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2000-460 TOWN OF QUEENSBURY FILE COPY 742 Bay Road, Queens bury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CE RTIFI ME FOCCUPANCY Pemlit Number. 2000460 Date Issued, Tuesday, July 10, 2001 This is to certify that work requested to be done as shown by Permit Number 2000460 has been. completed. Tax Map Number. 52340K90-017-0001-019-000-0000 Location: II MASTERS COMMON SOUTH Owner: MICHAELS GROUP LLC THE Applicant, MICHAELS GROUP LLC THE This structure may be Occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace Director of Building & Code Enforcement TOWN OF QUEEN'SBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: 2000460 Application Number: 2000460 Tax Map No: 523400-046-000-0007-025-000-0000 Permission is hereby granted to: MICHAELS GROUP, L.L.C., THE For property located at: 4 MASTERS COMMON SOUTH in the Town of Queensbury, to construct or place at the above location in accordance with 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, d Type of Construction Value Owner Address: MICHAELS GROUP, L.L.C., THE Single Family Dwelling 1989000.00 10 BLACKSMITH Dr Garage - 2 Cars Attached M.ALTA, NY 12020 Fireplace Total Value 198,000000 Contractor or Builder's Name J Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDER 10 BLACKSMITH DRIVE QUEENSBURY, NY Plans & Specifications ` ZO00-460 3074 SO FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS 'a t, $367.00 PERMIT FEE PAID - Tms PERMIT ExPIRES: Thursday, June 27, 2002 (tf a longer period is required, an application for an extension must be made tothe code Enforcement 4Dft➢cer of the Town of Queensbury before the expiration date.) Dated at the Town of Queenshu ; Tuesda , June 27, 2000 SIGNED BY for the Town of Queensbury. r Dire&& 61 uilding & de E rcement Building Permit Application Town ©f Queensbury - Dew. of Cmi n swity DeveloPment, 742 Day Rotwl, Qrrrrimsbarv, NY /2SO4 /7C1-N9256/ BUfLDING & . CODE ENFORCE44ENT Requirements prior to issuance A Permit must be obtainer! before of this permit: f'Lf2MfT FILL N beginning construction. No inspectirrna will be made until applicant has received Q Zoning Board Action PERMIT FEE !'AID a VA1 II7 BUILDING PERMIT. Alt nrza I Use RECRL•'ATIDN FEG I' D $ applicants' sfac4s on this application MUST be completed sLod• the signature Q Plunnfng Board Action fiEVfEWED LTY, of the applicant• must appear on the SPR / Subdivision / Other firrilrl irP Jr4F�rrtnr y2pplication forest. nor ,.,.. ,�'+ Recreation I~'ee Payment Applicant: i� 11i [�l�Ca _ Qwner: iv"M . �. Address: 1' ddress-. Plsone ff Cal _) g1b"i - � Phone # ------- Property Location; '�, ,, 1 � f� Subdivision Numc: 1`ax Map Number Section Mock 1 nt NATURE OF PROPOSED WORK : ESTIMATED MARKET VItL�.t E OF THE �c New Building : CONSTRUCTION 4 $ ►!/� �('j► residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial �_ Single Family Dwelling Residence Commercial Two Family Dwell ' t ext no change to exterior sine Famil s � officeTL Other Work ( describe below ) Mercantile �� 2 2�OD Manufacturing p Other GROSS AREA. OF PROPOSED STRUCTURE *Ist If ADDITION , what will use 2nd Floor , ! F2 f ,;'� sq . t . of new addition be ? : 2nd .F cot . . . . . . . . Lg31 aq . ft4 _ Other Floors . . eq . .fte( not unfinished cellar or be amen ACC sUlrt,1]INGs : Detached Garage 1 , 2 c r TOTAL FLOOR AREA : SQ . _ Attached Garage 11 p Private Storage Building SIZE OF NEW STRUCTURE : r� Commercial Storage Building �t-- FEET X �� FEET + Other Foundation Type : will any second -- hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space only) *►` CLI Height ( grade to ridge ) : 340 feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woo stove ( circle ' all which applies ) to be installed : z Electric / Oil / as / Wood Forced Hot Air / Baseboard / other Person spansible for su vision of work as regards to building codes s : rat l,,zs utz A dre s Phoned Builder : Plumber : -z - Mason : p - Electrician : ► - W L DECL BATIDIVs Please sign beloiv afle`r you have carefdly read the statement. To the best or my knowledge (lie statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all Other laws pertaining to the proposed work shall be complied with, whether specified or noted , and that such work is authorized by the owner. Further, it is understood that I/wc shall Submit prior to n Certificate of Occupancy'or Certificate of Compliance being issued , an AS BUYLT PLOT PLAN by a licensed serve r; drawn scale , showing aCtukl I ation of project on premises. Signature: (o ner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System 7ionvi1 of Ql1u 11.V1)eely 74Z 1ie7ylis+uel QrecensJrrery, NY 12804 (518) 7C1-82.56 1 , OWNER INFORMATION: ....... ............... ... Location of installationL IVA5rfZ [ tJ�// 17 �� � office Use File Permit No. Tax Map No. Owner's Name: T4Ala �c 4r ,15 Fee Paid .... ... . a Address: 2. INSTALLER'S NAME PHONE NO, 6VRMEC"� 3 . RESIDENCE INFO RMATI ; (circle year of dwelling, indicate ii bedroom(s;! atld IlWitiply # 0/' bedrowns with applicable gallons per bedroom to equal total dailvflo111) Year of House: No. of Bedr urns x Corn utation Total Daily Flow 1990 or older x 150 gnUbdrm 1980 — 1991 x 130 gallbdrin = 1991 — present - x 1 10 gallbdrin = _ 1 l .0 Garbage Grinder Installed yes . 1 no Spa or Whirlpool Installed yes f no JUN 2 7 ?nao 4,- a , PARCEL INFORMATION : (circle applicablo information & indicate moasurements) TT, o =ra Il it Nature run Water Bedrock o Impervious Material Domestic WIter Super l�ln1 san a1 what depth at when deopth 1r fit licipal� � Rolling loaln feet feel f— S5 ep .slope clay if'+cell; water .supply �'/ ,slope other from at v .septic-system depth: 47bS017-a0(-?0) is alhcr Percolation Test: (f i� he ct))1lplctce! f)y liec�)ascd prei/cv,slorlul et1� itaeer ru e1r chitectJ _ — Rate; _--� __.. minlete Per h1Vh 5 . PROPOSED SYSTEM : For New Construction: All individual sewage disposal systems must be dcsigtied by a licensed professional engineer or architect (unless instrtllCd ill it P1Ullnillg I3oard approved sllbdivisim). Add 250 gallons to the sire of the septic tank and Icach field for each Garbugc Grinder, Spa or Whirlpool Tub. Septic Tank: ,gallon (min, ,size 1. 000 gal) �� n 7 00 6r e��, Tile Field: c11 trench _fl. Total Syst engJi. Seepage Pit(s) : nlnnber o size of'each: Size of Stcilc to be used: I/ / depth or lhicknesa Bed system Size: x Alternative System: _ len1;111 andlor size 64 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 Towii of Queensbtlry, any permit or approval granted which is based upon or is granted ill reliance upon any material misrepresentation or failure to snake 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 the Town of +Queensbury Sanitary Sewage Disposal Or in^aInc`e�.. Sigtiature. of responsible person Date w rn APPLICATION FOR PUBLIC ACCESS TO RECORDS ro u-s TO: TOWN OF QUEENSBURY RECORDS ACCESS OFFICE 742 BAY ROAD QUEENSBURY, N.Y. 12804 I, hereby apply to inspect the following records: doetic-C,i MENOMONEE EXPLAIN PURPOSE• APPLICANTS NAME: MAILING ADDRESS: 9 8oic Onetea, 4�+ sonom-e(sf• , `yjvWt••..,� !i�rrU�f' l � Sdr AGENCY USE APPROVED DENIED Record of which this agency is legal Custodian cannot be found: Signature/Title Date% NoTZGE.• You have a right to appeal a denial of this app&vflon to the Head of Me Agency,, who must fully explain his r easoffs for dsw4dr dental in writing saeven days of reCelpt of an appeal. !hereby appeal: Signature TOWN OF QUEENSBURY, TOWN CLERK'S OFFICE 742 SAY ROAD, QUEENSBURY, NEW YORK 12804 E-MAIL townderk(acaueensbury.net Fax No. (518) 745-4474 Phone No. (518) 761-8234 -~ ` ) Fire t :tfshaiE'ti ()14'irc' CX 1'u�vit rr! (l1teC11Nburti'. 742 E3,t ,,` Road, (�urc tishtrrti , \ t' C; IS) 701 - 8'?01 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Permit No . I r41)1)licrttiarr i.5 Jtcref)yf lrtr.dt tr) rlrc 13uiltlitlg (9 l�•r,dc� C]Jfix I fr,r' rlrt" r.+.strutrc r�J'r J3trrlrliri rr rtf C,!% Pei-mit pursilaill to the New York Stale: Fire f''r eveollrr)77 <tltd 1311ildi+r•rr C. rrdr?. The appl'ic-rrlrt orcnt•lr(Itr' agrees' 10 G'£)1rpt%'? It-ith till a111)liGahle lrt sVS, 01.dilxrrr Ces. i V.,;liltlr rtlrl.Y. rl rrd 4111 contfitl[7ns shot are Ptirl (?/ the.3'(: rtquirelrtews (rird also tt'ill ell1e)It' ull i11Sj11CC16)l_V 10 4rttei J)rclr ti:s e,i 10 J)C'1 fc IWI r•ealleireaf Ir1sjyeciioay, NOTE to applicai-it. Rouulj-itj and Fijial Inspections are required . A 3 licant Information Fuel 3ut-tEng ApIrliKiiice Intor:ilatEon ictrcle appropriate -words) Name : � O r Wood Coal pe?llel gns Fireplace 111sert 1 Address :— am Firephtce, factory-built : asr tic ;'�• r ` �. Fi -el)lace, tllas40311-y: txroocf gars - 1' ttrnace: wood gars ail Phone: �— If icon -masonary applicance, please provide 1 � I i Owner. Marl u fact iirer Name: � I Y Address : Model Number: Chimney Infoi-mation I f Phone : r:6 .;r — (circle appropriate %T ords) 1 _ Masonry Flock brick stone s -Flue file steel size: inches I Il Esact Address /!/ reef of cousrrlreriolr or iltstallrrtiall Factory- Built r ►� _ -�` } Mantlfacturer nartre: to-, ..� - + . Model Number: :Fore: ; I r� �fl Listed B%?t Nutnbcr: - E._eolrsrl-uetion / mcY 7 iroi7 r a sf Conform to NYS Fire Prevention &V Btlildiug Indicate (circle) chimney material ; Code. Cortsidt available Town ofQiieelisbier-v 3 Harrdottrs regarding r•eatrrired inspecrions. Doable it-till l i iptie wtiril / lu.s tllrrle rf / Dira'rr t R°rrtirrg Clrirlrrreti 1.inL-I 1 --- N i Cs,recbr.�i�en�',r,�r .3�.[-�,�aaFs,.a��+-■ �.alr:.tE -- 'T'vzrrrr.>R oal�' Qs.Y��.x*ns�sucx3a-„ �lr��rr- '3"2'v�r•'.iGr � � i f� F'1r-z' A I e I ; J2rr1 Code >:, 5 C'o11(te, w I ti Refimelert t"Pefitrrdeil let). -t 173 3_389 (! 9IJ) Public .Snfet_t { 1 '?3 ?t55 i 4330) Alinor• Sttle.s may- s ' \Vhize (Applicant) Graett ( Fire \larshal ) Yellosti tk3ICt�T I)e;Dt( i Pink Goldenj'od ( Cashier's Dept.) TOWN OF QUEENSBURY HUILDING & CODE ENFORCEMENT 742c BAY ROAD QUEENSBURY NY 12904 R (518) 761-825+6 w� ARRIVE : DEPART : INSP : J FINAL INlSPECTION REPORT - RESIDENTIAL DATE INSPECTION ATMUMST R . EIVE NAMEIr ; CA N DATE .� G PERMIT M TYPE OF STRUCTURE i FOOTINGS FOUNDATION BACKFILL FRAMING ROUG11 PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE fly^ YS NO cHIMHUy HEI T B VENTZHEI i I PLUMBING T RC7![7F I NG xT8 I R F N S DECK/PORCHZ T S NG I{R7 TF'F' VAi VES FU CE H WAT P G i T R O T PR V CY DOIS f FINISH F S : T ' C N A TIG " OTHER F RS SWEEPA E �• OTHER FLOORS CARPET D STAIR CLEARANC RAILINGS i SMOKE DETECTORS i } um$ING FIXTURES ov A xa s T a • GARA E F T RE �Df,�OR CLOSERS FINAL CT C L ATE V IANCE R � j A S RVE P OT 0& TO ISSUE C OR C MAP REFERENCE: MASTER'S COMMON SOUTH DATED: AUGUST 26, 1987 BY: VAN DUSEN & STEVES FILED: MARCH 10, 1988 DRAWER 17 FOLDER 1 LOT 20 � an. D Stever Land Surveyors, LLC 169 Haviland Road Queensbury, New York 128, '518) 792-8474 New York Lie. No. 50135 MASTERS COMMON SOUTH 'UNAUIHOPoED AL T RAIM OR AMMON TO A SURVEY YAP BEAAMIO A UCENSED LAND MIRVEYORS SEAL 13 A NOLAIM OF SEMON 7209. SUB-DMYOH 1. Of THE NEW YORE STATE EDUCATM LAW.' bNLY COPIES FROM THE O RBMAL OF DO SURVEY MARICED WAIN AN OHSOHNAL OF THE LAID SLATYEYCM SEAL SWILL K CONBDERED TD Be VAUO TRUE COPWA3.' *CE1n ATTONS SDICATED HEIVMN SIGNIFY THAT THIS SUHYEY WAS PREPARED NI ACOODANCE WADI THE ENIS OODE Of PRACTICE FM LAND SURWYONS ADOPTED BY THE NON PORN STATE ASODCLAXON OF PROFESSMAL LAND SURVEMS. SAID DERWKAIM SHALL RUN ONLY TO THE PERSON FW WADM THE SURVEY IS PREPARED. AND ON INS BEHALF TO THE WILE COWAIM 40VOMMEHTAL AGEWY AND LEIOSW URTLNTNW LISTED HDIMN, AM TO THE ASINI ES OF THE LOOM BISANAW LOT 19 Map of a Survey made for Marshall E. & Jacqueline A. Bishop Town of Queensbury, Warren County, New York EREBY CERTIFY THAT THIS NAP WAS PREPARED )N AN ACTUAL FIELD SURVEY. S CERTIFICATION SHALL RUN ONLY TO THE PERSONS i WHOM THE SURVEY WAS PREPARED, AND ON THEIR 1ALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY D LENDING INSTITUTION LISTED HEREON. 2TIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL ;TITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: MARSHALL E. & JACQUELINE A. BISHOP LOT 18 GLENS FALLS NATIONAL BANK AND TRUST COMPANY, IrS SUCCESSORS AND/OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVESB LLS NYS 50135 f- o DATED: DUNE B. 2001 6 L'=30, S-1 &*W 1 OF 1 BISHOP NO. I DATE I DESCRIPTION I DWG. NO. MCS-25 I FIRE MARSHAL TOWN OF QUEENSBURY QU'EENSBURY, NY 12804 (518) 761-8205 FIRE. MARSHAL INSPECTION} REPORT REQUEST RECEIVED PERMIT # (L+,�!_-_q .L nD NAME _ E C 14 61. ge` _ LOCATION - SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED NIA YES NO EXITS - AISLE WIDTHS _ EXIT SIGNS - EMERGENCY LI TIN FIRE EXTI H S 3 FIRE ALARM SYST FIRE SPRINKLERS TEM FIRE SUPPRESSfGIN YSTEM HOOD INSTALLATION INTERIOR FINISHES v STORAGE: _ CLEARANCE TO SPRINKLERS CLEARANCE TO TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY I WOOD STOVE _ FIREPLACE - MASONRY FIREPLACE . FACTORY BUILT REMARKS; —�'OK TO THISDATE kswa�P.Pue INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 701 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST'r RECEIVED PERMIT # 6V f ` NAME V`k\C--hA L 5 LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI FIRE EXTINGUISHERS I _ FIRE ALA FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES _ STORAGE: f CLEARANCE TO SPRINKLERS CLEARANCE. TO HEATING UNITS REQUIRED SIGNAGE _ CHIMNEY I WOOD STOVE M FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: ERoo6K TO THIS DATE INUMIP.M INSPECTOR RESIDENTMLL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building 8s Code Enforcement Dept. of Community Development Arrive am/pm Dep � � Town of Queeosbury Inspector's Initials 742 Bay Road Queensbury, New York 1280�4 NAME � strr l r- PFJUvTr �--- L.00ATION 1 \ �` `��y �((� .'"► ]�. DATE TYPE OF STRUCI"1.IR.E �- 1V/A YE NO COlwfl4ll NTS Chimney Height/"B" VentlQirect Vent Location Fresh Air Intake Or Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies landing 18 in. or more woo- Interior handrails stairs both sides 3 ore risers C.n'ade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regula I V a ve grade Gas Furnace shut-off within 30 feet wi line. of site Oil Furnace shut-off at entrance to cc FurnaceMot Water Heater Relief Valve(s) installed Headmorn[n, 6 ft 6 in. on stairs Basement stair 6 ft. 4 in. Handrail it irs bo ' s m than 3 riscxs Interior privacy/tri rs/maixs entrtoc 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails HalconiesR sucling in. or more Railing across window 3n stairwells Smoke Detectors: every level woe every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrativ s sealed Furnace m separate .room protected (in garage) Light ventilation room Safety glazing 1TO les5 cni fIoor Final Electrical1 Site Plan/Varianed required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C (Cend, of Compliance) Okay to issue temp. C/O (Certi£. ofoccupancy) Okay to issue permanent C/O (Certif, of Occupancy) r i •arr GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury }Y� --' Dept. of Community Development Date inspection request received: Building & Cade Enforcement /fir"}� ~` 742 Say Road /� ` '� •° C/. Queensbury, NV 12804 Arrive am/pm Deparl� �4 a ! �'� Inspector's Initials A: NAME: PERmi T # 74 (.90 LOCATIO : DATE : i�a TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers T i Monolithic Pour Form Reinforcement in Place The contractor is Bible r providing protection ing for 48 hours followi the pla ment of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Place Foundation/Dam Backfil! Approval. Plumbing Under Slab Plumbing Vent/Vents in ace Rough Plumbing. z'k atio ing R C4 Foundation Walls Interio R- Foundation Walls Exteri. R- _ Floors Walls A __ Ceiling R Duct work or piping in unheated spaces R Proper Vent, Attic 'Went Fra Jack Studs/Headers Bracin&Mridgixist Joist Ilangers Jack Posts/Main Beane Air Infiltration Barrier Fire Separation 1, 2, 3, hour Zp ioSeall 2, 3, 4 hour pi YENERAL RNI CTIpN REPORT ( 518 ) 761 - 8256 L Town of Queensbury Depth of Community Development Date inspection request received: Building & Code Enforcement 742 .Bay Road _ �E Queenshury, NY 12804 Arrive anI/pm Depart: Inspector's Initials t Y NAME: PERWF 4 _-GS U 0 LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piens . _� ! Monolithic Pour Form _ Reinforcernentin Place The contractor is responsible for providing protectio ng for 48 hours Poll ng the Iacement of the concrete. Materials for this se on site Foundadon/Wallpou Reinforcement in PI Foundatio n Bacicfill Approval Plumbing Under Slab Plumbing Ven /Vents i lace Rough Plumbin He g Rou nsula aon Foundation Walls Interi R- Foundation Walls Exteri I Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist. Haxtgers Jack Post sJNWn Beam Air Infiltration Barrier Fire Separation I, 21 1, hour Penetration Sealed F' Wall 2, 3 hour i _ �_ nvstoppin \ 4"'A.1 �..._ � (C `_ G. ..... . GENERAL INSPECTION REPORT � /V ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: LG' c cJ Building & Code Enforcement 742 Bay Road Queensbury, NY 12MM Arrive am/pm Depart a Inspector's Initials NAME: # dC�G Cvc� LOCATION: y Aj D TYPE OF STRUCTURE: -. RECHECK N/A ES NO Avii�1ENTS 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 Foundationo/Wallpour Reinforcement in Place Foundation/DampprooSng`__ Baclddl Approval Plumbing Under Slab / Plumbing Veat/Vents in Place Rough Plumbs Hear 1in -In ,r / y 'o �71 L�J f_'��' r' Foundation Walls Interior R- Foundation Walls Exterior R- (, c'yu ►�C 1AXy 0&; w V0�6e Floors R- { L*1 f Walls R- Ceiling R- t Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frumi Jack Studs/Headers Bracing/Bridging, Joist Hstigers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour tration Sealed /' re Wall 2, 3, 4 hour �- / fJ Firestoppin t rLl 1 6 e - f'"' ! R G . c�f irk" 2 !'"i4 ! ! N Ale r GENER L INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received; I 1r d Building & Code Enforcemeat 742 Bay Road Que+ensbury, NY 12804 Arrive anv pm Depart Inspector's Initials NAME: eks 4 2 PERMIT # A QGl " O LOCATION: /I Ma i _r- L�0en 'rn orb DATE : 2 TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers �-� Monolithic Four Form Reinforcement in Place The contractor is responsibleIng providing protection froth ln for 48 hours following the pIent of the concrete. Materials for this purpose on si Foundation/W ur Reinforcement in Foundation/Dantpprooling-- Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ✓ Aough Plumbin ✓ Beating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R- Wallss R- Ceiling R- Duct work or piping in unheated spaces - Proper Vent, Attic Vent v Framing C - V Jack Studs/Itmders Bracing/Bridging Joist Bangers _ Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealcd re 'Wall 2, 3, 4 hour Firestoppin r*ov 146 / C C. ; �zlr. ..14^� 1/1.2 Ii+2 I ,M�; onl FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME t4drG, 6 LOCATION 1! rsls �a rri�n� . PERMIi # ,© © -J 6tO SCHEDULE INSPECTION ON [ti i A PM APPROVED NIA YES NO EXITS _ AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING 2! FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLE S FIRE SUPPRESSION SYS EM HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ CLEARANCE Tq SPRINKLERS CLEARANCE T HEATING UNITS REQUIRED SIGNAGE i CHIMNEY WOOD STOVE r' _ 4..FlREPLAC © MASO ZFACTORY BLT. ROUGH-IN "� ✓ FINAL -mAoQVV45fL REMARKS: r -' , ❑ OK TO THIS DATE Jy �y J-•. fr`'r-N . . (;yam-�J�] �. r f w"sVp,plJB INSPECTOR FIRE MARSHAL TOWN OF QUEENS13URY GQUEENSBURY. NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME ,- LOCATION PERMIT # SCHEDULE INSPECTION ON , A PM APPROVED EXITS NIA YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY FIGHTING _ - FIRE EXTINGUISHERS FIRE ALARM SYSTEM -- FIRE SPRINKLER SYSTEM - - - FIRE SUPPRESSION SYSTEM - - -- HOOD INSTALLATION - -- - -- INTERIOR FINISHES _ STORAGE: --- CLEARANCE TO SPRINKLERS CLEARANCE To HEATING UNITS _ REQUIRED SiGNAGE CHIMNEY ` 1 C'..- c 'T WOOD STOVE i FIREPLACE CIMASON Y L? AuCTORY BLT. f3ROUGH-IN V ❑ FINAL — REMARKS. 171 OK TO THIS DATE _. r r : ` spapp.pw INSPECTOR FIRE: MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 CL (618) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME INS+c F4s � LOCATION _ _--- .__-- PERMIT # SCHEDULE INSPECTION ON — �s A M APPROVED NIA 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 SPRINKLERS -- CLEARANCE TO HEATING UNITS _ REQUIRED SIGNAGE _ vCHIhANEY � __---- - -_— - -- W��� � OQD� STOVE t6fREPLAC ❑ MASONRY FACTORY BLT. /, I� FINAL - - REMARKS: ❑ OK TO THIS DATE i INSPSUP.PM INSPECTOR lf� (,'E1VER AMS1'ECTICJN REBa� T t �,�,►I / ( 518 ) 761 - 8256 Town of Queensbnry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road i ` L r 3 Queensbury: lull'' 12804 Arrive am/pm Depart + [ r M Inspector's Initials R�}` `� NAME: 1 PERMIT # 000` - t LOCATION, rvt I]ATE TYPE OF STRUCTURE& RECHECK N/A YES NO COMMENTS FootingwTiers Monolithic Flour Form Reinforcement in Place _ The contractor is responsible for providing protection from freezing for 48 hours following t of the concrete. Materials for this purpose site FoundationlWallpour Reinforcement in Place Foundation/DanWroofin Backfill Approval Plumbing Linder Slab Plumbing VentlVents in P -- y.� ✓ Plumbin ✓ (_ svz f'C-[ V/� IJIIA l.�v t; / JHeating Rough-In Insulation .Foundation Walls lnterigr Foundation Walls Exterior R- _ Floors R- Walls R- Ceiling, R- 17uct work or piping in heated spaces R- A#ic Vent Pro Vent, ` Jack Studs/Headcrs Braciug/Btidgin V ' r {Ack `�,Iu%'' . Cr_ F'i.',�� . ' ?:t Liu .Zk Joist Hangers , �rIack P+ostsl'Nvlain Beam _ ........J_ J /Air Infiltration Barrier . �✓+rc c/r e=ra Fire Separation I, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour 1 _ ,/ , (' itestapfvin " ` "/ Z GENERAL I VSPECTl NREPORT ( 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 Initials / NAME: � � �f1_ PERMIT # LOCATION: 1• d Al E = TYI'E OF STRUC7VRE:rZ ee,�f l �+� •-•-.., — 3 �- RECMCK YES NO COMMENTS Faotnngs/'Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fz in for 48 hours following the pdacente t of the concrete. Materials for this purpose on site Foundation/Walipour Reinforcement in Place Found t"Approval cfi t ��rl Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbixt Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in untreated spaces R- Proper Vent, Attic Vent Framin Jack StudsMeaders Braciug,/Briidgi Joist hangers Jack min Beam Air Infltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour. Firestoppin GENERAL IN FE CTT+lN REP()IiT ( 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: -: PERMIT # •. ....., LCICATI©N: >�71�,d]ATE TYPE OF STKU iJRE' RECHECK N/A 'YES COMMENTS tingsJPiers Monolithic Four Form Reinfo*cment in Place ,The contractor is respo ible 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 Foundation/Dampproofin 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, Attie Vent Framin Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Poostsf amain Beam Air Infiltration Barrier, Fire Separation 11 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppin . t�s 21ca0 / Y. f,[..x 9""r� y. � // 4A r� / JUL 0 5 2OL70 4000 06 of III ave senor observ,pd, or buns I sefr of,� ,,• f al objects uch as hoGses, wells, fteetoms. shown on is docuient. I also reIS ' persona It easur�d the distan I i r t l ' 1