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98-051 CERTIFICATE OF O: ICUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date June 1 l9 98 . C , - i This is to certify that work requested to be done as shown by Permit No. 98051 I has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 112 NICOLE DRIVE nLi Location Owner PASSARELLI , GUIDO TAX MAP NO . 1 2 5 . - 9 - 1 1 2 HY Carder Town Hoard TOWN OF QUEENSBURY r Director of Bldg. & Code Enforcement I BUILDING PERMIT VALUE s 0 TOWN OF QUEENSBURY TAX MAP NO . 125 . � 9 - 112 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to PASSARELLI GUIDO OWNER of property located at LOT 112 NI{COLE DRIVE Street. Roar! or Ave. in the Town ❑f +Oiueensbury, To Construct or place a SINGLE FAMILY at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. t. t ETSAIg iP "' 34A LAKE LUZERNE , NY 12846 2. CONTRACTOR or SUILf7ER'S Name LAMOTT , MIiCHAEL I cjof�R fyf EijFC!ff Address QUEENSEURY , NEW YORK 12804 4. ARCHITECT'S Name NEW YORK BOARD s. #W"#Tj0Wd*MRD OF FIRE UNDERWRITERS S. TYPE of Construction — (Please indicate by Xi SINGLE FAMILY DWELLING ( I Wood Frame [ 1 Masonry [ i Steel ( 1 7. PLANS " Spacificetions 2172 SQ FT SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE AS Pft PLOT PLAN SPECIFICATIONS B. Proposed Use SINGLE FAMILY DWELLING 0 February 27 2000 S PERMIT FEE PAID — THIS PERMIT EXPIRES IN 18 llf a longer period is required an application for an extension must be made to the Swilling and Zoning inspector of the sown of (h,aensbury before the expiration drxe.l 27 February 19 Dated at the Town of CQueensbury this D y of ig for the Town of Queensbury SIG NEO By Building and Zo no Impactor Building Permit .�1 ppucation TOWN Of QL eenS+ Ury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 f761-8,2561 BUILDING & CODE ENFORCEMENT Oi � Requirements prior to issuance A permit nwsk be obtained befr,re of this permit: PERMIT FILE NO. beginning construction. No inspections PERMIT FEE FAIR s will be made until applicant has received F�l Zming Board ` cdon a VALID BUILDING PERMIT, All Area 1 Use RECREATION FEE f� D .$ applicants' spaces on this application MUST be completed and- the signature 0 Planning Board Artion REVIEWED BY.• of the applicant must appear on the SPR 1 Subdivision 1 Other Buiddb3g ►*+spector pplication form. rAwa ,.... Recreation Fee Payment Applicant: Z:� ut .40 5`�.� sarc ►..J! 't Owner: Address: Za 121C.ra - rt r r=/051iq Address. rr� Phone # Phone # -----� ----- Property Location: _ � 07 *d-112 Ph r,L, 2 1a - " �'YSt L, c �S Tax Map Number Subdivision Name: f < +� + � Section Block T-ot NATURE OF PROPOSED 41©RK : ESTIMATED MARKET VALUE OF THE Y'�New B ' Idin CONSTRUCTION : $ t.?'� 0400 u esi end/ commercial Addition to Building ; residence / commercial OCCUPANCY INFORMATION * Alteration to Building : Primary Building - residence / commercial '"Single Family Dw Residence / Commercial Two Family Dwell ft 1EFIVED no change to exterior size Family Dwelling Office FEES EB We Other Work ( describe below ) Mercantile , . Manufacturing TOWN OF„OUP-OUP Other BUILDING AND CODE GROSS AREA OF PROPOSED STRUCTURE : / 1st Floor . . . . JJtJV s ftl�/ I £ AUDITION , what will use q - . of new addition be ? : 2nd .Floor . . . . . . . . /D 7'd sq . Other Floors . . . . * q . ft ( not unfinished cellar or b men ACCESSORY BUILDINGS: Detached Garage It 2 {car TOTAL. FLOOR AREA : a ) S FT . e/ Attached Garage I t ca Private Storage Bui zng SIZE OF NEW STRUCTURE : '=p Commercial Storage Building Other FEET X _y L FEET Foundation Type : jr,•,., r C+bl3r Ye*+ �f�r' Will any second-hand or ungraded Number of Stories : 62 lumber be used? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : feet TYPE OAP BEATING SYSTEM : Number of fireplaces and/or woo stove ( circle all whichffaseboard l ' es ) to be installed : � Electric / Oil / /Wood crrce a 3 / / Other Person responsible for supervision of work as regards to building codes is : Name Address Phone Builder : Plumber : ge Mason : If Electrician : DEG'L4Rri77ON Please sign below caner you hante carefislly read the strrAcmens 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 Cade, 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 I/we shall submit prior to a Certificate of Occupancy-'or Certificate of Compliance being issued, an AS BUILT PLDT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: r4eo � (owner, oo ri�e7f s agent, architect, contractor) 3 Application fol SEPTIC.IC DISPOSAL PERM17� I .ocatinit crl' property tier ittst:1IIIt tit+n: CDsvrte.r 's N:trstc ��� � t +� s� �' fs�t f r I'fiELft11`E` i� LJhSIII it C3wttcr`s Moiling Address: TifScL7!- '+ ' c� ^i • fyS ~ �._1 �` f ty l lili 1'AIU 'fir Insta[]er's Nantc: s��tL� 97 C.on Number of tsedroonis (ir resiticntinl ): _EA ✓ ""�� "1'OWI daily ITow (resiticMttial - cs,enlsttte Cr 150 gal. per 11Cdrtztlrlt -Iopc)graplty: ® 1'141[ lltriling steep Slope ' :, of Slope Soil Nature: rs;4 Sated I t�arir �] Clay o 011ter /Dcptlr Ground Water: at wltnt depth? Coot Bcdo-oick or lnrlrcrvious Niatcrial : fit What dcptli't feel 1,Urcolaticnt Tcst: ® Nast Rullnircd Q Retluircd/[La(e min, l+cr inch 1.)ontcstic Wottcr Stpply: � Municilrat WC11 Censer If domestic water snilslsty is a W1 :1..1 .. water supply Crcrrn any sclitic al'501711titsn it rce:t 1'I2(JI'QSEI1 ) S YS I l.M - Sclitie lank: Ali_C gal, (ntininttttit sire : I ,()()() gni.) `lite Ficld: cacti trench t-- o ra t_ 1.01411 system Ictigili i,06` 0 rest. seepage pits}: nunttscr or I size each: fL s h. 517.c or stone to be sued: # / depth or thickness rect. IiC71..IJINC3 `i'ANK sYS'E'szm. (irrcquircd} Nuritbar or tanks: Size txC Cade: gal. ��� fltartrr sy.sYearr ttrttl erssocirrtNcl electricrit iv-ark- to be hispected by a c erti fret/ trgearcy. J•'vr your proret:titirt, Ixlertse metre sheet I>tirsttrtirt it., Sectieart 136-29 ofthe C'utte of llrc Taira of Urtrrusbury, they permit tsr etlilxriturtt grtrrrreel evhtclt is Iatrsecl it pots or is Xrettrteit itt re tie iisce Is117otr ¢ris y ttraterittt it: r'.sralrresear fit Iivar tar fit ill tre to tat to ke a rrritterial fret ear circurirm sell re karrtivtr by ear oat hehtotft,fais tapplic'itit1. drlratt tea rroitt_ f Metre read the regittativir,s tvitlr respect eta this at p frticritiolr and agree to abide by them tenet till regit ire tit enis oftIte Tvsrtt of Chi cetosleitry Sit orilliry/� Sewerge Dispvsett Ordiu.tisce. Sigirature ofresprsttsiVe persan: ///art✓ � IJtrtr: yVJv/, ' � , 1i'Nn'1IV ][ CODE C0f-4Pl..1 nHC1 jI'I>t' k*I..jCn'.l`iQllt� L_ / �► � � 1J n a'UwN my C)UI17i!7I s1-111Ity0 WJrImmN t.:ovN'1' Y e V 'FEB 26 1998 Gt�tupl, 3zzttc ca Mci i,tc�clt3 : k'711tT "-i nc: c. r1> l crU ], ca 1' a:'ctc 1.1f.! 0 € UEk li'ontl. .l. y Uwc� .I. i .Ltlflrr , ( c1 RFC "w' ;; :t ?� i'l� tt'1' ti 1'Irc� 1.'tt+et .L ltctl S. tty - C otak�vrrertl. `1' t rrcicx 4► ] ]: ts LIY � Lrcrtttiiy 1)weliittc3e ; MttlLi. — l5`::rttr3. ]. y Dwcsl ilrrye ( 3 aLo.r1ee vx Icon ) I.'nit. 1' 1 * - Dou .l. tltt by Cuitiputtettl. perfouIttrttrce. Cottnner' c _1. ElJ_ 13u3 J cJ i ttye - 133 1L3 r3e lLcsic] cairl 0 al * Ftt.c� u .i. ret3 rttLrtrtJ. se .l.ott ox wc,� rltelleei: e S NnMM : / _ — I:' I/ei� L• t!: lt'l' Y 1�c7►tlf►'1' Ji3N ; lLis cr�G r T�Yr F[ RIX 5 tlEFCJIOV OF 'C:OMPL.1:AUCE BY ACCEPTABLE PIMC'1' ICE& ] Gropra kulooc Area - _�f �Ta� _ aquare foeL ,� Type of 11eaL - � 4? .I. c: c: l: r _i. c: - -- t7a_ l Gae f/ Other 3 . xE3 1�t1 .L .1.cJ i. tty tuc. c lrcrtr .i. c ra .L .i. y c oca .l. cacl7 Yee 4 . pereentage of area of wJ_ ttc 0wo clttcl duvre over 17 % y 'rUttclex 1 '7 5 . It- VALUMS FOR kNSUI.tn'1' 10I4 UIVEN BELOW MUST CORRESPOND TO It-- VALUSS AS S11C1wN ON PLANS SUBM1 '1"1'lt:L) : [tool: • la .. [axL• ea:.Lot.- wrX ,l ]_ ca IL j� _ c . G1ety c ri arear3 d . Kxterior clocil: rr it IrJ h+ e . 11' 10ors ovO1: unheated spaces 1t Ier f . Edge o ]' 13 .1ab cstt yv ado ( ltectLed bu3. 1c11rig ) Et y . DaeemeiiL• / eel. ]. ar wrx ]. J_ e ( .above grade ) 1L It Daeemettl: / eel :lm waJ. 1a ( 1.iel. ow grade ) [t 3 . i4ea11tty / aaaiitty - clttcLa - Lril► Ltty lit unheated t3pace It ��- .+y�,�' - G , Servlc+er ( clorttee tle ) hot; waiver 4tea Littg dev .i.ce Cortformu to miultttuttt efflclelic:y por +uncle �Yc3e No TEMPEXIATURE Cgtvl'1'FIUIL M1'k t. 1N1UM SC*J:*. JLNC; 140c, - W :LLL Hoot 130 EXCCEUEU HkimLia .i. NS l'L(.'.F'Ult ` 1'i 1tISINl�1tl4S I r+ � �r �r 1 TO OF Q CJ ,L.' E S URY 742 Bay Rd. , Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ` S {{I ..,r I Date } 1 y q! Permit No , APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant r 'I t,! An ' 4s Saar �= L� I APPLIANCE (check appropriate boxes) Address 9' 1C,4P4 a 5 L4 STOVE: ❑ Wood ❑ Coal ❑ Pellet ra Gas r ❑ FIREPLACE INSERT ZIP _ 42 =4/ MrVI REPLACE, FACTORY-BUILT: ❑ Wood Wo6as Phone dr' N / Cl FIREPLACE, MASONRY : ❑ Wood ❑ Gas Owner _ T ❑ FURNACE: ❑ Wood ❑ Gas ❑ Gil — IF NON-MASONRY APPLIANCE: Address - Manufacturer: is Zip Mod el: 45 r �2 Phone CHIMNEY (check appropriate boxes) * EXACT- ADDRESS of proposed construction © MASONRY : ❑ Block ❑ Brick ❑ Stone , FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION ! INSTALLATION MUST We5ACTGRY-BUILT Model . CONFORM TO NYS FIRE PREVENTION & Manufacturer: 'T' Number: BUILDING CODE, CONSULT AVAILABLE Listed By : TOWN OF +QUEENSBUR "Y HANDOUTS �I Insulated u l e Wall 0 Direct a Wall REGARDING REQUIRED INSPECTIONS. o Ct imney Liner ❑ i7irect Venting Cashier's Department Town. of Queensbury, New Fork Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title a A 173 3389 ( 190 ) Public Safety A 233 2655 (230) Minor Sales f 1 C . ee Co3iected From or_ .We€unded to: Dated : Town Clerk or Deputy: f White: Applicant Green: Fire Marshal Yellow: Bidg. Dept. Pink & Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING4 RCEMENT � BAY ENFO QUEENSBURY NY 12804 < (51$} 761-9256 ARRIVE : _,._^..-- DEPART : INSP : FINAL INSPECTION REPORT — RESIDENTIAL DATE INSP"10" REQUEST rt QED NAME �J LOCATION h a 1 — - PERMIT i if DATE TYPE OF STRUCTURE FOUNDATION BACKFILL FOOTINGS— � _ ,SEPTIC INSULATION ROUGH PLUMBING WOODSTIVS OR FIREFLAC6 FINAL ELECTRICAL _� S O N CHI BIN V S D H T FS NGS LIEF V N O G C O W Q CNCE L NG SMOK IN F NG I N S C MAP REFERENCE: MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION MADE FOR HERALD SQUARE SUBDIVISION LAYOUT AND UTILITY PLAN", DATED 5/29/96 LAST REVISED 10/2/96, PREPARED BY VANDUSEN & STEVES, LS. FILED IN THE WARREN COUNTY CLERK"S OFFICE ON DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85, MAP #185, 6 3'sC 3 Op 3• LOT 111 Shp LOT 112 �3 20,000 SQ.FT, I HEREBY CERTIFY TO: a HOME FUNDING INC., C/o REPUBLIC BANKCORP MORTGAGE INC., gym. IT'S SUCCESSORS AND/OR ASSIGNS DONALD J. & ELIZABETH A. HEWITT c� FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK p THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD .� SURVEY COMPLETED ON NOVEMBER 21, 1997. bpi THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE 0. N yOUs VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND a ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR E 4z�, pp SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR hp. EXPRESSLY STATED HEREON. C T V o� DAVID J. BOLSTER TRANS.O TEL hti DATE: MAY 26, 1998 LOT 113 6 3p ?e / �p MAP OF A SURVEY OF LOT 112 HERALD SQUARE MADE FOR UP DONALD J. �c ELIZABETH A. nri UTT TOWN OF QUEENSBURY, ,COUNT]TY OF WARREN, STATE OF NEW YORK "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY r D .l AVID J. BOLSTER MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR VIOLATION OF SErTION 7209, SUB-DIVISION 2, OF THE 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 NEW YORK STATE EDUCATION LAW." "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY 4�y {a@� DATE: MAY 26, 1998 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534 MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES:' ip� " DWG. N0. 98057 B RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received.: Building & Code Enforcement Dept. of Community Development Arrive 12 epar! rt Town of Queensbury 742 say Bond Queensbury, New York 12WM PL RFAIT # —..._1_ � NAMF DATE LOCATION TYPE OF STR[ICIIJRE a IA _ YES Q COMMENTS Chimney Heigbtl"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete IntmorlExterior 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 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s) installed Headroom, 6 fl. 6 in. on stairs Basement stairs, 6 fl.. 4 in. l Iandrail exterior stairs both sides more than. 3 risers interior privacy/him/doors/main entrance 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 18 in. or re Railing across window m stairwells Smoke Detectors: every level every broom outside every broom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire dooridoor closer 0arage fireproofing Garage penetrations sealed Furnace in separate roortt ected f in garage) Light ventilation per Safety glazing 18" Or le from floor Final Electrical Site Plan/Variance required Final survev Plot Plan As Built septic System layout required Okay to issue CIC (Certif. of Compliance) Okav to issue temp. Cl() (Certif of occupancy) Okay to issue permanent C/O (Certif. of Occupancy) TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NY 12804 (518) 76 1 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTIO,rN� nREr,CEIVEED NAME rx EI _ 4' }`) -o1 , 5t LOCATION T � c�. ► � oL DATE PERMIT # r�^y _ L ►t71 APPROVED EXITS N/A I YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTI G FIRE EXTINGUISHER AUTO. EXTINGUISHIN TE HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS ..,,,,,,,,,,, CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE i PLACE - MASONRY (REPLACE - FACTORY BUILT REMARKS: © OK TO THIS DATE at -e4 INSPSLIP.PUB E RESIDENTIAL 'FINAL INSPECTION REPORT AtVA Office No. (518) 761-8256 Bate inspection request received: Building & Code Enforcement Dept_ of Community Development Arrive MaID attePrut Town of Queenshury Inspector's Initial 742 Bay Road Queenshuny, New "York 12804 NAME PE # + c.� LOCATION Tj DATE E TYPE OF STRUC".IRE {r — NIA YES NO COMMENTS Chimney Heightr'W Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete InteriorlExtericir Railings 30" to 362' Extenor Handrails, balconies, 1 g 18 in. or more Interior Handrails stairs bo des or more risers Grade 2% away from fo on 8" clearance to sill plat Gas Valve shut-off ex sedlregulator 18" above grade _... Gas Furnace shutoff thin 30 feet or within line of site Oil Furnace shut-off t entrance to furnace area Furnace/Hot Water I eater operating Relief Valve(s) ins led Headroom, 6 ft. 6 n. on stairs Basement stairs > ft. 4 in. Handrail c r stairs both sides more than 3 risers � � Interior privacy/trim/doors/main entrance 36 ►�3RT �t`�4 L � Floor Finish I k 1 Bathrootni/Kitchen watertight Interior Handrails Balconies/Landing 18 in, or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation w���J1_ PT\ 7+ Rt � t t► 3/4 hour fire door/door closerQ �- Garage fireproofing Garage penetrations sealed E� Furnace in separate room protected (in garage) Light ventilation per room � C � Safety glazing 1 S" or less from floor Final Electrical Site P1anfVariance required Finial Survey Plot Plan As Built Septic System layout required "]��11` Okay to issue C/C (Certif. of Compliance) ` ^� Clkay to issue temp. C/O (Ccrtif. of Occupancy ) „ Okay to issue ps>rrrnanent C/O (Certif. of Occupancy. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Ill WASHINGTON AVE., SUIT Y �IY 1 to JUKE f13 , it i� 1 � :3� 'i H 442(Aj.3 Date Anjil F ilk �lek�ILA 1 THIS CERTIFIES THAT only the electrical equipment as descrlbed below and introduced by the a ant named on the above application number is in the premises of GI IDO PASSARE LLI , NICOLE DR . 1,7T 1 1. r1 , NY in the following loca?'p�{;_ ,� 1 f3 ell Ise rillIJ 2nd .Ff. GAP ,Section ,block Lot L L 4 was examined on kHHYY .. and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE tLUOIK:SGENT I OTHER All I K.W. AMT. I K.W" AMT. I K.W, I AMT. I K.W. AMT. H.P. 4 � !301 4 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL IOPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K_W_ OIL N.P. SAS H.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.F. NO, OF FEET All WATTS 2 F I .3G 1 SERVICE DISCONNECT NO. OF S E R V 1 C E METER NO. OF CC COND. A. W. G. A. W. G. FA W. G. AMT. AMP, TYPF EQUIP. >I '® 2W 1 A 3W S SW S dW PER Y OF CC. COND. �' OF HI-lfG OF HI-AEG Hfl- OF NEUTRAL$ OF NEUTRAL c x 2 ,0 OTHER APPARATUS: CEILING FAN- 2 C . F . C' . I : C4 SMOKE DETECTOR : 7 Rt:T `ONST RR: LOX 22b2 LAKE GEORGEt DIY , 12945 GENERAL MANAGER 2 39 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identilled by their Credentials. COPY FOP BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBUR� FIRE MARSHAL et QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION 2 ©ATE PERMIT APPROVED EXITS N/A YES NO AISLE WIDTHS j EXIT SIGNS EMERGENCY LIGHTfNG t FIRE EXTfNGUISHERS AUTO. EKTINGufSHIN SY TEM HOOD INSTALLATION AUTO. SPRINKLE EM ALARM SYSTEM I I I INTERIOR FINISHES STORAGE: CLEARANCE TO S RINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE - CHIMNEY WOODSTOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT -rit2��f' REM, Rom,_ Q OK TO THIS DATE 4 a INSPSLIP.PuB TO COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. plain office 357 Elwyn Terrace — Manheim, PA 17545 ' wI MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. ...... ........... . Cert, p �y 2 C7 0 Cut-in Card No. .. ...._ ... . . ._ .. Owner . .. .,f4 t ,,_. . . . � f . . . . . .. V. �� Occupant ... .._ ..C_... ...,.�j.. .../.y...... .... .. . . . . .,.♦... ..... ......,..._..._.................. ..,, . ._. . . . .. . . .... .... I c cakinn .......... ....!!" ^� !c-T!+ /7 ,+� � v , /� f Installation Consisting of ...r*�` ! '�C 04 �S •�......... 5. Installed By .,,.._,�— ����f ... --- --- --- The conditions following governed the issuance of this certificalte` and any certificate issued is cancelled: — previ+tu%ly This certificate only covers the electrical equipment and installation condition% as of date, Upon the introduction of additional equipment or alterations, application shall tx promptly made I`or inspection. Inspector% of this Company shall have the privilege of makin 'nsp ct ' ns - a time . rules are v" fated, the ompany Shall have the right to revoke hi a tlf' and if its Date , Z'o ffYSPECTY}R Member N.F.P_A., A.F.J.I, "" GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road , . --�— Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initial NAME: PER 41T # •- LOCATION: 3E DATE : t_ TYPE OF STRUCTURE! ty� CA RECHECK NIA YES NO COMNMNTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours fol wing the placement of the concrete_ Materials for this pu on Foundation/W allpour Reinforcement in P ce Foundation/D pproofing — Backfill roval _ ing Under Slab Plumbing Vcnt/Vents in Place .Rough Plumbing Heating Rough-In Insulation Foundation Wall Interior R- Foundation Walls Exter�-i�of R- _ Floors � + t Walls R- Ceiling 7,'�4 ee Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing-. Jack Studs/Headers Bracing/Bridging .foist Hangers Jack Posts/Main Beam Air Infiltration Barrier_ Fire Separation 1 , 2. 3. hour Penetration Sealed ` �t Fire Wall 2. 3. 4 hour iwx t ..- Firestopping 'rc ` TOWN OF QUEENSBURY BUILDING a CODE ENFORCEMENT 742 Bay Road Qiueensbury NY 12804 (519) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name , Location Date � & Perini t SOIL TYPE: San oam-Clay^ Result colation Test- ( if a livable ate-MinutelInc TYPE F SYSTEM: ABSO TION (FIELD: �otal Len th t Lengt of each tren h Depth f trenches Size o stone SEEPAGE ITS ` Numbe Size f t Stone PIPING : Bldg . to Ta Tank to Dist . Box Dist . Box to eld/ it Yes art� a Openings Seal e LOCATION/SEPARA S : . feet Foundation to Tam feet Foundation to Abs tion feet Separation of Pit Conforms as per P o Plan RpPERTY ` LOCATION OF SYS ( circle one ) f t Si ^ Right Side Front - Rear - Middle Front - e ear COMMENTS : I SYS YES NO Arrived: Depa u ding r 00 T INK gyp' ca l� � �ICI f � �IMCIb TOWN f`3 REV DATE GENERAL INSPECTION REPORT Town of Queensbury DcpL of Community Development Date inspection request received: —� Building, & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive Depart Inspector's Ini#i NAME: .,� 'a t'+ z PERMIT # I LCICATICIN: Iley Aj-elt DATE , TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is re nsible providing protection n f for 48 hours following e p cent t of the concrete. Materials for this purpose on Foundation/Wallpour Reinforcement in Place Foundation/Dan I fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in PI Rough Plumbing__ ,�eating Rough-In_ sulation ►(� ►e�t.'a�'� React-+� t�ryAtc �7 Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- 1- R'S tiff "�i LI Walls R- Ceiling, R- `''�.' �-► 1---� �� t �.{�'+f-al�'l-Lt� Duet work or piping to unheated spaces R- Proper Vent, Attic Vent =-'� A ' _ +�1 l ' ice► ��y 06, 1A Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 . 2, 3. 'hour Penetration Sealed Fire Wall 2. 3. 4 hour Fi restopping GENERAL INSPECTION REPORT 'Fawn of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road 1i /� `� rn Queensbury, NY 12804 Arriw ,�U spate= Inspector's Initial k PERNUT # NAME: LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO C NT'S Footings/Piers _ [ Monolithic Pour orm Reinforcement i Place The contract ts responsible for providing pro ction from freezing for 48 hours foi ruing the placement of the concrete. Materials for this pu se on site Foundation/Wallpour Reinforcement in Place Foundation/I3ampproofing Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Rough-Ir Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- W alls R- Ceiiin,g R- Duct work or piping in unheated spaces R- io ent. At� Vent rnxng__.._ I~fr ZNow " FAA Jack Studs/Headers aC I E r Tom'`+ b' s.. BracingtBridging Joist Hangers_ Jack PostslrV in Beam ell Air Infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed 0 Fire Wall 2. 3. 4 hour Firestopping GENERA. INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road , Queensbury, NY 12MM Arrive am/pm Depart /'v: in Inspector's Initials NAME: /� PERMIT # I LOCATION: All DATE : TYPE OF STRUCTURE; If dr RECHECK N/A YES NO COMMENTS Footings/.Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsi a for providing protection from ing for 48 hours following the pI ment of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Pldmbing Vent/Vents in Place vRough 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 Framing Jack Studs/Heacicrs Bracmg/Bridgm Joist Hangers Jack Post in Beam Air Infiltration Barrier Fire Separation 1 . 2. 3. hour Penetration Sealed Fire Wall 2, 3. 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 A►rrj�re .�ccu Depart + Ins is Initials NAME; (L PE # LOCATION: " 1Z, c C DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers I Monolithic Pour Fo Reinforcement in PI The contractor is nsible for providing protection m freezing for 48 hours following placement of the concrete. Materials for this purpose on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi n 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 '~-'�� { C R Framing Jack Bracing/Bridging ( T�r,6 � t rj (� G BracingBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2. 3, hour Penetration Sealed �t— p C�t>�yQ [ l jn '• Fire Wall 2. 3, 4 }tour Firestopping G.E'NERAL INSPEG'TI N Town or Queensbury REPCIRT Dept, of Community Development D Building ,& Code Enforcement ate inspection request received: 742 Say Road �-- Queembury, NY 12844 Arrive/- � Pin Inspector's Initials NAME; F LDCATIQN: PERMrr # 1 TYPE OF STRUCTURE: 1U�DATE RECHECK FootingsiMcrs NIA YE No +COM EEN`f'S Monolithic Pour Form l Reinforcement in Plane The contractor is resPonsi for Providing protection from �g for 48 hours following the p�la ent Of the concrete. Materials for this purPOW on site Foundation/Wan ur Reinforcement in Place Foundation/DampP fin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Dace 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 Bracin"ridgin Joist Hangers .lack Posts/Main Beam Ask ■+ +ration Barrier 'Ire Separation 1, 2, 3, hour 'enetration Sealed '.ire Wall 2, 3, 4 hour "irestoppin (S 18) 761-8256 TOWN or QVEENSBURY . BUILDING & CODE ENFORCRMEN'T 742 BAY RD. , QUEENSSURY NY 12804 x INSPECTOROS REPORT: ARR • DEPART I REQUEST R INSPECTION RECEIVED ; -74 —� NAME pqpqpq LOCATION DATE PERMIT I TYPE OF STRUCTURE : RECHECK A P OVE -N/A ES NO MONO ru r t�s F.d� REINFORCEMENT _IN PLACE . THL CONTRACTOR IS R£SpONSIBL"�` FOR PROVIVING PRO Ipp FROlf FREEZING FOR 4E $OURS KING THE PLACE. RENT C I! C ALS T I P SE I O ON P U R I F C I LACE OUN A N D PP ROOF NG R L P 'LUM$IN V N VE T �ki_ LACE ROUGH PL !M$ Il7G PLUMBINO UNDER SL_A� - .7 K S U�1S/NEApERS — BFrarr++.•/BRIO INr j HANGERS tACxC POSTS/MAIN $EAM AIR INFILTRATION BARRIEI{ A NG - IN oN : OU D T W L NTER 0 FOUND ON WALLS FLOORS $}[T$R n� w _ E L NG R_ •- DUCT WORK OR PIPING IN N E P C S R- i I I GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Hay Road �� f Queensbury, NY12804 Arrive amlpm Depart ` L �y Inspector's Initials ` NAME: "� y PEPJVHT # LOCATION: 1 DATE TYPE OF STRUCTURE: 151 RECHECK. NIA NCO COMMENTS ootings/Piers� Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protectiok from freezing for 48 hours fol lowi the pla t of the concrete. Materials for this purpose o Ate Foundation IWailpour Reinforcement in Place,/ Foundation/Damppr ng Backfill Approval Plumbing Under Slab __ x Plumbing Vent/Vents in Place Rough Plumbing_ lJ Heating Rough-1r, Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceil.ing R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging Joist Hangers_ Jack Posts/Ma in Bearn Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Fi restopping