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2000-399 TOWN OF 'OUEENSBURY 742 Bay Road,Queenkry,NY 12804-5902 (518)761-8201 Community Development.-Building& Codes (518) 761-825G ECI " ANry OF... Permit Number: 2000399' . Date Issued. Monday,February 04,2002 This is to certify that work requested to be done as shown by Permit Number 2000399 has been completed. Tax Map Number: 523400-308-017-0001-010-000-0000 Location: 11 BIRCFIFIELD Dr Owner: PATRICK&THERESA WILKINS Applicant: WILKINS,PATRICK This structure may,be occupied as'a By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building&&de B rcement. BUILDING PERMIT Town of Queensbury,742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 100000 Building Permit No. 2600399 TAX MAP NO.. 12 4.-3--2 WILKINS; PATRICK Permission is hereby granted to WOODRIDGE DR. Owner of property located at SINGLE FAMILY DWELLING in the Town of Queensbury,to construct or place a x 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. 39n Ls H 9TH LANE- QUEENSBURY, NY" 12204• Contractor or Builder's Name: WILKINS, PATRICK_ Contractor or Builder's Address: Electrical Inspection Agency. . r Type of Construction: fir: ,I S.'INGLE,_�FAMILY D.WELLINJF Ga Plans and Specifications: -SINGLE-=FAMILY�DWELLING�3,WITH• >3,-.CAR,-ATTACHED.,,GARAGE: AS PER ;.PLOT--PLAN: SPECIFICATIONS t .-�, Proposed Use: ;:.SINGLE;...-FAMILY;,,;=DWELLING,),, ` c h3"3O Yx�;' W+-.tl - .� 4Y•x�r i&,�If."„t s•J3�ASaHy,Lp �.15... tt-ciyY( a�?"1a2'l.Y ui�_ yh 6•�d_r.. uii .r':_� .-�.O pit 2. , $ PERMIT FEE PAID-THIS PERMIT EXPIRES - (If a longer period is required,an application for an extension must be made to the Code Enforcement, ,h Officer of the Town of Queensbury before the expiration date.). it. xsJ�l Y-r? ;s52.00 Dated at the Town Queensbury-this Day of - x SIGNED BY for the Towo of Queensbury. Co OrcemeAt Officer .d>'• hg s ,�O w i on- 1 own O, -_Q1.leensbut y - D�pt. .of Cnmmurrify Devehrpntertt, 742 I3cr=Read, � N(`� BUILDING & . C O D E E N I%O R C G 41 l Qrre�ir,sbur}=, NY .I28fJd j7G1-32.5Gj OTICE - Requirements prior to issuance of this permit: =CEA C A permit must be obtained before PE bogifutiag ci))1N.roCtion. `No int=pcctionr) _ 2will t)cs txutcle until upplicatlt Tuts received U TAttirlg llaatti I`t}It p"@ � _ t't= }I J f aa VALID BUILDING PERMIT: Ali Atca _/Usc � vjnpplicants" spaces on ibis apptication � "'0E. i1ID$_MUST lxi completed.«p tlr siguttturo Q Piannittg Board�c7ft>�t 0 7 20Q �of tlxo applicant-must appear cut t e IZGplication form. xrw e),„. SPIt t SubJivisiir)t1tCI�armdr,a,= t,��Kr,o,•Recreation Pee IQUEENS y; � r Applicant: aAI IK%tJs' Owner � � �. ��` /✓ - S' Address; 3,< Q,)���)�,4i� Address: Phone (I_S*-IA�_ 9/Z. - oS3 Pl►one I1 Property Lacntioii: a � �=��✓ ��'�� Subdivision Nanicc - �' Tax M:�,11 Nutubc r Section Block 1 t1t . NATURE OF PROPOSED WORK:i""_ ESTIMATED MARKET VALUE OF THE New Bull $ residence / commercial Additaan uilding': residence ./. commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - - residence / commercial ,/Single Family Dwelling Residence, / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office Other Work (describe below) Mercantile Manufacturing ' GROSS AREA OF PROPOSED STRUCTURE- Other 1st Floor. . . . . . . . sq. ft 6���,� ADDITION, what will use 2nd .Ir I oor... . . . . . J 't/� sq. f.t of new, addition be? Other Floors . . . . sq. ft, (not unfi.ni.shedcellar- or basement) ACCESSORY BUILDINGS. Detached Garage 1, 2 car TOTAL FLOOR AREA: $' SQ. F`1'. Attached Garage 1, 2 car Private Storage Building SIZE OF NEW STRUCTURE: F Commercial Storage Building FEET X .TZ.. FEET 4 �hqj�� -�' Cyr Foundation Type: Will any second-hand or ungraded Number of Stories: lumber e, used,?- If so,- f r Itaf�'? (habitable apace only) e.X n? f ,.,S� p �lC �r�,,q Height (grade to ridge) feet TYPE .or ctISATING SYSTEM: Number of fireplaces and/or Into tove (c ircle' all whict lies) to be installed: _ Electric / Oil / Ga od Forced Hot Air / seboard % Other Person respo,,�}}z�sible for supervision of work as regards to building codes is: ,/ � GcJi,L�;'>Jt' 36 'ia�i3c� :L OS/2 -c3S3S Nmiite Addresss Yhoue Builder: f��� - G�Ii;G �;':.,.9s - Plumber; Mason: 2 t> Electrician: DECLARAHON- .Please sign below after you have carefully read the statement. To the hest 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 tltc Building Code, the Zoning Ordinance and all other laws pertaining to Elie proposed work sliall be coti,piied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shalt submit prior to a Certificate of.Oceupancy'or Certificate of Compliance being issued, an AS ELJILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: 4���t,% (owner, 'owner's agent,architect, contractor) Application for Permit—Septic Disposal System Town of Queens billy 742 Ba y I?oad Queeusbuiy,Nr,12804 (518) 761-8256 I. OWNER INFORMATION: E C EF I V,P ..........­­­­......................................... ............. ............ Office Use Location of installation: i1c Permit N— Tax Map No. /Z N C) OF QUEEP Owner's Name: �j� d UILDINGEA IS ................................ .............. .................... Address: 2. INSTALLER'S NAME PHONE NO.ASl 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(i)and multiply# oj' bedrooms with applicable gallons per bedroom to equal total dailyflow) Year of House: No. of Bedrooms x Computation = Total Daily Flo 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 —present x 110gal/bdrm = Garbage Grinder Installed yes I no Spa or Whirlpool Installed yes no 4. PARCEL INFORMATION: (circle applicable information &indicate measurements) TopogyraDhy Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Suppl (� an at what depth at what depth municipal "'- ng loam 6`0-��9' j&et well Steep slope clay ifwell; water supply —YO slope other from any septic-system dep th: absotplion is 1$O other Percolation Test: (To be completed by'licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: Far New Construction: All individual sewage disposal systems must bc designed bya licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 46nnQ gallon (Tin. size 1,000 gal) ILIA 5- 171-,- Tile Field: each trench- -,:;Z� Total System Length: eft Seepage Pit(s): number of size of each: ft. by Size of Stone to be used: it /,a V;depth or thickness 0 C> -feet Bed System Size: 7 c, r x IK2n Alternative System: length andlitr 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 respect to-this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. gignature of responsible person Date .r6W1V, 0F,QUEENSBURY- 742 Bay Rd., Queensbury, NY 12804 ' APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date-- ^/�'3 _ Permit NC. . APPLICATION JS 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 on.e-ap pliance and/or chimney. Applicant - Gc�/Li jys . APPLIANCE (check appropriate boxes) Address - '.Lim C p4`� �. © STOVE: ❑Wood o Coal o Pellet t3 Gas -.❑ FIREPLACE INSERT. Zip 12 ❑ FIREPLACE, FACTORY-BUILT: j&Vood ❑ G_as Phone r5t�-� - /�_-- 0.5- ❑ FIREPLACE, MASONRY: ❑ Wood o Gas Owner t�/ �,M ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil Address .3C , ,�,� =, �, ,�, IF NON-MASONRY APPLIANCE: . Manufacturer: x), 'ij Zip Model: Phone CHIMNEY (check appropriate boxes)' *EXACT ADDRESS orosed construction. ° 5'4 `'- ' ' ❑ MASONRY: .13 Block ❑ .Brick ❑ Stone � . c FLUE: ❑ Tile steel ��--- Size: �_inches CONSTRUCTION 1 INSTALLATION. MUST Ir0'FACTORY-BU(L�T": CONFORM TO NYS FIRE PREVENTION & Manufacturer:,.,) Model: BUILDING CODE. CONSULT AVAILABLE 'Listed 'By: LT�(- �,,, .Number: . TOWN OF QUEENSBURY'HANDOUTS 9,.Double Wall ❑Triple.Wall REGARDING REQUIRED INSPECTIONS: 0, 1risulated ❑ Direct.Venting ❑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 233 2655 (250) Minor Sales Fee Collected ram oi Refunded to: �i7 t ' Address: Dated: Town Clerk or Deputy:. White: Applicant Green:Fire Marshal Yellow: Bldg. ,Dept: Pink & Goldenrod:Cashier's Dept. r -r RESIDENTIAL FINAL,INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: �f Building spa Code Enforcement Dept.of Community Development Arrive . A am/( epart Town of Queensbury Inspector's Tnit' 742 Bay Road Queensbu ew York 12804 NAME �. ` l� t /' � PERMIT# LOCATION - DATE TYPE OF STRUCTURE i N/A YES NO COMMENTS Chimney I-Ieight/"B"Vent/Direct Vent Location Fresh Air Intake / Plumb Vent through roof `"'~� �� L Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior handrails,balconies,Ian ' 18 in.or more Interior Handrails stairs both sides 3 r more 'sers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulato 18"abo a grade Gas Furnace shut-off within 30 feet or within l e of site Oil Furnace shut-off at entrance to ce ar Furnace/Hot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4-' Handrail exterior stairs both si es more an 3 risers_ Interior privacy/tYim/doorslmain entrant 36" -Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18' .or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected , Bathroom fans Plumbing fixtures Foundation insulation 1/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Ux tryFurnace 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 �v As Built Septic System layout required J Okay to issue C/C(Certif.of Compliance) offi Okay to issue temp.C/O(Certif of Occupancy) (�✓ Okay to issue permanent C/O(Certif.of Occupancy) 0 H p z z w t4 W too H a o . W zA zl AW�+z acl z a0 m Q U W f H14 C4 U ` 0 N � � � U H + A if U(lu�i H H I oz . z x I x N z W 0 z U HH w w 0 w z H z u w9 A w d A a H 0 a W z a a u a s W z a 1 a W O H H W H - 0 N H ' a A H w w a W r w w A N a N a x u p 0 a H w a N a 0 w d a 0 W a z 1 ] U zw xH a004 H zHHU 40 0 H w tog N w a 9 won n U U H a H U Ise H H N z H U 3 a > A a H U A z z w H 4 z N w U d N a A A A E�+ w W G� w H H > H W W 4� a w 1 H z m > W o 4 z Ur W H t w w W w U > U 1 m o x o z H w w x H a a, w w z x v� N z NH ( w H O z 0 0 9 N a a ] N ., z 0 w t7 H �+ z 0 0 0 H o o w � 0 �o 0 H � 9 H w H H 0 z4 w H z H z N N 4 H a Q A z A A N 0 U U U > H Ha z M H a H W A N H w H H H a a 0 H H o z W U w w a w H H H A ca Q W H H U H a ON H A 0 H 4 a, 0 Q H 0 x M � H H Z H 4 0 g ;+ 0Z x a 0 X W W a 0 z HH H W H X X a 9 4 H H W q A z 4 A H w Ul a z W x x G� w H N W W U 14 W W a w O x w w O L GM' • FOUND IRON MARKER O ..$ET /RON ROD WTH CAP O - RANT —E— POWER LINE --=c, STONE WALL —=—=-FENCE ONLY COPES FROM/ THE ORIGINAL OF 7HIS;SURVEY MARKED . Wf 7H AN ORIGINAL OF 7HE LAND SURVEM S EMBOSSED SEAL OR INKED STAMP SFIALL BE COWS/DEiRED 70 BE VALID 7RUE COPES. Unauthorized Alteration to this map is a violation of Section 7209, Subdivision 2 of the New York State Education Law. ENCROACHMENTS LOT NO. 1 LA&W OF as Xl-`.�-- 921-257 .ANDs O,F JOHN CIOPPA AND TAMAR WURZBERC£R—aIOPPA 1136-2 \ j � I z S 8922'30" E HOUSE FOUNDA7/ON S 8922'30 E nP 95.15' 1 1 ' GARAGE FOUNDATION I i p LOT NO. 2 RP _ OI h 30,397 S.F. a ►�� _ _ Z1 0.698 t Ac. W i Ln7pI Mane an No 82*4 MOM 2 40 FIP92:a6 _.._ NAP M- 1. MAP OF NORNKST W"GE BY COWER AND McCO AKK FER 24 1974 -5-25 -s STr 'r? ?�' L-�►., r PAC s� « Z�UP11- 7-A 4716R c�✓A^&EAs 1 D Bw( 4 `` e- >�evw0,rt�ow 'K f/Oti firms ! , 7 / r (-� a)�) , � ECEIVED JAN 3 1 2002 T BWN OF UILDING AND CODEY CERTIFICATION MAP OF SUR VEY I hereby• cent i fy to Patrick D. and Theresa M. OF L"DS OF Wilkins, Republic Banc Mortgage Corp., its successors and/or assigns and Lawyers T*tle PA TW CK L. and THERESA M. WILKINS Insurance Company that this map,`has bee' prepared in accordance with the existing code � J. �✓ of practice for Land Surveyors adopted by the TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK New York State Assoc. of Professional Land 4 SCALE.' 1" = 30' OCTOBER 22 2000 Surveyors.( �-lA't s No 10/22/00 William J. Rourke LS 49098 W. A ROURM ASS WA 1E'S UbwNed Laid StWwjaa to" saratow Rana( P.Q Boor t4j# 00-174 ",L-- South Oww Fart N. Y. 12M WILUAM J. ROUAKE, CENSEO LAND SURVEYOR NO. 49098 JOB NO. a. r „`- Tow n.of Queensbury,, . Fire-Ma-rshal's Office 742 Bay Road Queensbur"y, NY 12804.' Phone (518)761-8205 a Fax(518) 745-4437 Fire-Marshal's Inspection Report Request SCHEDULE Received: ZI Permit# INSPECTION CAN: - OZ-1 Name: 1 } AM PM ANYTIME Location: ^ APPROVED N 1A YES NO COMMENTS EXITS � 1 .. ���/ i"`Q �,�AISLE WIDTHS or EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS �..I��/ � ^ VtrrA �1 t,,CC I l f l 1 I FIRE ALARM SYSTEM v .n FIRE SPRINKLER SYSTEW I FIRE SUPPRESSION SY E -�l HOOD INSTALLATION INTERIOR FINISHES ” GL- � ,� STORAGE COMPRESSED GAS P CLEARANCE TO SPRINKLERJST CLEARANCE TO HEA NG ►1 C� � UNITS CLEARANCE TO ELECTLWAL ( 1 r C REQUIRED SIGNAGE J EMERGENCY f MAXIMUM OCCUPANCY GND�'•}c S � 1 CHIMNEY MASONRY RO H IN INAL CHIMNEY. -FACTORY BUILT RO GH IN Cn. I 1 b L—/je-7 FINAL Lf� 'WOOD �� Al STOVE 'FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE 'MASONRY ROUGH IN OK�THI%c. OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT RO IN T$PECTED BY FINAL COMD CHRISJ/WORD/LETTERS_2001/FIREMARSHALINSPECTIONREPORT11022001 , YELLOW-OCCUPANT COPY WHITE-BUILDING DEPARTMENT COPY RESIDENTIAL FINAL INSPECTION REPORT j)�[ Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive pm epart v Town of Queensbury ctoles Initial 742 Bay Road Queensbu New York,12804 NAME � iC 1t n 5 �1U�'19� LOCATION ei ATE _� TYPE OF STRUCTURE _ N/A YES N CO S Chimney Height!"B"Vcnt(Direct Vent Location 'c � l� 1�� Fresh Air Intake 1 Plumb Vent through roof -6 Vc)5-\— �Fb,9� 5AV—D 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 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 Vaive(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" �3 ?"►otA v o'ov'7 Floor Finish 13a 1 JA"-A V(-c Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: 4 _ every level every bedroom outside every bedroom inter connected / �1���� ` — Bathroom fans �� C-b wV Plumbing fixtures ,.^-- Foundation insulation 3/4 hour fire door/door closer Garage fireproofing V�C>T t�-T- Garage penetrations sealed f _ Furnace in separate room protected(in garage) fti �1 N1 Light ventilation per room Safety glazing 18"or less from floor �--- Final Electrical Site Plan/Variance required Final Survey Plot Plan te ut-V ev� � u y 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) i COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit r\, 73119 Cut-inn Card Noi No,itR##t#i#!NlRitiiit#t•i4IIN}•}i}}}1H"�'��! KI � #r##ft•utff••tr•4riMititttR#four#liitil##i##}#}#tiMunu#! rtlii••!#Ii#t#i#i###ir##tltM##I/a!#Rt#IHunui#ltttttauu# ••••Htlftglrf ! tit #####ti#### Location,.1q 7 0 Sz 6,1 laRfff#•4•u####Itt#flRn4u#aiattltt#!ii#Nt},i{u#RUR###u•4#•#t##frft4ritN►###i#{#tut••#•Nn#r•Rttf•###f i#Ni#f1••#!###Midiu/# i#iiiNiNtlttil # • # W Instaaft' Consisting of##f#i#i#f#iu{I#i#••ur{riuu!•u#uu #iil#iii •#/i#Iti/}4##•t#•t•ii•fia• tft}},IRIun4ru##i###tHa#•#l14r1 }qi{•f#•flfilii r! • ft• Ifft##qt#1###4/t###RN#i#t#i•4NtlfJ• /i Wo `I##• i 411 to# #f# ••1!►• uu•##•uu•tft i /7 ♦t! •#t#!##i1#!#tfift{f#f•iifrl�t•#••#••t•if/trNNHIt###t#!#il i#!�4 #l4iffIH1141i # 1i###t##fIM 4rftfi{ii►41##i{##{itff! #!t#ii#IiNi••Itf#f#!#iN1t1#111!#1###14#i!i#i# tfiledLie,Ins yN#f••##4•titl{it#ui1#iiNo, 11l1f1ti}}}}I}f#III44if#f#i#f#f•4•i•!Rlfii{f4#R#fi The conditions following governed the issuance of this ccrtifcate, 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 pr'vilege of making i 'lions at any time, and if its rules are.violated, the Company shall have the right to r v' a thi ce i tel Date,,/,HI/,,,. tf#i4l1/i##t#i##Htit•tiplf}}ii! I SPECTOR !ti#Iiti•i•HI##f• em i ### ##16r10##Itti♦•ifI!!i###tNf}IHfif}4,i#1f#•f•„•f•ffii•i#i•N{1 -rC:)XlVUsI C:>F= C;XLJE=-IE-MSE3Uf:;ZY "-e 1.2SO4 7S I-8.205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED a RERMITW NAME LC:)CATION SCHEDULE INSPECTION ON AM NYTIWIE APPROVED N/A YES NC? AISLE WIDTHS _,N EXIT Sl(.3NS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HC34DE) INSTAL-LATICON INTERIC)R FINISHES CLEARANCE TO SPRINKI�ERZS CLEARANCE T(D HEATING UNITS R-EQUIRED SIC3NAC31= CHIMNE'Y' WO(:>D S-FC3VI-- EPLACE - IVIASG�NF-ZY p Y BUILT Fl E PLACE - FAOTC3R REMARKS: C:>K TC:) THIS ©ATE INSPEO-FC)F:;.' c!1 (1� l ro 4J 4-) ' W W err Q? 41 0 + J 0) Q1 01 a 4- 4- 4w t� (0 U) w U ; °' J Q - 0 0 r W p �� Z & `` v CO " � S I W MOVN co C ro �' cU cU � W � r r Z.C � � u or w W W E 'r- W S. t t T Y J 1!) bl Y 0 "6 1 V U/1 e E a ,(D ". 0 0 �" � 0 n or- � J sw � � � r 6 A4 Q) ZWZ � �� ro NrWW U U LL 09 "' L1. c/} tL .A W r < 0 0 4. a.V) A. . s. 0 M 0 V) 4J 0 W (A LL Q) m c 4 U �!-� p a' 4 " '�C W tU �� 'r VI d C C C (!0 C 41 0 W CQ N0 ` �1 q.IL 0 0 Vl +� r r U)Z IL (A 4J OM DIP4J4J EC 0 1 1- r- 0r -000 1 0 .4J CH io ro ro jar, NZ W0M4J u4vCH %,; pc CCro4-�t �- C� � ,p � ro � � � � � 41r� � Ql �wwr, a.� �1CN41R� � � Q. CU"r0 �7 (A ...! C) 6/y tYw• * �JG� N � NU}4OG1Iw' 00ftj .lt.. V? U� ILEU -rC:)VVM OF C2UF_EE_:fqE3;E3UF;Z"lr CZ1UaF_=N,—_-,-E3UF;t-Y, M-Yr 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPC:>RT REQUEST RECEIVED PER IT W NAME LOCATION SCHEDULE INSPECTION ON AM P"O"A' NYTIM 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 SPRINKL 8 CLEARANCE-TO HEATING NITS REQUIRED S143NA4GE -#-oeCHIMNEY WOOD- STOVE FIREPLACE - MASONRY ----FIREPLACE - FACTORY BUILT REMARKS: F-1 OK TO THIS DATE u C 1 4 f57 INSP-BLIR-PUa -INSPECTOR -P 0 v s. 4- 4- 4w �, x ' w " 4J a) au co " I CL 0 ix Zw 0 �„ U C E i -P 0 'r W y„ v E , 'r v 0 �? v a. V) 0. -P 0 Q � �, 0 0 ro v ro C .� o to 4- 0 J r� 1 ++ S. 04� n M C 0PCLW1 Ira v 'r W U. Q 0 a 4J v Z 4- o 0)C.. ro. 'r ra 1d;dN' C �. v W z U L!. 0 tU ►"' 1 ! ]A. � v �- wHUCv "" 00 � 1 FM i QJ ; 1zz , i�» 00Cut C vro 4J4Jo * 4J. 0 �w 0z N roul 0) � 0 - roUn4-) vW wiLvroC 4- U >- 4J 4J H v (A C C ro 0 C v 0 �- w m I w a 'r 0 4�- 006 N c x 0 0 0 o 0: s. of �V) rr * 04. it 0 o t!t it- �r �r (A 2 ,1. V) �+ ' ++ -) M � fl to QW �"' 0 4" w ,� � 0 COCQ G� � � #r 4.) a A. .0 00 t 04-) C N fd (S ro E 04 v J Z w 0 OW (D I v C N 0).a4 4-) C c C (0 4- s. C ro E U -P H 04- CLOCA. NWNC)C4 ' 1CIA0OaG1. CU It- 0T3 t (o 0 00'rW 'rp"r- 0 'r (1. * 0000� USw 'r � V � �• v z J 0 fYuF° 4in0o001 mF- aO JLLLL,oUW4+LLXu FIRE MARS1-SAL -F(DWN OF C�jUF=F—=NSBURY CkUEENSBUi::;,"Y, NY 12804 4EML (51 8) 7Ci1 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION _ 'd/O+ yGr=r 5- 44 "' -el 1::: MIT ## 5 SCHEDULE INSPECTION ON , AM P " APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHT! FIRE EXTINGUISHERS 771 FIRE ALARM SYSTEM ? _ FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS _ REQUIRED SICNAGE ' C H I M N EY '' tom= " :+ - eC - � D STOVE � IREPLAC Q MASONRY FACTORY BLT. OUCH-IN ' - Cl FINAL REMARKS: OK TO THIS GATE INSPSLIP_PUB INSPECTOR GENERAL REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building"&Code Enforcement 742 Bay Road t Queensbury,NY 12804 Arrive am/pm Depart/ n Inspector's Initials__�[_ _. NAME: \� ti �� C` C�� PERMIT# W—,,`-f t LOCATION: r DATE 1J'o�CQ 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 placement of the concrete. Materials for this purpose on site Foundation/Wallpour - Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Pk�mbin VentfVynts in Place �1-`lrti g ough-In. Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r ent Vent � amin z - Studstfleaders@ rOi n_��' S � cing/Bridging ✓Joist Hangers L .e Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed F" nil ,3, -hour , hest ppin z 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 z' Inspector's Initials NAME: W i � ,,w 7 PERMIT# R) " " ! LOCATION: DATE : z TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsib a for providing protection from I reezing for 48 ho 's following the laceme t of the con rete_ Materials for s purpose on ite Foundation/Wallpo Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab 2mbing VentlVents in Pla e gh Plumbing Heating Rough-In Insulation Foundation Walls=ni o R Foundation Walls r R- Floors Walls - Ceiling R Duct work or piping i 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 ue Wall 2,3,4 hour ` /� 7rirestopping AA � �'� 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? , Depart a pm Inspector's Initial , NAME: PERMIT# LOCATION: (2,t 'l t DATE: TYPE OF STRUCTURE: RECHBCky, A' N/A YES NO ;' COMMENTS Footings/Piers `�,_ ��' .r Monolithic Pour Form ` Reinforcement in Place ; The contractor is responsible_for providing protection from freOdng ' for 48 hours following the placement of the concrete. ° Jr Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing r Heating Rough-In Insulation Foundation Walls Interior R- Foundation WallsExteriorR- Floors R, M, Walls fit- Ceiling ,jR wt Duct work or piping iri unheated spaces t R (� Proper Vent,Attic Vent Framing 1 Jack Studs/Headefs Bracing(Bridging Joist Hangers / Jack Posts)Mn Beam Air Infiltration Barrier Fire Separation 1# 2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPEe'TION REPORT (518 ) 761-8256 Town.of Queensbury Dept.of Community Development Date inspection request received: db Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive ,a p Depart ector's Initial NAME: tf L-k,,)s PERMIT# LOCATION: Uwe j _ DATE : TYPE OF STRUCTURE: l RECHECK -t j «� N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place f� The contractor is res nsble for 1 providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place 1 Foundation/Dampproofing Backfill Approval Plumbing Slab �biriir,� ats Rough Plumbing Heating Rough-In— on on Wall�Irnio�rR- Foundation Walls Exterior - Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces. R- Proper Vent,Attic Vent Framing:: 'Z= Jack Studs/Headers Bracing/Bridging Joist Hat►gers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour I Penetration Sealed 0 Fire Wall 2,3,4 hour. 1 GENERAL REPORT ( 5l8 ) 761.-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 3 Quecusbury,NY 12804 Arrive am/pm Depart axujpm. PP ,, Inspector's Initials NAME: PERMIT# zO —3 LOCATION• t2C lit c!n DATE: f t TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fro freezi g for 48 hours following tl placement of the concrete. Materials for this purpose o /te Foundation/Wallpour Reinforcement in�lace A Foundation/DamppYoofistg Backfill Approval Plumbing Under Slab P mlxin Vnnt/V� is in Place 4unab !v c r 'Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors Walls - Ceiling - Duct work or piping in unheated spaces V nt,Attic Vent FraEmi g A0L}t j 1h�Pr<-- `� U€�-`� Jac Stu dslFleadersr`�b e j�2 tI 5 i acingBridging oist Hangers �� 7 $T Jack Posts/Main Beam '"4� �i J�/}t G /3-� 1?APJ&G 1`5 Air Infiltration Barrier Fire Separation 1,2, 3,hour /�e?dUIR er3f�l7"/v��` /G i 16 d L4 Penetration Sealed F e Wal 2. 3 flour iresto zn "•t ' &fiz FIRE MARSHAL TC►W'N OF QUTlE=NS'BURY 4EaLQiJEENSBURY, NY 1280 4 (51 8) 781 -8205 FIRE MARSHAL INSPECTION REPORT REQUESTS� RECEIVED NAME lam` LOCATION PERMIT ## SCHEDULE INSPECTION ON 5 A APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIONS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPINKLER S TT FIRE SU ION SYS EM HOOD INSTALLATION INTERIOR FINISHES STO RA O T: CLEARANCE O SPRINKLERS CLEARANCE O HEATING UNITS REQUIRED SIONAC3E CHIMNEY W D STOV u,rl C:J MASONRY FACTORY BLT. ROUGH-IN Q FINAL REMARKS: F-1 OK TO THIS DATE INSPSLiP.PUB INSPECTOR GENERAL 1NSPECTI(JN REPORT VK1. (518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: .Building&Code Enforcement 742 Bay Road Quecusbury,NY 12804 Arrive am/pm Depart $6/ Inspector's Initials NAME: - Li / PERMIT# Lo CATION: Y 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 placement of the concrete. Materials for this purpZk 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- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Posts/Main Beam A,AafInfiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppin GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: �� C Building&Code Enforcement 742 Bay Road "~ ,l5 , i 7 Queensbury,NY 12804. s`'Arrive am/pm Depa ai, Inspector's initials : NAME: W t i� Y �l'T G G� PERMIT# 2 CX- r 3 LOCATION: ' � Z- TYPE OF STRUCTURE: l / ' RECHECK ;t N/A YES NO COMMENTS Footings/Piers I ri`J Monolithic Pour Form Reinforcement in Place `:ay The contractor is responsible for\ ,gip providing protection from f=in p g p g k V for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour s: Reinforcement in Place Foundation/Dampproofing Backfill Approval ti Plumbing Under Slab Plumbing Vent/Vents in Place '` Rough Plumbing Heating Rough In Insulation 1 �� Foundation Walls Interior R i Foundation Walls Exterior R Floors R- �y Walls R- Ceiling R- Duct work or piping in unheated spaces R- t Proper Vent, Attic Vent �3 r - >*Framing Jack Studs/Readers Bracing/Bridging � Joist Hangers__ / ! Jack Posts/Main Beam Q A-41G (—/Z-S Air Infiltration Barrier Fire Separation 1,2,3,hour' Penetration Sealed Fire Wall 2,3,4 hour Firestopping 1 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 � m epart Z= a "Mn—III Initials NAME: 4PERMIT# LOCATIOM DATE : TYPE OF STRUCTURE: RECHECK t�N(A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemei of the concrete. Materials for this purpose on site Foundation/Wallpour. Reinforcement in Place Foun tion/Dainpproofing, II Approval Gf Plumbing Under Slab Plumbing Vent/Vcnts 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 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=LVamd5m'a Depart ' r Inspector's Initi NAME: U�A LVEO J-) PERMIT# —- r LOCATION: - () DATE: TYPE OF STRUCTURE: RECHECK NIA YES O COMMENTS ✓Footings/Piers — E Monolithic Pour Form 1/Reinforcement in 17a`ce,, The contractor s respo 'ble for providing pro tion from freezing for 48 hours fo wing the lacement of the concrete. Materials for this p se o site Foundation/Wallpou Reinforcement in Foundation/Damppro fang Backfill Approval Plumbing Under Slab Plumbing VentlVents i Place Rough Plumbing Heating Rough In Insulation Foundation Walls InteI- Ceiling R- Foundation Walls Ext R.- Floors - Walls 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 hTdtration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 1. 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 Depart ` Inspector's Initial (- NAME: a� PERMIT# LOCATION: DATE: TYPE OF STRU RECHECK —� V§0N/A YE COMMENTS otingslPiers it VNN0 I 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement 4 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 fit, Walls R- '} Ceiling R- 1` i 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 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping r GENERAL IN)PIf%RT (518) 761-8256 Town of Queensbury t Dept.of Community Development Date,inspection request received: Building&Code Enforcement 742 Bay Roadtr" /ate Queensbury,NY 12804. Arrive am/pm s'Depar=€ Inspector's Initials NAME: 1 \� PER,, # LOCATION: ;l DATE TYPE OF STRUCTURE: ' RECHECK ' n' fF )i NIA YES NO' COMMENTS Footings/Piers Monolithic Pour Form. Reinforcement in Place The contractor is responsible for providing protection from freezing P for 48 hours following the placement, s+ of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Placei. " Fou tion/Dam n ckfiii ApprovalPr Plumbing Under Slab T Plumbing VentfVents in Place Rough Plumbing Heating Rough In k Insulation Foundation Walls Interior,/R- ' Foundation Walls Exteritpr R- _ Floors - } Walls R Ceiling R- Duct work or pi gin unheated spac s R- Proper Vent, Attic exit t: Framing Jack Stud ders Bracing/B dging _ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier_ Fire Separation 1,2,3,hour Penetration Sealed + Fire Wall 2,3,4 hour I= Firestopping ik 't �4. r` GENERAL MSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development..v .Date inspection request received: Building&Code Enforcement's - 742 Bay Road _d an Queensbury,NI' 12�04. Arrive t Depart � p • Inspector's Initial NAME: LOCATION: DATE: — — TYPE OF STRUCTURE: RECHECK. � N/A YES NO COUNTS 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 Fou tion/Damppr fin ac �• p���1 � 1�2�� '�� icHll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough — Heating Rough-In r l Insulation ' Foundation Walls Interior R 1�' ,,Foundation Walls Exterior R Floors R- Walls R Ceiling R `, Duet work or piping in unheated spaces R- § Proper Vent,Attic Vent Framing + Jack Studs/Readers// Bracing/Bridging Joist Hangers , Jack PosWMainibeam _....... .. _....,_..... ',. Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour FirestopIn i1 } (;ENERAL INSPEC"TIO N. REPORT (518) 761-8256 Town of Queensbary Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12844. Arrive$ Depa Inspector's Initial �1� NAME: f c�, V ` o PERMIT# trn 5 ATION: (? DATE: CS E OF STRUCTURE: RECHECK NJ S O COMMENTS Footings/Pierst1a 1 Monolithic Po Reinforcemenace The contracresponsible for providing pon from freezing , for 48 hour ' g the placement of the concr Materials for t eon siteFoundation/WrReinforcemenaceFoundation/DoofingBackfill Appr 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 Scaled Fire Wall 2,3,4 hour ` Firestopping t� GENERAL INSPECTION REPORT (518) 762-8256 �. Town of Queensbury Dept.of Community Development Date inspection request received: Building& de Enforcement 742 Bay Road Queensbury,NY 1 04. Arrive wpm Depart n7" spector's Initials , < (� / NAME: C� y I PERMIT 4 C `— -1 V/C74e&e LOCATION: DATE: t TYPE OF STRUCTURE: 5;< _ RECHECK A YES NO C NTS gs/Piers [ Manolitluc Pour orm Reinforcement i Place The contracto is responsible for providing pr ection from freezing v for 48 hours ollowing the placement of the concre . Materials for s purpose on site Reinforcement n Place Foundation/Dar"roofing _ Backfill Appro 1 Plumbing Under Slab Plumbing Ventlf'�ents in Place Rough Plumbing 1 Heating Rough In Insulation Foundation Walls Interior R Foundation Walls�Exterior R- Floors R_ Walls C \\aR_ - Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping r` _57-o Ur-LJ F4- JUN 0 7 2000 --77 30 41 Lu ci a J�OfJE✓c N ��p r s©ice r/-sr � O SL-PT�G h FXS/�.>;�ri✓6_sFpTIG SXstrr e Svsr�.vt a o Ny lR�hn W L f..L H l PRo�ost r+° zo' 38=85 Av �p)L TEST yh .� N NO•Z .b ar e�i "\!\ a scare 3 o Z° t�- ry b CNO!'PI{ c i o C-1 4encH 4� ( o n w 0 L7 b- o 7.. Al-ol O-S 7=-30'=A7 -- 1 C' _'-_----\CR1 _ _ _ - `� �� �C t - - ✓ •. I \ -_J _� d3 . 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