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2000-548 TOWN OF E Copy QUEENSBURY 742 Bay Road, Queens bury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761.8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000548 Date Issued: Tuesday, December 05, 2000 This is to cerdly that work requested to be done as shown by Permit Number P20000548 has been completed. � Tax Map Number. 523400-074-000-0002-052-000-0000 Location: q5 LEHLAND Dr Owner. GUIDO PASSARELLI This structure may be occupied as a: Fireplace Garage - 2 Cars Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY 97 Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804- 59p2 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 $UILDING PERMIT Permit Number: P20000548 Application Number: A20000548 Tax Map No: 523400-074-000-0002-052-000-0000 Permission is hereby granted to: MICIIf1EL S GROUP Owner of property located at: LEHLAND Dr in the Town of Queensbury, to construct or place a Single Family Dwelling 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. Owner Address: GUIDO PASSARELLI 2569 LAKE Ave LAKE LUZERNE, IVY 12846 Contractor or Builder's Name / Address Electrical Inspection Agency f10 ICHA.ELS GROUP BLACKSMITH DRIVE DRIVE A LTA. NY Type of Construction: Single Family Dwelling Value : $ 178,500000 Plans c3c Specifications { 2526 SQ FT SINGLE FAMILY WITH 2-CAR ATTACHED GARAGE AS PER, PLOT PLAN SPECIFICATIONS 1. $316.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, August 04, 2002 (Ifa longer period is required, an application for an extension rnust be made to the code Enforrer�ent o icer of the Town of Queensbury before the expiration date.) Dated at the To ensb Fri auguist 04, 2000 SIGNED B'�' W7n for the Town of Queensbury, Director of Building & Code Enforcement Building Permit Application Town of Queensbury - Dept. OfCnartrauutily DeVelolynenl, 742 Arty Road, Ofeeus'1xu_v, NY 12SO4 1761-32561 BUILDING do CoDE ENFORCEMENT Requirements prior to issuance rA rmit must be obtained befora of this permit: PERMIT FILE No. . ning construction. No inspectkcros ba much until applicant lots raceivcd Zortlrzg l3cxzrd Ae tforz f'C1tMf 1 FGG 1'AI,741D BUILDING PERMIT, All Arrascants' spaces an this application RCCRLit1l(71V FEC f'rtlD $T be completed abd• the sigmtura p uzln� Bc trd ACtfon applicant must appear art the REVIC 1Tf ��� ��--�"ativn Form, thw%k y . SPR f Subdivision f other ❑triutinfi Iiu,�ecfnr r Recreation Fee Payment A pp]iennt: 7I� tc IS ntia"r,,t�1`rPn� � owner, �"{ tiL�. - .. . Address: �It> ."lticiress: Phone Phone # Property Location : Subdivision Name: Tax Mal) Number :C _ SCCtior) Block I nt NATURE OF PROPOSED WORK : ESTIMATED MARKET V Uir OF TFiE _ New Building : CONSTRUCTION : $ 11 residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _ Single Family Dwellin Residence / Commercial Two Family D g� AWED no change to exterior size Family lwe- 1Ti'rig• - !�°°' Office Other Work ( describe below ) Mercantile JUL 2 6 2000 Manufacturij.g, ., ,, , t , I , Other GROSS AREA OF PROPOSED STRUCTURE * lst Floor , s ft , If ADDITION , what will use 2nd .Floor . , II 'z _ sq , ft * of new addition be ? : Other Floors . . , sq , ft . In unfinished cellar or basement ) ACCESSORY BUILVINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : 49!52(0 SQ , FT , Attached Garage 1 , 2 car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X FEET Other Foundation Type : 3Lt��t_ Will any second - hand or ungraded Number of Stories : lumber be used ? If so , for what ? ( habitable space only ) NAQ Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woo stave ( circle ail. wha- ch a plies ) to be installed : Electric / Oil / as / Wood Forced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes iS : V_n* L -es .ate Nd e A dre s Phone Builder : b l � Plumber : , � - - Mason : Vvgg> Elee cctrician : 2'Z DECZARA77ON.• Please slgrl beloly after you Izave carefzdly read the statement, To the best of my knowledge the statements contained in this application , together witli 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 gill 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 shalt submit prior to n Certificate of Occupancy'or Certificate of Compliance being issued , In AS BUILT PLOT PLAN by a licensed surveyor; dr to se Ie lowing actual location or project on premises, Signature: 27 eks (o er, owner's a (ent, architect, contractor) Application for Permit — Septic Disposal System ?uAv/! Of Q11040d) blely 742117yReleut Qe4cen.vbury, NI' l ",vo1 (;f l8) 761-4Y2,it; 1 . OWNER INFORMATION: Location of installation: tjt;� t- l S L OTrcc Use Tax Map No. �t i'{ f J •� File Pen:iit No. Owner's Name: Tl HE Fee Paid • i Address: 2• INSTALLER'S NAME r v-�� 1'a K„C '1 Y rx _ PHONE NO, 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(() and multil)ly 11 0/' bedrooms with applicable gallons per &adroonr to equal lolal dail7�fTcr,rr} Year of House: N . of Bedrooms x om tatiOt' Total Daily Flow 1980 or older x 150 gnL/bdrm 1980 -- 1991 x 130 gal/bdrin = 1991 — present �' x l 10 gal/bdrm Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes A no - #...:. _, 4 . PARCEL INFORMATION: (circle applicablo information & indicate moasirrense w JUL 2 6 2000 o Rra i it N rr run W r Bcdr k or lstiypervious M ster iestfe WTtcr SuPP 1;7aty sa►r at what depth at whal depth nrrerricilra� Rolling loam � 1"c"4'l 5'lec"p .slrrpe clay if'svell; Yv .s swats"� .rasp/�lv � lope other fi vnr rrrry .septic-.s 1as tc"rrr death: ` arbs(ov7)tiu4?r i.s other Porcalation Test: C1 it be currrplelecf by licensed pro/G,ssio1lal ellgMeer or orchifec'tJ _ _- Rote: Inhild " per lash 5 , PROPOSED SYSTEM: For +,Tew Construction: Ail individual sewage disposal systems roust be designed by a licensed processional enginccr or architect (unless installed in a Planning Board approved subdivision). Add 250 gsrllons to llrc sirs of rile septic tank and leach rcld for each Garbage Grinder, Spa or Whirlpool Tub, Septic Tank: Z50 gallon (nrin. .size 1, 000 gal.) 'file Field : each lrench .-. Y ... fi- Total System Length : 16P Seepage Pit(s) : nrrrrrber (,)f size uf'each: fl, lay. A Size of' Stolle to be used: ll / c&aprlr or rhickness Bed System Size: X Alternative System: h y --��- lenglh anc&w size 6 . HOLDING TANK SYSTEM: (if required) Numboroftanks: ±Ls. / Size ofeach : gallons / TOTAL Capacity: gallons !Vote: 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 Sectiai 136-29 of the Code of die Town of Queensbury, any permit or approval granted which is based upon or is granted ill reliance upon any material misrepresentation or failure to make a material tact or circumstance known by or on behalf oran applicant, slrall 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, Sl nature of responslble person 4--�LDa o l�irt� 11at: stoat"s {) fCi. c' '1'r,4i',t r1Y ticcrttit�ur� , 7-t2� l3.tr,' lLtsacY , C)ttcc,ttil�tri'}', \' 1 {� lFii iht -.` 2 yam Application for Fuel Burning Appliances & Chimneys app#icable to solid fuel & vented gas appliances DaleIUQ 2 0 Permit No- f Appliccrlion is hei-ehy riirr„ !r: riic l3rrilrliws�r ci Crsr/c .v C7j/i: c lr.r ;Ire' i.s.srrairc' frl cr f3rrilrlirr"� r:rrcl L:'.sc I� Pei iriir jw srrcrrrt to the New }'ork .�'rure I ire f'rct,crrtirrr rrr7ri 111(delifr �r ( 'r.rrfa . !!rc rrl�plicrrrrt rir 01, vr r' ogl reel% to c•onrply With crli applicabi Icryt ,,', ur•rliriaric:ev, rx�!grrlrrri,urs. ,furl all coriditiolts rirar efr-ce lacrr'r of fhc.cc r-oquirelrrelirs and also will eil rump all inspectors 1t7 curer pre)m:,c.; to pc^rf )Iwi rc,'rfrrif-ed irt+fscc:fiOrr,s . INCITE to a plieaztt: 201 -i Rou' tl t11'd F ] real Ii1siDectioi-is are required - I v � Al)pticairt Information FUG'! Burniuur Aj)pliance hifot-matioii Jf r { t ]fcle appropriate «•ords) Nante F_ � SIC) C , 11-0041 C0411 pellet gas Fireplace 111sert Address : Firepj;jce, factory-tauilz ; woc+d crs i f� }' i it �. t-cplace, masoril-y: r�Foor1 ;rrs Furnace :Ph one it"Dort �a5: � - {{�1 t - �T oil � i ! f 7'on-17'asollaryr applicartce, please provide Owner: Mall tt fact UI'er NaMe: j Address : Model i~Imiiber: Chimney Information 1'��oi7e ' -_ — (Circ ,c aYzpropriate \% ords) Masonry block brick stone Flue rile ste 1 size: Inches Exact Address: qs 4 J�ANt] f+�F .11rf......-_ of ceri Sri-it cdoit ur ioIstaltratioit Factory- Built f L..G-*r 501 Mallt1facturer name: r'1'ore; Model Number- Listed 13y: Number: Construction f lrttslC1110tion rltusr corn oi-tri to NYS Fire Pl-evelltiort & 13'tlilrfilig I1-1dic2te (circle) chililney material : Code, Colrsrrlt available Tozcvi ofQtreettsbtrry HCt 'dottts regarding t`equ l-ed ins`pectiolis. Doitb/r s, rill Triple + 4crl1 / 1ri,Srrlrrfc'rl / U1!'L'G'f t'Nii ri it t"Jl irli rlNl' (1ll r,'r' r --- Qae.�C.��ra.iEr,b�.x..z*T,r„ ,r-irc° :1Jrr1•,s'iral Cod � S COflo>- 1 r! 12e firri[7er1 Rec'c'it'. rl fi'rtrir rr r frrudcr! rrsl= �. ra ! ] t� ttrlrlr' ^,s 4: . t J 73 33sy (I J()l PrrGlic .5rrfc=rt -I 333 ?ri55 (?30) AfirroI. Scrlcs --- -- -- . White (AppliLaiu) 31 .E"31 ( Fire hSarshaly l'cltoti' ( t31c3+++. L7LY7t. 1 .�.Pink c5: Golciemotl (Cashier's Dop1 . ) i FIRE H AmrNk MARsA,L TOWN OF QUEENSBURY QQUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INS ECT[ON REPORT REQUEST RECEI ED f 5 PERMIT #p � NAME LOCATION ,ed r. SCHEDU INSPECTION ON AM PM ANYTIME APPROVED S NIA ! YES f NO AISLE WIDTHS '. EXIT SIGNS EMERGENCY LIGfiTIG FIRE EXTINGUISHERS f^� FIRE ALARM SYSTEM ! FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE. CLEARANCE TO SP NKL S _ CLEARANCE TO H TING U TS REQUIRED SIGNAGE CHIMNEY WOOD STOVE I fff �-ACE - MASON Y �FlRFPLACE - FACT Y BUILT REMARKS. OK O THIS DATE lNapx .Pue INSPECTOR RESIDENTIAL FINAL INSPECTIONI REPORT Office No. (518) 761-8256 Date inspection request received: Building $i Code Enforcement 4 Dept. of Community Development Arrive amlpm Depart Town of Queensbury ____._.k.._.._. ........ .. .. . _ . _„_,.4HPwAWs Initials 742 Say Road Queensbury, New ark 12804 _1V NAME Q PERW17 0T LOCATION ;- e- — DATE f TYPE OF S T-RUCTURI* N/A YE No COMMENTS Chimney Height/ f3" Vent/Dirapt Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete_ Exterior Finish Complete _. Interior/ ,)dcnor Railings 34" #o 36" Exterior Flandrails, balconies, landing I R iu- or more Interior Handrails stairs both sides 3 or more risers Grade Zorn, away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" abo Gas Furnace shut-off withinn 34 feet car within lug of site �+ Oil Furnace shut-off at entrance to furnace arpe - Ftnnace/i fot Water heater op /00 erating r' _ Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 & 4 in. Handrail exterior stairs both sides ore than. 3 risers Interior privacy/tntn/doors/ma• irauce 36" Floor Finish llatbx .......... oam/Kitcben waterti Interior handrails Bal 18 in, or More — Railing Railin across window " stairvwetls Smoke Detectors: every level_ _ every bedroom outside everyd bedroom inter comuedted Bathroom. fags Plumbing filxtues Foundation insulation 3/4 hour fire door/door closer Garage roofm9 (.garage penetrations sealed Furnace in separate roam protected (in SaWc)� Light ventilation room Safety glazing 18" ss oar Final Electrical. Site Plan/Variance tared Final Survey Plot flan As Built Septic System layout required _..._... Okay to is cue C/C (Certif. of Compliance) Okay to issue temp. C/o (Certif of occupancy)_ Okay to issue permanent C/o (Certif. of Occupancy)x :} r THE NEW YORK BOARD OF FIRE UNDERWRITERS { ! :s + BUREAU OF ELECTRICITY 40 FULTON 'STREET, NEW YORK, NY 1003g I' Do" ! )Iil �1',M}S.kii{ il '/ Application No. on fr'te 1 .a 1 .• ! # I� , / { I; I ' ti .s' !ti TFIt$ CERTIFIES THAT k tlt l Pr Mr r - :ll; t�. I ,<, only the eleetricaL equipment as described below Gird inir ..Eh� repplitOn named on the above application number is ins the premises of THE l-ll( :tifil:I Ki i>idf li lie � I-,FiEiI LF1 I # # 1}{ . _ IlFI# :FC i�:il3Ef#iY . In the followinglocation, Basement { Ist FL. 2nd Fx was examined on �} i�F312 Section ,Block Ilul 'F ttf3hiii ;j _ ;rt !{}(} and found to be in compliance with the National Electrical Code. , mot t` FIXTURE OUTLETS RECEPTACLES SWITCHES gM..M/DElCE FLVDRE3CErtT OTHER AMT.FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS K.W. AMT, K.W. AMT. K.W.. AML K-W. AMT, M.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PF. TIME CLOCKS I AMT. K.W- OIL M.P. GAS M.P. wMT, FMO. AMPS, TRANS. AMTBELLT HE NTERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET AMT. WwTrs SERVICE DISCONNECT O.O S E R AMT. AMP. TYPE V I C E EQUIP. 1 • 2W 1 E 3W 3 * 3W a 4W NO. OF Q O COND. A. W. G. MI.OF NO. A. W. G. Of CC. COND. LEG OF HtAEG NO- OF FrEVFRALS A• W. G. OTHER APPARATUS. 1jLl:,III lA.l.i1jjFj I;II:1_'E;E°`1`L112 r rs i 'i .il{t'7 kikild ti( Si. f Fd.t } ,; ,1lUf !l . t1l�1'+11Fi'1'1.d iiy GENERAL MANAGER This Certificate must not be altered In any manner return io the OMCG at the Board if incorrect. In per slsectors may be identified by their Credentials. COPY FOR SUIL"d DEPAH I! AAENT, THIS COPY OF CE R i 1F4CATE MUST NfJT BE ALTEREi) 1 N ANY MANNER. TOWN OF QUEENSSURY BUILDING & CODE Et'FORCEMENT 742 a, BAY ;MD QUEENSBURY NY 12804 (518) 761-8256 -- - ARRIVE : DEPART , INSP : FINAL INSPECTION REPORT — RESIDOW ryryIAra DATE INS ECTION REQUEST R CEIVED : ..�,. d ! NAME 7� LOCATION — - [ '� ••- . "'^ f_ DATE -^y �J PERMIT � � �� � f TYPE OF STRU TUBE FOOTINGS FOUNDATION SACKFILL F ING . ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTCVE OR FIREPLACE N A Y E3 Iwo i CHIMNEY UEIGHT/B VWJ!LHAIGHT UMB NG VENT ROOFING EXTERIOR FINIS11 CH STEPS NGS RaLIEP VALVES FURNACE/HOTPERATING INTERIOR TRIM/PRIVACY DOORS FINISH EL0099 ; BATH/KITCHEN, WATER I HT OTHER SWEERABLE i OTHER FLOORS CARPETED STAIRC EA NCE S SMOKE C O BATHROOM FANS NG XTU _ FO TIO NSU IO _ RE F G DOOR CLOSE#I.S �....._.- FINAL ELES TRICA SITE PLAN/VARIANCE RFC$? FINAL syRVEY PLDT PLA.N — .d! :h� OiC TO ISSUE C O O C C t �f I I I MAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN - PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC 51 v an, D u s eh Steves Land Surveyors, LLC 169 HavRand Road Queensbury, New York 12801 (516) 792-8474 New York Lie. No. 50135 LANDS N/F OF JOHN & MELANIE KING 1W S85' 14 '20"E .' "1,5��'1'OJ.CL.EALF�; Z01V� Z4 `�-- N46) q:5 Zpkjt#lr,-jb 'UNAUTHORUED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLA71O1 OF SECRON 1208, SUB -DIVISION 2. OF THE NEW YORK STATE EDUCATION LAW.' ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SMALL ff CONSIDERED TO BE VALID TRUE COPIES.' 'CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED N ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SAID CER1FiGRONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TIRE COMPANY, DWERNAENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENGNG INfTI71,171060 4 yOVs£ 52 26,358 sq ft 0.61 acres 70 4,. Map of a Survey made for THE MICHAELS GROUP "j To+rn of Queensbury, Warren County, New York 53 NO. I DATE 54 NEW OF NEW ar�1_R DESCRIPTION e 1 "=30' S-1 01-Eu10F1 L.E.-52 DWG. NO. LEHLA ND-52 GENERAL INSPECTION RF_P2RT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: (cam Lei Building ,& Code Enforcement 742 Bay Road -? Queensbury. NY 12844 Arrive atn/ptn Depart pm [ Inspector's Initials NAME: t ' [ ' PER.MI.T # � d LOCATION: VS DATE TYPE OF STRUCTURE: C .� RECHECK NIA YES NO COMMENTS 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/WallpouT Reinforcement in Place Foundation/L}ampproofin Backlill Approval Plumbing Linder Slab Plumbing VentfVents in 'Place Rough Plumbing, Heating Dough-In Insulation Foundation 'Walls Interior R- Foundation Walls Exterior R- .Floors R.- Walls R- Ceiling R- 17uct work or piping in unheated. spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging, Joist Hangers Jack Posts/Main Beata Air Infiltration Barrier_ Fire Separation I, 2, 3, hour Penetration Scaled Fire Wall 2, 37 4 hour. Firestoppin A6, . ( 518 ) 761 - 8256 GENERAL LYNPEC A0N REPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart •pector's Inkia NAME: PERMIT # LOCATION—. DATE : TYPE OF STRUCTURE RECHECK NIA YES NO +CON04ENTS Footings/Piers ---TI Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing Protection from for 48 hours following the t of the ,concrete. Materials for this purpose on `te Foundation/Wallpour Reinforcement in Place ii L Foundation/Danipproo p Plumbing Under Stab - Plumbing VentfVems in Place Rough F'lumbinbin /'"''' Ii °ugh-In. orlon Foundation Walls Interior Foundation Walls Exterior - Floors R- Walls R- Ceiting R Duct work or piping in unheated spaces R- Proper Vent:, Attic Vent C Frami Jack StudsitHeaders Braaing/Bridging Joist Dangers --- Jack Posts/Main Beam Air LnSltration Barrier Fire Separation 1, 2, 31 hour Penetration Scale Fire Wall 2, 3, 4 hour — Firestoppin FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (618) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION - * {PERMIT l�� t� SCHEDULE INSPECTION ON If) ' c __ A M_ ) 1 APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS 7 FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACEZI MASONRY 54FACTORY BLT. OUGH-IN _ ❑ FINAL REMARKS: WOK TO THIS DATE iHSvaw.pa ENSPECT FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12844 (618) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME j C: �_. h LOCATION 4"LU <'► PERMIT #c SCHEDULE INSPECTION ON AM'('PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LiGHTIN FIRE EXTINGUI FIRE ALARM SYSTEM _.. FIRE SPRINKLER SYST M FIRE SUPPRESSION SY TEM HOOD INSTALLATION INTERIOR FINISHES _ STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE _ FIREPLACE ❑ MASONRY FACTORY BLT. OUCH-IN El FINAL REMARKS: OK TO THIS DATE I LA i wspm,P" INSPECT 1 GENERAL INSSPECTI0N REP[]RT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: t Building & Code Enforcement L 742 Bay Road Queensbury, .NY 12804 Arrive Depart i ,�I /�, inspector's Lta is% NAME: 1" [ lG � [� s PERMIT # e(4�? LOCATION: BATE : o FAT R I2EC N/A YES NO COMMENTS Footings/Piers -T I Monolithic Pour Form Reinforcement in Place The contractor is responsible or providing protection from ing for 48 hours following the p of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in _ Foundation/Dampproofing_,...,_.,_.__ Bacldill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbic Heating Rough4n Insulation Foundation Walls Interior }- Foundation Walls Exterior R- Floors R- W'alls R- Ceiling R- I>uct work or piping in unheated spacers R- Vent, Attic Vent ac Studsfueaders Bracing+`Bridging___ Joist Jack Posts/Main Beam Air Inffltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INS'FECTI©N 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 atn/pm Depa�� `nr � Inspector's Initials NAME : �lr"t`9J LOCATION: _ S +f e DATE : G) ! TYPE OF STRUCTURE: 4z ., RECHECK NIA YES NO COMMENTS Footings(Piers I Monolithic Pour Form Reinforcement in Place The contractor is respo ible for providing protection fi�ezing for 48 hours following a placenietft of the concrete. i Materials for this purpose on site Foundation/Waltpour, Reinforcement in Place . . Foundation/Dampproo Back6ll Approval Plumbing Under Slab Ptuntbing, VentlVents in Place Rough Plumbing, Beating Rough-ln insulation Foundation Walls Im6Aor R- Foundation Walls Exterior R- Floors R- Walis R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent ��'��i h Ll/ rT • ? 'n Studs/Headers BracingBridgin Joist Hangers Mack Posts/Main Beam 7 _ dtion Barrier 3 � 61a�`'. 1"C� � S � / .�- Fire Separation 1, 2. 3. hour tration Scaled C}^-) ' ire Wall 27 37 4 hour Finestopping a TOWN OF QUEEIISBRlRY BUILDING CODE ENFORCEMENT r 742 Bay Road Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTIOMN Name Location ki Date Permit # SOIL TYPE: and m-Clay-� Resul is of ercol at n Test- ( -if applic ble ) Rate Minute/ Inch TYPE OF S - ABSORPTION FIELD : To al Len Length of a ch trenc Depth of tr ches Size of ston "7r SEEPAGE PITS : xr f t . Size - Stone size pi�t PIPING: S ype, ,g� Bldg . to Tank Tank to Dist . Box ouw Dist . Box to Field/P "` openings Sealed? Y o arty a LOCATION/SEPARATION 5 feet Foundations to Tank Foundation to Absorpti n feet . .feet Separation of Pits Conforms as per Plot Plan a No LOCATICNI OF SYSTEM ON PROPER ( circle Front - Rear Left Side - Right Side Middle - Middle Rear COHM1ENTS : SYSTEM USE APPROVED : YES NO Arrived Departed : � ^����—..•- N3uiNding Inspector S-q� - .. . r7 I Z7 1 , 6. a ?S NIF OF MELANIE SING $ nn E '. ,r165, 6r72 1 co o , f + " have �een Oro fed! or Rene 1 Saw evf W 00 ef. all obi CtS SUC S hoUSM wed. bum, feces! . shy an thi ocumenL 1 Mat 1 have rr'wwr ♦ !! r ona#ly surer! # $ et leNlh oa diagram. s�GNATU1tE �" tyATE 1 5 Ep� GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Hay hoed Queensbury, NY 12804 Arrive "�Tu Depart i speetor's Initial NAME: ' PERM1T LOCATION: DATE TYPE OF STRUCTURE: RECHECK r NIAl VF.S NO CONIMENTS 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 i Foundation/Wallpour Reinforcement in Place Fou on/Dampproofin A,jWckfill Appruval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin lReaung Rough In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic 'Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers Jack PoswMain 'Besot Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping ZAA-� x3 al ffie, GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: f (a Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive °�C Depa __ a ark is Init' i NAME- [G1�7C*t� �s PERMIT # LOCATION: Y�r . A DATE TYPE OF STRUCTURE: Pf � RECHECK NIA YES 0 COMMENTS ootmgs/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/Dampproofm Backfill Approval Plumbing Under Slab p Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundatiou Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers BracinglBri Joist Hatage rs Jack Post,/ ybtin Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping