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1999-014 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK May 7 99 • Date 19 30 1 , --1-15te This is to certify that work requested to be done as shown by Permit No. 99014 . has been completed.; SINGLE FAMILY DWELLING This 'structure may be occupied as a LOT 9 2#17 WAYNE COURT Location - PASSARELLI, GUIDO - Owner TAX MAP NO. 125 . -9-9 2 By Order Town Board. • • TOWN OF QUEENSBURY , &bre,' 'Director of,Bldg. do Code Enforcement • BUILDING PERMIT VALUE $ 140000TOWN OF QUEENSBURY No. 99014 TAX MAP NO. 125.-9-92 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to PASSARELLI, GUIDO OWNER of property located at 17 WAYNE COURT Street, Road or Ave. in the Town of Queensbury,To Construct or place a SINGLE .FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is 465 LAKE AVE. LAKE LUZERNE,. NY 12846 2. CONTRACTOR or BUILDERS Name LAMONT, MIKE 3. CONTRACTOR or BUILDERS Address 45 HERALD SQUARE . QUEENSBURY, NY 12804 4. ARCHITECTS Name NEW YORK BOARD 5. ARCHITECT'S Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( )Masonry ( I Steel ( 1 7. PLANS and Specifications 2094NSQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use. SINGLE FAMILY DWELLING 271 January 29 2001 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 29 January �s 1999 ::::: :To:n of Queensbury this Day of, for the Town of Queensbury Building a Zoning Inspector .. Applications for I3 r1 I t DISPOSAL PERMIT I • STAMP RECEIVEDrz • -" Location of property fur installation: �0! 74 /i y Cl 1 O t / N Owner's Name M.Ylic 11a e', STir. 'I:R 1'1'NUDIIIl:1 Owner's Mailing Address: / Nicol. t° Vie, S.f1G/s ` 01 rri' t-r n I EI PAID -C, installer's Name: -0--e. 2 ) 11 YCLV Phone #: 7 '6 is '2 C/) • Number of bedrooms (if residential): L . " ~ Total daily Ilow (residential -compute (iir 150 gal. her bedroom): ALTO ' Topography: • Flat 1 1 !tolling 1-1 Steep Slope °b of Slope • • Soil Nature: >< Sand [l Loam [-1 Clay n Other /Depth: Ground Water: at what depth? feet • • Bedrock or Impervious Material: at what depth? _ feet . Percolation Test: 1-1 Not Required (--] Required/Rate mill. per inch Domestic Water Supply: >44 Municipal [--1 Well r1 Other • If domestic water supply is a WELL: water supply from any septic absorption is feel • • PROPOSED SYSTEM: . Septic Lank: /, L'')'D gal, (minimum size: 1.0OO gal.) Tile Field: each trench 00 feet. / total system length (200 feet. . • Seepage Pit(s): number of / size each: ft.x. ft. . • • • • • Size of stone to be used:. # / depth or thickness feet. • . . . . IIOLDING TANK SYSTEM: (if required) " • Number of tanks: • • Size of each: gal. Alarm system and associated electrical work to be inspected by a certified agency. For your protection, please note that pursuant to Section 136-29 of the Code of the '!'own of Queetrsbury, any permit or approval grunted which is based upon or is granted in.reliance upon . any material misrepresentation or fitilrtre to matte a material fact or circumstance knonn by or on ' behalf o f an a pplicunt, shall be void. . I have read the regulations With respect to"this a pplicatiotr and agree to abide by these and gill ..• requir•enaettts o f the Tonvt,of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsib'e person: Date: j////y y • Alilli k ENERGY CODE COMPLIANCE APPLICATION qq..07y �':` 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 Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) PART 4* = Design by Component Performance • Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: ; Y i- 1,', / V 1 i(Z 5 1 1 c� .Alt2T it P WeiC )'c c l / PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ap 6/4/ sauare feet • 2 . Type of Heat - Electric Oil 1,//Gas Other 3 . Is building mechanidally cooled? Yes o 4 . Percentage of area of windows and doors Over 17% 1/Under 17% 5 . R.--VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R c30 b . Exterior walls R j� c . Glazed areas R J, `7 d. Exterior doors R /14:7 e . Floors over unheated spaces R r . Edge of slab on grade (heated building) R --- a. Basement/cellar walls (above grade) R _ -- h . Basement/cellar walls (below grade) R 1 . Heating/cooling-ducts-piping in unheated space R '/ G, 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code LYes No TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED Applica ' s S ' gr�atu Dare• Phone Number �.ie. � 6,`��/ ifi� y y' y't�-0.-wa , e INSPECTOR' S REMARKS: TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 , APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS >~ Dater/ ,19 C\Ci (i)I /- Permit No. - i 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 'r yye /f it 57`; J .1,1 ., APPLIANCE (check appropriate boxes) J Address efe .lt lr, sf,� ;` ,(,, d j ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas I ' / 0 FIREPLACE INSERT Zip 44k- 4/ i,FTREPLACE, FACTORY-BUILT: ❑ Wood ® Gas Phone l'.l ,--,6-1/, i 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: F� Manufacturer: ,./ � L,.,4TO V = --- --- -- _ _ - ----- — - -Zip - --- -; Model: - - _ _ Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 0 MASONRY: 0 Block 0 Brick 0 Stone �,�' /,7 � ,� �,�`� FLUE: ❑ Tile 0 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. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title 0 Y A 173 3389 (190) Public Safety ale, %* A 233 2655 (230) Minor Sales \ SSCk ' Fee Collected From or Refunded to: ', . (77:75"Iiiar") Address: / ,-. \\),/" . liii .. ``.. , .� ',. Dated: .fie' -- F;),(; ' Town Clerk or Deput,'• '�.-_ e-`A—) AN, / ` White: Applicant Green: Fire Marshal Yellow: Bld :�D J..--''Pink & Goldenrod: Cashier's Dept. Building Permit Application Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, IVY 12804 [761-82561 -Or BUILDING & .CODE ENFORCEMENT NOTICE Requirements prior to issuance r of this permit: PERMIT FILE NO. A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID$ will be made until applicant has received pi Zoning Board Action a VALID BUILDING PERMIT. All Area /Use RECREA770N FEE P D$ applicants' spaces on this application � MUST be completed and'the signature n Planning Board Action REVIEWED BY: C ----- of the applicant must appear on the SPR / Subdivision /Other Building Inspector 4pplication form. n�,k,n,.. J Recreation Fee Payment Applicant: 1 'Y y' '- e)e":r 1 i c1 '.i.r 71 c,. Owner: . • Address: 94 P/1 raw) ., .fi),ei D Y Y . 0I Ll til Address: _. / VI ;) Phone # ( ) - sYl l Phone # (�) - Property Location: �ei/ /ex W 7 '?7 c� Q� C'� 9 Subdivision Name: Pie,AfA L Cl (5 Tax Map Number Section Block Lot NATUREOF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE / New Building: ^ CONSTRUCTION: $ ph, 000 (esidenc)/ commercial Addition to Building: residence. / commercial OCCUPANCY INFORMATION: Alteration to Building: Prim Building - residence / commercial Single Family Dwe 1n Residence / Commercial Two Family Dwelli* CEWE no change to exterior size Family Dwelling � � Office JAB 1 1 Other Work (describe below) Mercantile q99 y Manufacturing TOWN OF.QUE ,�SBURY � � Other ®UILQJ ,g1�D CODE GROSS AREA OF PROPOSED STRUCTURE: 1st r If ADDITION, what will use 2nd .Floor sq. f of new addition be? : 3 a_, sq. ft.� Other Floors sq. \ft. 9� (not unfinished cellar or basem ' ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: G/ Ogg SQ. Attached Garage 1, as Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building Other (6 6 FEET X A/6a FEET Foundation Type: re,,Tel c yt.c,V rei Will any second-hand or ungraded ' Number of Stories : lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : , 7 feet TYPE OF_ HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all which a plies) to be installed: / Electric / Oil / /Wood c ced Hot Air) / Baseboard / Other Person responsillle for ,sup rvisio of work as regards to building codes is : "'Oh Je3—k Ael MIT Name c , Addresss Phone Builder: % vv�� / e je,,�15liri • 7�/sj'�_4al Plumber: Ka i`I ltt c-»CYc t✓ en=j[-ry - ,17 , . Mason: / .rl 'Tho'in i7V,5 61/4 /54 Electrician: /?i x$ 1 ji tyyji;,s Wi ' 6(9,'3d 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, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 0..10��'� 0, (owner, o 's agent, architect, contractor) l'--- RESIDENTIAL,FINAL INSPECTION REPORT /6) CVO Office No. (518)761-8256 Date inspection request received: , ` / Building& Code Enforcement W1151'1 • Dept. of Community Development Arrive 1�-i.l)am/pm Depart Town of Queensbury Inspector's Initial Arl 742 Bay Road Queensbury,New York 12804 qq- /, NAME Syz,-64' �,y PERMIT# (� LOCATION c 7`e) f &)) of DATE Twits1 TYPE OF STRUCTUREirip C N/A YES NO COMMENTS Chimney Heightl"B"Vent/Direct Vent Location r i I Fresh Air Intake / pioi- pi, Plumb Vent throughroof ti/.� Roof Complete • V ,..--__, Exterior Finish Complete /—tri\A-{5litier Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 , more + CZ_ . Interior Handrails stairs both sides 3 o• more ris s J c-Prt. Grade 2%away om foundation �l 8"clearance to si plate V� Gas Valve shut-off xposed/regul. or 18" bove grade I Gas Furnace shut-off . . 30 f:' : within line of site V Oil Furnace shut-off at entrance + furnace area Furnace/Hot Water Heater open ting J/ Relief Valve(s)installed �/� Headroom,6 ft. 6 in. on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both.ides more than 3 risers Interior privacy/trim/doors/ aim entrance 36" �✓ Floor Finish Bathroom/Kitchen waterti: t \\/i Interior Handrails Balconies/Landing 18 in. or more Railing across window in stairwells V Smoke Detectors: V every level >� every bedroom / outside every bedroom inter connected I Bathroom fans ,// Plumbing fixtures ✓Foundation insulation 3/4 Y hour fire door/door closer / Garage fireproofing ✓/ Garage penetrations sealed / Furnace in separate room protected(in garage) i�( Light ventilation per room Safety glazing 18"or less from floor 11 Final Electrical Site Plan/Variance required ii Final Survey Plot Plan V 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) JOs" FIRE MARSHAL TOWN OF QUEENSBURY j QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST REC ij &M NAME LOCATION a. P ERMIT# - SCHEDULE INSPECTION ON S & Ql 10206 AM "M • r�jce� yy)_!.93) APPROVED N/A YES NO ITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE A M SYSTEM FIRE SPRINKL ST M FIRE SUPPRESSION STEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY ❑FACTORYBLT. UGH-IN FINAL REMARKS: LM OK TO THIS DATE INSPSLIP.PUB INSPECTO 1 /b `'` TOWN OF QUEENSBURY 7 ,`�' BUILDING & CODE ENFORCEMENT � 742 BAY ROAD � ; QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: 0 FINAL INSPECTION REPORT - RESIDEN AL DATE I SPEC ON REQUEST RECEIVED: NAME re"CZ LOCATION ri..k-Jf I. DATE ITA "O TYPE OF TV TURF F7 G'C FOOTINGS FOUNDATION BAC ILL FRAMI ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING - EXTERIOR FINISH DECK/PORCH/STEPS/ ILINGS RELIEF VALVES FURNACE/HOT WATER OPE ING ....--) INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS f BATHROOM FANS 1 PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. ( i AL PLOT P OK TO ISSUE C/U UR LTC .1 r,. TOWN O4F. QU -NSBURY 1 BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Nameascrp flQ . (-3-,,./(r-U� Location f-9 j /l /(,L.4L-A-'',k/, % .. . _ I ,e . Date - , &,. -- Permit # 9i -6/ , SIB- J! SOIL TYP' . Sand Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch / TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Leng of each trench 1 5)1 Depth If trenches 1mh„ Size of stone AggiAilft SEEPAGE TS: '.umber- Size - ft. x ft. Stone si -- PIPIN Sk �YPe 0 Bl , to Tank ank. to Dist. Box H u piDist. Box to Field/Pit '- Openings Sealed? iii, No Partial LOCATION/SEPARATIO' Foundation to Tank /0 feet Foundation to Absorption .e9 feet Separation of Pits _ eet --Conforms as per Plot Plan # No LOCATION OF SYSTEM ON PROPERT . (circl n Front - Rea - Left Side - Right Side Middle o . - Middle Rear COMMENTS: n SYSTEM USE APPROVED: ES NO Arrived: Departed: 7,' , L -44?/l/ Building Inspector viiirvi WU.VI litvuTI IOW VINIMOB Oft ob cts such as houses,wells,hen fumes,etc,. r _ :iiown on this document.lobo mood that I hove personally measured the dimes sot forth on the dilliran NATURE • PLOT PLAN SEPTIC SYSTEM Notice: The following statement must be "stamped" on your plot • plan. This sheet of paper may be used for purposes of drawing your plot plan. After drawing such plot plan, please-read the statement and sign it. If you choose to use other paper for your plot plan, , the office will stamp those plans for your signature. 7 NN. W4 `lNE COUNT \ , • wrewil ,92 w • o 50' APR 3 0 1999 • 53' TOWN OF QUEENSBURY • BUILDING AND CODE � ��"✓ J 0 P C • • 'J �O, °`5' , 73.00 ' 2 OkA ‘,1! TVVJ F E MARSHAL r,/ RIk41): TOWN OF QUEENSBURY 4.406, '" QUEENSBURY, NY 12804 (518) 761-8205 FIRE MA' --L INSPECTION REPORT REQUEST RECEIV c - � ,� 51 11 E ` NAME LOCATION PERMIT# SCHEDULE INSPECTION ON '^` 9 , i 0 p , APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHER FIRE ALARM SYSTEM FIRE SPRINKLER SYST FIRE SUPPRESSION STEM HOOD INSTALLATIO INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY -sp1R Je -c WOOD STOVE FIREPLACE ❑MASONRY ' FACTORY BLT. / ROUGH-IN ❑FINAL // REMARKS: J OK TO THIS DATE k� 1LA-,otk _tiRC— 3(p :It GA- 4-7l C05 .0''()4D i CC INSPSLIP.PUB INSPECTOR GENERAL INSPECTION REPORT Town of Queensbury ,t �� Dept. of Community Development Date inspection request received: j°7 9 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive�� �i m/ Depart )a - ' n pector's Initials NAME: �,-5 Li PERMIT# LOCATION: Pa q. �` l DATE : 3J l6 e TYPE OF STRUCTURE: ((J� RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is responsible providing pro., tion from /-- ing for 48 hours fol'%wing the slacement of the concrete. Materials for this purpose .n site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo r g Backfill Approval Plumbing Under Slab Plumbing Vent/Ven • in Place Rough Plumbing Heating Rough-In 4mnsulation \\T 'l-rin FlT)r (( Foundation Walls nterior R- Foundation Walls Exterior R- Floors Floors D F AV\6 R- v/ Walls R- \9 ✓ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing \ Y[ E- G `2i ��- e Jack Studs/Headers I l Bracing/Bridging R Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping 0-. .. / cam.5 GENERAL INSPECTION REPORT P'ZI:P I, Town of Queensbury Dept. of Community Development Date inspection request received: :3 9 5 Building& Code Enforcement 742 s•ay Road , Queensbury,NY 12804 Arrive Depart - Inspector's In L, � � 1� NAME?d,f r d-- ,-,0. if PERMIT#/' -0/7 LOCATION: ,, . t v DATE : 9g TYPE OF STRUCTURE: �sz l) RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement i lace The contract is respo ible fo providing pr tection om freez'l g for 48 hours=ollowin_ the place ment of the concre'v-. Materials for thi p •se on si Foundation/Wall•. Reinforcement in P : - , Foundation/Dam reroofing Backfill Approv• Plumbing Und-r Slab Plumbing V- ents in Place 4ough Plum, ng Heating Ro gh-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 l'Fraini 't Jack ng 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 INSPECTION REPORT "''' fi Town of Queensbury � Dept. of Community Development Date inspection request received: Building& Code Enforcement �� 742 Bay Road ;(� Queensbury,NY 12804 Arrive am/pm Depart7 am/pm Inspector's Initials</Z / NAME: PERMIT# ^ C,t LOCATION: \\ DATE : TYPE OF STRUC v RECHECK N/A YE O COMMENTS Footings/Piers_r- ,vrA Q, .. ✓ Ar Monolithic Pour Form Reinforcement in Place )- i/ The contractor is re nsible fo provi 'ng protectio from freezing for 48 h rs folio 'ng the pla ent of the con Materials for this urpose on site Foundation/Wall ur - Reinforcement i 'Place 7 Foundation/Da . ppr fing bill Approv 1 , tcl_p` ✓ Plumbing Under Sla 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 .492 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive\12 *and/ 1fi Depart Inspector's Initi q a otAcO , PERMIT# LOCATION: • DATE : 3--j-:C TYPE OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible far providing protection from freezing for 48 hours followir g the pla -ment of the concrete. Materials for this p se on : to Foundation/Wallpour Reinforcement in P1. Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P - Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- 0 Q / A , 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 GENERAL INSPECTION REPORT avn) Town of Queensbury Dept. of Community Development Date inspection request received: 4(kOAQ/ Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 1 a s epart 'c( Inspector's Initials NAME: p PERMIT# l �J! . LOCATIO : el 0_ LO va DATE : ,3 - J -9 - TYPE OF STRUCTURE: RECHECK • N/A YES NO COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible p or providing protection from -zing for 48 hours following the p1.cement of the concrete. Materials for this purpo on si Foundation/Wallpour Reinforcement in Place \_ Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - 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 V s ‘-‘. .JC..5 GENERA INSPECTION REPORT - Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road b � Queensbury,NY 12804 Arrivq�� Depa : c' s,• ���� Inspector's Initi: i�i" 1� NAME: _ .., PERMIT# �lr r LOCATION: 1-0�'-- d-� / cr- DATE : ,t. ✓y TYPE OF STRUCTURE: r RECHECK N/A YEA_NO COMMENTS tingsfPiers ?fv5EV1 Ti. 11. I Monolithic Pour Form Reinforcement in P` The contractor is -spo ib for providing protectio •m fr ing for 48 hours followi a.: the pla ent of the concrete. Materials for this p on site Foundation/Wallpo . Reinforcement in P : • _ Foundation/Dam.',roofing Backfill Approv. Plumbing Uncle 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 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/6- 5 am/ Inspector's Initials NAME: I �2i'( PERMIT# —Of LOCATION: 4m'T`Le Gcm-v/a6 DATE : _ TYPE OF STRUCTURE: RECHECK /A YES NO COMMENTS Footings/Piers I _ Monolithic Pour Form 1 1 C C 4 Reinforcement in Pl The contractor is re ible f r providing protection from mg for 48 hours following the p1 cement of the concrete. Materials for this purpose on ite Foundation/Wallpour Reinforcement in Place I Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/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 S""!'":9 l AVZIPl.'9):":',19.T lt M.itTAl''A "T.Ael'J_ ',1.0. eAl'Alt, M_9 J_0 J! "C J_1 PA29.0_1.!'"Q l'"Q'A•_l'M_tt!'":J_0 J_° AQ'A'A•_VAL!J__l'J_ ,10, itTA Att:"TATAQ'4 WI ri THE NEW YORK BOARD OF FIRE UNDERWRITERS AGE`' 1 r -A, 5076570 BUREAU OF ELECTRICITY ij is F 111 WASHINGTON-AVE 3 LBANY, NY 12210 IY- d PfAY 11,1999 _. 4`4tr.^lagi 19 H 453963 rr o(I Date pptzcation No. on z 4: izc THIS CERTIFIES THAT PERMIT NO. 99-014 1 ji only the electrical equipment as described below and intro cant named on the above application number is in the premises of it i' rY !<, I,, TERRE MAJESTIC INC. , WAYNE L.T. LOT 92, QUE'ENSBURY, NY K; in the following location; E Basement ® 1st Fl. 0 2nd Fl. GAR Section Block Lot 92 i l. was examined on MAY 06 1999 and found to be in compliance with the National Electrical Code. WI IY 4 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS =4 OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rY !c 30 48 35 29 1 F Ih. �, rY" Ir DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS � AMT. K.W. OLL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. IMMI H.P. NO.OFSYSTEnFEET AMT. WATTS S 1 1Y u ,.- • SERVICE DISCONNECT- NO.OF_----- ___,S.__..____E-- -- R - - V- ----- I --•— C ---E— -- -- — —1} M TER Q AMT. AMP. TYPE EQUIP. 1 0 2W 3 0 3W 3 0 4W NO.OF CC COND. A.W G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS— A.W.G. h� -(r PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL IY • -' OTHER APPARATUS: iY 'AI I i �� POST L-�LTI�'1''.-.7 r zci g! r I !'-.1 G.F.Co I:—4 rr SMOKE DETECTOR:-6 r =r1 rY il • iI — ' pp n �, r i �<I ,� ibAdG , J , 4 4 • " . of.)L rr '<I TERRE MAJESTIC INC. :o' =-f. ��`,+::` ' 4. a I �1 92 NICOLE DR. o-� )..- °p „ �4�. GENERAL MANAGER 1 =• G Qi1EENSBURY, NY, 12804 ey- }� a.. v;�A �1 TyA+ r V Yi. i T r `!� _b-.,, ze 60 .'.., C v— Per 1 9 I _C4 V:: 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. ;} "/,Y•YY�YYVr.4Y."4YYeYiY4YYeY%YY..YY.YY.Y4YY Y4YYoYziii-r.;74,Y4764YYiYYi,.%T.4Y4Y*Wrii)76Y7.Y5-eY.YYeY5,e,4TY�Y'Tea VY,4YY�YY�niV64Y4YY-.YYiYYe,Y•Y S COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. "1 holb3 seen or oaserved,or believe II ear evidence of, p l °N ds such Es Mass,rid%twon,Incest etc.. Jiiown on this document I taw rermnt that I hive personally menus floe di3lences set forth en tgrar r • / e� NATURE DATE PLOT PLAN SEPTIC SYSTEM Notice: The following statement must be "stamped" on your plot plan. This sheet of paper may be used for purposes of drawing your plot plan. After drawing such plot plan, please read the statement and sign it. If you choose to use other paper for your plot plan, , the office will stamp those plans for your signature. ,,/ N.. WAY /`NE CDUri-1 ---__. 1._/Op.b0 ' n, ',' ,�b n . � • Wazial ,(9i 3 0 ,0' o 0 ran r -o VD • .. • 73.0O ' o-5'�o • AoT °`I