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2000-944 TOWN OF OUEENSBURY 742 Bay Road, Queensburf, Imo' 12845902 (518) 761-8201 Community Development - Building & Codes (518) 761=8256 CERTIFICATE OF OCCUPANCY Permit Number. P20000944 Date Issued. Wednesday, May 02, 2001 This is to certify that work requested to be done as shown by Permit Number P20000944 has been completed. Tax Map Number. 523400-074-000-0002-047-000=0000 Location. 21 LEHLAND Dr Owner. GUIDO 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 Director of Building & Code Enforcement TOWN OF +QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building 8a Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000944 Application Number: A20000944 Tax Map No: 523400-074-000-0002-047-000-0000 Permission is hereby granted to: MICHAELS GROUP For property located at: LEHLAND Dr in the Town of Queensbury, to construct or place at the above location in accordance with application together with plot pL-tns and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tvn a offCConsttu.. cti tin Yalu c Owner Address: GUIDO PASSARELLI Single Family Dwelling 1777500.00 40 LEHLAND Dr Garage - 2 Cars Attached QUEEENSBURY, NY 12804 Fireplace Total value 1779500.00 Contractor or Builder's Name / Address Electrical Inspection Agency MICHAELS GROUP LLC THE NEW YORK BOARD OF FIRE UNDE] 10 BLACKSMITH Dr MALTA. NY 12020 Plans & Specifications 2000-944; Lot 47 House No. 21 Lehland Drive 2261 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER. PLOT PLAN SPECIFICATIONS $289*00 PERMIT FEE PAID - T'HIS PERMIT EXPIRES: Wednesday, January 08, 2003 (Ifa longer period is required, an application for an extension most be made to the code Enforcement Officer of tlae Town of Queensbury before the expiration date.) Dated at the Town Que sbu "Ion r, �nuY 5 08, 2001 SiCjNED BY I Y _ for the 'fown of Queensbury. Director of Building & Code Enforcement Building Permit Application Town of Queensbury - Dept. of Community Develnprrreru, 742 Bety Ronal. Querusbur y, NY 12804 1761 -82561 oTICE BUILDING & CODE ENrORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT r1LE NO. boginning construction. No inspections I'EI2M IPA ID � will be mach until applicant has received 0 Zoning Board Action dib a vALio Builnwo PERMIT. All Area r Use ` I RECRlL�i 7YC7N rE '.ftl applicants' spaces on this application .MUST be completed abd• the signature P14wming gird Action REVIEWED Dy of the applicant must appear on the SPR I Subdivision I Other rr„ttGr,,,, 1,ca q r+trrnr plicntion form, r".t ,� t y Recreation Fee Payment Ikpplicttnt: TIkF !'r11C�'12C�5 L.aL+ t5C7 Owner: Z`fThlp. Address: lmC� � � t�n� • , „� rldcirass: Phone / ( r,� �' _) i' - 1�'� I'lro :tc # ------- Property Loc:xtion: ' r SubdivisionN:sntc: Tnx Mar) Number _ — -/�� Section 111ock Tint NATURE OF PROPOSED Wt]RH : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence J 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 Dwellin Office Ff"' Other Work ( describe below ) Mercantile I -ti Manufacturing DEC 2 6 . 2000 Other CROSS AREA OF PROPOSED STRUCTURE : / TCyv !N C]r C'4: f / If ADDITION , wh UI , !V,' j r• '" �` ��_ 1st Floor . . . . . . . . IZ =3 sq fto r- of new addition be ? : 2nd .Floor . a 0 0 6 & 4 0 IQ' sq . Other floors . . . sq . £ t :C - ( not unfinished cellar or bas ACCESSORY BUILDINGS * 1 Detached Garage 1 , 2 ca TOTAL FLOOR AREA : ` +tD�l SQ . T . _ Attached Garage 1 , car Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building � _ FEET X E> FEET Other Foundation Type : ' Will any second- hand or + tngraded Number of Stories : 7. lumber be used? If so , for what ? ( habitable space only ) 't`^1. Height~ ( rade to ridge ) : A!. feet TYPE OF , HEATING SYSTEM : Number oy fireplaces and/ or woo�ir. stove ( circle all which a ,plies ) to be installed : - Electric / Oil / as / Wood £'arced Hot Air / Baseboard / Other Person responsible for supervision of work as regards to building codes is : Na e A dre s ` Phone 1 � Builder : It Plumber : + - - '-'fir Mason : 1 t cs Electric ian • DECZ.f1RA7yo&,o Please sign be1mv after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plants and specifications submitted, are a true and complete statement of all proposecl work to be done on the described premises and that all previsions 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 tliat such work is nutliorized by the owner. Further, it is understood tint T/we shall submit prior to a Certificate Of Occupaney'Or Certificate of Compliance being issued , an AS BUILT PLOT PLAN by a licensed stuveyor; drawn to showing actual location of project on premises . Signature: T_ - `� ce L)L) JA(owner, owner's a , architect, contractor) Application for Permit — Septic Disposal System Toil of Queellslilriy 742 Rav Road Queensbury, N)' 12804 (518) 761-,Y356 1 . OWNER INFORMATION; .�—� � office Use �Location of installation: l l-14 2 �>s- , �+ �' J t-91. lot Al l File Permit N Tax Map No. ! / I Fee Paid Owner's Name: TN'E I . Address: 2. INSTALLER'S NAME \sJ�CtiZ] ` 5 �"Xy...__ PHONE NO. 3 . RESIDENCE INFORMATION: (circle year of dwelling, indicate # bedroom(i) and multiply 11 Of bedrooms with applicable gallons per bedroont to equal total dail►rfhaw) Year ofH us " No of Bedrooms x mutation — Total Daily Flow 1980 or older x 150 gal/bdrin = 1980 — 1991 x 130 gal/bdrm = 1991 — present ____ x 110 gal/bdrm Garbage Grinder Installed yes � / no Spa or Whirlpool Installed yes ___,_ / no 4 , PARCEL. INFORMATION: (circle applicable information & indicate measurements) Tp o *ra D iI it Na r run Wa r B dr ck or, Impervious Material Domestic Water Supply l fat scar at what depth at what depth rrrrrrricipal Rolling loam { feet �_feet we t"--M steep .slope clay iJ'well; vvaler ,sxrlrply % ,Slope other fi"anr an"y septic-syvew deplh, ,�— absur rrtiorr is other Percolation Test: {'!it be' crirrrplrted by licensed proJe,v,sioncr! engineer f,r ar"chitectJ - - -- - Rale. ......- .__.. rr 11MIe par 111el7 5 . PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a liccnsed professional engineer orarchitect (unless installed in a Planning Board approved subdivision). Add 250 gallons to the sine of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: 10W gallon (rein. size 1. 000 got.) Tile Field: each trench fi. Total System Length. ICOD� Jt. Seepage Pit(s) : number of size aj'each. _ JI. by Size of Stone to be used: it ._____r`�s,._..__ / depth or llriukness Bed System Size: x Alternative System: ____ length anrUor size __ _---- 6 , HOLDING TANK SYSTEM : (if required) Number of tanks: N Al / 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 tine Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to snake a inatorial 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 QjLcensbury Sanitary Sewage Disposal Ordinance, Signature at respar !e pe sort Dat '\ Ia 'sila["!, Whc( ToS% [1 4i1 QtiveIIa Curti . 772 13 koa(1, Qkicc115trx11,N \ 1 (s 181 74) 1 -820 l Application for Fuel Burning Appliances & Chimneys applicable to solid fuel (fix vented gas iyppliances 3i L7 ztc i`14�W-l�' } ?(] _ Pet nzit o . 0 - -0 f 1 �1 [ Applicuriorr i-s hereby rmrrlt^ ro the 13rrildin_g � < rrtlt-r Calrrit ' Jrrr- rl![' r-1.s11uFeC't' raf a 13Iffl(llr7ti rrrr(l t •:Se !'c! aril lxur-srrurrr fa rlte h'ew York Sarre Fir o Prc)?elwn!+ cwtl 13tri!dmt» f 'Krtlt . 771e appli( tew u)• oti liel- i cdgrc:Aos to coml,)ly ivith tr11 applicable laws, r,tr•tlinivices rx' riltrriolls, i-wd till c rrrttlilions rlrrrr arCA parr raj ilie e requirerrrertls Crud also 11+111 allow all hi-Spectors !n crrlcv tar cvr!i. .ti rra laeF Jwvri required irrs73[r<vitarr.s . lil NOTE to applicant . Rough - in and Final 1 " spections are regUired . Applicatit Information Fuel Burning Appliance Information l ��^ ( circle apprk)priute words) I Name :_ L 'tC if 's stovc : itlood coal pillet go` .� . _. Fircl-lace insert Address: to �5eM'►i1r ,... � _ Fireplace, factory-built :lt : tt ood errs ktp _]t 3f'+ _ _ Fireplace- masonry: wood Bros Furnace: lt gas'ooel oil Phone; _�-(��_� If 11011-masonary appiicance, please provide l Owner: Nlanufactzlrer Name: �k Address: �� Model NUnibcr: r Chimney Information Phone: (circle appropriate 1,N ords) Masonry block brick stone Flue tilt 9TIeel N size. mm iriclres i Exact Address: of construction or hisrarllaMon Factory- Built k Manufacturer name. E Model Lrttii11t7ei': :'Vote; Listed B� r u tit bcr: I Construction / histallarion rmist con orm to 1VYS Fire Pi-evention & Builrlirrg Indicate (circle) chintney material : Cocle. Consult available Town ofQireensbury Handouts regal-ding r•cclydi-ed inspections. Double wall Cr 1plo trtrll IFr_srrlrrrerl ! IJi+ cv t rurr'!r I ` i Chirrrrrc;t' l.iarc.r � G•��-�.7t.��"'��i �E'. sa�Y+lam E�.Y'.'�.'!` -- ''�.O'.�7�1".1'1 4-1°` �._._. .---��.._.__. .�..i F)ry 11rrr- 'Irret Cvrlc = S Copt cr 'rl S lit {irnrl[ tl !t[ e'c rt'r rl 1i rsrrr trelreFrrf •rl Ira/- I A es's - - . ..- - c-- •._. _.. -- _ ------ .-{ 17 3 3389 190 Public Sa ctt - -- - f J f, { 4 23.3 2655 t330y Minor' Sales White (Applicant) Green ( lire Marshal) 't•rllats ( E31dvo. DL:pt. ) Pink Golklemod (Casliier's i3clY1, ) FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 781 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED r~�PERMIT # [�C} NAME LOCATION SCHEDULE INSPECTION ON ` M)PM ANYTIME APPROVED N/A ! YES ' NO EXITS AISLE WIDTHS - 4 EXIT SIGNS _ EMERGENCY LIGHTI FIRE EXTINGUISHERS _ FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM mm FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: k CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE i CHIMNEY WOOD TOVE _ Fi CE - MASONRY 2 _ LoFIREPLACE - FACTORY BUILT _ REMARKS: ^ �- K TO THIS DATE INSPSURp 8 INSPECTOR RESIDENTIAL ]FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arrive aan/pm DePAJ-- Town of Queensbury inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME i PERMIT # DATE TYPE OF STRUCTURE N/A YES NO COr NIENTS Chimney Heightl"B" vent(Direct Vent lion Fresh .Air Intaka Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior I-Iaitdrails, balconies, landing 18 in, or in Interior Handrails stairs both sides 3 or more risers Grade 2% away f om foundation g„ clearance to sill plate Gas Valve shutoff exposed/regulator 18" above grade Gas Furnace shut-off within. 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnaceflot 'Water Heater o Relief Valve(s) installed Headroom, 6 ft. 6 in. on stairs Basement stairs, 6 f3. 4 in_ Handrail exterior stairs both sides more than 3 risers interior privacy/trim/doors/inain entrance 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies i"Ainv 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every beclroort► inter connected Bathroom €ans 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 Safety glazing 1 ss floor Final ElextriCal Site Plaru'V anan req red Final Survey Plot flan As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) Okay to issue temp. CIO (Certif. of Occupancy)_ Okay to issue permanent CIO (Certif. of Occupancy) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 7.42 BAY ROAD QUEENSSURY NY 12804 ` (518) 761-8256 ARRIVE : DEPART : INSP : FINAL INSPECTION REPORT — RESXDENTIAL DATE INSPECTION REQURST RECEIVED : NAME? LOCATION DATE� ._._.�`� -l1 PERMIT TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL NOODSTOVE OR FIREPLACI YES CHIMNEY {EIGHT/B VENT/HESC1iT_�___,� PLUMSING 'VENT ROOFING, FINISH DECKlP4RCH/ EPS/ 2 GS ti R LIEF VALVES FURNACEZHOT WAT P N INTERIOR TR IVACY ORS FINIS.1FLOORS : I � BATHIRI'J"CH A O*rHER FLOORS SWEEPABI;E OT ER FLOORS C E STAIR CLEARANCEJRAILINCxS SX40KE DETE jORS BATHR P14UMra Itu FIXTURES F u n TI0 INSU ATION _. GARAGE FIRE PR I nOOA CLOSERS FINAL. ELECTRICAL gyL2�N{VARIANCE R A URV Y P T LAN OK TO ISSUE C O R C Q BY THIS CERTIFICATE OF COMPLIANCE THE S S NEW YOR 'K BOARD OF FIRE UNDERWRITERS � r5j BUREAU OF ELECTRICITY 40 FULTON STREET NEW PORK, NY 10038 �. CERTIFIES THAT S sUpon the application of upon premises owned by S S FOREVER ELEC/BBOEL ELECT. MICHAELS GROUP MICHAELS GROUP S WILLIAM D. MCPARTLON 21 LEHLAND DR 2446 JAFFREY ST. QUEENSBURY, NY 12804 SSCENECTADY, N.Y. 12301 , Located at 21 LEHLAND DR QUEENSBURY, NY 12804 Application Number. 1012066 Certificate Number. 1012066 S Section: Block: Lot: Building Permit: BDC: A239 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: S SBasement, First Floor, Second Floor, Attached Garage, Outside, S was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was iU found to be in compliance therewith on the 16th day of 04113/2001 �+ Na rne QTY Rate Ratine Circuit Tyne SAlarm and Emergency Equipment S Sensor 7 0 Smoke SAppliances and Accessories Dish 'Washer 1 0 SFurnace 1 0 Gas c� Bell Transformer 1 0 C Exhaust Fan 3 0 Wiring and Devices Fixture 30 0 Incandescent SReceptacle 52 0 General Purpose Receptacle 4 0 GFCI Switch 41 0 General Purpose Service la 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB Meters: 1 iii777 segt {� 1 of 1 r1C This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O rJ�rJ�i:J rlrJ�rJ� i;J� r � c!c l�i_J� r�rJ�r�[P r�IT,i lII I MA cTc1�rJ� r�rJ"rs cJ�iJ� 0 GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Qaeensbury, NV 12804 Arrive am/prn Depa j �'�/Isp nector's Initialsio�t + NAME: I)J+. r k i ra -C S C�.,R Y PERNWr # dd ^` `� L LOCATION: DATE : � l TYPE OF STRYCTURE: RECHECK ,ff N/A YES NO COMNffi-WS Footings/Piers, � Monolithic Pour Form Reinforcement in Place The contractor is po `ble for providing protccti from ing for 48 hours foil ng the p cut of the concrete, 'Materials for this on site Foundation/Wallpour Reinforcement in PI Foundatio Backfill Approval. Plumbing Under Slab Plumbing Vent/Vents i Place Rough Plumbing sng Rough dtt ttsulation R Foundation 'Walls I rior R- Foundation Walls E ricer R- 4 Floors R- Walls, R.- +Ceiling R- 17uct work or piping n unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist :Hangers Jack Posts/Mai.n. Beam Air Infiltration Barrier Fire Separation. I, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour F'irestoppin GENERAL INS�I N REPORT ( 518 ) 761. -- 8256 Town of Queeusbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 4 742 Bay Road � f Qrueensbury, NY 12804 Arrive am/prn Departoe p Inspector's Initials C� NAME: "Cie i[: G- C{f S _ t�- _ PERMIT' # _ Y 944 / LA)CATION: DATE TYPE OF STRUCTURE; RECHECK NIA YES NO CON064EN?'S FootingsfPiers Monolithic Pour Form Reinforcement in Place _ The contractor is responsible for providing; protection from freezin � for 48 hours following the pl ent j of the concrete. Materials for this purpo n site Foundation/Wallpour Reinforcement in Place _..._ - ..... — Foundatxon/Dampproofin idi Bacll Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plutnbin ticaii Rnugh4n Insulation �,1 �r� 2� ✓] „ /' oundation Walls Interior a `1 J T v(. icC N� S, C �"�1�✓ ' L Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frarnin Jack Studsnleaders ( j l a 46T-4 Bracing/Bridging, �J 1l Joist Hangers Jack Posts/Main Beam Air infiltration Barrier FIF6 Separation 1, 2, 3, hour tratlon Sealed ire Wail 2, 37 4 hour Firestoppi _ FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (5i8) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED NAME LOCATION -..---- PERMIT _ SCHEDULE INSPECTION ONji AM PM APPROVED NIA YES NO EXITS -- AISLE WIDTHS EXIT SIGNS — EMERGENCY LIGHTING �_ FIRE EXTINGUISHERS _ FIRE ALARM SYSTEM ___— ----,---- --- FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE; - -__—_-- —. - CLEARANCE TO SPRINKLER CLEARANCE TO HEATING UNI REQUIRED SIGNAGE — - HIMNEY — WOOD STOVE �,,,PRIEP MALAC SO "R--EFAI T0F BLT. ROUGH-IN El FINAL �sGc r� rV - � �� REMARKS: 117-- �Z,f3 2 . G' I ` ❑ OK TO THIS DATE msysur Pue INSPECTOR GENERAL INSPECTIUN REFrDRT �r /t ( 518 ) 7 61 -- 8 2 5 6 Town of Queensbury /I Dept. of Community Devetopment 'Date inspection request received: Building & Code Enforcement 742 Bay Road �, Queensbury, NY 12804 Arrive am/pm Depart m Inspector's Initials d IL-1 NAME: C t r PERMIT # "' i LOCATIrSTRUCTURE-.1 DATE TYPE OF RECHECK. NIA YES NO COMMENTS Footings/Piers —T— Monolithic Pow' Fgrm Reinforcement in lace The contractor i$ responsilsle for providing protion from freersng far 48 hours foifovning the placement of the concrete. Materials for this purpose on sit4 Foundation/Wallpourll Reinforcement in Placa Foundation/Dampprooln Backfill Approval Plumbing Under Plum Vents in lace ' 41eating Rough-In Insulation Foundation Wails Interi r R- Foundation Walls Exteri r R- _ Floors Walls Ceiling R Duct work or piping in unheated spaces R-. Proper Vent, A tVi Lw t L 1 x--�,e Jack. Studs/lle�derss _ ' I3racing/Bridging Joist Hangers ,Jack PosWMain Beam ir Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire W , 3, 4 hour -r C Pa G r-t a sue- , FIRE MARSHAL TOWN OF GIUEENSSURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ NAME --- LOCATION -__ PERMIT # ' SCHEDULE INSPECTION ON -5 117, AM PM APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS --TT- _-I' FIRE ALARM SYSTEMJEA FIRE SPRINKLER SYSTEMFIRE SUPPRESSION SYSHOOD INSTALLATION INTERIOR FINISHESSTORAGE:CLEARANCE TOCLEARANCE TOSREQUIRED SIGNAGEHIMNEYW OD STOVE41REPLAC MASONR BLT- OUGH-IN �.._ ❑ FINAL �. REMARKS: OK TO THIS DATE JR INSPSUP.PUB INSPECTOR GENERA.. IIVSPELTI©N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement � Bay Road . nfpan Qu �,� � ecnsbury, NV i28I14 Arrive am/pm Depart IInspectorN Initials ..__ NAlvIE: ' A 4mAeorl- .2 MI PERT # A5 � 1?4'`-t LADCATION: '21 LC�LA.tf AO "IQ 4 DATE : "3 . �—,�•-__.� TYPE OF STRUCTURE: RECHECK. N/A YES NO COMMENTS Footings/Piers Monolithic four Form - Reinforcement in Place _ The contractor is responsible for providing protection from freezing, for 48 hours followiqR e of the concrete. Materials for this purp Foundation/Wallpour Reinforcement in Plac Foundation/Damppraof'8ackfill ApprovalPlumbing Under SlabPlumbing Vent/Vents Rough PlumbingHeating Rough-In InsulationFoundation Walls IFoundation Walls Floors Wails Ceiling - 17uct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Stud&(Headers Bracing Brtdgin Joist Hangers Jack Posts/Main Beam Air luftitration Barrier Fire Separation 1, 2, 3, hour. Penetration Sealed / q Fire Wall 2, 3, 4 hour irestoppin rE� NERAL 12"VSPECTIUN REPQRT r-1 { S 18 ] 7 61 - 8 2 5 Ea -. ,may`•`---� -� �' Town of Queensbury Dept. of Community Development Daft inspection request received: Building & Code Enforcement 742 Hay Raad e Queensbury, NY 12MM Arrive innss Depart pector's Initi NAME: PERMIT # LADC ATLpN: DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footingsdlliers T Monolithic Pour Form Reinforcement in Place The contractor is risible r providing protectio from ing for 48 hours foll the ent of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Place Foundatio BacIdUl Approval Plumbing Under Slab-- Plumbing Vent/Vents in lace Rough Plumbin Heating Rough-In Insulation Foundation 'Walls Interio R- Foundation Walls Exterior Floors R- Walls R- Ceilin.g R- Duct work or piping in unheated spaces R- Pmper Vent Attic Vent Framing. Jack Studs/Headers BracinVEridging Joist Bangers J�sts/Main Beam r Infiltration Barrier Fire Separation 1, 29 3, hour. Penetration Sealed Fire Wall 2, 30 4 hour Firestoppin 9 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensaury NY 12804 (518) 761-8256 SEPTIC DISPOSAL. SYSTEM INSPECTION Name irlCia - a Location Date _ Permit �� SOIL TYPE • Sand loam-C - Resul is o col ati o Te t- ( if applicable ) Rate- inu a/Inch f TYPE OF SYSTEM: ABSORPTION FIELD : Tot T L ngthr Length of each trench ` Depth of trenches Size of stone 4; tT SEEPAGE PITS : N Size - ft , x ft . Stone size PIPING : i Type 1 ' Bldg . to Tank Tank to Dist . Box Dist . Box to Field/ Openings Sealed ? Yes No 15 arti al LOCATION/SEPARATI -- Foundation to Tan �'.`3 feet Foundation to Ab orption -Feet Separation of Pi s feet -Conforms as per Plot Plan - No LOCATION OF SYSTEM ON PROPERTY : { circle Front - Rear: - Left Side - Right Side Middle - Middle Rear COMMENTS : SYSTEM USE APPROVED : S% YES / NO Arrived: 1 t Departed : COX/ Building Inspector Q ry , iF J a i Q cat O V ft °? '- cc oli co S i # AicatJ ' " ^ 1C 4,t. y R i cr h r Ss Jr ODD RE El v t 2v.5p C 2 6 2000 N85'-ci '.20 via r�� f.� t �l k LEHLAND DRIVE f T b GENERAL INS►lEE"I'IC1N REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: D { Building p&��Code Enforcement 742 Bay Roads _ Queensbury, NY 12804 Arrive am/pm Dep f InspectoesIn lalsf �— NAME: ' S PERMTI�lC �• L.00ATi+ 14- DATE = TYPE OF STRU RECHECK N/A YES NO COMMENTS Footings/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 Foundation/Wallpour Reinforcement in Place Foundation/Dornpproo P um ng Plumbing. Ve ents in ace Rough Plumbin .Heating Rough-In Insulation Foundation Walls Inte "or R- Foundation Walls E or R- Floors R- W alls R- Ceiling R- Duct work or piping i unheated. spaces R- Proper Vent, Attic Vent Framing./ Jack. Studs/1-leaders BracinglBridgin Joist Bangers Jack Pbsttsllwlain Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 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 q Dep Inspector's Initi NAME. PERMIT LOC TYPE OF S DATE ; ~�--- � !TYPE OF STRUCTURE: ��-^� RECHECK NIA YE O COMMENTS NTS -4410 ootings/Mers anolithic Pour Fornn V Neinfs�rce�nent in Place The contractor is n"et providing Protectio for 48 hours followof the concrete_Materials for this purFoundation/Wallpour Reinforcement in PlaFoundation/DampproBackfill Approval ,_ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plun:bi Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior R Floors R- Walls R- Cei,ling R_ Duct work or piping in unheated spaces II Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers _ Jack Posts/Main Beam Air Infiltration Barrier _ Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 29 3, 4 hour Firestoppin LANDS NIF OF S85'-,'20"- -12 JOHN & MELANIE IaNG I have en or observed,or believe I saw evidence of, all obj is such as houses,wells,trees,fences,etc., show on this document I also represent that I have j per onall measured th istances set forth on the diagram." 7 I f 9 23,3a7.,sq ,t : C� 48 DATE (14 SIGNATUR 0. C! Co ;Z�I Z ig 11M,1111j.q r-A�C- EW i /Z -A X -io4c� scr ClCwL-k. livir VJr �x 128.50' DEC 2 6 2000 0 N 8 5'4'1'2 C, W > cc ---------- -------------- c�, LEHLAND DRIVE