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2000-712 TOWN OF OUEENSBURY 742 Bay Road, Queensbur4, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Permit Number. P20000712 Date Issued; Monday, July 02, 2001 This is to certify that work requested to be done as shown by Permit Number P20000712 has been completed. Tax Map Number: 523400-303-020-000i-00b-0004000 Location, 404 DIX Ave Owner: GEORGE ROZAKIS Applicant: GEORGE ROZAKIS This structure may be occupied as a: By Order of Town Board Single Family Dwelling TOWN OF QUEENSBURY Garage - 1 Car Attached Fireplace Director of Building & Code Enforcement TOWN OF +QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 76 1 -8201 Community Development - Building & Codes (518) 761-8256 BUIEDING PERMIT Permit Number: P20000712 Application Number: A20000712 Tax Map No: 523400- 111-000-0001 -006-000-0000 Permission is hereby granted to: GEORGEE ROZAKIS For property located at: 404 DIX Ave 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. Type of Construction Value Owner Address: GEEORGE ROZAKIS Single Family Dwelling 60,000.00 404 DIX Ave Garage - 1 Car Attached QIJEENSBURY, NY 12804 Fireplace Total Value 60,000.00 Contractor or Buildgr's Name / Address Electrical Inspection Agency NEW YORK BOARD OF FIRE UNDER k , Plans & Specifications 2000-'712 2568 SO FT SINGLE FAMILY DWELLING WITH 1-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $311600 PERMIT FEE PAID - THIS PERMIT EXPIRES: Sunday, September 22, 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 Towieensb Friday, September 22, 2000 SIGNED BY _ �, 2 for the Town of Queensbury. Director of BuildingZoKen7forcement 'r Build ing Permit Application Town of Queensbury - Dept. ofCouuuuuity Develop neat, 742 Bav Ronal, Queenshury, NY 12804 176I-8Z561 BUILDING & CODE ENFORCEMENT INOTICEI Requirements prior to issuance Fbeginning rmit must be obtained before of this permit: PERMIT FILE NO construction. No inspections PERMIT FEE PAID $ be made until applicant has received �g Board Action a ,ALXD BUILDING PERMYr. All ,Area I Use RECREATION FEE AT applicants" specea on this application MUST be oonipleted and the signature Q Pkvvdytg Board ,Action REVIEWER BY: of the applicant must appear an the Spilt I SuN ivision t other rrftJi"R Imperrnr - Vim. 7A�"s ""` Recreation Fee Payment Applicant: Owner: 0 Lt t! fryL F Address: �.� Address; Phone # ( _� �t ) -� Phone # ----- Property Location: - ---___.�� Subdivision Name: fax Map Number Section 131ock tart URE OF PROPOSED WORK : ESTIMATED MARKET V LUE �Os THE New Building : CONSTRUCTION : $&0s f�t~K ] . CJQ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : ,Primary Building - residence / commercial JC Single Family DweilV-d -- Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office 1 = 2000 Other Work ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : JK / 00 If ADDITION , what will use 1st Eloar . . . . . sq . fit .-':+ 2nd ,Floor' . 0 0,4%w0 0 g ftt 6 2/.� of new addition be ? q . l Other Floats * . . . . sq . fit . ff - ( not unfinished cellar or basement )w + ACCESSORY BUILDINGS : Detached Garage 2 car TOTAL FLOOR AREA : _ZO ow St I;T�. Attached Garage 1 , 2 car + Private _ Storage ilding SIZE OF NEW STRUCTURE : Commercial. Storage Building �. other �N FEET X FEET Foundation Type : a 1 ,0Vy Will any second- hand or ungraded Number of Stories : lumber be used? If so , for what ? ( habitable space orsily ) Height ( grade to r,idge ) : � feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or wooa stove ( circle all which lies ) to be installed :, / 'as / Wood Forced Hot Aire/ aseboard j Other Person respoDsible f supervision of r a re ards It ing codes is : d . 5 � � [ '7tak— t:>7Z Name Addreess Phone Builder : Plumber : Mason : Electrician : DECLAR'A7TON. Please sign beknv a ei you have curefidly 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 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 llwe shall submit prior to a Certificate of Occupancy'or Certificate of Compliance being issued, an AS B IET PLOT PLAN by a licensed surveyor; d to scale, s, g actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for Permit — Septic Disposal Systetm Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1 . OWNER INFORMATION: __.._........_............ .................. .................._............................... .._.._.� ` office Use Location of installation: 1`- t r � Tax Map No. k� / File Permit Na._ ! i I� Owner's Name: cC © G t Fee Paid Address: 41��46 6 d' "'were 2. INSTALLER'S NAME PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate it bedroom(s) and multiply 9 of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of Hous , No of Bedrooms x Computation = Total Daily flow 1980 or older x 150 ga1/bdrm = 1980 — 1991 x 130 gal/bdrm = , b 1991 — present , x 1 10 gallbdrm = 3 Garbage Grinder Installed yes ,� 1 no - ff,1(; Spa or Whirlpool Installed yes _____ f no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) it Naturpr ut1Cl Water Bedrock or Impety LgvA Material Uom9stic Water_Supply !a ar at what depth crt w� h��ert depth »rre�ricipaf offing oam ,Jeer feet well Steep slope clay if well; water .supply slope other from any septic-system depth: absorption is fa. other Percolation T JMo, be completed by licensed professional engineer or architect) Rate. G� 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 sire of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. . Septic Tank: gallon (min. size 1, 000 gal.) Tile Field: each trench AM ft. Total System Length: Seepage Pit(s): number of size of each: f1. by Size of Stone to be used: 11 / depth or thickness _'~�_feet Bed System Sire: x Y�L-1 Alternative Syatwn: length and/or size fi. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons f 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 of the Town of Queens itary Sewage Disposal Ordinance. gnats of reapf6risible person Date � rn w ru 0 R a tul Ill w 4 to 1 do ril H � V tad Ga i iu i? O wl 0rl t-1 O [Y u ' C� to i t� v to tl1 r�IH d1 � •`E. 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Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances �} a i'ersztit itica_ ,r^�,e {I Bate fpplicatiorr IS hel- b1' 1+1rrel r err rfre> 13railriirr�' .� C 'rulr_,� ( rJJiI Jru- 1he is.sriurrce of a Builclirrg caret U'.N ]'c r'rrri! Pursrrarrt to fllc h'esir Ytrr1; State Fire f'l cverrlinrr a+rtl f3rri1tlirr ? C 'ode. 77re ul}13licrilrt U+ t�ir rrc'r cJgr-cec.'.s to c0111131tr with all ctpfalicahle lcr'ws, orrdinalices, rY•giflatiolls, /tart till colielaftolls that are Itell't of k these + trgrrirerrtents awl also mill crllouP all inspectors fo enter tar premises to I�e1,Iot'rlt required erl irr,4faec:rivrt.s- I� NOTE to applicant : Rough -in and Final Inspections are required . l Applicant Information Fuel I3urninty Appliance Information ( cli-cie appropriate wards) Stc7� e It°oocl coal feller gars 4acne :_ti�.7�~ i Fireplace pkace insert { _ Fireplace. factory-built : wood ucrs Address: -sF[ ti � � . —, — Fireplace, masonry: I'Vood ! :1Je' wd �r —►� `'l Ftsn�acc: Wood g&s- ''oil Phone : _,_.,77 �# � � �`` If not}-masonat'y applicance, please provide 4 4Lp� °NvialltlfaCtUres Nall-le: Owner: Iti-iodel Ititsmber: Address: Chin-iney Infornlati©n icrrcielal 0D"at rds) Phone : Masonry black Stone stone • Flue Ti C steel SiZe: irrclre5 ^' Exact Address: 40 '�''` of corssrrerctfoll or• installation 1 Ctory-Built } Manisfacttta'er name: i Model Number: Listed Bv, Number_ Note: Consrrrrction / Installation trttrsr con vrni to NY"S Fb-e pr•es'enriort I3uilclitrg Indicate (circle) c47isnney material : E Code. constilt available Town of Queensbtrl s f{clildotrrs regarding reclrri)-ed inspections. CJczrrlalc� wail Triple uar.11• / Irr.crrfrrrc'el Direct Yrrrri,r,= C"!rr'rrlriev Liner k _ 4 , a y+! a9 rt�tY♦4 -- '3�Ci t Off' @iY G�']R38kV XXZW,3irV 4eWKr 1k?r4r>-X'r>C Fire arslxrl Corte 5 Caflt'crc'cl S Re'firrrrltrf ha'e'e'ii'c'ri Iirlrrr tr'c^trrrlrltrl trrJ: 4,. --- - "" — - - - :l 1 73 3389 (190) Public Safen --- I -I '33 7653 {230} Alilror Sales s � t'.'}7itc' (Al3plieall[) Gr'eeil tl=ire * talShal ] S'elioti iL31ety. Dept. 3 bill]( & Golel�n3Od ( Cashier's Dellt') l { — — RESEDENTIA.L FINAL INSPECTION REPORT Office No. (51S) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive /OrFIZ�am/prn Depart Town of Queensbury Inspector's Zza 742 Bay Road Queensbury, New Yovk 12804 NAME I r PERNU 1' # LOCATION DATE `7 t- TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney Heightf B" VentfDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 3W1 to 36" Exterior Handrails, balconi , landing 18 in. or more Interior Handrails stairs bo 'des 3 or more risers Grade 2°/u away from foun ti 8" clearance to sill plate Gas Valve shut-off ex reg for 18" above grade Gas Furnace shut-off within f) f tar within line of site Oil Furnace shut-off en ce t frannace area Furnacc./1 lot Water Heater Relief Valve(s) talled Headroom 6 ft. 6 on tstaiiBasement stairs, 6 fl. i Handrail exterior stairs bo ides more than 3 risers Interior pnvacy/trim/doors/rr ain entrance 36„ Floor Finish Bathroorrt/Kitchen waterti Interior Handrails ad me ding 18 in. or more Railing across window in s irwells Smoke Detectors- every level every bedroom. outside every bedrooni inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" 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. CIO (Certif of Occupancy) Okay to issue permanent C/O (Certif. of Occupancv) COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL d/`t Permit No. ...................u................_..Cert. Q 7 , 6No, ,, V1 . ,.--+ — Cut-in Card No. ........................... Ownar......,, ,. C" t� IZ.ty� d � 1, ........ Location ... .. Installation Consisting of."T .. ... f ..... ...................... Installed 8y, ! , ,,..G/�'7�Qfsu7 Lie. No. ...... ......... cancelled: - ...................... .. .................. ....... .... f The conditions following governed the issuance of this certificate, and any certificate previously issued is � This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be prom made for inspection. Inspectors of this Company shall have the privilege of maic'n ections at an time, and if its rules are violated, the Company shall have the right #o ice this g y Date..4!�..rl.z .� �1 1............... . INSPECTOR . . ti »_»...... ...... .. ..... ......................�.............. . , l Member N.KRA.* I.A.E.1. - ...- f TOWN OF QUEENSSURY BUILDING & CODE ENFORCEMENT 74:Z BAY ROAD QUEENSBURY NY 12804 { (518) 761-8256 ARRIVE : DEPART : � INSP : FINAL I191SPECTION REPORT - :{RESXDEC'NT'IAL BATE IN S,P.r�yCTION RE:QU E�SI._ �--RECEi'J NAME LOCATION �` i DATE � a �� 1 F PERJM,T TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOOBSTOVE OR FIREPLACE MIA yms NO ,C,.HIMNEY KWkQHT/B VENT/H I HT P NG V RcsOFING EXTERIOR FINISH C OR H 5 RA,,,-ILINGS RELIEF VALVES FURVACEJHOT WATER OPERATING INTERIOR RIM VACY D ORS FINISH F S ' BATHZKITCHEN WAT.ERTIGHT OTHER FLOORS SWEEP LE OTHER FLOORS CARPETED STAIR CLEARAOCEIRAILINGS SMOKE LIETLCTORS _ RATHEOPM FANS PLUMgING FIXTUREL FOUNDATION I ION GARAGE VOOR CLOSERS FINAL ELECTRIgAk SITE PLEaNIVARIANCE R AL SURVEY PLO Z OK TO ISSUE Cf GR C/C TC NOTES: i.R.F 1) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. r•� I VI 1- r/ILIL L. rV I•LI\.J BOOK 652 PAGE 455 i.R.F. 81 !.P.F LEGEND 01.R.F. IRON ROD FOUND 0 .P.F. iRON PIPE FOUND 0 !.R.S. :RON ROD SET 71� UTILITY POLE 000o STONE WALL -x-ac-x- BARBED WIRE FENCE e POINT W.F.P. WOOD FENCE POST S LOT NUMBER AS DESIGNATED ON REFERENCED MAP aqvie"),mo l )\ DEED REFERENCE: EDWARD L. & DONNA R. BORDEAU TO GEORGE ROZAKIS DATED OCTOBER 28, 1989 BOOK 773 PAGE 318 MAP REFERENCE: VARENTITLEDiTHWARRENCOUNTY ED AITY TCLERK FILED 'S OFFICE FILED ON JUNE 2, 1911 �ok G.) � ;° RECORDED iN BOOK 3 OF MAPS AT PAGE 8 0 RESIDENTIAL FINAL. INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept, of Community Development ArrivegLl/ andprn Deparl am/pm Town of Queensbury Inspector's Ittitial¢� 742 Bay Road Queensbury. New York 12804 NAME _ O '` PERMIT # LOCATION _ f it DATE TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney 1-leight/"B" Vent/Direct Vent Location. Fresh Air lntalce Plumb 'Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30 to 36" �f /�} .+� f d' `c Exterior Handrails, balconies, Ian 18 in_ ar ore 4 ��� an �d interior Handrails stairs both. sides 3 or more n Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off expose(/regulat 18" abo a grade Gas Furnace shut-off within 30 feet o wi ine of site. ._......... Oil Furnace shut-off at entran to Furnace/Hot Water Beater o Relief Valve(s) installed Headroom, 6 fi. 6 in. on stairs Basement stairs, 6 ft_ 4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrance 3 „ Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/landing 18 in. r more Railing across window in stairwells Smoke Detectors every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures '"f�` ��r ✓ / /� ��sle ,ramr Foundation insulation I ! ✓ / 3/4 hour fire door/door closer Win ,, /� r7)a, Garage fimp 1119 Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor ! Final Electrical Site Plan/Variance required y^ / Final Survey Plot flan As Built Septic System layout required Okav to issue C/C (Certif of Compliance) Okav to issue temp- C/O (Certif. of Occupancy) Okav to issue permanent C/O (Certif, of Occupancy) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received- Building & Code Enforcement Dept. of Community Development Arrive �1 Sr am/pm DePAM am/pan Town of Queensbury Inspector's Initials c 742 Bay Road Queensbury, New York 12804 N4IVlE C 7re 4a, Zs x PERMTT LOCATION _ �/ PATE • TYPE OF STRUCTURE N/A 'YES NO COMMENTS Chimney Heightl"B" VentlDirect 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% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 34 feet or within line of site Oil Furnace shut-off at entrance to fiuzxace area Furnace/Hot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/truWdoorslmain entrance 36" Floor Finish Bathroonr/Kitchen watertight ��� 12 06 //tv v,4 Interior Handrails Balconies'Landing 18 in. or more I Railing across window in stairwells / - ,;- Smoke Detectors: // +� ' every level / every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/a hour fire door/door closer. Ciarage fireproofing Garage penetrations sealed. Furnace in separate room protected fin garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survev Plot Plan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance.) Okay to issuc temp. C/O (Certif, of Occupancy) Okay to issue permanent CIO (Certif. ol' Occu1 ncy) RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept of Community Development Arrive /Q'� am/pm Depart Town of Queensbury Inspector's lintials 742 Bay Road Queenshury, New York A2WM PERMCT # O NAME LOCATION ✓• DATE TYPE OF STRUCTURE NIA YES NO COMMENTS Chimney HeightP'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof _ Roof or Complete �NJ Extelic Firuish Complete Interior/E. Railings 30" to 3b' Exterior Handrails, balconies, Ian 18 in. more inferior Handrails stairs both sides 3 r more Grade 2% away from foundation 8" clearance to sill plate Gras Valve shut-off exposed/regulato 18" Above grade Gas Furnace shut-off within 30 feet o within line of site !.' Oil Furnace shut-off at entrance to ce area FurnaceMot Water Heater opera Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stain, 6 ft. 4 in- [ b ,rr , ,s 1I Handrail exterior stairs both sides m re than 3 risers hs a . Interior privacy/trim/doors/mam en cc 36" � e� � E G 5 Floor Finish Bathroom/Kitchen watertight '-4 Interior Handrails Balcomes/Landing 8 in. or more Railing across window in stairwells Smoke Detectors: f rye /t ����^'�" !N every level -- every bedroom / / / outside every be iroom ,. ,L ,rfJ i* Cr' 0" inter connected / Bathroom fans Plumbing fixtures Foundation insulation £ /� Art, C41- 3f4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnaoc in separate room protected (in garage) Light ventilation per mom Safety glazing 18" or k:SS from floor /r /�, �, ��,� ✓r, re y Final Electrical ! I Site Plan/Vanance required Final Survev Plot Plan As Built Septic Svstem layout required � r / / Okay to issue CIG (Certif. of Compliant,:) f /'` 4 I , t,G'l4Ce �F 1 Okav to issue temp. C/O (Certif. of OccupancY) Okay to issue permanent C/O (Certif. of Occupancy) GENERAL " �INP.ECTION RE�T ( 518 ) 761 - 8256 �,.... , Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road !!• Q Arrive atn/pm Depart ueensbury. NY 12804 Inspector's Initials NAME: _ Z- � `- �.+ PERMIT # LOCATION: BATE TYPE OF STRUCTURE: — RECHECK NIA YES N4 CC:1A A ENTS FootingslPiers ^T Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing protcotion from freczin for 48 hours Following the p n of the concrete. Materials for this purpose on Foundation/Wall paur Reinforcement in Place Foundation/Dam ng El Approval mbinnder g Slab bing Ventfvents in Place �;W Rough Plumbing. Heating Roughln 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 StudstHeaders Bracing/Bridging Joist Hangers Jack PostsfMain 'Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestoppi 141-1 GENERAL . 'SPECTIQN REPQRT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY i28t14 Arrive am/pmi7repA Inspector's Inithas NAME: b Z �� PE1tM LOCATION: DATE Tym Of STRUC RECHECK hl�A YES Na COMMENTS FDotings/Piers �� r Monolithic Pour Form Reinforcement in Place The contractor is res02C for providing protection ng for 48 hours followin �ent of the concrete. Materials for this on s Foundation/Wallpour Reinforcement ' Place Foundation/Dam Backfill Approval Plumbing under Slab Plumbing VenWents ' Place Rough Plumbin Dandelion Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- FroMr Vent, Attic Vent Framin Jack StudsllIeaders Bracing,+Bridgin Joist Hangers Jack Posts/Main Seam Air Infiltration Harrier Fire Separation 1, 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour, Firestoppin GENERAL VySPE "ON REPOR ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Ilevelopment Hate inspection request received: r F Building & Code Enforcement 7 742 ` Y Road Queensburyv NY 12804 Arrive am/prn Ilepar t1,r�2 prn Inspector's InitiGals��. NAME: _ i�RMiT # l IX)CATIClN: DATE . W . TYPE OF STRUCTIURE: RECHECK N/A YES NO COMMENTS Footings/Ners _ Monolithic Pour Form Reinforcement in Place The contractor is re risible f r �r/ I ' ✓"%r9r f �s t'P ` providingprotectio from it ing for 48 hours foil ng the ent of the concrete. Materials for this o ate Foundation/Wallpo Reinforcement.-in Foundation/Dam Ijutll Appr'oval ng Under S Plauuhing Vent/V in Place Rough Plumbin _ ! r�.41.�I` �j r,v x Healing Rough-In n tion W s Interior R- Foundation W is Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- r Vent, Attic Vent Al Jack. Studs/Headers Bracing/Dridgin Joist Hangers N jack Posts/Main Beam Air Infiltration Barrier Fire separation 1, 2, 3, Dour i l on7- NMOZId2, 3, 4 hour in GENERAL lNSPEC'T'I4N REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development . . Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 Arrive am/pm Hepart2' linspecto)P's initials NAME ' ' _ L7 4 k L PERA T # L TYPE OF STRUCTURE: RECHECK fr: r S N/A YES AO COMMENTS FootingsfPiersA I Monolithic Pour Form Reinforcement in Place The contract4 is responsible for providing protection from freezing for 48 hours follo*ing the placement of the concrete. `•�, r Materials for this purposg�,pm site Foundation/Wallpour Reinforcement in :Place FoundationADampproofim Backrdl Approval _ Prnbing Under Slab lumbi Vent(Vents in � J Rough Ptumbin Heating Rough-In Insulation Foundation Waq6 Iinterior R- Foundation W s Exterior R- - Floors R- Walls R- Ceiling t1 R- Duct wga kr or piping in unit@aied spaces R- Proper Vbnt, Attic Vent Frain i Jack,Studs4leaders Bracing;Mri Joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 21 3, 4 hour Firestopping. 3o - J 7.11Li�GL1l�L� i1'�il7i G'5..1 �RIL'T REPORTr � i ( 51 $ ) 7t51 - 8256 � — Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenabury, NY I2804 Arrive . fin' - Departp�xt E t 1 C Inspector Initials G NAMC>"Z Ac 1 L `� - P'FRM[T # J r LOCATION: .r' DATE 2 TYPE OF STRUCTURE; RECHECK f " N/A YES NO COMMENTS FootingwPiers I Monolithic Po Form Reinforcement'n Place The contract is responsibte for providing pro 'on from freezing for 48 hours fo wing the placement of the concrete. Materials for this on site Foundation/Wakllpour Reinforcement in Place Foundation/DaropprooflARJ? f Backrdi Plumbing Under Slab Bing VentlVents in ..- gh Plumbing L Heating Rough-In � Insuiation Foundation Walls Interior R- • - 1=� i l,'C__ �- it Foundation Walls Exterior FlooR- _WalCeil - Du k or piiping inued spraces R- r , Attie Ven#raminJacks/HeadeBraridgm JoisgersC= eeJack BeamAir Is�t Iion crierFire SeFi in 1, 2, 3, houred, 4 hour GENERAL �S TIONN 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 am/pm Depart &rt� Inspector's Initials NAME; _R Cr Z A� V j ', PERMIT # 7 U V ' L� CATlO - yv v DATE TYPE OF STRUCTURE-. RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Farm _ 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 Foundati r Reinforcement in Place Foundation/Aatnpprvofin Bauckiill Approval Plumbing Linder Slab P� tubing 'Vcnt,Vents in Place ugh 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 Lper Vent, q rami Jack Studs/Headers Bracing/B Joist Hang Jack l'asts/Air Infiltratio Fire Separation 1, 2, , hour Pene on Sealed F' all 2. 3, 4 ho i41ooppin FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 781 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED ERMIT W �7 j NAME LOCATION 1 SCHEDULE INSPECTION ON M ANYTIME APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYS M HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARAN E TO SPRINKLERS CLEARA CE TO HEATING UNITS REQUIRED SIG GE CHIMNEY WOOD STO FIREPLACE MASONRY _ FIREPLAC - FACTORY BUILT _ REMAR f El OK TO THIS DATE 01, 's u 64sc wt� yz�-p WOMIRRM I E WCT ( 518 ) 761 - 8256 GENERAL INSPECTION REPORT /� > Town of Queensbury - Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road _ Queenshury, NY 12804 Anivre -arti/pin Depart r Inspector's Initials - NAME: �d � �`� PERMIT # 7el LOCATION: „F DATE : Z, 2� TYPE OF STRUC'T'URE& - RECK ? NIA YES NO CC+ S FoafingslPiers Mo4alithic Pour Form Reinforpententin Place The co or is responsible for providing tection from freezing for 48 hoursfqllowing the placement of the concrete.'. Materials for this pua pose on site Foundativn/Wallpour Reinforcement in Place FoundationlDainpproo5ng Backfill Approval ` xnbing Cinder Slab umbing VenUVents in Place '� f Rough. Plumbing_ /-�'' S % �. ✓��,+r�-J� f' I C� S Heating Roughdn Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- per Vent, Attic Vent Framing Jack Studs/HeadersBrac �-- Joistln,gngerr- irestopping- 4.1v J loist Hangers �.'� lack Posts/M Air Intil.tration E Fire Separation Penetration. Seal ire Wall 27 37 4 ` 49 GENERAL L '1�SI'EC' ON REPORT Town of Queensbury ' Dept. of Community Development ate inspection request received: Building & Code Enforcement'7d2 Bay Road k e � Queensbury, NY 12804 Arnive am/pin Depa aml j inspector's Initials � NAME- f 1 d K L 5 PERMIT # - 7 l � LOCATION: _ J�C DATE : J TYPE OF STRUCTURE: RECHECK _ _NIA YES NO f]14�vIENTS FootingsfPiers Monolithic Pour Farm 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 Foundationit3asnroofiu Backfill A ovat Plumbing Linder Slab r� ✓Rltrmbang VentfVents in Place ough F'lumb1u g .4 e,- Heating Roughdn Insulation Foundation Walls Interior R- Founda.tion Wails Exterior R- Floors R- Walls R- Cei.ling R- I]uct work or piping in unheated spaces R- Pper Vent, Attic Vent raining Jack StudsfHeaders nracing/Bri Joist Bangers Jack Post&%;in Beam Air Infiltration Barrier Fire Separation I , 2, 3. hour Penetration Seal Az / GENERAL IN3PE "TION REPORT ( 518 ) 761 - 8256 t � Town of Queensbury Hate inspection request received= "- DepL of Community Development Building & Code Enforcement 742 Bay Road Arrive axn/pm Depart Queensbury, NY 12804 Inspector°s Initials PERMff lao NAME: r °K- DATE : 1.,4CATION: 4r t — Ty['E OF STRUCTURE: RECHECK NIA yES NO COMMENTS _ I t'�Footings/Piers Monolithic Pour Farm �- ---- R.einforeement in Place The contractor is responsible for providing protection from fseeaing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundatlonlWallpour Reinforcement in Place Foundationf L3ampproofln Backfill Approval r Plumbing Under Slab .' Plumbing Vent/Vents in Place v (N" I c /1 �A Plumbi Rou - _ u c ._ nnulatxon Foundation Walls Interior R- Foundation Walls Exterior R- Floors p- Walls R- ceiiing R- Duct work or piping in unheated spaces R- �Opes.lTerit, Attic Vent - } Fraxn3rRSac, _.~,u� *✓1+�'3 �- '1 A �C� C BracinglBridBin joist HaxWg Ts Jack postslMai n Air Infiltration Barrier Fire Separation 1, 2, 3, hour netration Sealed Fire Wall 2, 31 4 hour / Vp � ��17� � ' Lj� ,�L �t C LV'� •c Firestopl�n �� �� � GL �1r7 FIRE MARSHAL TOWN OF QUEENSBURY QUEENStSURY, NY 128G4 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED ... PERMIT # '7j NAME I LOCATION Nir SCHEDULE INSPECTION ON IME APPROVED EXITS °` ,`' NIA YES NO AISLE WIDT � EXIT SIGNS EMERGENCY UG ING FIRE EXTINGUISHERS _ FIRE ALARM SYSTEM FIRE SPRINKLER SYSTE _ FIRE SUPPRESSION SYST M j HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO PRIf LERS CLEARANCE T HEATI UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE � FIREPLACE . MAS RY _ FIREPLACE - FAC ORY BUILT i 1 , 10K TO q mot THIS CRATE �"" CLefiooancp Lb rr`1u►�.^rtc�i � 4" .Blocle try t� PJI s� �`�r�+ fair ` Nv �' ".' G S T FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBUIRY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION ERMIT # - SCHEDULE INSPECTION ON 1 f. -�I--_c�S 7 AM� APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS - EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPRIN ERS _ CLEARANCE TO HEATIN UNITS REQUIRED SIGNAGE _ CHIMNEY C�p I WOOD STOVE FIREPLACV MASONRY ❑ FACTORY BLT. [3 ROUGH-IN Ej FINAL REMARKS: OK TO THIS DATE '"s'w pp & INSPECTOR i TOWN OF QUEENSBURY WILDINSi A CODE ENFORCEMENT 742 Bay !toad Queensbury NY 12804 (518) 761-9256 SEPTIC DISPOSAL SYSTEM INSPECTION i Name Location LA co Date rm # -�7 fC € SOIL TYPE: Sand- Loam- Cl Results of Percolation est- ( if applicable ) Rate-M ' ute/ Inch TYPE OF SYSTEM: ABSORPTION',, FIELD : Tota Length Length of each trench i Depth of trinches Size of stone SEEPAGE PITS : Hurnbe - E Size - ft . ft , ize Stone s PIPING : � Size Type Bldg . to Tank I ` G L f Tank to Dist . E4ox 11�5 Dist , Box to Fie ' /Pit � i sk Openings Sealed? es a art . a [ LOCATION/SEPARA [` !! Foundation to T nk '& feet Foundation to sorption .. feet Separation of its feet } Conforms as p r Plot Man TyYes LOCATION OF STEM! ON AtOPER : ( Circle one ) Front - Real Left Side Right Side Middle Fro a Rear COMMENTS SYSTEM . SE APPROVED : YES NO Arr'ive.d- Depa i eo'BuTild-fin&'TSpector 4 AM WILDING IF & CAE ER11oad�EM� 742 B aY � � �2$i3 4 �ueensbur y _--- (518) 761-8256 SAL SYSTEM IWSPECTIOU SEPTIC 'DISPOSAL � Name L.ocati o!ft !! tit [Date L Saw d- Laam SOIL "pE* of percal ati n Test " Inch Results Mi nuts! ( if apP i cabl e) Rat 1 nu TYPE DTId L up Total Len9' pgSDRP of Each tre h Y--� Len th of tr nches DeP stan+�, Size of er" ft . SEEPA&E PITS`. '• x �-- stone sl Size uuu- 41 Size lit e . r PIPING4 Tank r . r "��--- Sldg • to t . B � __,_ r im Tank to to Fi 1 dllPi t -�`- o art} a Dist . Sax 'xes £DpenTItIS a I[ i5 `�, feet IL ank dk feet Foundation t° bso►^pti a fee Foundation to its es Ho Separation of r Plot PI an ` conforms asp on PRt1P' Lpcp'fICA OF w STEM _ Ri t Side { circle onel Side %Front - Rearx - Left Rear Middle Fr COOVENTS - Mi ddl e 3 zJ` �. rl YES SVS USE APP'RDVE1] s � k1 L Arrived= Departed ui in9 in for prdar-�-, Y A1 -z PoN r r . FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 CL (518) 761-8205 FIRE MARSHAL INSPECTION R RT REQUEST RECEIVED NAME LOCATION PERMIT #M ��.n SCHEDULE I PEGTI©N ON ' b � l M M APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTINQ FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: SL CLEARANCE TO RINKLERS CLEARANCE TO EATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE J' " " ONRY ❑ FACTORY BLT. OUCH- ❑ FINAL REMARKS: Cl OK TO THIS DATE z �.n, Lwv�f y�/ new nin..� G�prw�c c 4 " %ij A ksuP.wa I PE OR GENERAL INSPEC.'7IU?PQRTA� f5183761 - 8256 Town of Queensbury Dept, of Community Development Date inspection request received. f 'S * . Building & Cock Enforcement 742 Bay Road Qtreensbury , iv1' 12804 Arrive- Depart'C � is �! In• ' s NAME: Z-z A 4C l~ s PERMIT LOCATION: 4 DATE : 3 TYPI~" OF STRUCTURE : _ RECHECK a 1 N/A �1 FYE'S 0 COMMENTS Footin Mono ur 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 FoundationlWallpour Reinforcement in Place Foundation/Dampproofin Backfiill Approval Plunibinng Ruder Slab Plumbing Vent/Vents in Place Rough Plumbing. Keating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R Coiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing, Jack Studsl'#i+eaders Bracingl"Bridgi Joist Hangers Jack Posts/Main Beam Air Infiltration Harrier Fire Separation h, 2, 3, hour Penetration Sealed Fire Wall 2, 37 4 hour Firesioppin GENERAL LMSPECTIOX REPORT ( 518 ) 761 - 8255 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road r7 Queensbury, NY 12904 Arrive am/pm Depart � Inspector's Initials NAME. C{ e.9 , , �-.3� A44C 7 S PER VUT # LOCATION. �[ u . �' DATE : /n/ CT TYPE OF STRUCTURE: r� RECHECK A YES NO COMMENTS Footings/Piers v_. ...� �.I Monolithic Pour Form Reinforcement in Place The contractor is nsibte fob ,. prtrviding protection freezin for 48 hours fallowing c placenYen of the concrete. Materials for this pose o site �FoundatioukWajip&ii> Reinforcement in Place Foundation/Dampproofi Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic 'Vent Frami Jack Studs/Headers BracingA3ridgi Joist Hankers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppi 3v Avwet GENERAL INSPECTION REPORT ( 518 ) 761 -8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enfforcement 742 Bay Road �-- Queensbury, NY 12804 Arrive � pep R : spector's Initl NAME: I i2 lk 't PERMIT # LOCATION: L1otj t: jr )( �{ , 'r_ DATE : 2. TYPE OF STRUCTURE: RECHECK NIA, YE NO COMMENTS ootings/Piers I Monolithic Pater Form Reinforcement in Piece The contractor is respcntsi providing proteotian fracas. for 48 hours following th p ut of the concrete. Materials for this purpose o site Foundation/Wallponr Reinforcement in Place Foundatio fi Back ill Approval Plumbing Under Slab Plumbing Vent/Vents, in Pl Rough Plumbing Heating Rough4u Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- - Wails R- Ceiling R- Duct work or piping in unheated spaces R- Ptiroper 'Vcnt, Attic Vent Framing Jack Studs/Headers. Sracing/Bri Joist Hangers Jack Pbsts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin 3 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8255 li SEPTIC DISPOSAL SYSTEM INSPECTION { Name Location L () Date --�ermi t # Q 1 SOIL E: San Loam- Clay- Results Percol a ion Test- ( if appli ble ) Rat - Minute/ Inch TYPE OF SY ABSORPTION ELD, Tot 1 Length Length of eac trench Depth of trans s 1 Size of stone SEEPAGE PITS : N er- Size - ft . ft . Stone size PIPING: Sze ype I Bldg * to Tanis Tank to Dist . Box j Dist . Box to Field/Pit Openings Sealed? Yes Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption Meet Separation of Pits ;feet Conforms as per Plot Plan -Y Yes4 No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front _ Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS SYSTEM . USE APPROVED: YES H Arrived: aC_ ____ _ Departed : Building Inspector N TOWN OF QUEENSEURY BUILDING .. & CODE ENFORCEMENT 742 Bay Road queiensbury MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Marne Cti Location 0 ~ j Date - Up Permit # _ , SOIL TYPE: Sand- Loam-Clay- Results of \e ) ation Test- ( if app " caate- Minute/ InchTYPE OF ABSORPTI ' Total Length Length of eanch Depth of trSize of sto SEEPAGE PITS : er- Size - ft , ft , Stone size- PIPING: Size Type Bldg . to Tank Tank to Dist . Sox Dist , Box to Field/Pi Openings Sealed? Yes Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption Meet Separation of Pits feet Conforms as per Plot Planes No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : YES Arrived: Departed. Building Inspector i