1999-432 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENS&URY
WARREN COUNTY, NEW YORK
•
Date October 25 19 99
X611. A
This is to certify that wor requested to be done as shown by Permit No. 99432
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT 7 4.48 SURREY FIELD DR.
Location
Owner MICI-IAELS GROUP THE L.L.C.
By Order Town Board
TAX MAP NO. 41,8 . -8-7
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE.. .: $ 1:36900 TOWN O,F QUEENSBURY . Na.,.,....., .. 99432
TAX MAP NO. 48 . —8-7 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS- GROUP,THE L.L.C.
OWNER of property located at LOT 7 #48 SURREY FIELD DR. Street,Road or Ave.
in the Town of Queensbury,To Construct'or place a SINGLE FAMILY DWELLING
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 Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
1810 STATE RT. 9, SUITE 3 -
LAKE.+GEORGE, NY:. 12 8 45
2. CONTRACTOR or BUILDER'S Name .
MICHAELS GROUP, INC..INC..:
3. CONTRACTOR or BUILDER'S Address
JIM CHANDLER;: PROJECT. MGR 18:10 ROUTE 9
LAKE GEORGE,: NY. 12845
4. ARCHITECT'S.Name
NEW YORK BOARD
5. ARCHITECT'S Address "
NEW:,.YORK,_.BOARD, OFu;FIRE:. . UNDERWRITERS.,,.,
6. TYPE of Construction—(Please indicate by X)
• SINGLE;.,:FAMILY,;DWELLING
{ )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
,SINGLE FAMILY DWELLING::,WITH 2.-CAR ,ATTACHED:;,GARAGE;,;;:
AS PER PLOT PLAN SPECIFICATIONS _
8. Proposed Use
SINGLE.-FAMILY;:_DWELLING_':
Ju,1,y 20 . 2001
$ PERMIT FEEPAIO =THIS PERMIT EXPIRES 19
(If a longer period is required an application(or an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
20, ' . July
Dated at the Town of Queensbury this Day of 19
SIGNED BY C�`\J : for the Town of Queensbury
Building and Zoning Inspector
r , / ,
TOWN OF QUEENSBURY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date J
r� i 13-,195' Permit No. `�y'
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 T R./ k + ckG'e U 6 A clop APPLIANCE (check appropriate boxes)
Address a g (AS�{-eA,d . el In STOVE: ❑Wood o Coal in Pellet o Gas
❑ FI
U.L.G (, L '(FIREPREPLACELACE,INSERT FACTORY-BUILT:
1� �,� �L— Zip ❑ Wood G as
11 — 0 (a 0 FIREPLACE, MASONRY:
Phone 0 k ❑ Wood ❑ Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone CHIMNEY (check appropriate boxes)
*EXACTADDRESS of proposed const uction ❑ MASONRY: 0 Block 0 Brick ❑Stone
�U` — S�C� e I�` FLUE: ❑ Tile o SteelSize: inches
CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Model:
Manufacturer: Numer:
BUILDING CODE. CONSULT AVAILABLE
Listed❑ Double Wall ❑Triple Wall
TOWN OF QUEENSBURY HANDOUTS
REGARDING REQUIRED INSPECTIONS. 0 Insulated
C mney Liner Direct Venting
i Cashier's Department Town of Queensbury,�Amount
w Collected Amount Refunded
rk
Dept: Fire Marshal
Code Number Title
A 173 3389 (190) Public Safety
A 233 26.55 (230) Minor Sales
Fee Collected ro r R funded to: /-/ieif,,,e4 4
1-7.-.p
Address:
Dated: 7(3 4 Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
.'• �, TOWN OF QUEENSBURY Fee Paid
_, * �: 111
BUILDING & CODES DEPARTMENT Permit # ��
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF THE FOLLOWING:
The undersigned hereby applies for a Building Permit to do the following work which will be
done in accordance with the description, plans and specifications submitted, and such special
conditions as may be indicated on. the permit. TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTED
WITH THIS APPLICATION.
Owner of Property: T1NJL V41A6inzveac Covzoy
P.O. Address 2561. X-�,,r`, 4Rcsat Phone #
Property Location \ot 1— 4a +3-F1-e\rD wrt._ Tax Map' #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: _It (1 0r— Address Phone#
BUILDING SPECIFICATIONS:
. Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square footage) :
Foundation Material : Width Thickness
Depth of Footing, below grade:
Size of Posts or Studs: x x Long
Size of Floor Joists: x x Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following Questions:
Size of Posts or Studs: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached
hereto, showing clearly and distinctly all buildings, whether existing or proposed and
indicate all set back dimensions from property lines. Show location of water supply and
location and configuration of septic disposal area.
Size of Property: ft. x ft. •
Existing building(s) : Size ft. x ft.
Size ft. x ft.
Use of Existing building(s) :
Proposed structure, distance from property line:
Front yard ft. Rear yard ft.
Side yards ft. and ft.
If on corner, setback from side street: ft.
DECLARATION
•
To the best of my knowledge and belief 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 not, and that such work is authorized by the
owner.
DATE: / k(-1)� () SIGNATURE
e , wner s Agency,y'chitect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE L -
. ,
Building J-'e ri it Application .,.. .
,Moll of QNeeiisb111;)r - Dept. o/fCounnnuity Development, 742 Boy Road, Qcrecnrbury, NI' 12804 j701.-8256J
•__._._c•"-.--• 11II1LU1NG • cQ cODIs' if:N1 0UCGAfLN1'
NOTICE —_ . Requirements prior to issuance tir : 1
----� --- of Ibis hermit: I'LRMI'1'I�ILE NO.A 1x;tmil uut,,l I,c ohlninccl Ix.lina -..---__-..—'_�
beginning couslntction. Ni inspections 1'G'111111'1'ICG 1'i11U$
�_I 7�ming Doard Action •
-
will Ire utnda nnlil nl+l+licnn( has rcccivccl J v"
rt VALILJ IJl1ILIAIN° I'IiR MI I. All A,v: / We • IIIsC:lIIs�111UN r "1'iJl
rll'I+licn 1,6 completed
oned !his lie sc imIt .
MUST'Ixr contlticiccl and lho signnlure �� !Tanning Dowd Action ILI;V/IslY1sU li :' "
of the applicant must appear on Melt / Subdivision /Oilier
cr
rilylicnIiuu limn. ,„1,, _ itectealion Fee
Building.Inj cror
In SameAltltlicnn I: I hr. �Li chrtr CAG�c.uccl.r, 'Inc. Owner: .
1810 Route 9, lake G '.u�tge, .NV 128Atyclress;
• /lcicliess: '
I'hu,ie.11• ( 518 ) 668 - 3316 I'Irono 11 ( ) - .... ... . _. ... ...
Properly l.,uc.ation: \of' 1 4S t z �i2.i'p' :--- gl�. l
Tax Map Nuitrbar
subdivision N;une: ._tt e- - _. Section Block Lot
a wit s .
HATUIIr OF: PROPOSED wnitx: ESTIMATED MARKET VALUE OF Till"!
New Building: ConsTILUC'x'ION: •$_ 13�._,
-`-'� residence / coinlnerciai
Add1t i.crn to linl.tdlog ! UCCUE'ritfCY xNrO[tFfn'1'xoN:
r:cc:J.clettc:o / conunr..r.•c.lta.t L.,.3.rur.try winding -
>\.l.l;c.ccte. i.ctn t.:o Lio.i.l.o i,ncl: X Single Family Dwelling
`-_ residence / commercial '1'wo Family .
Residence / Commercial _ Family Dwellingny
no clrailyc, La cxl:cr:loJ: rJi.ze office
' �, � 0 -
Mercantile _� �J �,
Other Work (describe below) Manufacturing JUL 1 3
---- other 1999
OltOSS AREA OF PROPOSED STRUCTURE: � If ADDITION, wl 1_Di�llll• t: _0
`` --- ._ .
1sl; Floor -Co3� sq• fi:. of- new addition be? :
ird .floor . sq. ft.. /y�1 N A
z _ eq. fL.--
Other - Floors -- -- �
•
(not unfinished cellar or basemen 2, . ACCESSORY' DUILDINGSI. 2 car S
__ Detached Garage 1,
• t(p3(a SQ. :FT. . X , Attached Garage 1 •
TOTAL FLOOR 1\11L1\: Private • Storage Du
Commercial Storage Duilding
SIZE OF NEW STRUCTURE: Other .
653 ,. . .
•
Will anysecond-band or ungraded
Fou' Numndation von Typo: 1'vulcecl lumber be used? 1f no, for: what?
(habitable
of Stories : __) �H
eightab r space only) : 9.5 _ feet TYPE oe IfEATINO SySTE 'S:
Number
(grade to ridge) : Circle' all
oihiC GaePh Wood
Number of fireplaces and/vr wovclstove ( Circle.
/ ga . oWoo / Other
l o be installed: Forced Rot Air /
Person responsible onsible for superviv3.on of work as r garde arde t P building
i lam=-_.
or Err •---
codes in : �utL(<ItclutiC�.,�1a0,1 -�utici ��� .. ne
Name nddresse hY 12845 518-6G8-331G
•
Ilul1.der:: _1lte 14LC.ltez-e,P_ Gutty, Ille. 18i0_R.te 91 Lake Geulu e
t� I�a.CC� NY [2801 518-198-9399
Plumber ' I ct.tict I'.Cut1G.i.Iln,...l�i�al�lt Itucc(, G.ee_---
Mason! _.Ji ljalt_cfie.A.,t3.vx_21z8_, Glcankil e..N1 �18-31I-992
I?,lecL•r.�c:a.trn .
J_c11cr?vslt_uc��Uuc, 9 d 4 G 'J u lyA 8.e y L'-*- (tt:ll lL -- - -1-
1)IsCl.rl1li{[ION.• !'Iccrsc slglr below rflci you have eui cfirlly read the srarc!lrclrr.
'I'o the best oC my knowledge Lire statements contained in this
of application,all to c rk toith the
plans
one on
. and specifications submitted, are a true and complete statest 1ro
and all
the ilcsct ilral In cruises and that all provisions t shall be comp lie ,willlCodC,wl ell crtislc OJicdt or nolcd, and
other laws Itcr tainiltg lv the Iproposed work si
that such °VVr k is authorized by the owner. I:w ilier,it is being understood s that IS/we
shall submit
I'LANr to a
(;crli(icalc of Ucculrancy'or "crliricalc of Compliance
a licensed surveyor; drawn iJ cale, showing actual location of\project on premises.
•
Signature:
nr f,wner's :Wilt, architect, contractor)
\IJ_•_1:l•J:AQ9_•_.Q;AQJ9):1!_: "Jt_l 11/''"•:'",:',l!l"•_:J_•M J_••l1A• J.•.WAtl'J Ve..V.ketQ'AIN •.l Nl':ltt:A.17.•.(V RJ.?l J.•.1'.3.•,G •919:JP.Oltt:l• ,49;.' 9.).•J.' •l`A•0P, ',•l;1•AM4VO
ii
THE NEW YORK BOARD 0 f-1 E UNDERWRITERS t�.,{,,
_<, Fr;:
�1 BUREAU OF E ECTRICITY -
I- 111 WASHINGTON AVE., SU TE 704, ALBANI NY 12210 Di
K; Date
CJ('1EFltE'?:i 26,1 r_ynr)
Application No. n file 1�� 3±3 c f9'' 1k 14ti 7�'�i
• THIS CERTIFIES THAT FYI 1 C). 99- i l
/ rr
Ai only the electrical equipment as described below and introduced by the licant nam 1 on the above application number is in the premises of p
THE MIOH.4DLS GROUP, 48 SUR.REY FIELD DR. LOT '7, QUI ,-'BU.RY, 1'1`z'' rril
-
^tl • li [Y GAR '7 d
, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd FL Section Bloc& Lot ,�
OCTOLE. '2,19-`�-% i
was examined on and found to be in compliance with the National Electrical Code.. ly
0.
gt FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
it OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i
=1i ti 241 .)1 30 ;
_C! •
=(' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS r
1i BELL
1i AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. Cill H.P. NO.OF SYSTEFEETAMT. WATTS '4`
zwi
1 SERVICE DISCONNECT NO.OF S E R V I C E tyy
METER
KI AMT. AMP. TYPE EQUIP. 1 0 2WMEI 3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. ,
,ZZI PER 0 OF CC..COND. OF HI-LEG OF NEUTRAL
• 1 2C'3 4� _ 1, i i./ 4._ r/(' i
;{ IY"".
OTHER APPARATUS:
Ihr
CEILING .L A J-3 tzi
Ni (7.`�.C.'.1: _4
!
,iI
el
7� ET
7 {'' ur*4 , (L(, n I L ., yz
:(I F'O..�S1.111 J.:11 Sa+�L_�)�.i.(7�}�f� �'J.Ll CS � r rll F• 4.
� � V:
i
j' �r1.z a Ss '� ,. k;Ii S,. F GENERAL MANAGER E
rtt i 6 4Iz1L 1CREt S c. r.., r
1 b'C.E-1k/fDCT,t1L s`, NY, 12309 :- 1 {-i e ``�'L 2-'-''4 cr
141 - Per
WI This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
/,Y•Y Y•YY• Y•YY•Y Y�Y Y•Y Y�Y Y•Y Y•Y Y•Y Y•Y Y•Y,Y•Y Y�Y Y•Y Y•Yii,e.Y�Y Y•YY Y•Y,Y•Y •Y,Y•Y.YiYY•Y,Y•YY�Y Y•Y Ye.Y•1i]'•Y 7•Y Y•YY•YYYY•Y 4YxY•"Y Y•YYVriY•YYi'l Y•�Y•Y iY�Y{\.
CnPV POP RI III IIINf OFPARTIv1FNT THIS ropy OF CPRTIPIRATP KAIICT nlnT RC Al T=or=n l.I Amy .A A11.1.17)
THE NEW PORK-BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
BUILDING PERMIT NO.
-
cr .
TEMP.# DATE
"1 f c !`.1 —' _
CITY OR VILLAGE ZIP CODE 1 c����y TOWNSHIP �COOUNTY
\° 1v\� �v t 2L C)�-j" 1 ,.:)%...l-3t'�i.�J✓�.
STREET AND NO.OR ROAD \ POLE NUMBER
BETWEEN WHAT TWO RS STREETSWISS PREMISES D ATED? �� `'� SECTION BLOCK LOT _
OCCUPANT'S NAME BUILDING OCCUPANCY i'
OWNER'S NAME AND ADDRESS NC Q�� ", HOME TELEPHONE NUMBER
1 C rc-, Vt .r-,
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
1\1► ,
BUILDING IS
NEW OLD ❑ I WORK IS - NEW ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU I STALLED
NUMBER OF OUTLETS - No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB- .
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS COFEEDERS
CHARACTER OORK ❑EXPOSED Applicant affirms that there is not an application for electrical
0 CONCEALED inspection pending with a qualified electrical inspection •
DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein.
This application is valid for a period not exceeding one year
SERVICE ENTERS BUILDING from the date received by the Board.
❑ OVERHEAD ' ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANT'S
IDENTIFICATION NUMBER> . - I Q I z,I FBI —7 I c:-j I
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS /`,
•NAME OFAPPLI NT DAF Pl,APPLICATION SIGNA RLe—%
PLICAN,.TT
STREET ADDRESS TELEPHONE NO.
?44 (_, \c)-(( \- �- . . l - 9 97 7
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street '111 Washington ve. ❑ 3291 Lake Shore Road ❑ 217 Lake Avenue ❑202 Arterial Road
NEW YORK, NY 10038 / 'SUITE 704 BUFFALO, NY 14219 ROCHESTER, NY 14608 SYRACUSE, NY 13206
(212)227-3700 ALBANY, NY 12210 (716)827-1155 (716)254-0141 (315)463-8552
(518)463-2122
THE NEW YORK BOARD OF FIRE UNDERWRITERS
RESIDENTIAL FINAL.INSPECTION REPORT 3 eiy-i
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive 2.0 an�I1epa �� f'E j..
Town of Queensbury Inspector's -+ta vr-742 Bay Road /
Queensbury,New York r�� 12804w - G (C ,Up�
NAME _ C,RC PERMIT# . 3),........._
LOCATION L--I ,nvisc-N•-4).� cc N`r�,�r� DATE
TYPE OF STRUCT _K,
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location V/
Fresh Air Intake V
Plumb Vent through roof Vj
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36" 1//
Exterior Handrails,balconies,landing 1: ' or more V
Interior Handrails stairs both sides 3 or r• e risers /
Grade 2%away from,oundation
8"clearance to sill plat-
Gas Valve shut-off exposeiPreg ator 18".bove grade 4
Gas Furnace shut-off within 30 feet or wi line of site ✓
Oil Furnace shut-off at entrance to furnace . •. I
Furnace/Hot Water Heater operating
Relief Valve(s)installed 1
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 ri'•rs I
Interior privacy/trim/doors/main entrance 36" ✓
Floor Finish ✓`
Bathroom/Kitchen watertight /
Interior Handrails Balconies/Landing 18 in. or more ,/
Railing across window in stairwells i/
Smoke Detectors: ✓/
every level ✓
every bedroom
outside every bedroom /
inter connected .1f
Bathroom fans ✓
Plumbing fixtures
Foundation insulation Il
3/4 hour fire door/door closer /
Garage fireproofing 4
Garage penetrations sealed
Furnace in separate room protected(in garage) ✓ .1
Light ventilation per room ,//.
Safety glazing 18"or less from floor ✓/
Final Electrical ✓
Site PlanNariance required I
Final Survey Plot Plan ✓/
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
TOWN OF QUEENSBURY
.w l� BUILDING & CODE ENFORCEMENT
�+ 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST ECEIVED:
NAME
LOCA'I'IO a -cP
DATE ID—C=14 PERMIT k ..1
0:1
TYPE OF STRUCTURE �<
FOOTINGS FOUNDATION BACKFILL _ FRAMING
ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/• •.ILINGS
RELIEF VALVES
FURNACE/HOT WA'ER 9PERATI G
INTERIOR TRIM/PRI 'CY ORS
FINISH FLOORS:
BATH/KITCHEN WAT:RTIGHT
OTHER FLOORS SWE.PABLE
OTHER FLOORS CAR ETED
STAIR CLEARANCE RA LINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
1.2:2SURVEY PLOT PLAN ..7
OK TO ISSUE C/O OR C/C
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 am/pm Depart ly'�j�am/pm
Inspector's Initials
NAME:.4 /1-6Zi5 6#2f PERMIT# ` 3
LOCATION: �)v,4J�C-' /ferceiS DATE :
TYPE OF STRUfg
URE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Fonn
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/Wallpoitir
Reinforcement in lace
Foundation/Dampp ooling
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents ii Place
R gh Plumbing
eating RouAh-In
nsulation l.�P—lz c�O b,5
i ,
Foundation Walls Interior R-
Foundation Walls xterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
\ A
y 1
vV
„4,0447/4.---__ - ,40,--- .
GENERAL INSPECTION REPORT "= ,w ._�..s
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement /
742 Bay Road Z�`,l
Queensbury,NY 12804 Arrive am/pm Depart�" ` m
Inspector's Initials J P—
NAME: 0Cf(4 - !j 6,62/(1 PERMIT# K52i
LOCATION: '1f 0 c,-4 -q DATE : 1/97
TYPE OF STRUCTURE: .
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Fonn
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placcme t
of the concrete. \
Materials for this purpose n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprooting " —
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
eating Rough-In Insulations II �, Ai a& -7vv�
Foundation Walls Interi .t )R-
Foundation q
Foundation Walls Exter or R- '* '5 /()E &.)1A3k,ocJ S
Floors R-
Walls R- EC\ 7 cee .SL i 0C —50wik p_00 l
Ceiling R- 1 j
Duct work or piping in
unheated spaces R-
roper Vent, Attic Vent _
Framing . �o 2G� V r o t— t 1)/2• . _ 1 R.)� -) S
__ )1,`ack Studs/Headers
1.Bracing/Bridging C z-4 174 7
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier C A-LC— t-(y<Q )2�c.4 c (<
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3,4 hour
Firestopping
OK 'TO Tkyi S-C-- %, v t<
OK' K_D\\, 30
1 it � �� .
--, .
•.,.._...:
GENERAL INSPECTION REPORT
,
( 518 ) 761-8256 r..=": `-"
Town of Queensbury
Dept.of Community Development ' Date inspection request received:
Building& Code Enforcement
742 Bay Road .5
Quccnsbury,NY 12804 Arrive am/pm Depart - "')-am/pm
Inspector's Initials c-.1 ...•• -
NAME: G -110 PERMIT# - !
LOCATION: •cr c p\\ S DATE : -19
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers \ — I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi ale foil-
providing protection from ree.mg
for 48 hours following the .1' emcnt
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place ' •
Foundation/Dampproof i ng_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in PI' e
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-
p4iilier Vent, Attic Vent •
g
-.pk Studs/Headers
VBracing/Bridging to5//4 �r.-C,pte Ti s . Aec`J
Joist Hangers 1
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3 4 hour 7/ .
� rest�pping, ��. C l _ - -
0 \k -6 1, AUL
Gvtc[. -I.:6-Open
GENERAL INSPECTION REPORT - -
( 518 ) 761-8256
Town of Qucensbury
Dept. of Community Development ' Date inspection request received: 9/9. 9
Building& Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive am/pm Depa V- m/ m
/l� > Inspector's Initials
•
NAME: /�//G/�aeLL Cr=o 1O PERMIT# 99- z/3,z
LOCATION: 1/8 SiiF eX F,rid _ DATE : . 9,/5/9 i
TYPE OF STRUCTURE: S r„d
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
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
Foundation/Wallpour J.
Reinforcement in Place
Foundalion/Dampproof ingr
Backfill Approval
Plumbing Under Slab ,'
• Plumbing_VenUVents in Place
e*192ugl Poltainbf n':
-Ieating Roughin , ; 6iNT-
•In_
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
iFrag L
-Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I, 2, 3. hour
Penetration Sealed
ire Wall 2, 3,4 hour /66-4/-
-,irestopping vCE-S � kxr•• W f�-�-
R� �L�
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name NA,1C4-w4_; Graf?
Location Lel-- ljv2RC-11' f=/6cILS
Date 6/z5.139 Permit # 75— 3-2,-
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: T,6t 1 Length
Length of each trench
Depth of trenches
Size of st►Qne
SEEPAGE PIT : Nu ber-
Size - ft x ft.
Stone size
PIPING: -"'" Size Type
Bldg. to Tank
Tank. to Dist. B.
Dist. Box to Field/Pit
Openings Seale.". Yes No Partial
LOCATION/SEPA' ,TIONS:
Foundation to ank feet
Foundation t. Absorption feet
Separation .' Pits _ feet
Conforms a per Plot Plan Yes No
LOCATION Q SYSTEM ON PROPERTY: .
(circle 0e)
Front - ,Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
doo2ie c j llet) •
•
S 0
tic)S SG r/42
SYSTEM USE APPROVED: YES NO
Arrived: .��
Departed: 4
cs(, =,/
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name W. c.t4.,-L5 GRr
Location L 7
Date14 -b\--/-qq' Permit # . `I- �-�
SOIL .IIPE: Sa d-Loam-Clay-
Resultts of Per olation Test-
(if applicable) Rate-Minute/Inch
TYPE OF\SYSTEM:
ABSORPTION FIELD: Total Length
Length o each wrench
Depth of t enches
Size of sto'e
SEEPAGE PITS. N mber-
Size - f . x ft.
Stone size -
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Fi -ld/' 't
Openings Seale ? Y- No Partial
LOCATION/SEPA' 'TIONS:
Foundation to ank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as er Plot Plan Ye No
LOCATION OF YSTEM ON PROPERTY: `_
(circle one
Front - Re r - Left Side - Right Side
Middle Fr t - Middle Rear
COMMENTS:
coke. 1- 10A) --- A)c-f- k6--A-40C()
CIP,Lc.- 1 R.0 cltc-C 14',
SYSTEM USE APPROVED: YES NO
Arrived: _#.4)
Departed: .
Building Inspector
ssaNa\-kil ‘,16 -4i-
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYS EM INSPECTION
Name Aaa9 (SY6Aj?!____1411
Location 1
Date ��/4- 61 Permit # .^^i3),..,
SOIL TYPE Sand- oam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length, 1;3/--
Length of each trench / `5-5'
Depth if trenches �1
Size o' stone 1N(A►LtVWcA
SEEPAGE ,'ITS: Number-
Size - ft. x ft.
Stone siz
PIPING: Size Type
Bldg. to Tan 4 b 3�
Tank to Dist. •ox Pt �r-
Dist. Box to Fi -ld/Pit t 54'0 ?-p
Openings Sealed. ( es No Partial
LOCATION/SEPARATI ' .
Foundation to Tank __ feet
Abs. p _
Foundation to ion (5 feet
Separation of Pit. et
Conforms as per k of Pl ;n No
LOCATION OF SYST"M ON PRI'ERT .
(r_i rcl - .,.:
Front Rea'r - eft Side - Ri .kit Side
Middle • int - Middle Rear
COMMENTS:
I&)5
•
SYSTEM USE APPROVED: YES Nb
Arrived:
Deeparted. —;7.7,1A
Building Inspector
TOWN OF QUEENSBURY
BUILDING $ CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name (' GDcxAJJ
Locationo/M SU f l( j`P IIa`U S -4V8
Date --)� G I Pe it # 7� /f1 52-
SOIL TYPE: Sand Loam- lay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: otal Length -
Length of each tr- .h
Depth of trenches
Size oflstone
SEEPAGE PITS: N ' r-
Size - \ f I x ft.
Stone size\
PIPING: Sjze Type
Bldg. to Tank '/ 50/2 *5----
Tank to Dist. Btx
Dist. Box to Fi •ld/P '
Openings Seale ? Yes No Partial
LOCATION/SEPA'1 TION . 11
Foundation to ank `v feet
Foundation to Absorption feet
Separation o" Pits feet
Conforms as per Plot Plan Al No
LOCATION OF SYSTEM ON PROPERT
(circle one)
Front - Rear - Left Side - Right Side
Middle Fron Middle Rear
COMMENTS: fARTOC -- /4&)/' `d NC/
SYSTEM USE APPROVED: YES
Arrived:
Departed: ) --GC;
i 'llig(—
Building Inspector
. \\‘36 ; tea
GENERAL INSPECTION REPORT -
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road IIii
Queensbury,NY 12804 Arrive am/pmDepart . ' am/ m
_ Inspector's Initials
NAME: S-. N.\(&\.(1a04/-6-1 PERMIT# II' I —LOCATION: `�s\cc e e DATE : T.if►:l5•.
TYPE OF STRUCTURE: \G'cn
RECHECK
N/A YES 11O COMMENTS
Footings/Piers I I( I
Monolithic Pour FormII
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 fj/
Foundation/Dampproof ing
tilakkfill 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_ __
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
Firestopping
6A Ge)en—.
GENERAL INSP. ' PORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development i ate inspection request re eived: / /a-�9 9
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive t iD aVL, Depart ' {40';tom
Inspector's Ini'.,���
I 3.2—NAME: h C 12t EL6 G P 1T#
LOCATION: c 3 LIP ei—re : I/ L •
TYPE OF STRUCTURE:`
RECHECK
N/A YES O COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place 2-.
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
Foundation/Dampproofi ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior '-
Foundation Walls Exterior R-
Floors -
Walls •-
Ceiling R-
Duct work or piping i
unheated spaces R-
Proper Vent, Attic Ven
Framing
Jack Studs/Heade .
Bracing/Bridgin
Joist Hangers
Jack Posts/Main : \\\
..
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
FIRE MARSHAL
TOWN OF QUEENSBURY
Val :,. QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# 5132,
NAME 114,C-f(dee--5 •
LOCATION
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT G
FIRE EXTINGUISHE'S
FIRE ALARM S 'ST;M
FIRE SPRINKLE'` ST'M
FIRE SUPPRESSI •N SYSTEM
HOOD INSTALLAT;ON
INTERIOR FINISH:S
STORAGE: _
CLEARA CE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE ��//��
CHIMNEY D efGT V�.c�-`T—
f
WOOD STOVE
FIREPLACE-MASONRY
"FIREPLACE-FACTORY BUILT igG,ie: 1a.►
REMARKS: \,,,,•_Q,\ OK TO THIS DATE
V qqo To-voc
INSPSLIP.PUB INSPECTOR
•
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