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2000-032 •al 1 MEMNON a ney te ' oV erti'f occ . 1 Town of Queensbury Warren County,New York V Date Y 24 2000 ; This is to certi:y that work re a,ested to be done as shown b Permit No �����3 y has been completed. This structure inay be occupied as a_ SINGLE FAMILY DWELLING Location LOT 30 #59 SURREY FIELD DR. wrter�.........�. F f. TAX NAP NO. 48 0 _8 30 By Order Town Board T OF QUEENSBIJRY� t Director of g Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 135000 Building Permit No. 2 TAX MAP NO. 48.. —8-30- Permission is hereby granted to MICHAELS GROUP,THE T, - T.-r Owner of property located at LOT a@ #qSURREY FIELD DR. in the Town of Queensbury,to construct or place a at the above location in accordance to application together wit p of p s an o er or ma on hereto filed and approved and in compliance with the NYS Uniform.Building Codes and the Queensbury Zoning Ordinance, Owner's Address: 10 BLACKSMITH DRIVE MALTA, NY 12020 Contractor or Builder's Name: MICHAELS GROUP, INC. Contractor or Builder's Address: JIM CHANDLER, PROJECT MGR 10 BAACKSMITH DR MALTA, NY 12020 Electrical Inspection Agency: NEW YORK BOARD NEW YORK. BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING Plans and Specifications: 1417 SQ FT SINGLE FAMILY =DWELLING WITH 2—CAR ATTACHED GARAGE AS PER PLOT PLAN SP C Proposed Use: SINGLE_ FAMILYiDWELLING $ 2 0 3,PERMIT FEE PAID.—THIS PERMIT EXPIRES Feb, a rn n (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 T of Queensbury this Day of EP h r„a r jr 20@0 SIGNED Y for the Town of Queensbury Code Enforcement Offlcer Building .Permit Application Town Of Qi:6Gen.sULIIy - Dept. of Conuuunity Development, 742 Buy Road, Que-isbur)l, NY 12804 1761-82561 (� T BUILDING & . CODE ENFORCEMENT• NOTICE Requirements prior to issuance A permit must be obtained before of this permit. PERMIT r1LE N� beginning construction. No inspections PERMIT FEE P1 wiII be made until applicant has received •Zoning Board Action �, 3_ a VALID BUILDING PERMIT. Alt Area /Use RECREATION 1� f'A applicants spaces on this application +s: MUST be completed a>Yd•the signature Planning Board Action REVIEWED BY. of the applicant-must appear cat the SPR / Subdivision /Other Building InV7ector plication form. nit�« Recreation Fee Payment Applicant: T"E ["chalets coW. s, CV2 Owner: Address: �e�-Y Rt . yl ►,�lj.�2L�'2�i Address: Phone # Phone # ( ) - Property Locati Subdivision Na e: Tax Map Number - ~ Section Block 7 nt NATURE OF PROPOSED WORK: ESTIMATED MARKET V LUE OF THE residence / commercial x- New Building; CONSTRUCTION: $__- ofyn Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - res.idence / commercial _ Single Family Dwelling Residence / Commercial Two Family Uwellirk no change to exterior size Family 1�e .lam ng V, Office rES 0 3 Other Work (describe below) Mercantile 20Q0 Manufactur' gg Other GROSS AREA OF PROPOSED STRUCTURE: /- UILDiN 1st Floor. . . . . � �� sg, 33 If ADDITION, what will use 2nd .Floor. . . . . . . . sq. ft. of new, addition be? : Other Floors . . . .•: sq. t. (not unfinished cellar or baseme ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: 1*7 SQ. _ Attached Garage. i, ca Private Storage Bui g SIZE OF NEW STRUCTURE: Commercial Storage Building FEET X FEET Other Foundation Type: Will any second-hand or ungraded Number of Stories : lumber be used? I£ so, for what? (habitable space only) NAo Height (grade to ridge) : 1:5- feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo-rstove (circle all which a plies) to be installed: ( Electric / Oil / as / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building ' codes is : -A Na• e A dre sp Phone Builder: tJ 2b % Plumber: 22C� -2 Mason: 1 l Electrician: DECLARATION Please sign below after you have carefidly 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, an AS BUILT PLOT PLAN by a licensed sure r; drawn to scale, showing a teal location of project on premises. Signature: V-a-i �� (owner, owner's agent, architect, contractor) Application for Permit-Septic Disposal System 7•owtt cgfQueensbmy 742 Bay Road Queensbury, NI' 12804 (518) 761-8256 1. OWNER INFORMATION: ..............._......._......................_._........................................ ..._............ Office Use Location of installation:L•v t 3 y S'�) .S�y FF-1 LD File Permit No. Tax Map No. / I i Owner's Name: Fee Paid y� ....................................................._...............--................_....................... Address: LL�) 2. INSTALLER'S NAME Z Qs flz � y' CCYY�Ca PHONENO. 3. RESIDENCE INFORMATION; (circle year of dwelling, indicate#bedroont(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/bdrin 1980- 1991 x 130 gal/bdrin = 1991 -present x 110 gal/bdrin = 33d Garbage Grinder Installed yes— 1 no X Spa or Whirlpool Installed yes t no G 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) To o>ra h Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply 1+Yat saj7d at what depth at what depth municipal Rolling loam _-23C feet feet Steep slope clay 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) Date: _ inimrte per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be-designed by a licensed - profcssionaI etigincer 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 1,000gal.) 'al? Tile Field: each trench '�� ft. Total System Length:D ft. Seepage Pit(s): number of size of'each: ft. by ft. Size of Stone to be used: ff 2, / depth or thickness feet Bed System Size: x Alternative System: ,, _ length andlor.size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: fi`(. / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. -C) Signature of responsible person Date 1W1 VOF QUEENSBURY 742 Bay Ad., Queensbury, NY 12804 APPLICATION FOR SOLID )FUEL BURNING APPLIANCES.AND CHIMNEYS Date - �---_�. hermit Na�:2Ct - APPLICATION IS HEREBY MADE to the Building Dept, for the issuance 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 perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant �&e' k c J u APPLIANCE (check appropriate boxes) Address e�Ii16711 Pk V,� ❑ STOVE: ❑Wood ❑ Coal .❑ Pellet ❑ Gas _ ❑ FIREPLACE INSERT I Zip 1 7,6�6 FIREPLACE, FACTORY-BUILT: ❑ Wood u Gas Phone '3'� ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: - - - .--- - - - - - _ Manufacturer: t - Zip -: - - - - - - , M:odel: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Brock 0 Brick ❑ Stone FLUE: ❑ Tile ❑ Steel ' Size: inches CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: . Model:, BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number, Title_ oo . A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales f Fee Collected Promar Refunded to: Address:-`4 ° Dated: , Town Clerk or Depuky� ' _ ,xf'n f White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. i H 0 z 0 x H w IH 0 > 0 t' > y H z 0 r x H00 .0 > ' H z 0 C C H 0 0 0 0 z q r n H 0 x H Z[o ro a, n z H H t� z H q H M z H N M I �0H > 0 H p r 0 d W P M 0 x x M 0 P H m VZH ro n t9 P H 0 M H H 7 H 0 z 0 H H � g z 0 p n 0 0 of 0 z Mroa ro p z G r 0 11 H 0 z t r x ro p 0 rr z � 1 N J N H r x > ,n H N Gc nc� �* z14mm > rHog0rx H n 0 0 0 0 p g C H H H x z H 0 0 x 0 H M z z a PH [ y + b 7 q 0 z 0 F; H x H Z N n / H h1 H 0 0 n N U1 z C U1 000 q 1 0 H nr � � oo � r� ro rox > xo zZ pnr hi H � x rp � p HH H hi ro 0 0 r tJ ro 0 � z mH � 0 u z H. H H m v q Cl o m G 1c a s n z 0 H w 0Mz Z O 0z to x p 0 H z!.l � cn � uc H0 4 H �►�C7C7 z H>ra MHII r 0 � ro zI M H ,z z 0 x 0 MAP REFERENCE: SURREY FIELD SUBDIVISION MODIFICATION TO AN APPROVED SUBDIVISION DATED: OCTOBER 27, 1998 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC H.O.A. COMMON GREEN SPACE .a �y633Q Op• �38~� 31 h \ 30 7312.74 sq ft v A, 32 10 I HEREBY CERTIFY THAT THIS MAP 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 29 INSTITUTIONS OR SUBSEQUENT OWNERS. RECEIVE,) CERTIFIED TO: Joseph J. Kopczak (�,� Chicago Title Insurance Company MAY 2 4 2000 9 a a NE , . + 6 DING AND CODE C. CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: May 22. 2000 ' Q. 6IM35 D �. � • (AND , - ate• , c-� 2000 a� ,S► �, 'UYAU1)i01tl7ED ENM I°N di RVEYOY TO A SURVEY Map of a Survey made for Scale i'=20' �l MAP BEAW10 A LIALTER M 9UR ADDITION SEAL IS A %QAnON OF SECTION TYOB, SUB -DIVISION 9. OF THE NEW YORK STATE EDUCATION I"' ^ 'ONLY COPIES GRI AL (IRW THE A THIS VEYM /`�.[`, /VA Steves MARKED wiH NI dtlOWAL OF THE LAND 9URYEYORS SEAL SNALL BE CONSIDERED TO BE VAUD TRUE COPIES-' 'CERTIFICATIONS PREPARED IN ACTH D NCE THAT J O S E P H J. KO P C Z AK THIS SURVEY WAS PREPARED N ACCORDANCE WTN THE Land Surveyors, LLC BY THE NEW YORCODE CWK S�"� SO `µ° °'" �� BY THE NEw roRK STATE ASSOCIATION a PROFFR90NAL LAND SURVEYORS. SAID CERTMIIQNS SHALL RUN ONLY TO THE PERSON FOR *M THE SURVEY IS PREPARED. AND SHWIOFI ON HIS BEHALF To THE TITLE CCYpANY, OOVERliIENTAL 37 Cheater Street Glens Falls, New York 12801 AGENCY AND LENDINGES OF THE L THUISTITUTION USI D HEAEON. AND Town of Queensbury, Warren County, New York TO THE AMONEOMC INSTITUTION.• MICHAELS GROUP (SURREY FIELD) (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. No. 97061-30 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: A 44" Building&Code Enforcement cad Dept.of Community Development Arrive ! am/pm Depart am/pin Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York'12804 ��, NAME Cs PERMIT LOCATION U DATE TYPE OF STR CTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location rWR Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" 36" Ienor Handrails,balconies anding 1 in.or morenorHandrails stairs both ides 3 or ore risersde 2%away from four on �ty(,�PC�-lC �\��t, �•�A 17� 8"clearance to sill plate �^ Gas Valve shut-off expose regula r 18"above grade_ Gas Furnace shut-off 0 f t or within line of site "Fie c..p iv.5- -Z, Oil Furnace shut-off at en c o furnace area- Furnace/Hot Water Heater ating 4 f Relief Valdes)-ins Headroom,6 ft.6 in.on sta' Basement stairs,6 ft.4 in. Handrail exterior stairs both ides more than 3 risers Interior privacy/trim/door sl in entrance 36" -Floor Finish Bathroom/Kitchen watertigh Interior Handrails Balconi ding 18 in.or more Railing across window in s ells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation z 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 XS e Plan/Variance required , /�h inal Survey Plot Plan Lr Jj I t�l�' j�•2 UC - � C�t� 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 Departs r ann/pm Town of Queensbury Inspector's Imtials JRX - l 742 Bay Road Queensbury,Ne Y rk*12804 NAME 1pLij S PERMIT# �u &o LOCATION DATE TYPE OF STRUC N/A YES NO COMT/IENTS Chimney Height/'B"VentMirect Vent Location 2 Fresh Air Intake Vi D!o E C Plumb Vent through roof Roof Complete 'j&pT/L Exterior Finish Complete Interior/Exterior gs 30"to 36" _._.._. .__....... __ ..._...... Exterior Handrails,bal nies,landing 18 in.or more tenor Handrails stair both sides 3 or more risers Grade 2%away from fo tin P V 8"clearance to sill plate Gras Valve shut-off expo d1 egulator 18"shave grade_ Gas Furnace shut-off w' * 0 feet or within line of site Oil Fumace'shut-off at e. ance to furnace area- Furnace/Hot Oster operating Relief Valve(s)installed Headroom,6 ft.6 in.on Lairs Basement stairs,6 ft.4 i . Handrail exterior stairs oth sides more than 3 risers Interior privacy/trim/d s/main entrance 36" Floor Finish Bathroom)Kitchen wat fight Interior HandrjBas/I anding 18 in.or more Railing acrosstairwells Smoke Detect every level every bedr outside eveinter conne Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer If 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 me 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) FIRE MARSHAL TOVVN OE QUEENSBURY C7fUEENSE3URY, NY 12804 4saL (51 8) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME IkA LOCATION -36 PERMIT # e920 � n SCHEDULE INSPECT] I ON AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIC3HTkJC3 FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE FIRE SUPPRESSION SYS M HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANC TO SPRI KLERS CLEARAN E TO HEAT] G UNITS _ REQUIRED S103N GE CHIMNEY WOOD STOV FIREPLACELMASONRY ACT Y BLT.H-IN FINA REMARKS: TO THIS DATE INSPSLIP.PUB INSPECTOR 14111 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept. of Community Development Arrive am/pm Depart Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12904 3 NAME /—&&Leds 61—LI-Y, PERMIT# LOCATION DATE TYPE OF STRUCTURE 4te N/A YES NO COMMENTS Chimney Height/'B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof f Z, Roof Complete — Exterior Finish Complete-- Interior/Exterior Railings 30" 36" s 30 Exterior Handrails,balconies, ending 18 ini�or more I Interior Handrails stairs Railings des 3 or mor risers Grade 2%away from found&at* n 8"clearance to sill plate A L q pp Gas Valve shut-off exposed gulZaltorl ' above grade I ' A 0 _ in line Gas Furnace shut-off within 3)feet 0 thin of site OilFurnace sllut-off at entran*.e ce area tc Furnace/Hot Wa�dr-ldeatw-clp`,.Tating PS C,- Relief Valve(s)installed Headroom,6 ft.6 in.on stair Basement stairs,6 ft.4 in. V, Handrail exterior stairs both ides more than 3 risers vel a, Interior privacy/trim/door in in in entrance 36* Floor Finish BathroomMitchen watertight Interior Handrails Balconies ding 18 in.or more Railing across window in s rwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans' Plumbing fixtures Foundation insulation 3/4 hour fire door/door cloir Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage)_ Light ventilation e room, l� Safety glazing 8p e fr m floor Final Electrical A) Site Plan/Variance r uired 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) 1 �� 3-2-,) �.� , t w W N � (a U) U 4J C ` .. w 5 54� 0) 0 w 0 z 4-) Q cc: .r. 6L 'r r r VI r- wo C C , N roI aw >Ir ro t s- o 4Jro a 02a � � J r(L 1, S. VI :14J Xr. NC04+ 0, w Q 'r > � ILL U 1 0 ® 4J Q z 4- 0 Q C�. ro.0'r i u U,,, 11 .J .0 M ,r '0 C vzwz U LL 09 Q>. I I a 0 Qr-WNUCo 004- ao n, (01 0 14�- LN0C 4J001 -P4J0 4J r ® z 0(A Qs- 0 rovl4JQw N Q , C $6 4. U )" P4JM (D H 'r 00CCCf Q0 ` w A w 0 ►r V) 6 4- VI L N A x \ 0 0 © � V) 11 I r H 0 4- +r• 0 0 VI -r-r Rr � LL V) W W 0 0 aLL� 0 4-w th }� 0 M 0) -P P P +-) 0.Q A. .0 00 I 0 4J (0 Z it IM r 0 Z " r- (0 � .0 Q � ti Z � �r *0 L 0�w U +Ir�w � / Ua > 1► a) � (v w � wG CT)+) 0)L (DcH0)� -Pc cco4-cts 2 ' �ffi ore 0 E U - N 04- 0. 000INWN01 "DCV? QU :3 :311CU 'r- 010 X V3 a (d 0 (d 0 Q -r>- M Q Q-rwit4-)Oyr- (0 aG 0 0 0 00 U, L -r0 > 0 (r ko .7t wcil -r-1 Ag v l , �iw3:2 /\w p. • K 4f, Sq. , f t, N w. .-- betieve.i sa etc., .r fences,. - �. . -� ' Plis,tceeSt have that lE- t.l also ceP a d��T \ f�a .� JI POECEIVED MAY 12 2000 OFN. . �� • : • . l-t3WN OF QUEENSBURY y •t� OCS.r BUILDING AND CODE N. THE NEW YORK BOARD OF FIRE. UNDERWRITERS 4028789 BUREAU OF ELECTRICITY 1'11 WASHINGTON AVE., SUITE 704,ALBANY, NY 12210 MAY Wr2000 A 15066b Date Application No. dn-_f_11�e 9900/00 THIS CERTIFIES THAT PERIMIT N o 2012 00-032 " only the electrical equipment as described below and introduced by e a licant named in the above application number is in the premises of THE HICHAE1.3 GROUP, 59 SURREY F]"ELD DR, �)()mja NY in the following location; H Basement' 5 1st Ft. D 2nd Fl. GAR Section Block Lot was examined on MAY 04,2000 and found'to be in compliance with the National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 29 36 30 29 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT: K.W. OIL H.P. GAS H.P. AMT, NO. A.W.G. AMT. AMP. AMT., AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS P 14 1. 301 SERVICE.DISCONNECT-- Na OF u METER NO.OF CC COND. A.W. k W.G. A.W.G. AMT. AMP, TYPE EQUIP. 10 2W 10 3W 3 0 3W 3 0 4W PER 0 OF CC.66. NO.OF HKEG, OF HREG NO,OF NEUTRALS OF NEUTRAL 150 Cb X I . IJO OTHER APPARATUS: POST LIGHT-1 SMOKE DETECTOR!-5 FOREVER SLECIBONL ELECT. WILLM4 D. 14CPARTLON GENERAL MANAGER 2446 JAFFREY ST. SCHENECTADY, NY,. 12309 Per 239 This certificate must not be altered.In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. r,.npv P()p Rintmmn nppAPTMFNT THI.q MPY r)P r.;:PT1P1r.ATr- KAIIQT h1r)T PI: AITI:P;:n INN AMV KAAKIMPQ YV GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay-Road Queensbury,NY 12804, Arrive am/pm, Depart Pin Inspector's Initials4681Y NAME: MwAn b I ct=� N PERMIT# 0000­03;�, LOCATION: 4-�c� ! DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours followin the place n) of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing VentfVents in Place Rough Plumbing_ -In V ton Foundation Walls Interior R- Foundation Wall R- 71— Floors Walls R- ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers_ Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping— GENERAL MSFECTION REPORT (518)761--8256 '•� Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Deparv©xDam/v. Inspector's Initials NAME: -D PERMIT# ' C)-3 Z, LOCAT. 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 plA,cemer4 of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place 9 Foundation/Dampproofing L Backfill Approval V Plumbing Under Slab --,I P umbing Vent/Vents in PIa e t eughaP-lumbirag,. � �-eatingRougl�In� Insulation Foundation Walls Interior R- _ Foundation Walls Exterior R Floors R Walls R _ Ceiling R 1 — Duct work or piping:in unheat ces R- Proper nt, Attic Vent � mrrrg�°""tr W V-L 1? Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam 44 r�t�ltrat'ion B'i 5—mer-�— Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour . W2.restopping �� = FIFE MAF�SHA� -r(::) IN (CIF= ClUEENSBUF:ZY CZfUaENSE3UR:Y, N)r 1.804 (51 8) Tel -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME VA, LOCATION PERM T # Gl� 3`2i SCHEDULE INSPECTION ON AM PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIC3HTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM `F FIRE SPRINKLER SY TEM FIRE SUPPRESSION SYS EIQ! HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINK ERS CLEARANCE TO HEATIN UNITS REQUIRED SIG~NAGE -,/CHIMNEY <--c x ZFIREP OOD STOVE� ROUOH-IN E �MASONRY FACTORY BLT. t;;'fZ- 0 FINAL -73 -Z REMARKS: �OK TO THIS- DATE ] per'' E 1 i INSPSLIP-PUB INSPECTOR L4 Ply), GENERAL.INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Deparg, )5 am/pm Inspector's Initials NAME: PERMIT LOCAT16N: 92AOA DATE: TYPE OF STRUCTURE: RECHECK N/A I YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placcinen of the concrete. Materials for this se oil site Foundation/Wallpou. r Reinforcement in Place_ FoundationlDampproofing lowing the placcnicn, pose on site our� L4;kelfApproval_ V1, Plumbing Under Slab_ Plumbing Vent/Vents' i 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 '�Ca'c Penetration Scaled Fire Wall 2, 3,4 hour_ Firestoppin GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement } 742 Bay Road Queensbury, NY 12804 Arrive Depa ` :--- Inspector's Init' 4 NAME: , L PERMIT# y ��" t �r LOCATION: 50 DATE : -Q-q- `DOOM TYPE OF STRUCTURE: S RECHECK 1 N/A YES AO COMMENTS lgs/Piers I Monolithic Pour Form { Reinforcement in Place The contractor is respan ible four providing protection from frec�z ing for 48 hours following the placement of the concrete. Materials for this purpo c on site Foundation/Wallpour_ Reinforcement in Plac - -- - Foundation/Damppr -- Backfill Approval Plumbing Under Sh b Plumbing Vent/Ve is Jill n 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