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2000-187 To **7N OF 'QUEENSBURY 742 Bay R6aa,iQueensbury,NY 12804-5902 (518)761-8201 Community Development- Building&.Codes (518)761-8256 CERTIFICATE OF OCCUPANCY C/O Number: 020000492 C/O Date; "Wednesday,July 26, 2000 ,Application Number: ,.2000187 Permit Number: 2000187 This is to certify that work requested to be done as shown by Permit.Number 2000181 has been completed. -. This structure maybe occupied as a Single Family Dwelling Tax Map Number: 523400-121-000=0015-045-000-0000 . Location: FAWN Ln Owner: SCHERMERHORN CONST UCTION CORP. By Order of Town Board TOWN.OF QUEENSBURY re o of Bu di o .Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 125000 Building Permit No. 2000187 TAX MAP NO. 121 . -15-45 SCHERMERHORN CONSTRUCTION Permission is hereby granted to Owner of property located at LT 4 5,#4 5 FAWN LANE in the Town of Queensbury,to constructor 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: CORP.- 43 H HUNTER BROOK LANE . QUEENSBU RY, NY 12804 Contractor or Builder's Name: SCHERMERHORN CONSTRUCTION Contractor or Builder's Address: 43H HUNTERBROOK LANE QUEENSBURY, NEW. YORK 12804 Electrical Inspection Agency: COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE, NY 12836 Type of Construction. SINGLE FAMILY DWELLING Plans and Specifications: 1802 SQ FT SINGLE FAMLILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING . 235 Apri 1 24 200.2 $ � PERMIT FEE PAID-TIHS PERMIT EXPIRES (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.) 24 April 2000 Dated at the T9.wn of Queensbury this Pay of SIGNED for the Town of Queensbury Code Enforcement Officer AL.-P,/&1,Ut4,Ut&45 s�rut -eip ►Ll+�arion Ii�l✓IZ of Qtteellsbwy - Delu, of Col,u,iwdfy Development, 7,12 B y Road, Qireensbwy, NY 12804 1761-82.561 11UILDING c@ R. . CODE ENFORCE, AlENT NOTICE Requirements prior to issuance - n Kermit n:,81 Igo oblahled before of this permit: 1'EI2M/7'I7LC Na.-�(� t�oginrling conntructloo. No inrrpectiowt 43> will lw ulat<I� s»tit npplicaitt fins rcccived 1� Tarthlg Board Action /'ERA4tT FEE PAID$ n VALID I3UILDINa PERMIT. All Amn /Us''c C applicaoin, Shares oil this lippliclltion RGCRCA770N I'E I' D muss be completed and.(lie sigolituro Plarrnlrrg Board Action RI-1- BK- ✓ _ of tho npplicnut ►Host nl:llertr oat the _ Stibdivisioll /other hdfda,+g t,Gy+r,•ror -�— )plication fortn. rn-t?.,, - Recreation Fee I'ayntcnl Applicant: Sc�es',+net'] ores C.,�Si Co•t'-p Owner: `44 -- 5;4N11 Address: 43 ij I1.,nke t- Fick> k_ 1 AJ Address: Phone # ( 5 g ) qro Phone # _ Property Location ---- --___ ----- / t� 'ratx May:hluntber Subdivision Nit me. Sl%f_tC y%itu3 i'9A!E S - Section Block I xit NATURE OF PROPOSER WORK: ESTIMATED MARKET VALUE OF THE New Bu�.ld n CONSTRUCTION: resdencj comrner_cial $ . doo Addit on o L3tiild3-rig: residence, / coininercial OCCUPANCY INFORMATION: Alteration to Building: Pry-inary Building - residence / commercial _ X Single Family Dwelling Residence / Commercial Two Family Dwelling no change, to exterior size Faini.ly Dwelling Office Other Work (describe below) -Mercantile Manufacturing f � Other GROSS AREA OF PROPOSER STRUCTURE: 1st Floor. . . . . . . . /031r sq. 3`� I£ ADDITION, what will use of new, addition be? : Znd ,Floor._. .--. ._. . ._- 7­4 _ $q.- ,t;,7 - -- ----- — - - - Other Floors. . . . . q, (not- unfinished cellar or basement) (ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: /86--L SQ. FT. �_ Attached Garage 1, : 2 car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 5.1 FEET X FEET other Foundation Type: ar7e..e-4- Will any second-hand or ungraded Number of Stories: lumber be used? If sor for what? (habitable space only) N o Height (grade to -ridge) : .26, :teen TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle' all which plies) to be installed: ,/` Electric O' t / Ga / Wood e l*reed lot. Ai�/ Baseboard / Other ------------------- Person responsible for supervision of work as ' regards to building codes is : 6"rrs b Coca. �F8'- off?y Ndfue ` Addresss Phone Builder: �`c�nF��n.t.�� Ir�6r.1.1 C`o.nz+. 0.er D -4z?g-04,'7y Plumber: S-Fc--.f e al e.t_7 97y7 S6 9 3 Mason: D-.44 1 J �3Ja ,Lj A.AJ ?4--j - 1.r71 Electrician: 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 file Building Cade, the Zoning Ordinance and all other laws pertaining to the proposed work shall be cot plied with, wbef er specified or rioted, and that such work is authorized by the owner. Ttirther, it is understood [fiat 7/we shall submit prior to a Certificate of Occtiparicy'or Certificate of Compliance being issued, :in AS BUILT PLOT PLAN by a licensed surveyor; d awn to scale, showing actual location of project on premises. Signature: ,t" P. (owner, owner's agent, architect, contractor) Application for Permit—Septic Disposal System, Town of Queensbuiy 742 ay_Roa Queensbuy,-N-Y 12804 (518) 761-8256 1. •OWNER INFORMATION: m5ke E ��:A ' Office Use Location of installationb'1 ,f} � File Permit No. Tax Map No. She e,r��e�y►o(` �25 �d' = Fee Paid Owner's Name: [ Address: 2. INSTALLER'S NAME : � —�`�`�" ('�to I PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: Na of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980—1991 x 130 gallbdrm =- 1991 —present x I10 gal/bdrm = Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes /. no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat sand at what depth at what depth municipal Rolling loam feet feet well . 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) 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(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 1,000 gal.) Tile Field: each trench ft Total System Length: ft. Seepage Pit(s): number of size ofeach: ft. by ft. Size of Stone to be used: ff / depth or thickness feet Bed System Size: x Alternative System: 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 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 res ect to this application and agree to abide by these and all requirements of the To of Que sbu Sani ry Sewage Disposal Ordinance. Sign ture Of responsible person Date ' "�it.(•.v'11�..;";.r.".. t.f �. ,..... .,-- . 4,,.. ;,�v-ti.,_. ,,.{.:..-v z . , yvvu,r ✓�' �.,..-z;,,�. ,�-gt..�,..,t. ,..- -v."" .-. -. .._ TOWN OF QUEENSBURY 742 Bay Ad., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS , Date 1 o h9 42 0 0 0 Permit No _ � , APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York Stated ire Prevention and Building Code. The applicant or owner agrees to comply with all applicable'laws, ordinances, re ulations, 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 i ;':�,ti y r,r, � APPLIANCE (check appropriate boxes) Add ress ,❑ STOVE: ❑Wood ❑ Coal ❑ Pellet b Gas ` - ' ❑ FIREPLACE INSERT zip r .16 FIREPLACE, FACTORY-BUILT: W % ❑ Wood 0 Gas Phone --� � ,, s r q�Fl"REPLACE, MASONRY: ❑ Wood ❑ Gas Owner 1 *ter ¢ . X FURNACE: ❑ Wood dDil Address IF NON-MASONRY APPLIANCE: N{ Manufacturer: 4. Zip Model; —_ -- ----- Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction MASONRY: ❑ Block ❑ Brick o Stone ` A10FLUE: ❑ Tile a Steel , Size: inches CONSTRUCTION 1 INSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION &. Manufacturer: Model.: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: 'TOWN OF OUEENSBURY HANDOUTS ❑ . ouble Wall da Triple Wall REGARDING REQUIRED INSPECTIONS. 0insulated ❑ Direct Venting, o Chimney Liner Cashier's Department., Town of Queensbury, New York Dept:"Fire Marshal Amount Collected Amount Refunded Code Number Title A 173 3389 (190) Public Safety A,ZI-3'"2655 (230) M-inor Sales E:eOCo.11ected Froth or/Refunded to Address: Dated: j. �d" Town Clerk or Deputy: `' ..�' 9 , White: Applicant Green Fire Marshal Yellow:: Bldg. Dept. Pink & Goldenrod:Cashier's Dept. ENERGY C'ODE COMPLIANCE 'APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Fdmily Dwellings; Multi. -Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICP-'qT' S NAME: PROPERTY LOCATION: co(-'S�"' c3or' P.- Lot 45 Fa-wt-P _Lt'j' PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - / 302.- sauare feet 2 . T-Y*-.)e of Heat - Electric Oil V Gas Other 3 . .Is building mechanidally cooled? Yes v No 4' . Pe- -centage of 'area of windows and doors Over 17% Under 17% 5'. R-VA_'r_..TJES FOR INSULATION GIVEN BELOW 114TUST CORRESPOND TO R-VALUES AS $HOreRN ON PLANS SUBMITTED: a . Roof R . b . Exterior walls R C . Glazed areas R . 4 terior doors d . Exterior R e . Floors over unheated spaces R J.? Edge of slan on grade (heated building) R C. Basement/cellar walls (above grade) R Sas6ment/cellar walls (below- grade) R Heating/coo I inc-ducts-piping in unheated space R il,4e 6 . Service (domestic) hot water heating device Con-forms to efficiency per code Se Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Apo lica at Date Phone Nuim' er '7 7K- 0 G-7 3/ INSPEC--OR' S REMARKS: RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement , Dept.of Community Development Arrive am/pm Depart �I Town of Queensbury bspector's Initials 742 Bay Road Queensbury,New York,12804 NAME 5e�lC�-72 610�MAJQA) PERMIT# OZ)�l 7 LOCATION DATE 2- TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers -4— Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grad Gas Furnace shut-off within 30 feet or within line of sit Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operatin Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish BathroomMitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofmg 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 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) Wed, 1/"36-/z eon RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: ' Building&Code Enforcement Dept.of Community Development Arrive_ am/pm Departl am/pm Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New York 12804 // — S NA1� 5 c•O e..&rn a A-/a PERMfI'# t7� LOCATION („ ',*4/, r DATE ?6, f�G' TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/'W"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete ` Exterior Finish Complete �. Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 i .or more Interior Handrails stairs both sides 3 or in re risers Grade 2%away from foundation y _ 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18" Bove grade Gas Furnace shut-off within 30 feet or wi line of site vo Oil Furnace shut-off at entrance to furnace Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,`6 ft.4 in., Handrail exterior stairs both sides more than 3 rise Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: 1 every level 1%� every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per ogleCM�2- Site Safety glazing 18"o ' orFinal Electrical �Plan/Variance requ' ed 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) F=IF:;,xa MARSHAL TOWN OF (:aUaIEM,4E3E3UFZ"v" C)UaEF-M,lSE3UF2Nr-, M*)r 1 :2804 (518) 701-8P-05 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT W NAME LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LI(3H IN(D FIRE EXTINGUISHER. FIRE ALARM SYSTEM FIRE SPRINKLER SYST FIRE SUPPRESSIC>N SYS M HC),OD INSTALLATION ;NTERIaR FINISHES ST(DRAGE: CLEARANCE Ta SPRI N KL RS N U CLEARANCE TC3 HEATINO NIT REQUIRED Sl(:3NA(DE CHIMNEY woc>D o5�xc>VE F15 CE - MASONRY N,r-IREPLACE - FACTORY BUILT L000ll, REMARKS: OK TO THIS DATE INSPSMP.PUB INSPECT40-F;Z- aL FIFE MAFaSF-1AL 4E TOWN OF QUEENSBUF�Y C�UEENSBUF�Y, NY 12804 (51 8) 7GI -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION ' PERMIT # eoe-"� — t e-7 SCHEDULE INSPECTION ONir AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRNKLERS CLEARANCE TO HOATING UNIT REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE E-1 mASONRY ED FACTORY BLT. EA UGH-IN FINAL REMARKS: 0 OK TO THIS DATE Cb e� In+spst-1p.PuB INSPECTOR z c� z H • AM i � W H u W z z Wz� W H Q ON HW W W" 9H " " aOAcv W � aaw ozo HW� wWa k I a �zo 1414�i Q .4 �/� C u aom] 0 w o H 0 ��� z ju Q H f; 0 F OH A A 0 W ZNt �' HYm—W U �H W z IS HA a 0 ( ON z H w U a a w 4 0 �,; a a4 U -_,. p W z a p w a N U N 4 0 a z 0 z z u z W a H a w W a 0 a 0 H 0 H OChU w 4 z Q Va u a M U H w i H ( U WzH z H W W 'a a z 0 N z a H u H 1 a H� O z z H ( w 0 0 H z X H a i H W H M ? H 9 0 U 0 0 U H z w W A i� W > w a 0 0 H a a 4 W W W z U s H N N aW w U 9 z a H W W, W H 0 W W z �+ W rh z as U > a W 0 H W 0 a� 9 0 0 ,, z 0 w UaW >i z 0 'O 0 w 0 � a u A O z H a [4a WH W H H I O z W H z H Da �4 U H w w W W 0 H : W U a ` H W W W HO4 H W r� N H x W W W � M A l a a 0 W i W W x H W HC H H H z W d H z U, N N OAz H w 0 H U a �+ H W 0 0 �C 0 H p H 4 4 0 9 00 x 0 X W W a z E+ a 0 p A z 4 O H WWW ' U W W A w H W W g A + N 0 i i i , MAP REFERENCE: SHERMAN PINES SUBDIVISION BY MORSE ENGINEERING P.C. FILED IN THE WARREN COUNTY CLERK'S OFFICE ON JANUARY 29, 1993 COMMON AREA IN PLAT CABINET A SLIDE 197 44 , 47 S64,4� S Ip3 p p,04 45 0 10,300 sq ft AV 0.24 acres OO• ,_ p/pF0 n' 40 0 � cry RqM Ry �00 /, o �ry yO�SF O nos / i o . f h ©o' 46 �.Sp'"{y boo 1 HEREBY CERTIFY THAT THIS MAP WAS PREPARED Iy 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 I AND LENDING INSTITUTION LISTED HEREON. 4 CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. �, JUL 2 4 ZOOO � I Vt " f .'URY CERTIFIED To- CLEMENT MAHADEO TO�Nv F �G COUNTRYWIDE HOME LOANS, INC.. BJILDIIitID CO ITS SUCCESSORS AND\OR ASSIGNS ` , I OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY I CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 T DATED: JULY 10, 2000 I i • ���\ - ' Date: JULY 10, 2000 j D us •UNAUDi M XTEUTM OR AOIRDON TO A MWY Scale 1 "=20' a MAP BEARno A LCENSED LAND SUR10M SE& fS A Map of a Survey made for VOLA" OF WCHON 7M. SIB-dM90N % OF THE NEV 7ORK SrATE ED "11ON LAZE• S i e v e s D COPES ON TIRE O 7HE � TMLI SIRVE7 NARIRD N11N AN OfaORiAL OF 11E LAtO SJNYEYORS [�I SE& SHALL ME CONSIDERED D TO ME V" TRUE CO W S �� IS MONEY RREPARED IN A SQR17 WN CLEMENT MAHADEO THIS SLRRVEr wAs PREPARED H ACCORDANCE wtH 111E Land Surveyors, L C E%ISIRRO DCUE D. PRACTICE SOC RAID OF PROdRS ADOPTED i ar THE NEW VORK SPATE AS90CUTIOM a RNRORESSIaNAt LAND SJRVEMM SARI CEATFICATRWS WILL RUN ONLY W THE PERSON FOR w10M THE SURVEY Li PREPARED. AND - - SHMT 1 OF 1 - ON NRS BEHALF TO THE TTLF COMPANY, 00VERNNENTAL i69 Haviland Road Queensbu New York 12801 AGENCY AM `°'°"° M51A ON L� Ham, AM Town ' of Queensbury, Warren County, New York ry, TD THE ASINCKETS OF THE LFAOINO HRSTMON.• MAHADEO (518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. ` 94246-45 i LUNIMU1 HAL111 U&I KICAL ON&11W HAY ILL Ifts Main Nee 17 Igoe Run Road,- Manheim, PA 17845 , I I MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL Panel Board 1w11111f11}1411}.if!!}f}}fiii141 •'i6 6 Cut-in Card No,illiNilifili.,iN}}„i!!}illl��iN} i 1 8 01 W } � .•erf..Hiii,H,11f..4.4f41ti.,l4,4H.14flfiilifflfiffN411li4f ifffff4fiff4flf4ififfflfifffEfl.f.iiiiiiH if4i„!ilf if iflllff4ff4lffffffffflf..fl i.f..f fffffffifff/.f loft... All r*v A) & Location, offloollo fill#MMM to IM IM 0019#104i144iuff,.ff.ff010141f1 f14foff4 fffffffifffifffNfffff OM fft 90% OV jfpi!;� Installation Consisting of,Most 31 5 il.f4 ......... ,ff.fffiffff fief }0i+l. .1. Nifif.lf}iff}}iHf♦ Ifflflflffll(IIIIi..f.F/ii.fiflf.4ffl1 f,4f,lfHllif.iif IMN A" •off 11 fifit..ltf,114f.iii}fHH141Nfififflffffffil. .../ilfffll iilfffHfltf f ,if, illa.. lflN,.f.fHffl,ffff4l.iff.Nl.I U.Hffl.Ifff 111iN.,N 111.411f 11 r fffiff off f.1,ffq,..ff.H♦fru.,..4f.i.11f4f.nuffrf4 pot ffff Ito iff4f soft 4fffNi.offfiffMIM feet ffI off 4 off f},f.too.. m$$t4..f.flNipfu•u.nrii,i4uiffiufiifaffff„H1 off I Installed �1 iu.i..fi4i.4f1fififNiiNf,fffiff }f,„f„ }}if4ff44u4rffffffN4i4ii.4ff4if..4iiri.ffu Lie, Not i,fii,.ff,f.nunf.i.u4lfiff,f.ifff,.fff..ifi.ff 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 makin inspections at any time, and if its rules are violated, the Company shall have the right t re oke 1 ific e} Datefffffffiffiifif.,N,i14f4f1of4111.....l4444tfl1.11 INSPECTOR YNi,i.i44111H1.4144ff..f,ffl.fil..f/il..ii,if,fff•f•fi.fi.i off little 11lff4lffff...ifi l.iff 'J./ C Member NAP.A., LA E-11 GENERA INSPEeTlQN 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 Depa) am/pm Inspector's I�rn..,�iyt-iial -- NAME: C ��� PERMIT 4 �U l LOCATION: DATE: Z!1 �✓ TYPE OF STRUCTURE: RECHECK N/A S NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsiRe for providing protection from freezing for 48 hours following the pla ement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing \ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place _.,. Rough Plumbing Heating 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 Framing Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam f r Infiltration Barrier re Separation 1,2,3,hour netration Sealed re Wall 2,3,4 hour restoppin h UR S ttrr 71�0 GENERAL 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 Inspector's Initial NAME: JCC.�e.A M" AOAV) PERMIT#2-o 0-v LOCATION: f S r,y� Ar0 DATE : 2-0 TYPE OF STRUCTURE: RECHECK N/A 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 placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour , 1,.,Firestopping � � Wed . 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 Inspector's Inittail* Is NAME, PERM[IT`# Z 000-/CP7 LOCATION:/,,Q tarn/ DATE: TYPE OF STRUCTURE: RECHECK N�/A , 0 COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemen of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place- FoundationfDarapproofing X Backfill Approval Plumbing Under Slab N Plumbing VentfVents in Place 9P.19lumbing se,,ne-n Tih4oa:2, 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--- g-"� re Wall 2,3,4 hour - ig. /L)o f0 GENERAL INSPECTIQN 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 m Inspector's Initials NAME: PERMIT LOCATION: DATE : — — TYPE OF STRUC RECHECK. 1 N/A YES NO CO S Footings/Piers Monolithic Pour Form. Reinforcement in Place\ f The contractor is responsible for providing protection from�freezing j for 48 hours following the placement J of the concrete. \ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place f " Foundation/Dampproofing Backfill Approval '" . Plumbing Under Slab �a Plumbing Vent/Vents in Place Rough Plumbing 1' Heating Rough-In r y � Insulation ✓ 'a Foundation Walls Interior R Foundation Walls Exterior R- Floors R Walls R- Ceiling R- Duct work or piping in unheated sgaces R- Proper Vent, Affi c Vent Framing Jack Studs%Headers Y Bracing/Bridgin Joist Hangers �; Jack Posts/Main Beam \A `"filtration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping PIFZF-= M^F-NS"^L- -rC:)VVM OF (:;lLJE-=f=-Mc3E3LJF;Z"Y 4s (:;lLJlE=r-=f%Jc3E3'LJF;Z)r. 'NY 12804 atw (518) 7SI-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVEFD PERMIT It f — 4!S6;'-7 NAM E LOCATION SCHEDULE INSPECTION ON Ar AM PM ANYTIME APPRCWED N/A 'YES NO. EXITSAISLE WIDTHS EXIT SIGNS EMERGENCY' LIGHTING FIRE EXTINC3U[SHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM-----/'� FIRE SUPPRESSl b'TE HOOD INSTALLATIC:>N INTERIOR FINISHES STO RAG E: CLEARAN;CE/- T SPRINKLERS(3 : CLEARANCE OHEATiN<3UNITS k REQUIRED Sl(:3NA(��E "ICHIMNEY VVCX3D STOVE \2FI PLACE - I\�A/sONRY oq ;Z PLACE_: FACTORY BUILT k<-c-a ^e. Aj REMARKS.--I=(-- F--j OK TO THIS DATE 114SPSLIP.PUB INSPECTC>R 0-1/0 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 De and,� m Inspector's Initials NAME: PERMIT#,fm-)T-1,R7 LOCATION: cy��`. r'V TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Tr l Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site �:) Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Hea - g Rough-In Foundation Walls Interior Foundation Walls Exterior 'Iv- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- a _r Vent,Attic Vent `�F.ratning ,.. �Br cS^'t 'ds/Headers ingBridging Joist Hangers / Jack Posts/Main Beam Airy arriee ;epl�rliooln'k�,2, 3,hoe Penetration Sealed F'te Wa 2 3,4 hour f ?"z sese win tJc! jG�i � l . .,__G,�.�',�'RAL ZNSPECTION.� EPI�RT (518) 761-8256 Town of Queensbury Dept,of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 128U Arrive mm Depart fnspeetor's Initi NAME: PERMIT# C � LOCATION: DATE: Le —_ � TYPE OF STR C CZC'V) RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is re ible for providing proteetio from free ing for 48 hours folio "ng the place gent of the concrete. Materials for this pui pose on site Foundation/Wallpou Reinforcement in PIE ceL- Foundation/Damppr fing Backfill Approval � � Plumbing Un Sla Plu g Vent/Ven in gh Plumbing Heating Rough-In r Insulation Foundation Walls nterior R Foundation Walls xterior R- Floors R- Walls R- Ceiling R- Duct work or pipin in unheated spaces R- Pro Vent,Attic Ve Jack Studs/header Bracing/Bridging OF Joist Hangers M13�Y 1� Jack Posts/Main Beam 1J{���pti C3C�`j t 1 J 1�J(jN1 Air Infiltration Barn r Fire Separation 1,2, ,hour Penetration Sealed QE fit, 1Q Fire YValI2,3,4 hour F' stopping �;,,�,. ���:�a�._� ��`► �" rb��.... von LL- GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queenswry Dept.of Community Development Date inspection request received: rp 92M-0 Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart am/pm Inspector's Initials NAME: PERMIT# LOCATION: .... DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Hers Monolithic Pour Form Reinforcement in Place The contractor is responsi e for providing protection from reezin for 48 hours following th place ent of the concrete. Materials for this purpose or sit Foundation/Wallpour— Reinforcement iinPlaqq.� Foundation/Dampproofing­ Backfill Approval_ Plumbing Under Slab Plumbing VenUVcnts in Plic Rough Plumbing Heating Rough-in Insulation Foundation Walls Interio R- Foundation Walls Exteri(r R- Floors P Walls R- Ceiling Duct work or piping in unheated spaces Proper Vent, Attic Vent - raining 7Z Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Bcani Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3,4 hour Firestopping v -�� �, va a a v� 'j.w -4H(+ a, � -J, M (D W �t-�,(D v �, o � Qo n : ,oC nn(DoaaV0NmNV � (A -0-ho M c+ 0 ti a we 1 Q :1 " )l -h.Dr 3 H:1 (D '0 0 rq C r (D a (D rl -4H.] 0) pjpH :3 m 1 0 0 (D"a (+ .4 4. 0� o C+ (+ C+ vQw mo r+ „ o tn � a c o-o o � o11 0U � � � 0 (A � . —1 (D � (+ cI� 0t © C� H rot r CPO 1 (D o `S � c+ C+ �, .� a a v "C r ( �c x c z � c+ �h � � m m ' r Q(D 0 a. @ ? @ o ;+ t+ C+ V % GENERAL MSPECTION REPORT \Ij (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804, Arrive af� Depart specto s n; NAME: XOYV\J�\"-nc'o PERMIT 1 7- LOCAT1009-.- -J_46��t q,�5 'FCK,�k��LQ)L�DATE Zf> TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in,Plak'e The contractor's respons' e for providing proted'qon from ng for 48 hours follo * g th p cement of the concrete. Materials for this purpose n site Foundati nfWallpour Reinf cement in Place Fo tio ampproof! g ckfill Approval Plumbing Under Slab Plumbing Ventf Vent in Place Rough Plumbing Heating Rough- Insulation Foundation alls Interior R- Foundatio Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping mi 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 ( 51.8 ) 76J.-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depa .' ?a)nV, Inspector's Initials A,�-- ---/-...... NAME: � c` PERMIT# � �t I� LOCATION: Ci u—ly1 DATE : aerub TYPE OF STRUCTURE: S(Z�7)C'� RECHECK N/A YES O COMMENTS F ings/Piers i Monolithic Pour Form 00/1 Reinforcement in Place r The contractor is responsible or providing protection from f Bring for 48 hours following the laceme of the concrete. Materials for this purpose n site Foundation/Wallpour Reinforcement in, lace Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls In rior R- Foundation Walls Ex erior R- Floors R- Walls R- Ceiling R- Duct work or piping in unhealed 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 Inspector's No. Date 19 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 0 Other ... ............ ...... ............... ..... Type Bldg. DWG Owner....... ...... ...... Occupant ....... ...... ....... ............ ........... ............. .................. Building Permit No. ........ Job Location..... :.j..... ... ...City ........ ...... ........................ ................... State .......... County—.... ............ ......Twp........................ .........M/C#..... ............... Swimming Pool—New 0 Old El Directions to Job Site .............. -............ .............. ...................... ..........--........................................gv.. .............................--....... ...............—.............—.................. a......................................................................I............ ..........................I....... .....................-.--........--........-.........-. Application For Rough Wiring, ......­—.......... ............—..............-......................-......-..... ............................. ....-.............-..... Fixturesor ........................................................................................................................... Work—New U, Additional El Bldg.—Newj0 Old 171 Ready for Inspection ....................... .................-.............. ...... APPLICANT'S PERMIT LICENSE SIGNATURE PLINEASAME NE PHONE# NAME APPLICANT'S NAME OF .ADDRESS 4 L UTILITY OFFICE TO CITY STATE ZIP CODE BE NOTIFIED ROUGH WIRING SPACE BELOW FOR USE OF INSPECTORS ONLY AMP SERV OUTLETS EQUIPMENTIC E PUMP HEAT OVEN SWITCHES PUMP SURFACE GARBAGE RECEPTACLES UNIT DISPOSAL UNIT MEDIUM BASE RANGE FIXTURES ................ MOGUL BASE WATER DRYER FIXTURES HEATER FLUORESCENT AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR FRAC.H.P. 0 WIRING&CONTROLS FOR BURNER FANS OtIART7 FIXTURES VENT 2 3 -5 7-1/2 10 * I 50 75 100 I ARK NUMBER OF EACH SIZE r3 1 1/2 3/4 1 1 1 1-1/2 1 15 20 25 30 411 1 11 MOTOR&H,R 1/20 1/6 1/4 M I I Inspector's Comment '0014 LOVELAND "ItLveetar 0;.00.BOX 706 wous,W 12M (Sig)64W24 — OFFICE USE ONLY WORK INSPECTED NOTIFIED REPOR TED < 0 FEE PAID SERVICE,DATE CON- TOTAL $ Date Received: TRACTOR R.W.DATE OWNER CHECK NO. FINAL DATE OCCUPANT CHARGE Certificate No.: CERTIFICATE NEEDED jAGENT - I CASH Date Sent- 0 YES 0 DUP ELEC.---T LT,-CO. I -- 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/CUSTOMER :1 41w V.MW vu 40 atlVOQ F ar Ala *,,,,o,,..,4 all. GIAOud,1*4 , V 40 AltHoilloy .L (A t,, I/ 4o0v 14011010s3 , SV 143OX3 Ak. 43 v .7JI134 WAS No "Molls - 4 sw4l.wly"d 1VHoj1j-1,1'30uvs 0.1=dsv q stion 39 11 1.11 VN I Ist X" ,,"Lo'las ( -1 .1-S 31, ONI G It f)VKVG 'to 0�13 0, lf�V;?I-XV s(Illyl IY31axz *,IS I'll" V-- 11,11.11. A 0 3 t3134VIG IIY !,'1'10 0 RV KQHVO 1-1-fWS So 3 11011V139JA 0011"31,43 iNkr sfm"0430 -10 9,19 IS110D "2-;-.v �f)-71 !f ,Two i'I'A Im it N, Kl ISPA 41 't 1W,S),,,,3S-1 .......... A4 • so i 'Jiv AJ--- —ww r rYl is..,..w ve w = / a�"../i1 / fs fU%`''' �.R/!,I ri to g, NOR31VO PEAM, L- Coll,w "-kueAv1p 80 UO PS ns Aill6sia-d (b n1ftA u WOO PIA P" rg, . 1W 119 -- . 1 souep"No IF ICU L) Ll —P p.--. 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