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2000-679 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number: P20000679 Date Issued: Tuesday, March 13, 2001 This is to certify that work requested to be done as shown by Permit Number P20000679 has been completed. 3Dc)U , K) _ a_ t ti q Tax Map Number. 523400-125-000-0044-12'w2--000-0000 Location: 22 NICOLE Dr Owner: GUIDO PASSARELLLI Applicant, GUIDO PASSARELLLI This structure may be occupied as x By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace Director of Building & Code Enforcement mmmmft TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761 -8256 BUILDING PERMIT Permit Number: P20000679 Application Number: A20000679 'Fax Map No: k 523400- 125-000-0009-122-000-0000 Permission is hereby granted to: GUIDO PASSARELLI Owner of property located at: 22 NICOLE 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 465 LAKE Ave LAKE LUZERNE, NY 12846 Contractor or Builder's Name / Address Electrical Inspection Agency LAMOTT, MICHAEL NEW YOR.K BOARD OF FIRE UNDER 92 NICOLE DRIVE QUEENSBURY,yNEW YORK Type of Construction: Single Family Dwelling Value : S 135,000o00 Plans & Specifications 2000-679 1774SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $231.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, September 18, 2002 (If a longer period is required, an application for an extension must be made to the code enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town ensbu ; Monday,, September 18, 2000 SIGNED BY YZ for the Town of Queensbury. Pirector of Building & 046de En orcement 701Y11 Of Qlleells 'vul P .[ f l0J 11 y - Ue fr. tf C-rllilltrrtltJlp Ue'1'l'lu1NIlI7+1, Al2 Pooly 1lUrttl, CJrrt e'il.rlletl �ry�..r8r' �I r� �[ J.� # u l t, D l N G tF - CODE �: tv �r� u fl C r.• Af rI tv r' r . Writ 12Wel 1761-82z 5r,j Itetltlirclllcrtls 17rior to isstr,Elrcc n Iwrlsoil 1111811 trek asl/Inlelcel hurtle" t1!" Ilris ilCrrllil :lwgrl1r11118 certlrtlINielltln, NIP Itutrsa,711tlton _ "� I'I:'IiA117' rd1J� will rx1. rrn'Ilu nnrtf ui,lrliciuot lure rccc lvntl - h dAPoAt ll" U1 pl lcitil Jtl1 l.._-1 .ltrrrl�. JltxrriJ :fcYJrrte I'/i1tAII'I' 1•h7c PAW ni,l,rie nine" e!"kcce oil list$# 1,I11slicltlirin Arco / LJan Mtjs,r im cnrrolrlc�locl elAel. lrrn eigronllrrn It1 CJt15i1 'J'!C)!V 1 L1: 'i111 srf 11re nr,r111cnoor roltlnt nlrywnr tit, IPon - f`1tr►Nl1rl�. 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J:c1r, rr .t. •r, o ' -- r "l'wt1 [='et1u-l- -ty 17wca Jtc4" r-- - OL1talG Work ( cleacx•.Ibe below ) tolercantile AUG 3 2000 Mlxltul'�Icl:ur3. rtt� GIZpSS 11ItC11 OF PROPOSED STRUCTURES �-2.p 01: 11e1 - lnt: AUDITIOtJ I G1 , wllrtL wi 11 v2Lel1r otF loUlvro. 'r+ . new. 11ct vine nq * 70 ll11 . ( rlcrl; u11JCj. 11j- f3I1ec3 collier o� 1)tttlekllr3llt; ) -� --_.._ _ . . nc:cr�ssc�ttx tl11,L Lu z rac;s TOTAL FLOOR ARUA �' - ilo l.11clt>'il Gal rmic 14, 2 car: -� �L�i SID 1�'l' , ��- Ai l ttcilecl Gtlrnc�e 1 , SX " OF NEW STRUCTURE Prj' vat a Storage Ui Ccaulretvrc.i.u1 Sl;oraf�e Lltt3, lc.11rlr� Is no or x _ C.3 O'L- It t3 t: ltx:lt+ller � elf SCc1r3. oe : -c�al-m+ y� 5°r Ft�- l .l txrlyy' l3erconc.l- 1tnitcJ or slnc) rnciocl { rlr, li .I. t_ ttlr .l. o n (srlczcl crll .i_ y y l J xttltl�ot Iro tttreci ? ZI [ror foi: whrai 7 (I IN I: ( eIt-+tr,icl S:rl 1:.t. Illic] r ! " t: rani: Nnti'klnr: t, 1, J .r. 1, t71r .l. etuarrI t111e! /car, wcsuc.ler t,elvtl r ar t r Cri ill':!► r i iici x ii"f.'i:il : ! v bo LIll3r: Ftjjtrcl ; ( t. l t: c; .ln ' (x .l, l w1t1c11 tet1t11J. i ctlr ) A2 & cam. l?: L s i Wood IICr- Purnell re"PoJleilllt, for ruI)ervj. rr .i_I711 of work 11g reyttrcltr o building coclecl in to 11u3 ] ill5r : yaiirle Addre'etwo 1' 1lV11C Plttlubor1 , D C7...A1?A7T10N.' Pleft.re .rlgtf lia'fow yutr hove cill-efllly rerlrl Ylre srri%elirent. _ "1'll IIIU llL'Sf of lily I[IIa1WIi![liyu If}u 4l:tiU11tC111s colrir1illeol ill lllin rt111)licstritlll, ft)j1011f;r wide S11i1 111;111s I'nal tirecilic:+Iiculy sttlll'lirlccl , Irro :1 1111cS I11141 comilletc "IniellBel" of I' ll IN' allxmecl work lee be clorle n„ the a14esCuibell III'efilitien tsrlll Il1:Il :111 pterIIIIIlot, [r(' 111t1 11erilcrirsi, (_'In1c, like Zcttli"l; [)Iflirmlice ;,lorl :kit e,tIto1' 1.%%vs 11ce1:411111s1t rc1 to IsIIs{xro:I:.tI lvrrrk sSI-At II Irt1 III s 0 1 P1 i III I lviI10 , w1wI III!r srrcc iIil:II err• Fit llcc10 Itlttl 'lust r�tic:lo ive/t k i:l nitrt,csr iie:cl by liar- ers.vncr. I :tlo (peel-, it is trroe let tilr >l1rl Ilo:tl t/wu shall5111rrriil (11 illy INN to C crlil ;ego t❑ err C7cl:oolr:tsley` rrr C,:Cfllftcltr0 crr Cl*crrlllrristlICU lIviIoff ir:.O;I let 1, toll AS 11111f 'r' 1'f.C)"1` 1'l.Ar1 lry 11 1ice-Alined 11toc voyiI all 4%111 Itr S(::t to, :Ilscrlvlr/lr flultlrl! Iax:ltllutr IJr 11f [Sj[:ct t111 1rr'Crlli$CS. (awrlcr, a r`s Ill;ell l, strcllilccl, cc7lllracirar) Application for Permit — Septic Disposal ,System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: Location of installation: / 4� T rr}� n f / Office Use _.bIL - lrY.�f 1��fC+Q/r.� � fr +� Tax Map No. ! / File Permit N ' 4fI1 Owner's Name: do Fee Paid &Wd&L57je Address: r 2. INSTALLER'S NAMEJI PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(s) and multiply # of bedrooms with applicable gallons per bedroom to equal total daily flow) Year_of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980 - 1991 x 130 gal/bdrm ��I99I pnesertt�i x 110 gaUbdrm = Garbage Grinder Installed yes _ ! no L/ Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) Igpoamphy Soil Nature Ground Water Bedrock or Imperyious Material Domestic Water Supply a at what depth at what depth urrici Ming + m — feet feet well Steep slope clay if well, water supply �36 slope other from any septic-.system depth: absorption is ft. other Percolation Test. (To be completed by licensed pro,fessional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM; For New Construction: All individual sewage dispersal systems must be designed by a licensed processional 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: /� pC3pgallon (min. size 1, 000 gaij Tile Field: each trench ._^ ft. Total System Length: p Q ft: Seepage Pit(s): number of size of each: . by ft. 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: / 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 ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance. Signatu f responsible person CKEite ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY r WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance methods : PART 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 -Hi Rise Residential * Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION t PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE * 1 . Cross Floor Area - 17Z, P �f square feet 2 . Tv-z:)+e of Heat - Electric as Other 3 . Is building mechanically cooled ? Yes No 4 . Pe . tentage of area of windows and doors Over 17 % Go"Under 17 % 5 . R -VAr,L}'ES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a . Roof R ^ b . Exterior walls R jq c . Glazed areas R e2z k3 _ do Exterior doors R �,� • e . Floors over unheated spaces R, � ^ Edge of slab an grade ( heated building ) R r1 . Basement / cellar walls ( above g=ade ) R h . Basement / cellar walls ( below grade ) R i . Heating/ coaling- ducts -piping in unheated space R y, zq 6 . Se --vice ( domestic ) hat water heating device COnforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140o - WILL NOT BE EXCEEDED TNSP = CYCR ' S REMARKS : l� }it i'Sl it)� �'i cc �y �•4l\'Al i!�' �ty]IAC C:I i:i tl U1'Y'. 742 Ra%' [j'.Q}Sti�r Q�•CiiS�)rEr\'. ti }. Application for Fuel Burning Appliances & chimneys . RP9, aPPlicable to solid fuel & vented gas appliar?ces C7aic ✓�, ; 20 w, Permit No. "I .rlpJylicrrlicru i.s lr�re6a� Alrrrclr ri•., t!!c: ,. f errrrit ptusrrarrt to the r^vetl }'nr Srrrtc l ire Pre 11Ve icrl 13i1c1i rfr the C'ucic, r sl7ac Ac��lalie rfuFrvrcilig crrcl L!tic ugA'ccrs to corrrJaly ,A-ill' all applicable Jp,,,:s, nArlirrcur oiti�r ces; Ar-i��rrinriurrr, crrrr] cr11 c crArcliticurs' nc�rc a rhtse regrrirerrrcrrts rrArcl also willerllasA rr11 r'rrsf3eetorr rcy re J�ury ref eater J�rerrrls�. to yi ,ftiAnr ■ egrrirect iArtiiaecric�Arr, .NOTE to applicant: Rough-in and Final I17spcctions are re q Ll ;l red. Applicant Informatiotl Fuel But-ring Appliance Information Name-, t (clrcie appropriate words) �-- r a Stove: Wood coal Pellet gcrs Fireplace insert Address: Fireplace, factory_ built: wood gets wood Phone •• ,� Furnace: wood y crs$ oil If t]or]-masonary applicance, Please provide Owner: ManufactUl-er Marne: Mgt o Made] Number: I a Phone: :' Chimney Information (circle appropriate words) Masonry block bp-ick stone Exact Address• Flue the steel size: inches n 'clirrs�rke art or rrrsru arlorr Factory-Built Manufacturer name: Note: Model Number: Construction /Installation nrrtsr Listed 8y: Number: corn arnr to NYS Fire Pr-evention & Building Indicate (circle) chininey material: Code. C011Srrdt available Town ofQueerrsbia:t, Hccndotrts regarding required inspectiolrs, l7orrble „ <rll . ! ` -.,., ib - V Triple xtocrll J 1nsrrlarer!d. / l�irccr lerrri+rg CJrinzrre, Lhier t Fire Alar'slrnl Corte # S Collec•reff S Rc rArrlerl It ecc�r,•,,•[l•r+-crI„ IA•c�JrlAlticfllflf ' � .4 173 3389 (190) Public Safer, .k arldre .t.s : .4 233 655 (33d) ,4airror >/�rwc4"t`wsrc. _ lRw.r. /i�s,re os •;r'3.._ ,�r'��""-•...-.-... White (Applicant) Green (Fire t`tiarsltall ! . Vellou• q Idge. Dept. ) I'iirk & Ga{dcttrad {Cashier's I TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 SAY ROAD QUEENSSURY NY 12804 (518) 761-8256 ARRIVE ; ----�.. DEPhRT ; INSP ; F I NtiA L iCommeRCI _ INSPECTION REPORT (hotel, rMULnott lgapi�a7rnpc x) DATE INSPECTION REQUEST ReCEIVED : NAME //"` LOCATION {riM f� �r � ^."'•'-J �'tCI r�i��[C.O ,� p 4 R✓ Y/ DATE 3 PERMIT k TYPE OF STRUCTURE FOOTINGS �SACKFILL`_. FRA MING A!`IING�i PLUMBING N A �iES HO CHIMNEY/ "Bw VENT ftEIG2fT �y FLUMSING VENT FIXTURES ROOFING E]STEP,TOR FINISH ... I �iEATING/HOT wam� E LIEF VALVE FLOORS OUN TIO INSU ATION INTERIOR STA RA TO STOCKRO M ENCLO UR$ IRE +"V]3M SE WALILS PENETRAT ON FIRE DAMPERS CEILING FIRE STCYPPING FIRE DOORS CLOSERS ExI----ZiDOOR HARDWARE EXIT STAIRS ILS . PLATFORM LEVATOR HANDICAPPED ACCFS HANDICAPPED BATHS HANDICAPPED PARKING I FINAL ELECTRICAL ITE AN VARI NCE RE ~� FINA�VEY-k'LOT PLAN. IF RE i QK-.. ro ISSUB Cfp p � r i MAP REFERENCE: MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION Ss3'K32 4 MADE FOR HERALD SQUARE SUBDIVISION LAYOUT s�9d OF AND UTILITY PLAN", DATED 5/20/96 LAST REVISED 10/2/96, PREPARED BY VANDUSEN & STEVES, LS. FILED IN THE WARREN COUNTY CLERK"S OFFICE ON DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85,MAP #165, 4?O?OF O o AREA 20,000 SQ. FT. LOT 121 LOT 123 ry0 //ob .b0 c,5 Cq�,gCe O J c. ' • o �� t.v.o teie. j trans. g as', hry I�� b9S MAP OF A SURVEY OF LOT 122 HERALD SQUARE BOO at.v. t MADE FOR r� ���"~� aio's"uR`y TERRE MAJESTIC INC. v4�`'JO1Sr�0¢tyts�2 TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY DAVID J. BOLSTER MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A t LICENSED LAND SURVEYOR VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE 4�»` 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 NEW YORK STATE EDUCATION LAW." yJ� lyo gg5"P yO��a' ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS OF DATE:,t."'' DATE: FEBRUARY 22, 2001 SCALE: 1" = 30, N.Y.S. LIC. NO. 49534 SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES" DWG. NO. 01025 B FIRE MARSHAL et TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT #00 NAME '' C LOCATION ��� ' IJ r SCHEDULE iNSPE TION ON 14 �� ' A P ANYTIME APPROVED EXITS NIA ! YES No ' AISLE WIDTHS �� f EXIT SIGNS _ EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE i_ i ! FIRE SUPPRESSIQN SYSTEM - I HOOF] INSTAL! ATION,- - INTERIOR FINISHES STORAGE: CLEARANCE TO SID NKLERS _ CLEARANCE To H TING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE - ,MASONRY FIREPLACE - FACTORY 3 ILT � REMARKS: OK TO THIS DATE INSPBLIP.PM NSPECTO op Office No. (518) 7614US6 Date inspection request received. Building & Code Enforcement Dept_ of Community Development Town of Queensbury In- ectos'a Ini 742 Bay Rosa Queensb ew York 128M NA ffi PERNIIl'l' # LOCATION DATE ::f2 I : TYPE OF STRUCIURE N/A 'YES NO CONU ENTS Chimney Hcightl"B" Vent/Direct Vent Location Fresh Air intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing IS in. or m Interior Handrails stairs both skies 3 or more n Grade 2% away from foundation S" clearance to sill plate Gas Valve shut-off exposed/regulator 1 S" above krade— Gas Furnace shut-off`withm 30 feet or within t of site Oil Furnace shut-off at entrance to furnace area Furnace/14ot Water Heater operating. Relief Valve(s) installed lieadruinn, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 Interior privacyAnm/doorshnain entrance 36" Floor Finish BathrooniX,itchen watertight Interior Handraila Balconies/Landing 1$ in. or m e Railing across window in stairwells Smoke Detectors-. every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour- fire door/door closer Garage fireproofm Garage penetrations sealed Furnace in separate roam protected (in garage) Light ventilation per room Safety glazing 1 S" or less from floor Final Electrical Site Plan/'Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Certif. of Occupancy). Okay to issue permanent CIO (Certif: of Occupancy) ® ilPLPL3 11i rJr�J�icJ"3cJ� rJ�rJr1�rJ�cJ�r?�r.l�r� rJ�rJ�cPrJcJ� '3 r�ct���r�Ill 1rJcPr�r�c fr??n 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET NEW Y©RK, NY 10038 SCERTIFIES THAT 5 SS Upon the application of upon premises owned by STerre Majestic 5 S S Located at MICOLE DR- LOT 122 QUEEMSBURY, IVY 12804 Application Number: 1003580 Certificate Number: 1003580 SSection: Block: Lot: 122 Building Permit: 2000679 BDC: A239 S S5 l ti id ena �.1 Described as a Res occupancy, wherein the premises electrical system consisting of CL'U, electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, S A visual inspection of the premises electrical system , limited to electrical devices and wiring to the extent detailed CS herein , was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration , or other authority having jurisdiction , and found to be in compliance therewith on the i2th Day of March, 2001 . tilamc OTY Rats Ratkne GkCCillt Tyfre Alarm and Emergency Equipment Sensor 6 0 Smoke SAppliances and Accessories Bell 'Transformer 1 0 S Dish Washer 1 0 Exhaust Fan 4 0 S Furnace 1 0 Gas Wiring and Devices Fixture 27 0 Incandescent 5 Receptacle 38 0 General Purpose S Receptacle 5 0 GFC1 SSwitch 36 0 General Purpose 5 Receptacle 1 0 50 Special (� Service CS 1 Phase 3 W Service Rating 150 Amperes E'er Service Disconnect: 1 150 cb r� Meters: I seal Continued on Next Page 1 of 2 5 S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S S a J�rJ�rJ�cJ�[J�rJ0 1 � r;r�r�r�[.Pr�[ frPrPPP all C3 r�tJtJt�Tr�rJ� cntr-� ON U,rTI cTI r.I'� r -7 u 01 1 OJ III ffii i�f�GnrJ�rJ��nrJ�rJ`� o BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE UNDER'WR17ERS 5 BUREAU OF ELECTRICITY S 40 Fuii.TON STREET -- NEW YORK, NY 10038 SCERTIFIES THAT L Upon the application of upon premises owned by S 5 Terre Majestic 5 S Located at NICOLE DR. LOT 122 QUEENSBURY, NY 12804 Application Number 1003580 Certificate Number: 1003580 5 5 SSection: Block: Lot: 122 Building Permit: 2000679 BDC : A239 Described as a Residential occupancy, wherein the premises electrical system consisting of S electrical devices and wiring, described below, located in/on the premises at: 5 Basement, First Floor, Second Floor, Attached Garage, S A visual inspection of the premises electrical system , limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 Spromulgated by the State of New York , Department of State Code Enforcement and Administration , or other authority having jurisdiction , and found to be in compliance therewith on the 12th Day of March, 2001 , 5 .`vane OTY Rats Ratine Circuit Typg 5 S S S rr5 seal 2 of 2 S This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S rJ� 151 iry,151rJ�rJ�r� c1�c1 i lRi rJ�cnr_P ��� cJ�cJ�r a rJ�rJ� FIRE MARSHAL TOWN OF QUEENSBURY 14 QUEENSBURY, NY 12804 (518) ?81-82Q5 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT I i NAME LOCATION SCHEDULE INSPECTION ON - P ► _ ANYTIME APPROVED EXITS WA YES No AISLE WIDTHS F..X€T SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYS M HOOD INSTALLgIf:pAy'� •_ i INTERIOR FINISHES STORAGE: CLEARANCE TO SP KLERS CLEARANCE TO H ING UNITS REQUIRED SIGNAGE CHIMNEY j WOOD STOVE PLACE - MASONRY _ (REPLACE - FACTORY 13UILT REMARKS: �--� r- OK TO THIS DATE INSMIP PM INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 781 -8205 FIRE MARSHAL INSPECTO REPORT REQUEST RECEIVEDMIT C J✓ NAME T LOCATION SCHEDULE INSPECTION ON AM PM ANYTI E I APPROVED WA, ' YES NO� EXITs AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSIO YS HOOD INSTALLATION I - INTERIOR FINISHES STORAGE: CLEARANCE TO SPRI KLERS _ CLEARANCE TO HEA NG UNITS REQUIRED SIGNAGE _ CHIMNEY WOOD STOVE WOaD � � ✓ --� FIREPLACE - MASONRY �I REPLACE - FACTORY B ILT +� REMARKS: �- F f K TO THIS DATE r 60 " 3psLlp.pw INSPECTOR E.NERA1: VVSVWCTION REPORT h 5 ( 518 ) 761 - 8256 Town of Queensberry Dept. of Community Development Date inspection request received: Building & Code Enforcement � 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart r . Inspector's Initials~ NAME: pci LO"ERmrr # li LOCATION: DATE : TYPE OF STRUCTURR RECHECK NIA YES Na CON "AENTS FootingsMers, Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 4$ hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour. Reinforcement in Place Foundation/i]ampproofi Bacikfrll Approval Plumbing, Under Stab PI! 'ng Vent/Vents in Place gh Plumbing �/ I" /r✓U.. ' f` flC c� t g Rough-In ' auC . n Foundation Wails Interior R- 7'/2 ' 00O { Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Phroper Vent, Attic Vent Framing Jack. StudsMeaderss BracingA3ridgin Joist Hangers _ Jack Posts(Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Wall. 21 37 4 hour Firestoppin / I l_ l'] , C#4./kx el (J� ? t2G— t Wt �5 f gcc k) NCC GENERAL INS'FECTION REP'C�1RT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building. & Code Enforcement 742 Bay Wind Queensbury, NY 12804 Arrive Milian Depart Inspector's Initial��C�mr NAME: T A C-i E PERMIT # OD LOCATION: DATE : f TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinfarcexnent in Plane The contractor is responsible for providing protection from f eerang for 48 hours following the placeme of the concrete. Materials for this purpose on sits Foundation/Wallpaur Reinforoemcnt in Place Foundation/Aampproofi n Backftll Approval Plumbing Under Slab P _ Plumbing Vent/vents in Place Hugh Plumbi '" Heating Rough-In _ Insulation Foundation Wails Inier*or -- �• ,� �I 17 Foundation Walls Exterior Floors R- Waus R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic rent Framin Jack StudelFleadens Brac::ing/Bridgin Joist bangers Jack Posts/Main Ream Air Infiltration Barrier Fire Separation 1, 2, 3, troux PeneJefition Sealed F' Wall 2, 3, 4 hour irestoppin GENERAL IlNSPECTIQN 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 1 ug nx Depart Inspector's Initi NAME: C> PERMIT # — LOCATIC]N: DATE : — .-� TYPE OF STRUCTURE: RECHECK N/A YES NO C[71Vilr+JlvNTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fWpwing the placement of the concret Materials for this se on site Foundation/WalI r Reinforcement in Foundation/Da fi Backfill Approval Plumbing Under S Ptwfting Ven in Place gh Plnm Heating Rough-In Insulation Foundation Walls I tcrior R- _ Foundation Walls E or R- Floors R- - Walls R- Ceiling R- V Duct work or piping in unheated spaces r er Vent Attic Vent 1' rarneng Jack StudsAicaide BracinglBri Joist Hangers Jack Posts/Main Beam Air Infiltration Barriuer Fire Separation 1, 2, 3, hour Penetration Scaled c— are Wall 2, 3, 4 hour k. Firestopping t� f OF QDEENSBURY � _ b CODE ENFORCEMENT I 742 Bay Roar! Queensbury NY 12804 (518) 761-8256 I SEPTI&DISPO SY INSPECTION "me G Location Date / Perm #�_ '` ! SOIL TYPE an - Loam- ay- Results o ereolatio Test- ( if applic ble ) Rate inute/Inch TYPE OF SY ; j ABSORPTION IELD: To al Length Length of a ch tree Depth of tr ches Size of ston SEEPAGE PITS: um r- Size - ft . x ft . i Stone size PIPING: Size ype Bldg. to Tank !1 Tank to Dist , Box Dist . Box to Fiel P Openings Sealed ? Yes o art a LOCATION/SEPARAT Foundation to Ta k feet Foundation to A orpt n feet Separation of P is feet Conforms as per 'Pl of P1 es No LOCATION OF SYS ON F ER ( circle one ) Front - Rear - eft Side - ight Side Middle Front - iddl a !Rear COMMENTS : N w I SYSTEM USE APPROVED* YES NO Arrived: Departed: Bui ding Inspector i i TOWN OF QUEENSBURY BUILDING A_ CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-82,56 SEPTIC DISPOSAL SYSTNs 'dame '�' - G Location .t', ,C Gate \ - 2r .L„ry Permit # - SOIL TVPE and'` Mtn- Cl ay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF S'k'STEM: ABSORPTION ".FIELD Total Length ,N� Length of e4h trench Depth of trenches Size of stone SEEPAGE PITS : ' umber- Size - x ft , Stone size PIPING: ze ype Bldg . to Tank � i ' L Tank to Mist , Sox Dist . Box to Field/Pi ►► Openings Sealed? Y o artya �� LOCATI OK/SEPARATIONS : Foundation to Tank i 0 feet Foundation to Absorp ion wz.As feet Separation of Pits feet Conforms as per P1 Plan 0 LOCATION OF SYSTEM ON PROP TY : ( circle one ) Front - ear t Si ht Side Middle Front - e ear COMMENTS: c v� SYSTEM USE APPROVED: YES NO Arrived & Depa. 4 Bui ding In a .tor -" U ` u�r1 'J = L J r�.J �V L `FC 141, 9 ' 100,00' 57. 98' 42-,02 7 ; 00.00 S7. 31j' IX TTT.. . •. .. I •� yyR yy' Li LLJ t LOT 121 ' 22 G$ ti1 1 Cr, �. c f `a I +SOT 124 �tOT 120 � , ° 20,00{�_ s ft. �� � ' ° : ti l c� 34,5 " 3 . ?a gp1 . sq. `t. �I 0. 45 a res ! Ij n aU -� �' ra ` ' ` �' 0. 57 C7Cr�5 Z .. I i LOT 223 GCrCS t s - ; ] ' 0.45 acres qq `J � C1.GOr J� o ,r1 , 1 -5. 35 ' ,'�Lr �titi U TI TY NAI tNM i 1 Ej sEM NT 9 LOT 127 23, LOT 128 a } 0.53 acres 1 f �Tt> TY - o w > 1 } N �1 tt } y,,.� _ - �tA}NTSAINCE if Q . 1 SOT 129 1� 3,_ _ s EAS WENT t— � ~ r { 1 ro 2n. ;95. sq. ft. c 0. 53 acres - f �1 53 acre � 11 } l �= � - • t,33 ' Z C 1 ; ee f� GENERAL IN.SPEC.'TION REPORT ( 5 .18 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Road Queensbury, NV 12804 Arrive am/prntepar, p > Inspector Initials �` - -�.- NAME: LOCA'F'1C?N: tµ b TE : C3 TYPE OF STRU RECHECK _ _ 4Wa2 t N/A YES NO gVOMMENTS Footi ngs/Piers_ �- Monolithic Pour Form _ Reinforcement in Place The contractor is responsible for r providing protection from freezing for 48 hours following the placement ` of the concrete. Materials For this purpose on site Foundation/Wallpour - - H Reinforcement in Place Fou ion/DampproofIng_ _ elcfill Apprvval_� `_-�_ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing__. _ Heating Rough-In Insulation _ Foundation ZIDIIR- gInterior R- Foundation Exterior R- FloorsR- WallsR- CeilingR- _ Duct work og in unheated spices Vent, Atnl Framing - - - Jack Studs/H _ - - -Bracing/Brid _ -- - _-- —Joist HarngcrsJack Posts/MamAir Infiltration BFire Separation , hour, Penetration Scaled Fire Wall 2. 3, 4 hour__ Firestopping-__ . _ - GENERAL "SPECTI'©N REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbnry, NYI28O4 Arrive Pm park 00 L OCAT10,14: DATE : t TYPE. of STR RECHECK `r NIA No CC+MMEWS ootings/Piers i Monolithic Pour Forma Reinforcement in Place The contractor is responsible For providing protection fiezi for 48 hours following the p nt of the concrete. Materials for this purpose on site Foundation/Wallpour f Reinforcement in Place Foundation/DaampproaSim Backfill Approval Pluming Cinder Slab Plumbing Vent/Vents im Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior!: R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R.- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin .Tack StzuL%rweaders BraciGnWDridgin .foist Hangers Jack Post.Utviain Beam Air hifiltration Barrier_ Fine Separation I, 2, 3, hour Penetration Sealed Fire Wall 22 3, 4 hour Firestoppi