Loading...
2000-344 i t , TOWN OF QUEENSBUR Y 742 Bay Road,Queensbury,NY 12804-5902 (518)761.8201 Community Development-wilding&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: 2000344 Date Issued: Tuesday, September 12, 2000 This is to certify that work requested to be done as shown by Permit Number 2000344 has been completed. This structure may be occupied as a Single Family Dwelling Tax Map Number: 523400.074-000-0002.078-000-0000 Location: 49 SAMMEN Dr Owner: THE MICHAELS GROUP By Order of Town Board TOWN OF QUEENSBURY Director of Building&.Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 1.76900 Building Permit No. 2000344 TAX MAP NO. 74 . -2-78 MICHAELS GROUP Permission is hereby granted to Owner of property located at LOT 78 #4 9 SARA-JEN DR. 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 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 BALCKSMITH DR MALTA, NY - 3:2 0 ZO Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE FAMILY DWELLING, Plans and Specifications: 2563 SQ FT SINGLE FAMILY DWELLING WITH12-CAR ATTACHED .GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY. DWELLING, 323 May 19 2.00.2 $ PEnflT FEE PAID—TMSrPERNHT EMPIRES (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.) 19 May .. 2000 Dated at the To of Queensbury this Day of SIGNED BY _ for the Town of Queensbury Code Enforcement Officer Building- Permit APolication Town of Queensbury - Dept. of Cornnuuti/y Des'etopment, 742 Bay Road, Queens•lxityu, NY 12SO4 1761-82561 BUILDING & . CODE, ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERM17'FILE NO.e'� • 7� T beginning construction.- No inspections �,p� I'Et2M/T FEE/'rt/ will be made until applicant has received ZO�tiitg Ztoarc c Y1 $ /y g�" a VALID BUILDING PERMIT. All Area /Use �G�.�` a Iicants' WRA 2®�J-1)R,"C-CRL,AT1ON �',QF'A D$���pp spaces oa this application ofMIDST be completed a>Sd•the signature QPlannittg ,rQ ctlonof the applicant•must appear on the ' REVIEWEDBY.' SPR / Subdiviri1/ her` QrtiGlin,q truPrr�nr plieation form, rrm.x�,, r Recreation Fea J ANL)COD Applicant: T"s �' lcln2% w p _. -_.. Owner: z5 E. Address: � 4 '� t1t. � � C'2�2b Address: t. Phonc # (5_� ) a � - " I'Itanc # Property Location: t" � r� _ t LAY 6G A Subdivision Name- Tax Map Nunsber --1 - _ Section Mack 1 nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF Tilt New Building: CONSTRUCTION: $ (0.�CYI residence / commercial Addition to Building: residence / •comm.ercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial _ Single Fani'lly 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 STRUCTURE• ul(p 1st Floor. ADDITION, what will use . 1 T / sq. ft _ vof new, addition be? : 2nd .Floor. . . . . . . . if c3 sq. ft 0?�/�- w Other Floors . . sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS : 15 Detached Garage 1, 2 car TOTAL FLOOR AREA: �� SQ. FT. _ Attached Garage 1,( ca Private Storage Bu SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X — FEET Other Foundation Type: �c^aNyV2 3 Will any second-hand or ungraded Number of Stories : . '2 lumber be used? If so, for what? (habitable space only) 'Ao •Height (grade to ridge) : c> feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or wood stove (circle• all which a plies) to be installed: i Electric / Oil j as / Wood Forced Hot Air J Baseboard / Other Person responsible for supervision of work as regards to building codes i s ; Szlrnt-t CAR g��2N L.a E�yt2E Na e A dre s Phone Builder: b 2© 1� Plumber: : ason M _ ctrzcian __ E1"e : - � --- - _ DECLffRriTTON• Please sign below ctflei 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 tliat 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 Oecupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed stu-veyor; dr n to sc , sl tual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit—Septic Disposal System 7i7)vrr of Qtteens/illy 742 BayRoad Queerrcbui:y, NY J2Z8 4-(5/8) 761-82:56 1. OWNER INFORMATION: ._.................................._............:.........,............................................................... Office Use Location of installation: 9 SPAZA �-)Eio (Piz, 1 ile Perimit No C:__ ' �3 Tax Map'No. M11'✓ lCYrael ? d Fee Paid m Owner's Nae•�N�e ' ........... ........ ...................... Address: IF 1 O' 2.. INSTALLER'S NAME PHONE NO. Gat - .1C�?j 3. RESIDENCE INFORMATION: (circle year.of dwelling, indicate #bedro,oln(5) and multiply 11 qf bedrooms with applicable gallons per bedroonvto equal total dailvflUw) Year of House: No of Bedrooms x Cornputation — Total Daily Flow 1980 or older x 150`gal/bdrm = 1980— I99,1 x 150 gal/bdrnn 1991 - present x 110 gal/bdrtn Garbage Grinder Installed yes / no 2 Spa or Whirlpool Installed yes— ./ no 4• PARCEL INFORMATION: (circle applicablo information & indicates moasurements) two rap I Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supper /flat sand at what depth at what c%pth /niT,cipa� Rolling loam feet Steep slope clay if'well; water supply _%slope other fi o�i�.arw seplic-s}stem depth: ab: olptiol?is other Percolation Test: {!o he contjrlcli�ci by/icenred profe�ssiorutl vit�;irheyr or architect) - Rate: _•_•�••_._. _••ptlittr10 per inch . 5• PROPOSED SYSTEM: For New Construction: All individual sewage disposal systcins must be designed by a licensed professional engineer or architect(unless in in a Planning Board approved subdivision). Add 250 gallons to the sire of the septic tank and leach field for each Garbage Grinder,'Spa or Whirlpool Tub. Septic Tank: -141M gallon (r»in. size I,000 gal.) Tile Field: each trench. _fl. Total System Length: Seepage Pit(s): number of size,uf•each: ft. by ft: Size of Stone to be used: Ii 10 depth.or thickness —�� fi et Bed System Size: x Alternative System: _ length-andlor size —^---- -- 6: HOLDING TANK SYSTEM: (if required) Number of tanks: 1`(. ., / Size of each: .. gallons /TOTAL Capacity: gallons 7Vule: 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 tnatei•ial misrepresentation or failure to snake a n7aterial 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 requirernents of the Town of Queensbury" Sanitary Sewage Disposal'Ordinance.. �.-7 Signature p responsible erson Date Towel of QUC6 list)u ry, 742 Bay Road,Q tiectisbury,NY (518) 701-8205 Application for Fuel Burning Appliances &.Chimn Oys.., applicable to solid as appliances Date 20 COD MAY 1 7 -mit NO C:P_M L141 Pei 04" IV I Application is hereby made to Nye R the of(I B I I ildil.Igpild Use Pe)-mitpill-sliallt 10 theNeiv *York State Fire Prevel 4 C7l tv mc oele. 77te applicant oroll.'I'lel. agrees 10 comply ivith all applicable Incas, ordinances, r an urd till Conditions Mat areparl of these requirements and also will alloit,all insI)ecicirs to enter prenlise.v-to pelforin required inspectlons. NOTE to applican*t- Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information .M�25 (ell-cle appropriate-words) Name: stood: ivood coal I;ellel gas Fireplace insert Address: l f -OZ)V(f Fireplace, factory-built: wood 422s:> Fireplace, masonry: Wood gas Furnace:ce: wood (;� oil Phone: If non-ni,asonary applicance, please provide Owner:_<AME ' Manufacturer Name: Address: Model Number: Chimney Information Phone: (circle appropriate words) Masonry ck block Stolle ' ,� . Flue file . tee -size: , inches Exact Address: Y—q .5AeAJc5U 014 V,�_ Of construction or installation Factory-Built L-10 _r `1 T_ Manufacturer name: fj Model Number: Note: Listed :By I Number: Collsti-tiction I Installation must c n/oi-in to NYS Fire Prevention &Building Indicate (circle) chininey material: Coyle. Consult available Town of Queenshwy Handouts i-egarding i-equh ed inspections. Double%vall Triple wall l Insulated Direct njiltillgr Chininey Liner Fire.Varshed Code m S Collected S Rqfitnded ece R. 61C f_N')'�(r�_11,4d in):11 A 173 3389 (190) Public Safer~ c=�C�� tttlt(rcss: .4 233 2655 (230)minor W__V 7 White(Applicant) i Green(Fire MarMial) Yellow(Bid,,. Dept.) Rink&Goldenrod(Cashier.s Dept.) t , Fire i11a1•sli,al's office Town of`Queerisbury, 742 MiN- Road,Queensburv, Ny (518) 761-8205 Application for Fuel Burning Appliances &.Chimneys. applicable to solid fuel & vented gas appliances � � . Date ' ?Q Pert7lit No. ' AI)Plicatiorr is herehp rnacle io the Building& Codes Offiz'e fi,r the isstrcrnce(?fa 13rril(lilIg cntd U. Perrrrit pursuant to the New York-State Fire Pr everrtion and Ri lding C'trrle. The al)lVicant or owner agrees to conrllly.tr-ith all crlrlrlicablc>falrs, r�rclinarrcea regulations, andall conditiotrs that arepart ref` these requirements and also will allow all iiis1wro;w.'r'o'.eruei'pre'arises to per forrrr required iuslxction,s._ NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate -words) Marne: (� � r �' Stovc: ifood coal pellet gas Fireplace insert Address: , t , ; A Fireplace, factory-Built: 4vooel crs �Y Fireplace, masonry: woad gas Furnace: ivoocles oil Phone: If non-masonary applicance, Tease provide owner: Manufacturer Name: ------Address-- ---- Model Nurnber: Chimney InfOrmation Phone; (circle appropriate words) Masonry block, br-ick stone Flue file 4stee size: - inches Exact Address: 4jr> V ,`#r�.; of Construction ur'installation Factory-Built i-0 T " Manufacturer name: r 1 ������ Model Number: 2 Note: Listed By: Number: Constt-iietion I hrstallation inust con ornt to NYS-Fh-e Prevention &Brrilclirrg Indicate (circle) chininey material: Coele. Consult available Town of Queensbui-v Handouts regai-ding r-equh-ed inspections. Double mall ! Th]ple wall 1 lrr.rrdate(l / Dir c cr�c>rrriirg Chinuter Liner ��recsT�frc�.x*�,�r.�:]►+�•,�rar�ra.�t�raeat�.aa�.�--�"cs�sr,:r�. v.f�xac+�+�*,z�c�rba�c-,y, ..X17",��rr:'�'''crr,�' � Frre rtltir'shcil Code m S Collc>crc>d S Rc>Jirnticrl Recei f Jir�nr (refirncfc>rl to); � � � adrh'c'si•: A 173 3389 (190),, Public Safet% .4 233 655 (330)Mirtor Sales r +per?T f44*+t 4Vl G - r 4WSY C✓f�7APi 02 �GS}yylJ, White(Applicant) Green(Fire Nlar-shal) 1 . Yellow(Bldg. Dept.) Pink&Goldenrod(Cashiez'sDcpt} 1 n O Lo RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive `� Depart ' Town of Queensbury Inspector's Initials 742 Bay Road L Queensbury,New York 12804 NAME L 5 PE T# LOCATION — DATE flit 0-9 TYPE OF STRUCTURE. N/A YES NO COADAENTS Chimney Height"&"Vent/Direct Vent Location Fresh Air Intake ; Plumb Vent through roof Roof Complete G{ Exterior Finish Complete K Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 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 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area 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 risers 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: 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 IS"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(Ceriif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of OccupaY y)' FtRE MARSHAL TOWN C3F QUE=-aNSBURY (:;IUEENSBLJFi'Y, NY 12804 (518) 781 -8205 . FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED f � � r - NAME LOCATION - PERMIT SCHEDULE INSPECTION ON r^ A P APPROVED ' NIA YES NO EX;a: AISLE WIDTHS s� EXIT S14GNS ' EMERGENCY LIGHTING r FIRE EXTINGUISHERS , FIRE ALARM SYSTEM A }} FIRE SPRINKLER SYSTEM`t_. f, FIRE SUPPRESSION- SYSTEM HOOD INSTALLATION INTERIOR FINISHES } Y STORAGE: 't CLEARANCE TO SPRINKLERS CLEARANCE TO HEATINWUNITS REQUIRED SIGNAGE A r N CHIMNEY WOOD STOVE = 3 FIREPLACE [D MASONRY V ACT+I'7►RY�BLT. UGH-IN Eia"FINAL � y REMARKS: WOK TO THIS DATE INSPSLIP.PUB #NSPEC THE NEW YORK BOARD OF FIRE UNDERWRITERS k � OF tt ! i 1 ' 10038 t fs' :tl i THIS CE' RTIFIES' THAT i0eapiptlan �fl rlr f t If I L it 5i [* in thefollowing itSectionBlock Ilocatio ^{I was examined on d found to f'' in complianceNational Electrical Code. �I I� FURNACE MOTORS *,I i i f I SERVICEDISCONNECT • • �i " t �ti } i r ! 44"itt if GENERAL MANAGER 01b) t .! � 4 .4 ti.r • w �i Per 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. !{ 'h oil ""1,�ri�tiiY„ti�rrrifriftirlr�trrri�rr��;;riti��r/i�tfi.rrli,�7�i��i�}rr�i��ifir�f,'r',ii��rMY,.tfYrrfr;�rii;YsYY�Yi7�Y�(a����iYYfYY*i'rrl�Y,�fiYYfYYiYYiYI'�Y��f'YY#Y�Y.Y�Y*YYaYYf'r�t*Y�7fYii"iY�7fYYiYr f r, 0 N ' M G7 ro H "J t7 C� '� y "� ►� a �' z a H H H 0 0 t' H z C 0 N X 0 x H00 0, P p � z q z 0 c c 0 0 0 0 x z q n g 0 c H zco ro n z q x r] 0 � x z rS H H H P H t�0 H 7� M I p o q m m m of -H 0 Y1 a "� l 0 Z x q W % V' M N H vwH � �r n l ►� H 0 t� r� x x H n N ro H z H M z 0 H H q z 0 0 n 0 m 0 0 0 z 0ro0 ro D'o z C t' 0 H 0 M ► p a �C(n z N Z n W H o t N H r x n x t Cj w ro H i c C n m 0 z I 1 0 g 0 C x N 4 x n z � � x C q 0 t� H n 0 0 n 0 q H M H )iq t9 p IW &0 H X z q 0 0 x ro H N N ;z z 0 %H c n P H ro z H 0 0 z x 0 m to z to q3 H q x H z N n ro H n p N c p 0 N to z q 000 H H 0 k p > 0 C N Cn 3 C C c z x o z t" 0 r n t� C' z 0 . 0 0 q n H` W H a N c ro H H C �H K) a n GS0 � x nro z H H H roz - I H a C H0 n ` 1 0 a 0 u x oW H �? ^tq Qz x o q 0 0 �; xo z n on � � a� 0 H �OIO �,� ��aa xHN m zn- H G ' pp �Pmz 020 w x ��r NOoc b0 MH k '� H r H 0 M" REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN - PHASE 3 DATED: APRIL 27, 1999 BY. VAN DUSEN & STEVES LAND SURVEYORS, LLC NO CLE kR ZONE / — — — — — — 78 27.191 sq ft 0.62 acres OAK aii Du S St lA4 eves Lana Sure% 7e ors, Ll 169 Haviland Road q ✓ ,518) 792-8474 Aueenebury, New Yo: 79 MCI top 'WIALITIO D ALTMA11ON OR AD0N110N To A 9LNtYEY MAP SAWS A L10611110 LAND lL11VElM I M IS A NDLAI N IF ITEM 770k $*-WOW IL CF 1K NEV YOMN VA1E EDLIPAMN LAW •CNLY COPMi FACM 1K CMIWNAL OF 10 > JAW MANMD " AN CMIOINAL. W AE LAND KW*Vft KAL WALL x CONiDpED TO K VALID WE WPIW 'CERIIFICA110N5 MAID It = WiFY Wr THS 3XV YMt PNO MEp 1N ACCCRpANIN 911 THE C N96FW DBE OF FMACTa RN LAND i11M1R1= ADOPTED BY 1K M YOMK tTATE A38DIM1101 CIF M0N PRIWOAI. LAND MIMb4m SAID CfA1F1C11TA'JM6 Oft 16N KY 1O X POISON MR 0 0111K NO IS PNPMM AND DN 0 aw m 111E 111LE Cam, W0111 NSITAL 12601 A wm AND'm a 6s'Um 'w MEIIEON, AID m 1UE As61oIEts aF 111E to1D6ND 61tIM1u1IaNL' oroa' 47"E » 0 Map of a Survey made for RANDY A. �F NICOLA P. CONE Iury, 'Warren County, New York Town of queensb 77 • e e Of IVL C. F NO. I DATE 2Qc� —3l�i 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 INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: Randy A. & Nicola P. Cone Chicago Title Insurance Company M do T Mortgage Corporation, its successors and/or assigns CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: August 14, 2000 DESCRIPTION 1 "-30' S --1 %micR1 CONE DWG. NO. 89423-78 Now York U0. Nod 50135 i� S e AoA GENERAL INSPECTION REPORT (518) 7 61—8 2.556 Town of Quee s�ry `'/ Dept.of CEad it Development Date inspection request received:-�� 0 Buildingade Enforcement 742 Bay Queensb ,NY 12804. Arrive } m Depart�p a i spector's Initial 1 1 NAME: no fly')-i e G G w \ PERMIT# QCO LOCATI N: �1 - DATE: -: 0 b TYPE OF TRUCTUIZE: RECHEG N/A YES NO COMMENTS FootingslPiers �1 I Monolithic Pou Form Reinforcement i Place Tie contractor 1 responsible for providing protect n from freezing for 48 hours follo g the placement of the concrete. Materials for this purpose n site Foundation/Wallpour Reinforcement in Place — --- Foundation/Dampproofing ! ' - -----` ---- - Back ill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In ,"ulation A A CA 1 l� Foundation Walls Interior R Foundation Walls Exterior R- LA IC)(- _ c� Floors R- � � 6 Walls R. �-�--, Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Readers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier � Fire Separation I,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour 1wirestopping Awn, wo GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road %atpASbury,NY 12804. Arrive am/pm Depart ai I Inspector's Initials y! NAME: \�k--C o,11C-t,5 PERMIT# -3 LOCATION: DATE: 72 5 /U TYPE OF STRUCTURE: - RECHECK I}N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place }� Foundation/Dampproofing Backfill Approval Plumbing Under Slab _ f tumbin .VentlV 4s in Place y� _g C cc V zolu .Piu ibin 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 jS Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed, e Wa112,3;4`lioair restcppia�g: -rC:>VVM C:>F= C;lUaE=-hISE3LJF;Z)r CjiLjr-=r-=M,<3E3LJF;Z-vr, NY -12804 (518) 751-820S FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMITiff NAME LOCATION SCHEDULE INSPECTION ON AM PM ANYTI ME APPROVED N/A YES NOEXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS ti FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION i. INTERIOR FINISHES STORAGE: yk CLEARANCE TO SPRINKLER CLEARANCE TO HEATINGtS REQUIRED SIC3NAC3E ,--C�Hl M N EY WOOD STOVE F!,�, PLACE - MASONRY ,41REPLACE - FACTORY BUILT a-k REMARKS- 07 6 K TO THIS DATE INSPECTOR WOO GENERAL REPORT (518)761-8256 ` } ` —• . Town of Queensbury Dept.of Community Development Date inspection request received: �t Building&Code Enforcement / 742 Bay Road Q laumball,NY 12844. Arrive am/pm Depart � � pm Inspector's Initials NAME: i 6 Ell r mavv PERMIT# 0 67 3 f LOCATION: ra DATE : h... TYPE OF STRUCTURE: RECHECK 1 NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for pxovsding protection from fiming for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval { �" OX Plumbing Under Slag 1 A tnbirtg=Vennts in Place Rough Plumbing h ate,n o_ugh.,Zn,. I " Marion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated s ces R- Proper.A ent, c Ve a " ack Studs/He dens BracingBridgin �,• Joist Hangers Jack Posts/Main Beam }C A I" �t"raa ion Barrier kene Separation 1,2,3,hour tration Sealed'.. Fire Wa11-2,_ 4 hour F- 't ''rig V I. GENERAL INSPECTION REPORT (518)761.-8256 ' Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road j Queensbury,NY 12804. Arrive am/pm Depart in Inspector's m Inspector's Initials V � NAME; PERMIT# 0—wZ7 LOCATION: DATE: — — TYPE OF STRUC RECHECK N/A YES NO COMMENTS FootingslPiers � Monolithic Pour Form Reinforcement in Place The contractor is responsibl for providing protection from ezing for 48 hours following the p cement of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place FoundationlDamppr g BacW ApprovalGp . jJ %Rffiimbing 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 Framin 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 Firestoppmg TOWN OF QUEENSDURY -BUILDING & CODE ENFORCEMENT 742 Say Road Qut--c-prosbur-_y MY 12D04 (S 18) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Loca -t-i on Date C i Pe r-n i t SOIL TYPE: Sand- Loam- CT ay- ResuT is o-F Perc 7 ati ` T+est- { i -F applicable Rate-- 1 nute/ Inch TYPE OF SYS-YEN ABSORPTION FIE 0 : To t o L e n g t h Length of each trench Depth of trenc es Size o-F stone SEE E PITS : yrnib e r•- Size - t _ x ft _ Store size PIPING : _ Size Type Bldg - to Tank _ Tank to Dist _ Bo Dist - Box to Fie d/Pi t Openings Sealed ? Yes No Parti al LOCATION/SEPA�?AT OHS : Founda•ti on to Ta k -Feet Foundation to Ab orp ti on feet Separation o-V Pi s -Feet Con-Forms as per 'I of P1 an Yes No LOCA-rI ON OF SYST M ON PROPERTY: ( ci r•c7 a one ) Front - Rear - Le t Side - Right Side Middle Front - M - ddl e Rea r COHMEH- S SYSTEM USE APPROVED = YE NO Arr7 ved D+ep a r--t:ed _ Guz 3 d z �g I nspe'ctor Alf GENERAL INSPECTION REPORT ( 518 ) 761-8256 / Town of Queensbury t Dept.-of Community Development Date inspection request received: Building;&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arriv ���a a PM Inspector's Initia /.rl NAME: 1t PERMIT# ton LOCATIO �,� C 11 DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers R Monolithic Pour Farm _ Reinforcement in Place The contractor is responsible r providing protection from free.ing for 48 hours following the plac ment of the concrete. Materials for this purpose on site Foundation/Wallpour ReinCorcemerit in Place Foundat ion/Dampproofi ng y�ackfill 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 s 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 INSPECTION { 518}761-8256 GENERAL REPORT Town of Queensbury Dept.of Community Development Date inspection request received; Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depa pm inspector's Initials NAME: t PERMIT* L L4 LOCATION: DATE: TYPE OF STRU . RECHECK N/A YE N COMMENTS otings/Piers � Monolithic Pour orm Reinforcement i Place , The'contractor is respo bie far providing pro lion fro freezing for 48 hours fol owing the placement of the concrete. Materials for this se o site Foun fiou/Wail Reinforc eut in FoundatianlDampp fing ' Backfiil Approval Plumbing Under Si Plumbing Vent/Ven in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls. teriar R ....__..............._._ Foundation Wails xterior R Floors R Walls R Ceiling R Duct work or piping'n unheated spaces R Proper Vent,Attic Vent Framing - Jack Studs/Headers BracingtBridgin Joist Hangers Jack Posts/.Main Beam Air lufiltration Barrier Fire Separation 1,2,3,hour . Penetration Sealed X Fire Wall 2,3,4 hour Firestopping -TOWPI OF'�-t ►UE�fbiSBURY BUILDING --& CODE ENFORCEt4ENIF 742 Bay Rcoaa Qut c-ns;bur_y NY X2864 (519) 761-8 Er SEPTIC DISPOSAL SYSTEM INSPECTION Name M Loca-ti on Date P t--r-M i t SOIL -IFYPE: Dad Loam-Cl Resul is o-F Pear-col at-f-o Test ( i -F applicable ) Rate- inute/ c h TYPE OF SYSTEM ABSORP-rYON FXE1LD : To al L Length o-F each 'ti-enc Depth old trenches Size of stone 1 4-:—, K SEEPAGE PX-US-z-. Numb Size Stone size PIPING: -1ze Typ4q Bldg - to Tank Tank to Dist— Box Dist- - Box -to Flield/ openings; Seale%-J ? y4a No . Pay-tial- . Foundation' to Tank . fa.-et Foundation -1--o 'Absoi-ption Sapa-r-ation o-F -- Pit-s ea 4e-t Conforms as pt---r- Plot- Plan Yes . No N I-OCA-TION OF - -S'YS-T!'� �1111 , 3111 -Yes S L( cl ,rcl e one F r-on -t - - Rear e 1�,-t Right-- Side Middle Fron -t - - Rea . COMMENTS OMMEHIrS C:7 SYSTEM! USE APPROVED= YES No Baps C-1 � l r N _ 7 1 TI r f Na CLEAR ZONE MAY 1 7 2000 '0247 40 �urcoir�L rr 4 t 172-39 � � I �Ive en observed, or Deli ! saw eyce of, f ��Pc acts ch as h�:Dses, we trees ` ..ces, . A,�, th,s acur}en u F� �I!t that eta iy rp Ire istanr' forth n the r i Fit." I ----- A D00 i -73 R= 4'��