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2000-732 TOWN OF QUEENSBURY 742 Bap Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 76142% CERTIFICATE OF OCCUPANCY Permit Number: P20000732 Date Issued: Tuesday, January 30, 2001 This is to certify that work requested to be done as shown by Permit Number P20000732 has been completed. all (� ���,Uh� � � � Tax Map Number: 523400-074-000-0002-089-000-0000 Location: 62 SARA-.IEN Dr Owner. GUID© PASSARELLI Applicant: MICHAELS GROUP This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 2 Cars Attached Fireplace ! j Director of Building & Code Enforcement TOWN OF QUEENSBURY (EL 742 Bay Road, Queensbury, NY 1 2 804-5 90 2 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000732 .Application Number: A20000732 Tax Map No: 523400-074-000-0002-089-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: 62 SARA-3EN Dr 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. Tyne of Construction Value Owner Address: GUIDO PASSARELLI Single Family Dwelling 193,900.00 40 LEHLAND Dr Garage - 2 Cars Attached QUEENSBURY, NY 12804 Fireplace Total 'Value 183,900.00 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS GROUP NEW YORK BOARD OF FIRE UNDER 10 BLACKSMITH DRIVE QUEENSBURY, NY Plans & Specifications 2000-732 2834 SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $347.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, October 03, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Off ieer of the Town of Queensbury before the expiration date.) Dated at the Town Qu sbu ;W Z , ctober 03, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Buis ing Permit Application Town l7,f Queensbury - Dept, of Cminnunify Developn eiat 742 flay Roewl, s�rrc�rrrsheu v, NY 12804 1761-92561 BUILDING do - CODE CfVI'ORCEAfEmr fry+ Requirements prior to issuance F41D rmit must be obtained before of this permit, PERMIT FILE NQ„ . JC beginning construction. No insPectlorts PERMIT FEC !'rt1D 5 S be made until applicant has received O Zoning Board Action BUILDING PERMrr4 Alt Area r tlsc cants` RECRLsrtT1ON FEE AID spaces on this application MUST' be completed a td- tha signature � Plartrtlttg Board Action � �, �-�- of tho applicant- must appear cat the REVIEWED BK SPR r Subdivision f other 13rriGf�rrg lrtx/tctnr plication Form, raaax y., Recreation Fee Payment Applicnnt: tLzcls. Owner: Address: � �`• � tlk�^. �i.�42 , 1;�+t�•, "� � �.j. V2t>'1 Address: ' { jj ? Phone # �- _ �5�,... ls3tor;e # Property Locution; ��5Pire " ji nnr 2 Lick Subdivision Name: 9mm tis �'r�7►V1A Tax Map Number Section 131ock lint NATURE OF PROPOSED WC3FtK ; ESTIMATED MARKET VALUE OF THE T Now Building : CONSTRUCTION : $ - �"3 t�C� residence / commercial F Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial _2!�. Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family T ,e�15-19 Office Ir Other Work ( describe below ) Mercantile ManufacturingA w 2 ' ��� Other GROSS AREA OF PROPOSED STRUCTURE :* 1st Floor . . . . . . . ; sq of newtw addition be ? : ft . { � if ADDITION , what will use 2nd .Floor . . . . . . . sq . ft . Other floors . . . . $ q . ft , ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 car TOTAL FLOOR AREA : '7 SQ . FT . � Attached Garage 1 r ca Private Storage Bul SIZE OF NEW STRUCTURE : Commercial Storage Building FEET X _ A9illl FEET d Other Foundation Type : ' will any second- hand or arngraded Number of Storiest 7 � lumber be used ? if so , for what ? ( habitable space only) Height rade to ridge ) : ' 7qa� feet, TYPE OF HEATING SYSTEM : _ - Number o( g fireplaces end/ orm 'w�oa3st:ove ( circle ' all which 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 : L-zh+r't\V>&,r t dre s phone Builder : b ` Plumber : tiffs _ ty i�xasor. a v{ �, Electrician : © 2Z DECL ARA770R.a Please sigat be1mv of ear you hove carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all ottzer 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 shall submit ,prior to a Certificate of Occupancy or Certificate of Compliance being issued , an AS BUILT PLOT PLAN by a licensed survey r; d awn to scale ng tactual location aF pr jeer on prcMises. signature: C: ./ t ' ( wner, own agent ehitec , contractor) Application for Permit - Septic Disposal System 7i-Avll of+Qllce sbttly 7qt? f3ayItontlQ+rcc�rr.rlrarry, W 12804 (318) 761-8 56 1 . OWNER INFORMATION: j o�r 0 Location ofinstaliation: �y� IDYL Offisc tixc File Pont-Lit E Tax Map No. / / � t No. (�.,���., Owner's Name: �i lyAS- 5 4 Fee Paid Address: kc� ��.'�[' t'Y\ � .i:.�4.1_'` � C} 2. INSTALLER 'S NAME CDC`tti a,+,� �T PHONE NO. Cv21Cj 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroony(v) and multiply U oJ' bedrooms with applicable gallons per hcdroone to equal total daily, tl ;W) Year of House: of $edroois x Computation Total Daily Flow 1980 or older x 150 gal/bdrnt 1980 — 1991 x 130 gal/bdrni 1991 - present � x 110 gal/bdrm = [} Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no 27 2uuu =l , PARCEL INFORMATION: (circle applicable information &. indicate measurements) TQ Uo *ra h ^�Sc�il N tam ` round Water ... Bedrock r Ent ervious Material Domvstic�W91 pp ter Str � 1 Yap scrod at where' depth ai when depth nrurx#c#per Rolling loom Steep Slope clay 1J'tive11; raalc=r .srrpply — 'U .slope other ,Ji•om ansf .septic-.s}=stem depth: - absorpaon is other Percolation Test; �I'<e bt= errlrr/+lc=tcd Icy lice ased lrru/i•a.sJortcrl en�;#necrr rrr arclv#rcceJ - -_ .____ _ _._ Rate _ � -__.. nrinlrle per inch 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be desigaicd by a licensed professional engineer or architect (unless installed In a Planning, Board approved subdivision). Add 250 gallons to the sire of Elie septic tank and leach Held for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: IC00 gallon (rain, size 1, 000 gal) Tile Field : each trerecl7 .5�{ f. "Total System Length : 7 Seepage Pit(s) : nionber of rizc= o ,each: JJ, Size of Stolae to be used: Il / depth or thickness Bed System Size: � Alternative System: _- _ lon,gth and/or size 6. HOLDING TANK SYSTEM: (if required) - -- -- Number of tanks: N.A. / Size of each: gallons / TOTAL Capacity: gallons Note: Alami 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 Qu eons bury, any permit or approval granted which is based upon or is };ranted irr 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 real—uii}re�ments of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Sign tare of r"p sI6Wper&0n pate i Idd i Idd Town of Qko2CIIN UI-y, 4 .) 13:1r ko.rtl, (11rlc �rr:ttcrr \ ) ( 51 81 76 1 -82 (k Application for Fuel Burning Appliances &. Chimneys applicable to solid fuel & vented gas appliances t I Permit No , ji r}/)plic'£rtinr) is Irc)"eh}2 rnrtrlc itl the 131riltlfng & C oo'c5 Office frlr the o/a Ruiltfir.rg olded Per-rrrir I)ur:straw to the ?lretij York Stater Fire Prel;errtirrrl and I3rrtlthrl•:,f C. r)rlc. /Iic--' a/)lrlic'rrrit {)r tf£;r':,�N.S' to cornply l,"itlr dill erpplicable lei l vs. Cl1'CllrrarnCe s-, iY.;i'irltlfrt.rl.ti. aril Cl t!l/ £"t)lirlr rl r)31.5' flrar! Crr e, part of rlres'r. retllrirerltclats crn£l alrr) It'ilf rrllo3t' till iris p ctor•s to ento l)re.dw.5e-; to l)corf+rirr 1-deq rirecl irr.5r3cc rir�rr.5'. NOTE to applicant : Rouali- in a:zd Final Inspections are !-equired . ••^�{1''f1An',,i]Ix'lii cc,}�alit Info ,-matioll! Fuel Burni „g, AI) I- liarice Info ,-,i, atiol, *'S � �i II'C]C �7E13't71�f1.'7tC' \t' di i r arne : i 1! w 7lO�'e ; It t7[7f1 c000ll ,rx:llet gcrs � � �. Fireplace insert Address: i.t �-.v Fireplace, factory-built : Wood —I�A A..#,c__tn Fireplace, 111asonry: lvOocl gas I;urnacc : It ©od cts oil Phone: If 11on-masonar}r applicallce, please provide f]tiwner: „yr _ �` 'Sln €afaet krer Ir'an�e: f Address: Model Number: Chimney Info,'nlation 3 Prlotle : — (circ ]e appropriate %cords} I Masonry blor^k bi-dick stone Flue the eel size: ilrchcs Jf Exact Address (,O .,`��►,� � �� — of'£"; refdzOr irrstallarion Factory- Btliit Ivianu fact urer name: i Model Number: j i :Vote: Listed By: r Number: Consti`ilction / Iristallatiorr nicest I ! can ornr ro ?V'YS Fine Pl-eventioli & Bitildhig fridicate (circle) chinzlley material : ] Code. CDluttlt available Torvii of Qieeeiisbztr-1- �I Hrr)iclows 1^e.907-ding rer/ith-dec'l illsj,3ectiojr s. Double s eddl I d l,'rplc i,•rrll / lrr-srtlerrctl / Uirccr 1 ,rrriirry J �lrir]rirt'S 1 irlc•+' J33 Gfi�x�', at� 3� terra , i �.'ntat � Tv�rlrracar. ,p►.f Qu�,�lx:;.�b i F�rr ; :1)axr•.5lrtr! C'o{!c 4 ti Ct17fcyrr•rl w ii"t't+rrrdt�tl !2c°t•c�ii'r�af fir�rrr Ir rlirrrrf�,'rl rrrJ:?389 fl90) Prrf>Iit Srrfc•rt trrfrfr .5 G ! 233 3655 t230) Alirrtxr' .Sale.r .— _.__ .._ . _-- •-- White (Applicatlt) Green ( Fire M-Irshal) Yeliolw ( Bic1_g. Dept. ( Yaotk Ei Gnl£tcrtrcrtl. fCashier"s Dept.) 9ft RESIDENTIAL FINAL INSPECTION REPORT office No. (518) 761-8256 Bate inspection request received: . 07�.� - Building & Code Enforcement n Dept. of Community Development Arrive amlpm Depa Town of Queensberry Inspector's initials 742 Bay Road Queensberry, New York 12804 PERMIT # I A7CATPON4b DATE TYPE OLURE N/A YES o CrJNrtu ENTS Chimney HeightP13" VcntlDinect vent Location Fresh .Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both. sides 3 or more risers Grade 2°Yo away from foundation 8" clearance to sill plate -- Gas Valve shut-off exposedhe for 18" hove grade Gas Furnace shut-off within. 30 f or wi line of site ail Furnace shut�rfFat entrance area Furrnacelllot Water Heater opera Relief Valve(s) M"tdleA Headroom, 6 ft- 6 in. as Basement stairs, 6 ft. 4 in. Handrail exterior stairs both s` more than 3 risers Interior privacyJtriin/doorsl entrance 36 Floor Finish Ba0trcwm/Kitchen watertight Interior Handrails Balcome 18 im or more Railing across; window in s lie Smoke Detectors: every level �eercj i� - every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures ,I�Foundation insulation `V' 3/d hour fire doorldoor Gl arafe fireproofing Garage penetrations scaled Furnace m separate room protected (in garage) Light ventilation per room Safety ,glazing I W' or less from floor anal Electrical 1te Piar nrianGe 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) FIRE MARSHAL TOWN OF QUEENSBURY 4UEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ NAME LOCATION (P-,,1, ~ 1 Vt ` _ PERMIT #Q' 0 SCHEDULE INSPECTION ON - - ,� � A M APPROVED NIA YES NO EXITS AISLE WIDTHS - EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE. ALARM SYSTEM FIRE SPRINKLER SYST FIRE SUPPRESSION SYSTEM �� HOOD INSTALLATION INTERIOR FINISHES STORAGE: _ _ CLEARANCE TO SPRIN LERS CLEARANCE TO HEATI G UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE E>MAASONRY FACTORY BLT. ❑ R GH-IN Ki06NAL REMARKS: OK TO THIS DATE INSPSLIp,KM INSPECTOR RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement }17 Dept of Community Development Arrive am/pm Depa V r d Town of Queensbury Inspector's Initials _y� 742 Bay Road Queensbury, New York 12804 NAME PF1t:[v1T1� / 3 LOCATION LATE t� TYPE OF S'fh1IC NIA YES NO COMMENTS Chimney HeightP'B" VentMirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete r Exterior Finish Comple Interior/Exterior Plat 3U 36" Exterior Handrails, bat es, la> irxg IS in. or more Interior Handrails stairs th side 3 or more risers[grade 2°rb away from fo tJon S" clearance to sill plate Gas Valve shut-off r 18" above grade Gas Furnace shut-off wi 34 feet within line of site Oil Furnace shut off at en oe to cc area Furnace/Hot Water heater Relief Valve(s) installed Ileadroorn, 6 ft. 6 in. an Basement stairs, 6 ft. 4 in. Handrail exterior stairs tZIS sid1V more than 3 risers Interior privacy/trim/doorshnam trance 36 rt Floor Finish Bathro m /Kitchcn watertight Interior Handrails Balaonies/I.Anding V in. or more Railing across window in stairwells Smoke Detectors: everylevel every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fuxlvoofin / s7 Garage penetrations sealed ' 3C-R r, -- .V4 /C E /Z (�}G c}C.- [j�j e+� Y✓ �' Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 1$" 1 1 n floor Final Electrical Site P1xnfVarianoe required Final Survey Plot Plan As Built Septic Syst=n layout ui Okay to issue CIC (Certif. of Compliance) Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue permanent C/O (Certif. of Occupaucp) TOWN OF QUEENSRURY BUILDING & CODE ENFORCEMENT 742 13AY ROAD VUEENSBURY NY 12804 (518) 761-8256 ARRzvR : ,,� , ----�.�. DEPART : INSF : },'/f�'- rl*FAL X24SPBCTXOU REPORT DATE INSPECTION REQUEST' J18CEIVED . NAME Le5p�...�� 4. E1r LOCATION DATE . 'TYPE OF STRUCTURE PERMIT N FOOTINGS FOUNDATION ROUGH PLUMBING BACKFILL FKAMING FINAL ELECTRICAL SEPTIC INSULATSTON "-• WOOpSTOVE OR FtREPLACS ' C1"HIMNE Y HE T/S VENT iT £IG_ FlT��,_ U D NG V N F.r.X TFR rno F rj.1l'S'FF E OR BPS I G RELIEF VALVES FURNACE Ho WAT O ERA G N R O IM F VAC RS H FL RS : T CHEN A T OT E F s SWE L OTHER FLOORS C R $T D ST IR CLEA NCE RAILING -- s F'LUMRrNC, FI7CTLTRES _ F U D T O U A S N +GE FIR p {] NG D�If'OR CLGtSERS FINAL ELECTPIC � r mF FLAN1ilARIANCE R,E�Q_��_� FAN L SURVE LOT P N OIC I'O ISSUE CfO OR C.�'C�� 1,r fy MAP REFERENCE: LEHLAND ESTATES SUBDIVISION FINAL LAYOUT PLAN — PHASE 3 DATED: APRIL 27, 1999 BY: VAN DUSEN & STEVES LAND SURVEYORS, LLC D us eh Steve s Land Surveyors, LLC 169 Haviland Road Queensbury, New York 12801 ,518) 792-8474 New York Lic. No. 50135 3 C �r C a 2 'UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY YAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7200. SUB —DIM" 7. OF THE NEW YOM STATE EDUCATION LAW.' 'ONLY COPIES FROM THE ORIGINAL OF THS SURVEY YAKKED WIN AN ORIGINAL OF THE LAND SURVEYORS sm SHALL BE OONSOERED TO BE VALID TRUE comm' •CE"MCATM INDICATED HEREON SOWFY THAT 74S SURVEY WAS PREPARED IN ACCORDANCE WTH THE EXISTING CODE OF PRAC71M FOR LAND SURVEYORS ADOPTED BY THE NEW YOKK STATE ASSOCIATION OF PROESSIONAL LAND SURVEYORS SAD CERTOICATIOLS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUITION LISTED HEREON. AND TO THE ASSONEES OF THE LENDING INSTITUTION.' , Map of a Survey made for MATTHEW S. MURPHY KERI L. VIGLIOTTI Town of Queensbury, Warren County, New York I NO. I DATE 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: Matthew S. Murphy Keri L. Vigliotti Chicago Title Insurance Company Trustco Bank, National Association, its successors and/or assigns CERTIFIED BY: MATTHEW C. STEVES, LLS NYS 50135 DATED: January 9, 2001 DESCRIPTION ..,..... ............. .. ...., Scale 1 "=30' S-1 Im? 1 OF 1 MURPHY/VIGLIOTTI DWG. NO. LEHLAND-89 cri�clscnrJ�J'3cirJ�rJ�rJ3rJrrinrlc. BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS S BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW PORK, NY 1003B CERTIFIES THAT SUpon the application of upon premises owned by S FOREVER ELECfBOEL ELECT. * THE M1CHA'ELS GROUP WILLIAM D. MCPARTLON 62 C�UEENSJEN OR NY 12804 S 2446 JAFFREY ST. S 5 SCENECTADY, N.Y. 12301 , Located at 62 SARA JEN DR QUEENSBURY, NY 12804 Application Number: 1001848 Certificate Number 1001848 S c� Section: Block: Lot: Building Pe it-0 DC: A239 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inlon the premises at: S r� Basement, First Floor, Second Floor, Attached Garage, S was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 22nd Day of November 2000 Name OTY Rate Retina Circuit Tune rS Alarm and Emergency Equipment 8 0 Smoke Sensor SAppliances and Accessories Bell Transformer 1 0 7 Exhaust Fan 4 0 Furnace 1 0 Future Appliance Feeder 1 0 Wiring and Devices � Fixture 33 0 Incandescent Receptacle 61 0 General Purpose Receptacle 1 0 50 Special Switch 42 0 General Purpose SReceptacle 1 0 30 Special SReceptacle 4 0 GFCI Service 1 Phase 3 W seal S Service Disconnect: 1 150 ch 5 Meters: 1 S 1 of 1 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 Q Lim CJ'rl-� Gnrsrs� rSscJ�cJ'1G1Gl�rs� Cf�� LI�[P Cry CraCr� rl�'1Lr� GnC.1� Gl�l� Gfi�1� w IDA-AAj GENERAL VSWPECT70N REPORT ( 518 ) 761 - 8256 'Gown of Queensberry y � j f- Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensberry, NY 12804 Arrive ;"10 am/pm Depart am/pin Inspector's Initials NAME: r�r? J0 64),4 15 C r tg tg9 PERMIT # Zoo 6-V ty'" 3>2- LOCATION' /y 02 ?V o "S *-f �- lb ( DATE : � TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers T t Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fmrn for 48 hours following the pl of the concrete. Materials for this purpose on s' F4nnCI&tion/WaRmur Reinforcaement in Place Foundaiio fin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P Rough Plumbing Heating Rough-ln insulation Foundation Walls lnte r R- Foundation Walls Ex -or R. / Floors R- i f Sr f s / ICiG'� . 4 n /+.,1 Walls R- , Y Ceiling R- S' Duct work or piping n unheated. spaces R- Proper Vent, Attic Vent Frantin Jack Studs/Readers Bracing/Bridgin Joist Haxigers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 31 4 hour Firestoppin FIRE MARSHAL TOWN OF: QUEENSBURY QUEENSBURY, NY 12804 (518) 781-8205 FIRE.MAMHAt- 4SPECTION REPORT REQUEST RECEIVED NAME LOCATION __.f� S• �c �, —,.- b ERMIT # SCHEDULE INSPECTION ON � A P VeT L3�!_7 s APPROVED EXITS WA I YES NO r AISLE WIDTHS EXIT SIGNS e EMERGENCY LIGHTING FIRE EXTINGUISHERS _ FIRE ALARM SYSTEM FIRE SPRINKLER SPRINKLER SYSTEM . FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO PS KLES CLEARANCE TO H ING U TS REQUIRED SIGNAGE 4 CHIMNEY WOOD STOVE _ IREPLACE ❑MASON ❑ FACTORY B ' ROUGH-IN CrP NAL , REMARKS: iQK TO THIS DATE [� 130 tat Ic . 8 a t[_ Z .wsmp." I PUR GENERAL jM PECTI N REPORT ( 51 8 ) 761. - 8256 Town of Queensbury () 0 Dept. of Community Development pj#0 in+p�U:.request received: IM Building & Code Enforcement 742 Hay Road ....- -• ....- Queensbury, NY 12#0�1 "'l Arrive am/pga Depart l ' �amfpm Inspector°s Initials NAME; YL 6A f-k, V ! C) ' RMIT # L 09A`►TION: k DATE : �'t `� �/7�-�-1 TYPE OF STRU RECHECK � f NIA, S NO CO]MiWENTS F ' 'ngsJPiers Mono ' c Pour Form Rein£ t in Place The con r is responsible for providing 'on from freezing 48 hours fo ng the pUccment of the connate. Materials for this on site Foundation/Wallpour Remferretnent in Plum Foundad Back it l Apqua val Plumbing Under Slab )Plumbing Vent(Vents in �`'� ,qugh Plum '� • tinng Rough-In "r Insulation Foundation Walls I rior R- Foundation Walls xterior R- Floors R- Walls R- Ceilitrg R- Duct work or 'ping, in unheated R- Froper Vent, i "V " Frami Y- Jack St Bracin ridging Joist rs / Jack slMain Beam VAir Lnfil tion Barrier Fire tion 1, 21 3, hour Penetrati Sealed ire Wall 2, 3, 4 hour ,r r &NERAL lVSiPfECT!©N REPORT ( 518 ) 761 - 8256 Town. of Queeusbory Dept. of Community Development Date inspection request received: � ou Building & Code Enforcement 742 Bay Road J1 ' , Queensbury, NY 12804. Arrive amlpm Depart + m - Inspector's Initials NAME: E" 5 PERMIT # 3 7/ 3.} LOCATION: BATE : i r�� 01. TYPE OF STRUO I ME: RECHECK NIA YES NO COMMENTS Footings/Piers € Monolithic Pour Form Reinforcement in Place The contractor is respoostpge f6r, providing protection fro freezing for 48 hours following a placement of the concrete. Materials for this purpose n site FoundationAVa lirmyur Reinforcement in Place Foundation/Dampproofin Ba�ckfill r ff Under Slab Plumbing VentlVents in Rough Plumbin Heating Rough-In Insulation Foundation Walls interior Foundation Walls Exterior Floors R. Walls R_ Ceiling R. Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing.. Jack Studrrf3rad rs Bracing/Bridgi .foist Hangers Jack PostsllvWn Beam Air Infiltration Barrier Fire Separation 10 2, 3, hour_ Penetration Sealed Fine Wail 2, 37 4 hour, Firestoppin JOP36) - " TowK 9F WE£NSBURY BUILDING.._& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location � �' ~`" ` Date ~� t # �. ---� - �_ am-C1 SOIL TYPE , Sand ko Results of Percolation e5 ( if applicab e ) Rate- Mi ut / Inch TYPE OF SY r ABSORPTION FI LD* Total Le th1 � 4°_ Length of eac trench Depth of trenc Size of stone rL- SEEPAGE PITS ; m Size - ft . :< ft " Stone PIPING* �rype 5 Bldg . to Tank Tank to !list . BOX Dist . Sox to Field/ Openings Sealed ? , Y s No artza LOCATION/SEPARATIONSf rr ) feet Foundation to Tank - _- — Foundation to Absorption feet Separation of Pits feet Conforms as per Plot Plan a No LOCATION OF SYSTEM ON PROPER ( circle Front Rear Left Side - Right Side Middle Fr - Middle Rear COMMENTS: t ' cy SYSTEM[ USE APPROVED : YES No Arrived Departed: 1 y Sui'lding nspector f "! have seen or observed, or believe ! saw evidence of, all objects such as houses, wells, trees, fences, etc., Shown on this document, i aiso represent that ! have personally n asurp distances set forth on the diagram." 9 ''E.?tJc7 z SIGNATURE DATE N 851 Q'1 OPOW 0. 00 I ! I cc 1 � CC a I P f CD C C'IL .,i -rw� , c 100. 00 S85 1 O' 1 O"E SARA H JEN DRIVE _-_..- _ — _. .-._ - ........ ........._......-.� -- �_, --- �J27E7Cp GENERAL "SPEiCTION "PORT ( 518 ) 761 -8256 Town of Queensbnry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury. NY 12804 ArrivewJc Depart Inspector's Init' NAME_ +�-�E �Loe s T � .2 LOCATION: ATE TYPE OF STRUC RECHECK N/A YES NO COMMENTS Footings/Piers — -� Monolithic PoiW ReinforccrrtenThe contracponsible forproviding p from freezingfor 48 hourng the pl4cemeof the concrMaterials for tose on siteFoundation/W Reinforcement in Place Foundation/I3amlapraof 1�g u n lab _.... Plumbing VentlVents in Place_ Rough Plumbing!, , Beating Rough-In Insulation Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing .lack Studs/Headers Bracing/Brid Joist 13Rngers Jack Posts/Main Beam Aar Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firestoppin LAj ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Dane inspection request received: /0 e' Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pni Depa luspector's initials �. NAME: A cpohae L-f PERMIT # v LOCATION: FOAA -r *7 DATE ' tu TYPE OF STRUC11JRE: RECHECKj/ 2 COMMENTS tFootiPem Monolithic Pour Form. Reinforcement in Place — The contractor is responsible for providing protection from freezing for 48 hours following the p nt of the concrete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place Foundauott/Dampproofu Backf'ili Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Ptumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2, 3, 4 hour Firestoppi GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Depf. of Community Development Date inspection request received: Z) (03k," ) Building & Code Enforcement 742 Bay Road +Queensbury, NY 12804 Arrive am/pm Depart Inspector's ]Initials - - NANM: PERA UT # .� L(7CATICIN; DATE : to � ?� TYPE OF STRUCTURE; RECHECK NIA YES N COMMENTS o0ol I ithic Pour Form I �` � �� Reinforcement in Place C� The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site ik FoundationlWallpour Reinforcement in Place Foundation/Dampproolin e HC Backfill Approual Plumbing Under Stab Plumbing VentfVents in Place Rough Plumbin '� Heating Itough4n @lll Insulation Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Franxi .Jack Studs/Headers Bracin&0ri Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Scaled Fire Wall 2, 3, 4 hour Firestopping ---LNE