closer, t3F-A�1�CL CE�K
Garage fireproofing EC
` KOM ���
Garage penetrations sealed �� �C R Furnace in separate room protected(in garage) D�
Light ventilation per room \�p f� � �-�-� C—
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(Certaif.of Compliance) ( Fkkt 6 ,
Okay to issue temp.C/O(Certif.of Occupancy)_ t1
Okay to issue permanent C/O(Certif.of Occ nnpancy) 1Q Fti
�RRpp ) UN-1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 1
Building&Code Enforcement
Dept.of Community Development Arrive 61, pm Depart In
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 12804
NAME 1 1 PERMIT
LOCATION Di-�� DATE
TYPE OF STRUCT �
N/A YES NO COMMENTS
Chimney Height!"&"Vent/Direct Vent o Location
Fresh Air Intakes —
Plumb Vent through roof ' VA
Roof Complete
Exterior Finish Complete
InteriorlExterior Railings 30"to 3�"
Exterior Handrails,balconies,Ianding 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 1.,8"above grade I
Gas Furnace shut-off within 30 feet or i%thin line of sits �,O � � C '` P
Oil Furnace shut-off at entrance to furna4aaiea
FumacelHot Water Heater operating � T�
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs tiL / YVARW-6 (�
Basement stairs,6 ft.4 in. .!
Handrail exterior stairs both sides more than 3 risers
Interior privacy/him/doors/main entrance 36" 1 _
�_
Floor Finish
BathrooniTitchen watertight _i N—L
Interior Handrails Balconies/Landing 18 in.or more �4 iG
Railing across window in stairwells
Smoke Detectors.
every level
every bedroom �Q .
outside every bedroom
inter connected 11'
Bathroom fans
Plumbing fixtures `
Foundation insulation \:
3/4 hour fire doorldoor closer r , C t3
Garagefireproofmg VIP
Garage ;
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor a + �ILA
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance) I
Okay to issue temp.C/O(Certif.of Occupancy)_ I4 v�
Okay to issue permanent C/O(Certif.of Occupancy)
WHIVIU1 HAL 1 ft U&I KILAL MULL,I lulr RXV ILL, III U
Main Office 176 Doe Run Ro'ad - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate,And any certificate previously issued is
cancelled#
This certificate only covers the electrical equipment and installation conditions as of date, [upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making i spections at any time, and if its
rules are violated the Company shall have the right tQ a ke t is ' icate.
DateINSPECTOR ,i1111 fill!!faille.filifeeNl,ff1Nf11ifeiHlflfi .ie.111111efIHIf if #A100Nltfifliff#lfllitfftitlfeltflit!f1f11iiftiftffffleelfifttiilie►iieilteie
Member N.F.P.Ai,LA E}1}
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road I
Queensbury,NY 12804. Arrive. Depart
spector's Initial
NAME: PERMIT
LOCATI N: CR DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible f
responsible
providing protection from freez ng
from
for 48 hours following the place ent
of the concrete.
Materials for this purpose on l&ite
Foundation/Wallpour_
Reinforcement in Place-------**'I
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing YentfVents inn
Place
Rough Plumbing
Heating 16ugh_ln
INk 1".
ration
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 Scaled
Fire Wall 2,3,4 hour
Firestopping
DT
GENEk2AL iNS'FEC"TdC1NIrEl'ORT
(518) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road �_4 1 -�
Queensbury,NY 12804. Arrive) a� Depart ai
Inspector's itta
NAME:
~ P PERMIT# j --05
LOCATIO : DATE C>
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsib for
providing protection om ing
for 48 hours followin the pla ment
of the concrete.
Materials for is purpose on site
Foundatio 1pour
,Reinforcement' lace
Foundation/llamppr ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing
Hea mg Rough-In
1 ulation
Foundation Walls Interior -
Foundation alls Exterior -
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
CEIVERAL MSPECTION REPORT
(518) 761-8256
Town of Quieensbury
Dept~of Community Development Date inspection request received:
Building&Code Enforcement 1
742 Bay Road
Queensbury,NY 12804. Arrive Depart m
spector's Initial
NAME: Q 3e PERMIT# � L,—
w
LOCATION: DATE: 2�
TYPE OF STRU TURF: � �
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 lac ent
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforcement in Place
Foundation/ pproofing
Backfill Appro
Plumbing Under Slab
Plumbing VentlVents in Pla
Rough Plumbing
Hea u In
elation 3�
Foundation Walls Interio 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 Haugers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour .�
Firestopping
91 -- a Cam-( _ � �
GENERAL&SPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arriveq";Nmj!g Depart part
Inspector's Initials L
NAME QOAS PERMIT#
0
LocAnd CL DATE :
TYPE OF STRUCtURP-.-
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi ig
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
Foundation/Waflpour�_
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Venlg-k—Pltco�
Rough.Plumbing
H Rough-in
V. 6-snlation
Foundation Walls Inte 'or R-
Foundation'Walls Exterior
Floors
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-?V
Proper Vent, Attic Vent
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_
i
GENERAL INSPECTION REPORT
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&. Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive " 1 m Depart � a
Inspector's initials
+�
NAME: J � � i PERMIT#
LOCATION: DATE : —
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour F n
Reinforcement in Pl cc
The contractor is sponsib for
providing protcctio from fr Ting
for 48 hours followii the ph cement
of the concrete.
Materials for this purpos on si
Foundation/Watl pour____
Reinforcement in Place
Foundation/D rood
Backfill Approval _
Plumbing Under Slab
Ptu ing Vent/Vents in Plan
ugli Plumbing
Heating Rough-in
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior - �
Floors R-
Walls R-
Ceiling R- i
Duct work or piping in
unheated spaces R- _
Proper Vent, Attic Vent__ _, _
Jack Studs/Hcadbrs_
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier_
Fire Sepfiration 1,2, 3, hour
Penetr, ion Sealed
Fire all 2,3,4 hour i
cstopping �i L(=��'T�.,•'( � ! R�._ �,..l..,C�-t 1�� 1 t�
I
GENERAL INSPECTION REPORT
( 518 ) 76J.-8256
Town of Quccnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv rr t�Depart
Inspector's Initials
1 r /may
NAME: { 1. PERMIT
LOCATION: DATE
TYPE OF STRUCTURE: ,��
LA
RECHECK.
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac
The contractor is r sponsiblc far
providing protecti n from fr ring
for 48 hours folloi ing the pl cement
of the concrete.
Materials for this pu se of site
Foundation/Wallpou
Reinforcement in Pla e
Foundation/ am frog
Backfill Approval -
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In a
Insulation
Foundation Walls Interi r R-
Foundation Walls Exteri r R- _
Floors R
Walls R-
Ceiling R-
Duct work or piping in
un led spaces R-
Pro r Vent, Attic Vent_ _
arcing_ _
Jack Studs/Header
t,
Brad resin&
Joistc-g rs
Jack Posts/Main Bcam
Air Infiltration Barrier_
Fire Separation 1,2, 3, hour
Penetration Scaled
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSp,ECTION.REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive anj4 _ DeparO' In
Inspector's
NAME: PERMIT 4
LOCATION: Fp c DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
---r T
Footings/Piers,
Monolithic Pour Form
Reinforcement in Place
The contractor is re ibl r
providing protection . 9
for 48 hours followin the place ent
of the concrete.
In
0� g ent
se
materials for this purpose n site
Foundation/Wall ur
Reinforcement in Place or mg
Foundation/Dampproofing
Backfill Approval---��
Plumbing Under Slab
Plumbing Vent/Vents in Place S'fents in Place
Rough Pluwmnbing,
Heating Rough-In
Insulation
Foundation Walls Interior
I
Foundation Walls Slab
r -
Floors
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging- Lc) C-C)t-\VL-3g--VV
Joist Hangers
Jack Posts/Main Beam
Air infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour-
Firestoppin
J -/W- 7
IF I F:;O.'r-= M^F:Z,'S",AhL-
-r(DWN OF (::fUaaNSE3LJR.N'
(::7kUF-=IEN,<3E3UF:Z'Y, NY 12-804
(510) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVE CRECEIVE UK
NAME qq cry
LOCATION - ERMIT
SCHEDULE INSPECTION ON
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER S
FIRE SUPPRESSION-SYST M
HOOD INSTALLATION
INTERIOR FINISHES
STORAC3E:
S 7NN4
10 -SYST
INSTALLATION
FINISHES
CLEARANCE 0 SPRINKLERS
CLEARANCE C? HEATING UNITS
REQUIRED SIC3NAOE
CHIMNEY
WOOD STOVE ----- ----------
FIREPLA90�E] MASONRY E915ACTORY BLT-
M ROUGH-IN .
= FINAL F
C:)
REMARKS: z OK TO THIS OAT
lop,
INSPSUP.PUB INSPECT6rK-/ '
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GENERAL REPORT Yn )
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 BayRoad
Queensbury,NY 12804, Arrive epart P^ a Initial
Inspector's Initial
C
NAME: PERMIT#
LOCATION: LA.
DATE: -01 0 0
TYPE OF STRUtATRE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
F 4
The contractor is responsible for
providing protection from freezing
-CP
for 48 hours following the placemen i
of the concrete. \t3�5—\p,0
Materials for this purpose on site
Foundation/Wal vw--AD'E .
Reinforcement in Place,
Foundatio
Backfill ZpoprovYroofin
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing L4 L
Heating Rough-In,_
Insulation
Foundation Walls
Foundation Walls=r R
R- 6C-
Floors
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces C-z-v
VVent,Prope Attic Vent%,Pefrung T—
Jack Studs/Headers 1-)11�> CA
Bracing/Bridging
Joist
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed ZtJ�7 -�ebC� �3C-R?�jj
Fire Wall 2,3,4 hour
Firestopping_
A f
2
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept,of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NV 12804 Arrive �Depan , 7
Inspector's Initf
NA : `' i � PERMIT 4
LOCATION: DATE �j
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respor for
providing protection fr m fre zing
for-48 hours following he plac meat
of the concrete.
Materials for this purpose n site
Foundation/Wallpour
Reinforcement in Pface
Foun n/Dampproofin -
fill Approval
Plumbing Under Sla _
Plumbing Vent/Vents in F lace—
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inlet or R-
Foundation Walls Exte 'or R-
Floors R-
Wails 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 Scaled
Fire Wall 2,3,4 hour
Firestopping
t(
i
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury � �G1 �rn
Dept.of Community Development Date inspection request received: 7-,5D
Building&Code Enforcement
742 Bay Road
Queensbury,NV 12804 Arrive a Depart a in
Inspector's Initi -
NAME: ' PERMIT# r
LOCATION: DATE : 317 06
TYPE OF STRUCTURE:
RECHECK.
N/A YES O COMMENTS /
eotings/Piers
o
Monolithic Pour Form
Reinforcement in Place
The contractora
nsible r
providing proom fre .ing
for 48 hours f the pl cement
of the concret
Materials for thi n site
Foundation/
Reinforcement i
Foundation/Damg
Backfill Approv
Plumbing UndcrPlumbing Vent/ PlaceRoughPlumbinHeating Rough-I
Insulation
Foundation W Its Interior R- _
Foundation W,Its 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
Inspector's No.
Date a`If19
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
(Consulting and Fire Inspection Services)
(incorporated in the states of Maryland,New York,Pennsylvania,Delaware and West Virginia)
Desiring Certification of Approval, application is made for inspection of electrical installation in the premises
described below. On demand,applicant agrees to pay for inspection service in accord with schedule of charges.
PLEASE PRINT
Owner..... ....... .................... Type Bldg. P DWG 10 Other .___..........
Occupant ..... k__A_ ....... ....... .................. ............. ............. Building Permit No. ..... ...... ........
Job Location-. .r. Iti
......City- ..........._...... State
County ...... ...... .......Twp. .......................... .....M/C#...................... ............ Swimming Pool-New Old D
Directions to Job Site
..........
.. ........ .............................-.................................... ........ ....... ......... .........
Application For Rough Wiring Cl Fixtures Service ED or ... ..................... ........................................................................
Work-New D Additional E Bldg. -New 0. Old Ready for Inspection .......... .................. ............ ...........
A 'ANT'S S pp"'C LICENSE 0 PERMIT#
IGNATgRE
PR
PLEAS
NAME PHONE
APPLICANT'S NAME OF
ADDRESS UTILITY
CITY `OFFICE TO
BE
STATE ZIP CODE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE
OUTLETS EQUIPMENT PUMP
SWITCHES HEAT
PUMP OVEN
RECEPTACLES SURFACE GARBAGE
UNIT DISPOSAL UNIT
MEDIUM BASE RANGE
FIXTURES
MOGULBASE WATER
FIXTURES HEATER DRYER
FLUORESCENT AIR AMP RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR CONTROLS BURNER PRAC.H.P.
QUARTZ FIXTURES WIRING&CON VENT FANS
MOTORS:H.P. 1120 1/12 11101 1, 1= 1 1 11,112� 2 1 3 1 5 17-1/217
MARK NUMBER
OF EACH SIZE I I 1 1 17--
Inspector's Comments:,
L
1_1-C*, t_Zdlt 706
12835
OFFICE USE ONLY
WORK INSPECTED NOTIFIED REPOR-TED FEE PAID
SERVICE DATE CON- TOTAL $
Date Received: —TRACTOR
R.W.DATE OWNER CHECK NO,
Certificate NO.: FINAL DATE OCCUPANT CHARGE
CERTIFICATE NEEDED AGENT CASH
Date Sent: 0 YES 0 DUP ELEC.
LT.CO
INSPECTOR
Progress
THIS APPLICATION EXPIRES ONE YEAR FROM DATE MAKE ALL FEES PAYABLE TO C.E.I.S.INC.
WHITE/OFFICE PINK/INSPECTOR CANERY/OFFICER GOLD/CUSTO-MER