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2000-919 TOWN OF OUEENSBURY 742 Bay Road., Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUPANCY Pernvit Number: P20000919 Date Issued: Monday, February 11, 2002 This is to certify that work ;requested to be done as shown by Permit Number P20000919 has been completed. Tax Map Number: 523400-295-006-0001-0314004000 Location: 2 LOREN Dr Owner: GUIDO PASSARELLLI Applicant: NUCHAELS GROUP This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling Director of Building& Code Enforcement TOWN OF QUEENSBURY (aw 742 Bay Road, Queensbury, ICY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000919 Application Number: A20000919 Tax Nlap No: 523400-295-006-0001 -03I -000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: LOREN 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 PASSARELLLI Fireplace 4+65 LAKE Ave Garage - 2 Cars Attached LAKE LUZERNE, NY 12846 Single Family Dwelling 175,500.00 Total Value 1750500.00 Contractor or Builder's Name / Address Electrical Inspection Agency NEW YORK BOARD OF FIRE UNDEI Plans 8c Specifications BP 2000-919 ; Lot 8, House No. 2 Loren Drive, Lehland Estates, Phase I SINGLE FAMILY DWELLING, 2 CAR ATTACHED GARAGE AND FIREPLACE AS PER PLOT PLAN AND SPECIFICATIONS $295.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, December 04, 2003 (I€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 of +Queensbu ; Tuesday, September 25, 2001 SIGNET] $Y for the Town of Queensbury. lector of ding & Code Enforcement Building Permit Application Town ol' Qucensbury -- Dept of Community Dcvelopinnent, 742 Bay Road, Queensbury, NY ( 518) 761 -8256 A permit must be obtained before beginning construction. Permit File N �^y No inspection will he made until applicant has received a locc Paid () valid buildnIg Iwi- iil . All applicanisI Spaces oil tliix RCc. Vue Paid $ application must be completed and trust appear on the Reviewed B application f'orttt. Applicant: ' (�A-E ►" t?�S C � Owner: Mom _ Address: lc� 'rIr•. Address: Mrn�{,�C� NJ .4_ Phone # ( } Phone # (� ) 't� ' w - 1 T�1 _ Properly r ocation: Lot Number: J House Number ! C) , _� Y �- --• ' Subdivision Name: r Tax Mal) NUlllber: ► � New Building: residence I commercial Estimated Market ValtlC of Construction: o Addition: residence I connxxercial if an Addition, what will use of new addition be? o Alteration: residence / coinnicrcial C1 No change to eXferior Size: residence / con-Cl Cl Other work (describe Check i y t l+Ivor 2 it Other Iloor '1•nlat C)ccll +anr Inforrmltioil Below s(I_ ft. Nil. I't. sit. ft. :Square Feet )< Single family dwelling tom( 2C) ❑ Two fanii.ly dwellin _ [] Townhouse U Multi Family dwelling 8 DI untis ❑ Office ❑ Mcrcanti le M ManUfaetUrlll ❑ I car detached ,garage M 2 car detached garage ❑ 3 car detached garage U 1 car attached garage s / { 2 car attached garage _ ,7 0 3 car attached garage u Storagc building - commercial ❑ Storage building - residential ❑ Other Will any second-hand or ungraded lumber be used'? If so, for what? Type of I Ieating Systcrn: electric / oil /(2) wood I forced hot ail" 1 baseboard 1 other: Number ofFh-eplaces Io 1nc installed OL\� Nunnbcr krf f1'unrF.sYr+res to Uc installed "'X . _-' List below the pci-son(}s) resl]klnslble for supcl-vision of work as regards to building Codes: Name Address Photic Number Bttifder TE ir-�l►ck*�c�s_ l+U k3� �i[Yt� t rc:_ - i a —(A IL _ Plrtrnbcr CAA- t.. _ '► ` _ 4� -a M arson 'S_ .�t2{ is 3 Electrician a(" �e . , c�� ��.5�+ i 0�"r_ t. Ent Dccllaratk)oq please sign bvIw'v aflel you 111xve earrlidly read the slalen5cnl. To the best of my knowledge the statements contained in this application, tog,elber with the plans and specifications submitted, arc a true and complete statement ci!` .511 proposed work to be done on the described premises and that all provisions oE` thc Building Code. Ilrc Zoning Ordinance and all other laws pertaining, lrx tlic proposed work :shall be complied wvilh, wviledler spcciltcd or noted, and that such wvork is awboi'ized by (lie owncr. Further, it is understood that 11we shall stlbinit, I)iior to a Cerfiln:ale or occupancy or 'Cer(lticate of- Compliance beii)g issued, as regxicsied by the Zoning Adminishalor or Director of Building and 'odes, an As Bififf Suryer by a licensed surv( 'yor; drawn to scale, sliowing actupl location ol' ali new instate xn. Signature: owner, owner's agent, archilect, contractor Applientioti, for Permit - Septic Disposal System ftllVll of Qiwvolisbuil y 742 1ln}+ 1{rr el {�lrreuri.rhrrry, IVY 12804 (518) 761-82,56 1 . OWNER INFORMATION : --�--.� � .......... ............. .... .. . . ...- . ............ ... . Off-ice u,e Location of installation : , .7 File Permit No, �f Tax Map No, .4LL Fee Paid Owner's Nnnle: ... . .. ......... Address: t \ a - y 2 . INSTALLER 'S NAME : _ C� 1 , s PI-10NE N0. Dj 3 . RESIDENCE INFORMATION : (circle year of dwelling, Indicate 0 bedroom(() and lnultil)ly It 0/ bedrnoms with applicable gallons per l admonr to equal total cloili1flvsv) Yen of House: No. of Bedrooms x nlputation = Total Daily Flo 1980 or older x 150 gal/bdrin 1980 -- 1991 x 130 gal/bdrin = 1991 -- present U x 110 gal/bdrin = �I� C�F G - Garbage Grinder Installed yes . / no Spa or Whirlpool Installed yes � / no 4 , PARCEL INFORMATION : (circle ippIicablo information ,& iridlczto measurements) T�nRocrraphy Soil Nature Ground Water Bedrock or Impervious Mfliterial Domestic 'wlratcr Sugpl�y l•Yat settle% at what clel-Pth at what clepth rrrxrrricipaJ, 1 Rolling loch fret fi�ct f Slcep slcrpt clay lf'tivtll; ivolrr slopply _ % slope other fi rrrn crrry sclrlic-.r}+.rlcrrr cleplfr. ___ __ rrb.rr,r/arrcrrl i.r other- percolation Test; ("lit hu crrrxplc�Icc! $y 1ic"c�rr.recllurJ/e.+slrrrrcrl crr ;incer rrr crrchlrccvl -- --. - Rate. - - - frr117rtIG' lrrr Irrch 5 , PROPOSED SYSTEM: For Near Cunstnrction : All individual sewage disposal systems inusl be designed by a licensed professional ciigineer or architect (tlnicss installed in a Planning Board approved subdivision). Add 25i1 &illons w tlic sirc or the septic tank and leach held ror each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: � gallon (min. size 1, 000 gal.) Tile Field : each trench . jt;7 Y � f1. Total System Length : _ 1 4 /J. Seepage Pi*) ; number of_ .. size of each : Size of Stole to bo used: 11 _ / c/elrth ur- thickness Bed System Size: x Altemativo System : ` -�- _ - - length ondliw# xizc 6 . HOLDING TANK SYSTEM : (if required) Numbor oftanks: �. / Size ofeach : galkins i TOTAL Capacity: gallons /` vtc. Alami System and associated electrical work must be inspected by a Town slpproved electrical inspection agency, 7 , SIGNATURE & INFORMATION FOR RESPONSIBLE PERSON (please read) For your protection, please note dint p lirsuatit to Section 136-29 of die Code of the Town of +Queensbury, any perinit or approval ,granted which is based upvrl or is granted in rclianco upon any material mismpresentation or fniltIre to make a nxntorinl 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 t3ta 7 n of Qu atlsbu S it Sewage Disposal Ordinance. Slgn tore of responsible pcirson Da a i } x^ i ire \1tAi`slt.tl 'S t� � lli'L' Town (A (}l3Cl IiliilAi'} , 742 n:s;' r�u:tcl, (7nc�rt5tr{ir1. y (5 ) 8 ) '(li -`3?(i� Application. for Fuel Burning Appliances & Chimneys applicable to solid Fuel & vented gas appliances 1 Date Pei`a77kt No. CJ�-+✓ r 1pplicatinit i.s hei`c1�} rrrrrrl tv r(rc 131rildirrg & cock'.% Offic t- Irrl llrc• i.s•.titrcr/we of'cr Bleiltlilt,sl mul Perrtritpuvsileww to dw Yew York .S'14itc 1-'ire PI-evrilmoll ' (Oed 13trilrli)lg ( "urlc- 77ie aj,)p it cart nr- c+ss,rrc i, :tgrc>c.s 10 c•©ttrnly With cr11 rrpJrlicrrhlc• Iwws, ordiiir nee. . rc,� rilrrtia'rrr.s. rr/:r! ttll corrclitiolrs thrtt crr-e hurt rrf i These retJrrirements and also will ailow rrll irrJJJeCtO;-'Y to enter pre-'rr is4!-i to lici /i r tit r-eelrrirecl rirslye ricrrr.s. i NOTE to applicant - Rouorh - ira and Finial Irispectiorrs are required . Applicant Information Fuel Burninc, Appliarice Information ( circle appropriate }}'ords) Na me'. Slo4'c : tvond Coal Peller gas Fireplace insert fAddress : .{ Fireplace, factory-built: 7vcrod gers Fireplace. masonrv: wood gas Ftcnlacc : lillood oil Phone : Ifnan-rnasonary applicance, please provide I Owner:—� yt,, wr Mal7ufac Urer Narrie: f Address : Model Number: I ` Chimney Information Phone.- � (circle appropriate N% girds) Masonry block brick stone Flue file ee sire: inches Exact Address:_.,.. ,�_ T ,, . s of cotrsirrrcriorr or ustallration Factory- BUilt Ml anufactUrer name: Made] Number: \tare.` Listed By: I}:umbet`: l C'rtnsti-rtotiarr ! Itrsrrrllatian nzzrst corn oi'm 10 rVYSP'ire Prevention & Builditig Indicate (circle) chimney rtmterial -. C'ocle. Corts£tlt available Town of Qzteensbwy Hcmdo£tts i-egar-ding r"egi4i&ed hispections. DG'trf7lc st•rr1J Triple wall / lr7s rrlrite<1 / 1�rrc'Ct z'erriirr5; � C"ltirrArtc id Giirc•r I I'ir SJtrrs'Jrre1 Ci rlc ,3 Ca11OC-hvl ti hcfirridcrl h'uetbis'cdfirvrlrr irrelirl deal rn): Y r 4 '33 655 (?3©) Alirrnr• . alc.s W1 se (Applicant) Greed ( Fire hlarsital) Yclto}} ( Bldc.- r)gmj Pink tb(}lLienrod (Cashier's Depit ) FILE N© .21 02r'09 'QQ M 09 :16 IDJOwN OF QUI�ENSWRY hW. = 51t5 rye uu r + - .x_ Rickard A. AfJsslta HI �/'""� A Y tilghrway 5uparintendeni 'q,,'�` �"� Home (518) 798-b127 DEP im JL Af&hacl F. Travis 142 Bay Road * qucenabucy, NY 12804 Deputy "Ighway Sup dme+ndent office rhorrer (SfB) 764-82f1 (616) 798-D413 Fair (518) 745-4466 uRiUEwnv $ CRl13iT DATE: --- APPLICANT NAME: TELEPHONE NO-: ' E S Cy3A,_________� ADDRESS TO BE INSPECTED: �.o��� C�'`s1'ZSLir � AvA RETURN ADDRESS: 1�-f� 3 •s- Sm Applicant must show exact location and width of driveways) to bo connected to the highway by placing stakes at the spocified location. The Superintendent of Highways of the Town of Queensbury has reviewed this application. This following action has been taken: STEP 1 : ( ? Preliminary Approval NEED: ( ) Slight Swale ( } Levell with the road ( Deep Swale Size pipe to be used (if necessary) preliminary inspectso+t completed by DATE --- Approval by Highway Supt. Deputy Supt Upon completion, pleases resubmit this approved permit for a final approval. STEP 2: { } Final Approval { ) Rejected D ATE: Richard A . Missita, Highway Superintendent i FIRE N4ARSHAL TOWN OF QUEENSBURY QUEENSBURY, My 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED .3 PERMIT #cL� ` / NAME LOCATION SCHEDULE INSPECTION ON ti. /� o� c,c• �-- PM ANYTIME APPROVED I NIA YES NO EXITS - 1 � AISLE WIDTHS _ EXIT SIGNS - EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYS FIRE SUPPRES SYSTE HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE TO SPR! KLERS CLEARANCE TO HEA ING UNITS REQUIRED SIGNAGE � I CHIMNEY WOOD STOVE FIREPLACE - MASONRY FIREPLACE I. FACTORY BUILT REMARKS: OK TO THIS DATE 1NSMIP.PUB INSPECTOR A_ RES@ENjrL4LL FINAL IWS,pECr"ON RFp[}RF I � pfi3ce 1'Fo, (Sl$) 76I4256 D r� ate in pe,6(m request received: Building & Code Enforcement Arrive ansrpm Depart V pept- of Community Developtnent Inspector's Intials Town of Queensbury 742 Bay Road Qoeensbury. mew York 12W4 NAME 4 rer - G t w -^"". i)A'IE LOCAT1t3N 'TYPE OF S`FRUCTlTLtIs NIA YES NO Chimney Hei&trW Ven Vent Locat or Fresh Air lrrtake Plumb Vent the'ouFh roof Roof Complete Exterior Finish Complete 36" t e1,iorrExterior Railings 36 Sin. or more E,ctzriox rls, balconies, e risers I larxlra Interior EIandrails starts both Grade 2°/u away from foundation g" clearance to Sill plate 1 S„ atwve grade G as Valve shut-off exposedlze feet within line of site. Gas Furnace shut-off area. Oil Furnace shut-off at entrance to Furnace/Hot Water Hester Relief Valve(s) installed Headroom, 6 R. 6 in. on stairs Dasernent stairs, 6 ft. 4 in. 3 risers 11,andrail exterior stains troth modes more Interior privacy/trimrdoorstmain entsan �� nish Bat ndKitchen watertight is Balconied l as►ding 1 g or more H Interior andrai dow in stairwells Railing across wh► Smoke Iel'tors� every level every bedroom outside every bedraa+m inter connected Bathroom fans plumbing frxtrrreS Foundation insulation__. � 3/a hour fire doorrdoor closer Garage fireproofrn ac prstions sealed FurGarn in separate room protected (in BeSaSe) Light ventilation per S floor Safety glazing l s' or �.� Final Electrical Site P1ardVanance u Final Survey Plot an As Built Septic System layout requiredlce--)— - Okay to issue CfC (Certif, of Comp Okay to issue temp• CIO (Certif. of CacaupancY)_ ) Okay to issrse permanent CIO (C�f of Occupancy NSOURI TOWN OF SLUE SNFORCZMENT BUIIDINC* rx 74ZCODI B� ROAD I2$04 QUEENSBURYCA NY INSPO ARRIVE : — l5P6CTION REPORT lPI1iAL _ MVLTIrl" 070KL7I1 Alex) coeamEkCIAL ___-(hotel, motel, a DATE PECT ON OUEST ItECEIVI:D : N AM'E �- I„OCATION T --- c PERM `r DATE TYPE OF TRUCTURE LU►QBING,__..__ 1+ FOOTINGS 8 ACKF I LLB._ INSULATION __-- N1 ,p YE5 NO kk PL_v_UMHItIGG INT 11 TU ES —v ROO, F,._._ING g7.NI H sr.ItTERIO H RI NG OI WA ER ELIEF VRS..VES F RS FO D T ON INSU AT IN E IOR STAITaLS IN rNCL u OS 9 STQRC'==�"� ON f Eta E {l E I E D UMW—W A FIRE F &RS — - -- FIRE STOPPING CEILING F IF S R S LOSERS EX T DOOR ttR1tDWA E __---- r STRIR II"S i EXI y PL TEO E VATOR P u CC SS RN HAtyDICAPPEGy BATHS PA ICI NG""' HAttDi AFPES7 i i AL ELECTRICAL 1 F i F. VARIANC'E — - 4 S IF RE o T PIAt3._ FiN�R��Y � otc T ISSUs ° 4 GENE1tAL INSPECT roN EpORT ( 518 ) 761 - 8256 Town of Qu Date inspection reques ry t received: __�� Dept* of Community Development Building & Code Enforcement 742 Bay Road Arrive amlpra Depart Queensbury, NY 12804 Inspeactar+s Initi�� +tom PERMIT # NAME: DATE LOCATION: TYPE OF STRUCTURE+ RECHECK N/A YES NO COMMENTS FootingslPiers ; Monolithic Pour Form Reinforcement in Place The contractor is respansibl far providing protection from i for 48 hours following the p ent of the concrete. Materials for this purpose on st Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfdl A pproval Plumbing Under Slab Plun,Wng Vent/Vents in Place Rou Plumbin H ing Ro -In I ation Foundation Walls Interior R Foundation Walls Exterior R- Floors R- -- Walls R' Ceiling R- Duct work or piping in unheated spaces R- phroper Vent, Attic Vent Frarnin Jack StudslHeaders Hracing/Bridgin Joist 1-Iangers jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour. penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION .REPORT ( 518 ) 761 - 8255 Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Arrive am/pmDepa�a� Queensberry, NY 12804 Inspector's wtiais NAME: _ �`'kjC,�i "��"5 PER� # _ LOCATION: L7ATE '- TYPE OF STRUCTURE-. RECHECK N/A YES NO COUNTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is nsible r providing protection in fr ing for 48 hours following p cement of the concrete, Materials for this purpose ite Foundation/Wallpour Reinforcement in Pla — Foundati ng_ -- Bac"ll Approval Plumbing, Under Slab Plumbing Vent/Vents in Place Rough Plumbin ng Rough-In VVH nsulation 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 Fra Jack Studs/Headers Bracingl8ridgin Joist Hangers Jack. posts/Main Beam Air Infiltration Barrier Fire Separation I, 27 3, hour Penetration Sealed Fire Wall L 3, 4 hour Firestoppin GENERAL INSPECTION 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 Depnrs� P ;stspector's Initials _"e�� NAME: v*-' ' ' "nc ��C.�,_[_ PERMIT # +C�. d I LOCA'n[ON. DATE : R TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is ible for providing protecti fro reezing for 48 hours follo 'ng the cement of the concrete. Materials for this pu se on si FwxhdationtWallpo Reinforcement in Pla Foundation/Dam Backfill Approval plumbing Under Slab Plumbing Vent/Vents in ace Rough Plumbin } p r bYeaiing Rough- 'd�,^ lnsulatiott Foundation 'Walls Inten R- Foundation Walls ExteAO R- Floors R- Walls R' Ceiling R- Duct work or piping in /unheated spaces R- per Vent, Attic Vent ram Studs xxieaders _ racingBridging_ joist Hangers Jack posts/Main Seam Air Infiltration Barrier Fire Separation 14 27 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour FirestoMn GENER 4L TN$PECTION REPORT ( 518 ) 761 - 8256 — Town of Queenshury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ' Queenshury, NY 12904 Arrive am/prn Depart��_, 1 �mJpm Inspector's Ini#ials -�J•�.-.� NAME: 1 PERMIT 4 ' LOCATIC7N: DATE : A 'T M1' c YPE OF S CTURE: ., ��_, RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Po:,n m _ Reinforcemence The contracespo le for providing pn from freezing for 48 houring the laceme t of the conc Materials for � on 'te Foundation/Wall pour Reinforcement in Place FoundationADampproofin Backfrll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing_.,._. r 149&ing Rough-In 3ldsullamfionn Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- ceiling R- Duct work or piping in unheated spaces R P�►pes VBrit, 'G 'Vent ,Vdjack tudsfHeaders ,f�C} r� iIJ C � V �i g 14 C:� I �l v13raci — Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 22 3, hour. Penetration Sealed Fire Wall 2, 3, 4 hour vfirestolrpi GF_NER L LYSPECT'ION REPORT ( 518 ) 761 - 8256 Town of Queenshury Bepi.. of Community Development Bate inspection request received: r Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arriv�an part Inspector's Initials NAME: PERMIT 4 LOCATION: H-t DATE TYPE OF STRUCTURE. RECHECK or NIA YES NO COMMENTS Footings/Piers Monolithic Pour rrn Reinforcement i Place, The contrac.-to is nsib�- le for y providing pro one Aom freezing for 48 hours f llowingj the placement of the concre Materials for thi pur" on site Foundation/Wall ur Reinforcement i Plac4 Foundation/Dam n Backfill A.pprov Plumbing Under lab Pell is in Place u Plurnbin Heating, ugh-In Insulation Foundation Walls Interior R- Foundation Wa! Exterior R- Floors R- Walls R- Ceiling R- Duct work or pi ng in unheated R- t. Attic ent ramiii JackStuds/Headers_ l�+ tiGHQw� [7[7L�ii l tF� �1s��L� L? Ci�JoisBracing/Bridging, Joist I-rangers "}-�E �`rS���' !"�.► Jack to �:!►C�]-L"C` :�\�_ rift tration Barrier ,. Penetration Seated Fi 3, 4 hour ices � nJ Tows OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 i SEPTIC 'DISPOSAL SYSTEM INSPECTION Name Location Date - Permit # SOIL TYPE Sand Loam- Cl ay- Resulis of a colation Test- ( if applica le Bate- Minute/ Inch TYPE OF SYS ABSORPTION F LD: Total Lengtp 4e� Length of eac tr h i _ Depth of trenc e Size of stone ter SEEPAGE PITS : um er- Sixe - f x ft . Stone size PIPING. Siz, ype B1 dg . to Ta _ So.2 3 -5 Tank to Dist . Box Dist . Box to Field/P ' Openings Sealed? s o Partial LOCATION/SEPARATION . Foundation to Tank - feet Foundation to Absorpti feet Separation of Pits eet Conforms as per Plot Pl a e No LOCATION OF SYSTEM ON PR ER,� one ) ron Rear - Left Side - Right Side Middle Front _ Middle !tear COMMENTS: SYSTEM USE APPROVED : YES N0 Arrived : Departed : 3 Bni dfng nspector i' REFERENCE: HLAND PARK .CEINSON ASSOCIATES �gVE�BRR 3, 1987 pp ETA SIZE 128 b S59`g 40 200600, I�r La it it r p •� --- �—_ _� , d � a ---� €,; n - a � J 1 , to r ' C f O N SAR A J �{ �J if I) RIVE, l � a 'Sd J `�dh1j Slid'"`' StSiIU„ r JME?(�$ �h,�� lie I,: GENERAL INSPECTION REPORT ( 51 $ ) 761 - 8256 Town of Queensbur•y Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NV 128414 Arrive am/pm Depart E am p�Fm Inspector's initials V I NAME: �.. fir '' C P 1 __ PERMIT # "'� � 1 LOCATION: - oQ &rl fl 2 DATE : 0 1 O l+ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/PiersT Monolithic Pour Form Reinforcement in Place The contractor is responsible for ,providing protection from £reciinP for 48 hours following the plaecrent of the concrete- CT IC for this purpose on sitq _ Foundation/Wallpour_ _- - /-_- Reinforcemenl in Place Zndation/Dampproo£ing __ kfill Approval_ ---. -_ _. Plumbing Under Slab _____ _ Plumbing Vcnt/Vents ' Place__ Rough Plumbing_ Heating Rough-lrr Insulation _ Foundation Walls Interior R- Foundation Wails Exterior R- Floors R- Wails R- Ceiling R- - - Duct work or piping; in -- unheated spaces R- -- - Proper Vent, Attic Vent Framing _ _ - Jack Studs/1-1cadcrs _- , Bracing/Bridging. --- - T— Joist Jack Posts/Main Beam Air Infiltration Barrier.- Fire Separation 1 , 2. 3, hour _ Penetration Sealed _ Fire Wall 2- 3, 4 hour__ . - __—. Firestppping____ -C!a? zz er. . ►� GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Qiueensbury /'� Dept of Community Development Date inspection request received: 10/4 < � 1 ? ` 5� Building & Code EnforcementivJdf 742 Say Road Queensbury, NY 12804 Arrive am/pm Dep I1 Inspector's Initials NAME: f i G'�u - - 1._ _ PFPJVUT # LOCATION: _ DATE : Q/ TYPE OF STRUCTURE: RECHECK N/A 0 COMMENTS �ootings/Piers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for( providing, protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundauon/Wallpour Reinforcement in Place Foundation/Dampproofi ng Backfi€l 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 Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Finestoppin I C;ENERAL INSPEC.'TION eRE'p( ( 518 ) 761 - 8256 Town of Queensbury I1Mpt. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 1211114 Arrive �W am/pm Depart - ro Inspector's Initials NAME: ,J '�-���3�10 PERMIT # O 1Ll LOC'A'rION: 'c �^ y �.+` iz DATE : A i TYPE OF STRUCTURE- RECHECK NIA YES COMMENTS Footings/Piers — mow Monolithic Pour Form Reinforcement in Place The contractor is responsible for " providing protection from free/in,g for 48 hours following the placement of the concretc- Matcrials for this purpose on site Fou ndation/Wal I pour - --- Reinforcement in Place Foundalion/Dampprooting^ `T Backfilt Approval_ _., Plumbing Under Slab _ f Plumbing Vent/Vents in Place Rough Plumbing � - rt Heating Rough-ln__ ` Insulation _ Foundation Wails Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in -- — - unheated spaces R- Proper Vent, Altic Vent -- - - Framing Jack Studs lIcaders Bracing/Bridging-- Joist Hangers Jack Posls/Main Beam Air 1nCiltration Barrier—- ----- Fire Separation 1 , 2. 3, hour Penetration Scaled Fire Wall 2. 3. 4 Firestopping � -_f _ I FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REP .moo REQUEST RECEIVED _ PERMIT NAME S LOCATION ( /•' SCHEDULE INSPECTION ON 34 0 A ,A�dY MEME A"GY' le 4'- APPROVED Exfrs NIA YES NO� - AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS z FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM 1 FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES �~� STORAGE: CLEARANCE TO SPRJNKL RS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT REMARKS: * �-+ 9OK TO THISDATE '"warp., a f SPECTO I i