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2000-573 TOWN OF OUEENSBURY 742 Bad' Road, Queensbury, NY 12804-5902 (5518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUP.A.NCY Permit Number: P20000573 Date Issued: Wednesday, November 08, 200 This is to certify that work requested to be done as shown by Permit Number P20000573 has been completed. tt Tax Map Number: 523400-04&000-0007-011400=0000 Location: 5(IERRY PATCH Dr Owner: CERRONE BUILDRS, INC This structure may be occupied as a; Fireplace Garage - 2 Cars Attached By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bag Road, Queeiisbury, IVY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUIEDIN+G PERMIT Permit Number: P200O0573 Application Number: A2000O573 Tax Map No: 523400-048-000-0007-01 1 -000-0000 Permission is hereby granted to: CERRQNE BUILDERS. INC. Owner of property located at: BERRY PATCH Dr in the Town of Queensbury, to construct or place a Single Family Dwellinp, 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: CERRONE BUILDERS, INC. 66 SUNSET TRAIL QUEENSBURY, NY 12804 Contractor or Buikier's Name / Address Electrical Inspection Agency f Type of Construction: Single Family Dwelling Value : $ 1409000.00 Plans & Specifications 1712 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $230*00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, August 04, 2002 (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.) Dated at the Town ensb ; rid , gust 04, 2000 SIGNED BY for the 'Town of Queensbury. Director of Building 8s Code Enforcement But ding Permit Application "own of xG�y L'xG'e1'1'Sbury - Dely. rfC'ouwju►ri�v Drrel4upwient, 742 Him Row/. Qrreenvburtp. NY 12804 176 1-8256 1 0 BUILDING & CODE ENFORCEMENT NOT Requirements prior to issuance C A Permit must bra obtainott before of this permit: PERMIT FILE' IVo.� ` � 7.3 bcgirxnuig cwuttruction. No inspections PERMIT FEE PA will be nvute until applicant has receiver) Zoning Board Action a VA1.,ID BUILDING? PERMIT. All Arcs 1 Use aPpiicanta sPra,oa on this al�plicatlon REcnEATIQN FE`E P D $ ��. MUST be compllawd and the signature Fby�,t tg Acti©rt of the applicant must slrpear on the SPRft VIEW�ED By. cati� fUTm VkVA � Rec J wort Subdivision P J ant Brrrl,rrng r..s,ryeeror Recreation Fee Payment Applicant: {�; r � - Owner: Address: ` u�' /a !2700/ Address Phone # (f� _) _ Phone # Property Location: Subdivision Nttme: � V � -� lax Map Number - Section )11nck 1 xst NAT� or PROPOSED WORK * ESTIMATED MARKET VAbQZ OF THE New B� i1ding : CONSTRUCTION : ,!ooeo ✓residence / commercial Addition to Building : :residence / commercial OCCUPANCY XUPORMATION : Alteration to Building : Pri ary Building residence / commercial ✓ Single Family Dwelling _, Residence / Commercial Two Family Dwel li ,.-A is 6 K ? y`` # no change to exterior size Family DwellIngY "'`! Office Other Work ( describe below ) Mercantile AUG 0 3 2000 Manufacturing // Other GROSS AREA OF PROPOSED STRUCTUREe. 42 _. &10fto If ADDITION , what will use eq ' of new addition be ? : 2 nd ,F1'ot7r . . .,".4 . . . S t . Other Fltsurs . . . . . . ► eq . ft . ( not unfinished cellar or baseme ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FT . � Attached Garage 1 ,('x�2 ear p Privater_ Storage Buding SIZE OF NEW STRUCTURE : Commercial Storage Building i57 :> FEET x FEET Other Foundation Type : Will any second- hand or ungraded Number OE Stories * lumber be used ? If so ,, for what: ? ( habitable space oryly ) +L '4ca Height Grade to r ).dge ) : feet TYPES OF HEATING SYSTEMt Number o firepla�Ce )p and/or woo stove ( circle all whir; i ples ) to be installed :! 1 Ga / Woad Forced Hai~ Air seboard j Other Person responsib for upervision of work as regards to building codes is : Builder : Name }. Addre e Plumber : r7 Mason : LjF Electra clan : DECrA.RiTloN..m Please sign bekrw qRer you have carefully read the statement. To the best of my luiowledge the statements contained in this application, together with the plans and specifications submitted, are at true: and complete statement of till proposed work to be done on the described premises and that all provisions of [lie Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, anti that stich work is authorized by the owner. Further, it is understood lhat i/we shail submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed survey awn t c le, showing, actual location Of project On premises. Signature: t5 Vner, owner's agent, architect, contractor) Application for Permit — Septic Disposal System Town of Queensbury 742 Bay Road QQueensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: ............................__............_........................................................_-__...� Office Use Location of installation: I Tax Map No. / J File Permit No. Owner's Name: _ /,,�/� �uct J"�,. Fee Paid ............ .. . . ._ . ...... .................................. .._...............,,,,,.,......... ....,... Address: 2. INSTALLER'S NAME ,C�ru 41 � PHONE NO. Z-- 3. RESIDENCE INFORMATION. (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total dozily flow) Year of House: No of Bedrooms x Computation Total Daily Flow 1980 or older x 150 gal/bdrrn = 1980 — 1991 x 130 gaVbdrrn = 1991 — present � M--- x 110 gal/bdrm = — Garbage Grinder Installed yes no Spa or Whirlpool Installed yes _ __ J no T 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Tonosxranhy Soil Nature Ground W ter Bedrock or impervious Material Domestic Water Suppty Plat sand at what depth at what depth Rolling loa feet feet well Steep slope c ay if well; water supply ,r5 slope other from any septic-system depth: absorption is ft. other Percolation,dmTest: (7'o be completed by licensed professional engineer or architect) Rate: AV=46 minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). Add 250 ,gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: Imo, AR-2. gallon (min. size i, 000 gala) �- 147 I+K tirJ , Tile Field: each trench e,F 0 ft Total System Length: Seepage Pit(s): number of size ofeach: ft. by Size of Stone to be used: # / depth or thickness feet Bed System Size, x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: J 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. SIGNAT'URE &. INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note that pursuant. to Section 13+6-29 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 thaTown of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person 43atd ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY 9000 F."ATING DEGREE DAYS Com-ol ± ance Methods : PP.RT 5 - Acceptable Practice Method - 1. & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating -- Component Trade offs 1 & 2 Fdmily Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * - "Design by Component Performance Commercial Buildings - i Rise Residential. * Reui l res suhmiss q on of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor A,ea - /7l2,v000 ' sauare feet 2 . Tv_ me of Heat - electric Oil G Gaas� Other 3 . r s- building mechanically cooled ? Yes No 4 . ? ercentage of a.ea of windows ndows and doors Over '_ 7 $ �nder 17 $ 5 , R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWnJ,' ON PLANS SLSMITTED : a _ Roof R 01 b _ Exterior walls R c . Glazed areas R 2. 3 do Exterior doors R �b e . Floors over unheated sraces R Edge of sl &b on grade ( : eared building ) R g . Basement / cellar walls ( above grade ) R �— ?� . Basement / cellar walls ( below grade ) R � i . Heating/ cooling-ducts -piping in unheated space R 6 . S er'rice ( domest .c ) hot wate . heat i rc device Co :L = arms to m.i nimum e ==1c .j e _.ncy per cods / Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1. 400 -- WILL NOT BE EXCEEDED A C S Sign aL 10 e 7 l r f s 1NSPE V -CP ' S REMARK TONN or gssseNSOURY SUILDING Fs CODE 7 ROADRCgNENT VUSENSOURY NY 12004 ( `• (518) '76Y-8256 INSP : ARRIVE : _ RRSIDIK"TIAL FIRAL INS'PUCTIO" REPORT PATS INSPBCTL0" REQU38T RE.CBIvwD % NAME LOCATION PERrSI`P M r+ r DATE TYPE OF STRUCTURE. FRAMING FOUNFTiIgN SACK.F'ILL FOOTINGS_ _ ION �_ INSMA.TION ' R4tfGti PLUdi'BINSi Wool)STQVK OR FIREPLACE FINAL ELECTRICAL V N S C P' r, rr ttARnN�LSIfLAIT+T'N�------'—'"' s T c 1 6 1 V I I MAP REFERENCE: FINAL SUBDIVISION PLAN PHASE 2 DATED: JULY 26, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC 3 � o 1M o LOT 11 00 49,632 Sq. ft. z 1.13 acres 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: DAVID P. & MICHELLE C. DISCENZA TRUSTCO BANK NATIONAL ASSOCIATION, IT'S SUCCESSORS AND\OR ASSIGNS FIDELITY NATIONAL. TITLE INSURANCE COMPANY OF NEW YORK CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: OCTOBER 20, 2000 N.aia D u s eh Stever Land Surveyors, LLC 169 HavUand Road Queensbury, New York 12801 518) 792-8474 New York Lie. No. 50135 261.6' 'UNAU MMED ALTERATION OR ADW M1 TO A SJRWY WP BE 0 A WiNSED LAND 9URVE►CRS SEAL 18 A NDLAOON OF SECTION 770% SUN-OMYON 7. OF THE NEIN YORIC STATE EDUCATIW LAW. •O/LLY CORES FROM THE ORIOINAL OF TM SIYEY MARKED WITH AN ORIONAL OF THE LAND SINRYEVORS SEAL MALL ELE CEHSW RED TO SEVAUD TRUE COPIW Carwxmws NOCATED HEEEDIR SIONNY THAT r#43 "WY WAS PWARED N ACCORDAIICE VAIH THE DORM CODE OF PRACTICE FOR LAND SURVEYORS ADOPTED BY THE NEW VORK STATE ASSOGATNIN OF PROFE39ONAL LAND SURVEYORS. SAID mfl91CAMOIS SHALL RLN OLY TO THE PERSON FOR *ft THE SURREY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COPAW WOEMAMTAL AOEIICY AND LORDNO WRTURION LOW HEREON. AND TO THE ASSIGNEES OF THE LE)DNO NSOTUTIOK• LOT 12 N06....,'2902( 300.17' TEL r. ELEC ')0(.00' S06'29'20"W 0 A 00 5� so' A DRIVE _ 00 V) TEL O a TRANS. LOT 10 �i t�� ODD J--� VV cb J% C> � Map of a Survey made for DAVID P. & MICHELLE C. DISCENZA Town of Queensbury, Warren County, New York NN> rg W mm 9:Q ' of NEW, '� �0135 �• • . cAND . � . 1-1 --- 1 "=30' S --1 SHWT 1 OF 1 CDISCENZA NO. DATE DESCRtPTiON DWG. No. 96081-11 FIRE MARSHAL TOWN OF QUEE.NSBURY QUEE gS g U 81-82 5 2804 FIRE MARSHAL. INSPECTION REPORT REQUEST RECEIVED NAME ry LC3GATl0 �f RMIT #�'d ! SCHEDULE INSPECTION ON !1� PM ~� 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 _ REQ ED SIGNAGE HIMNEY � ,�'�aD STOVE -- � IREPLACE MASONRY Cs FACTORY BLT. UGH-IN — -� FINAL _-- --------- OK To THIS DATE REMARKS INSPECTOR �sasu�.Pue RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: �,._•_.,_,____;;,� Building & Code Enforcement /1 Dept. of Community Development Arrive am/pm Depa Town of Queensbury Inspector's Initials 742 Say Road Queensbury, New York 12MM LOCATIQN 1 _ Cf /X T ^- 3 — DATE TYPE OF STRUCTURE ..._. �75E � NIA YES/NO COMMENTS Chimney fleightP'B" Vent/Direct Vent Location Fresh Air intake Plumb Vent through roof Roof Complete_ Exterior Finish Complete Interior/Exterior Railings 30" to 6" Mef Exterior Handrails, balconies, 1 S ' or more_ JZ "� Interior Handrails stairs both si 3 or in risers Gracie 2% away from foundation S" clearance to sill plate Gas Valve shut-off' exposedlreg or 18 above grade Gas Furnace shut-off 34 f or thin line of site Gil Furnace shut-off at trance to area Ftmtace/Ilot Water Heater Relief Valve(s) installed Headroom,. 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides m than 3 risers Interiorprivacy/trun/doors/ruarn en ce 36 Floor Finish BathroomtKitchen 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 11i hour fire door/door closer, Garage fireproofing Garage penetrations scaled Furnace in separate room protected (in ,garage) Light ventilation per room Safety glazing 19" r lilt oor Finial Electrical Site Plan/Variance Veqttired, Final Survey Plot Plan As Built Septic System layout required to /4 rik) 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 ,f Fv coMN ONWkALTH ELECTRICAL INSPEC"I1oN SELL4ICk, IN Main office 176 Doe Run Road - Manheim, PA 17545 ! G3 MUNICIPAL CERTIFICATE - ELECTRICAL APPl2 VAL Panel Board No..............................Corr, N° B o 7 4 Cut-in Card Na. ....._..... f L 1 +'20 Af.fe,..t6Z'f;'4'. 0 1 �...................................... ....................,,......... ... owner-...'....................... .... Lnstaila on Consisting r.............Q M ........-.....�.. r-....._. Installed B The conditions following governed the issuance of this certificatc. and any certificate previously issued is caneei}ed: - �i This certificate only covers the electrical �^quipme application sh'alVtbenprunptlynmade for of lainspecte ltionon trie introduction of additional equipment or alterations, at any time, and if its Inspectors of this Company shall have the privilege of m. inspections rules are violated, the Company shall have the rig t rcvo'k i -- rt ate_ ...................................... ...................... pate..!„!,,,.. ... -..Y......................... ISs1SPri C'{ Oi2 .._....-... Vleroj er N+F.P.A., LA ES- GENERAL INSPECTIOlN REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: ..� Building & Code Enforcement 742 Bay Road Queensbury, NY 12MM Arrive anVpm Depart Inspector's Iaitiatls NAME: PERMIT # LOCATION: DATE : TYPE OF STRU RECHECK � E ES COMMENTS Foo6nvwpiers �4 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/Darapprooftng x,, Backfnll Approval Plumbing Linder Slab ` Plumbing Vent/Vents in Place Rough Plumbing, Heatina Rough4n�.., atiau on Walls Interior Foundation Wails Exterior R- Floors R- W alas R- Ceiling R- Duct work or piping in unheated spaces R- P'roper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bridging Joist hangers ac3c P+o atsfArltiin Beam �~ Air Infiltration .er .............. ........ Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 how Firestopping GENERAL INSPECTION REPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road h . .�� Queensbury, NY 12844 Arrive am/pm Depa Inspector's initials J �� NAME: C.2J'I.A..0 Ck e) � a m , PERMIT # LOCATION: 1 I Bt Or. DATE , �Ej — r,'� TYPE OF STRUCTURE. U Z 7 RECHECK NIA 'YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from Ereezing for 48 hours following the plpcement 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 Plunx ' Heating Rough-In .o-- isulation I TV Ff= � +25 -� ' tAS Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ot Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posm(Main Beam Air Infiltration. Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin i FIRE MARSHAL TOWN OF +QUEENSBURY QUEENSBWRY, NY 12804 (618) 761 -8205 i FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAMEc LOCATIONR�2 ` PERMIT 11 '73 a SCHEDULE fNSPECTION ON '�►��M�I� APPROVED N/A IYES 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 S '. REQUIRED SIGNAGE CHIMNEY e WOOD STOVE FIR LA LEI MASONRY ACTORY SLT. ROUGH-IN 0 FINAL REMARKS: ❑ OK TO THIS DATE INSMI PM INSPECTOR GENERAL INSPECTION REP'[7RT ( 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 DeparX"w Inspector's Initials J R{- NAME; PERMIT # 07 LOCATION: DATE : c? TYPE OF STRUCTURE: RECHECK 1 "YES NO COIV11►+IENTS Footings/Piers ti Monolithic Pour Form Reinforcement in Place The contractor is responsible .for providing Protection from fieeaing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpaur Reinforcement in Place Foundation/Dampproofiu BBackf ll Apgaroval 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- Pmper Vent, Attic Vent Franti Jack Studs/Headers Bracing/Bridging Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 29 3, hoar tration Sealed re Wall 2, 31 4 hour Firestoppin a, rt use r ` GENERAL INSPECTION REPORT( 518 ) ? 61 - 8255 Town of Queensbary 491 xO Dept. of Caaumunity Development Date inspection request received. Building &c Code Enforcement .� 742 Say Road /� { f � Queensbury, NY 12804 Arrive am/pm Deptcrtkamlntn Inspector's Initials NAME: CQXXDr ci " PERMIT # aw? ' '-5 '13 LOCATION: ! 1, DATE : TYPE OF STRUCT'l7RE: _RECHECK NIA YES NO COMMENTS Footings/Piers _ I Monolithic 'Pour Form Reinforcement in Place The contractor is respo ble providing protection from reezi for 48 hours following the of the concrete. Materials for this purpose on si Foundation/WaRpour. Reinforcement in Place FoundationfDarapproofing Backfiill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ✓�ough Plumbing, Heating Rough-In Insulation i Foundation Walls Interior R- Foundation Walls Exterior R- Ftoors R- Walls R- Ceiling R- Duct worst or piping in unheated spaces R- Proper Vent, venyt Jack Studs/Headers too BracmW`Bridging Joist Hangers r lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed WON= Wall 2, 3, 4 hour t,, Firestoppi 41jaI 10 FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (sus) 7s1-82as FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED -- NAME .-.-1 c7 i o ANC,_ LOCATION SCHEDULE INSPECTION ON AM PM APPROVED ,R N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIG TING FIRE EXTINGUISHE FIRE ALARM SYSTE FIRE SPRINKLER SYS M FIRE SUPPRESSION SY EM HOOD INSTALLATION INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN ERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY W it STOVE IREPLACE Cl MASONRY ACTORY SLT. ROUGH-IN FINAL OKTO THIS DATE REMARKS: i 1 ir4swaaPaue INSPECTOR Tout OF QUEENSBURY 8UILDING _4,_.CODE ENFORCEMENT 742 Bay Road Queensbury _my _I_2804 (5is) 761-8256 SEPTIC DISPOSAL SYSTEM I1 ►PECTI Nam Lacati on I � � Date Permit # SOIL TYPE . Sand- Loam- Clay- Results of Percol ati on Test- ( if applicable ) Rate-Minute/ Inch+ TYPE OF SYSTEM: ABSORPTION FIELD ; Total Lenp. h Length of each trench Depth of trenches Size of stone SEEPAGE FITS: Number- ft . Size - f t . x --- Stone size Size Yi� e PIPING : Bldg . to Tank �� Tank to Dist . x Dist . Box to Fi d/Pit x � xtJFu ` openings Sealed ? Yes No arti a LOCATION/SEPARATI fee t Foundation to Tanis - feet Foundation to Absorpt n feet Separation of Pits -,)rz o Conforms as per P1 of P1 a LOCATION OF SYSTEM ON FRO RTY : ( circle one ) Front - Rear - Left Si - Right Side Middle Front {-� I e��"� COMMENTS : ~~� SYSTEM USE APPROVED *" � N--�� Arrived : Departedo i ing nspec or GE�'VE P.,ECT.�G►N REP RT ( 518 ) 761 - 8256 Town of Queensbary Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/Prn Dep _ Inspector's Initials / NAME: 1 `j ERM T # ` LOCATI[3N. ]DATE : TYPE OF STRUC 1URE: RECHECK NiA YE 0 CONUVENTS l sutingsfPiers � v '^ toe Monolithic Pour Form Reinforcement in 'Place / The contractor is respo ible for providing protection fro freezing for 48 hours following t e placement Of the concrete, Materials for this purpose a site FoundationlWallpour Reinforcement in Place FoundatiorvDampproofin Ball Approval Plumbing Under Slab F9umbing VenuVents in Place Rough Plnmbin Heating Ron 4n 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 Frami Jack. Stu ls/Headers Brarang/Bridgi .foist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town. of Queensbury Dept. of Community Developmeut Date inspection request received: Building & Cade Enforcement Bay Road Qu 1VY12904 �11 Depart +► eensbury, Arrlve � 1 actor°s Initial NAME: C C PE:Rl'++IIT '# IACATIDN _ 1 1 i3A .t �rT� DATE : 1 TYPE OF STRUCTLJR.E.; RECHECK NIA YES NO C(QIvt2+IENTS Footings/Piers_ Monolithic Pour Form Reinfo'.:arrie"t in Place The contractor is respa ble for providing Protection freezing for 48 hours following placement of the concrete. Materials for this purpose on 'te Foundation/Wallpour Reinforcement in Place Foundation fDampproofinn �klyit Approval ^ C 17+�+t� Plumbing Linder Slab Plumbing VentlVents in Place Rough Plumbin Heating Rough-In Insulation Foundation 'Walls Interior R- Foundat-ion Walls Exterior R- Floors R- Wails R- Ceiling R' Duct work or piping in unheated spaces R- Proper Vent, AAic Vent Frami Jack Studs/EIeaders Braacingl'Bridging — Joist Iian.gers Jack PostwMain Beam -• — Air Infiltration Barrier Fire Separation I, 2, 37 hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin Men - 40/i Y w � , 3a GENERAL INSPECT ON REPQRT ( 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 Depwrt Inspector's initials t�? NAME: _. � 1L EO 6 e' PERMi T # �O c+ — �7� LOCATION: _....____...._ v �' �' - teas* �� 0� , 1�aTE TYPE OF STRUCTURE: RECHECK ' NIA Y5 NO COMMENTS . ootings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fuming for 48 hours following the placement' of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Damppmoli Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin Heating hough-ln insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Went, Attic Vent Framin Jack Studs4leaders Bracing/Bridgin Joist Bangers Jack Posts/Main Beata Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour, Firestopping ro r have. seen or observed, or bebers ! svw rAdsnos jK 3'ects such as houses, wells, trees„ sk,00 l ;n this document l also repreaW that 1 hm ! Yja 9sure distances sst lerth m Ups " f ' UNATURE E r1 17 Ir 1 I Lf G N7iE A. u1 s ALtfG 0 3 2000 � s -'_ �... . qt_. Cn! ��= 57 r