1999-447 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Dace November R 19 99
Q1161 0
This is to certify that work requested to be done as shown by Permit No. CIO.' n.7
has been completed.
• This structure may be occupied as a SINGLE FAMILY DWELLING
Location LOT 59 #5 6 LEHLAND DR
Owner 1',7TCHAFT,S GROUP
TAX MAP NO. 7 Q . -2-5 9 By Order Town Board
TOWN OF QUEENSBURY
(3. ap
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 156900 TOWN OF QUEENSBURY No. 99447
TAX MAP NO. 74. —2-59 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to MICHAELS GROUP
OWNER of property located at LOT 59 #56 LEHLAND DR _ Street. Road or Ave.
in the Town of Oueensbury,To Construct or place a_ STNCCT.F; FAMILY DWEId.INC
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
LOT 59 #56 LEHLAND DRIVE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
MICHAELS GROUP, INC.
3. CONTRACTOR or BUILDERS Address
JIM CHANDLER, PROJECT MGR 1810 ROUTE 9
LAKE GEORGE, NY 12845
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( 1 Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
SINGLP•FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE AS PER PLOT PLAT!
SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
301 PERMIT FEE PAID —THIS PERMIT EXPIRES July. 28 �g 2001
$ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) •
Dated at the Town of Quee sbury this 28 Day of July 19 1999
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TOWN OF Q UEENSB UR Y
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date t t 19 (� Permit No.
CI LILI -7
9
9 ,
„,
APPLICATIQN IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit
pursuant to',t`he,New'York State Fire Prevention and Building Code. The applicant or owner agrees to comply with
all applicable laws, of dinances, '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 7 „, A-/ r r i(f r ,.,, / \ A n <, ;—) APPLIANCE (check appropriate boxes)
Address ?I(' ;) (I'S, /-/-(,r c /(( f 0 STOVE: ❑Wood o Coal ❑ Pellet 0 Gas
r; // ❑ FIREPLACE INSERT
(� t-C:.,f i„c Ft,, (e Zip /i ( ( �� p FIREPLACE, FACTORY-BUILT:
1�❑ Wp9d ,-0-Gas
.. 7 r' ^ 0 FIREPLACE, MASONRY
Phone .. ) � - C , „ � �. a�� ,!;_,,�,
k
❑ Wood\'`'6'Gas
.
Owner ' FURNACE: ❑ Wood ❑ Gas ❑ Oil
r +r,,, ',.,a `0: .rya ' ^
:Address IF NON-MASONRY APPLIANCE:
'. q ., y _ , - t -Manufacturer- �-- - ' - --- -
---. .. - - _ _ � _ - _ � ,e�ip _ Model:
Phone "
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block ❑ Brick 0 Stone
/f 7 c,. 2// S.C> /(' At I c_., , r (' e A. . FLUE: ❑ Tile 0 Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST 0-FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS 0 Double Wall 0 Triple Wall
REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting
. ❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected—Amount Refunded
Code Number - Title a ' �r
A 173 3389 (190) Public Safety r. "
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to: ‘') t r 0r tfllrr?A A: 2
Address: _.
Dated: - I ;
-CC ' Town Clerk or Deputy`. ( ,a. ,( 1 ....-r--,
r
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.'
. Building Fie r 11,ut App Ii cation . • •
Town or Qilee/15b111;)r - lie/'I. c?((.,nunnnify „,,,,,fn/uruvrr, 742 Bays Road, Qticcnlbuty, NY 12804 1761-8256J
I1i11L1J1Nc; • tq CUUIi 15Nl;0UCLAILNI' .
1111,110E____ _—.__ • ltequirements prior to issuance hLKh�l]'I�ILL NU. —�' (....t2q
-- - - 01 this permit: 1
/1 (0l111il must 1)0 ohtninccl Ix.lina • "'_- 'G'Ir'h1!'1'PEE PAID$ ( *��
beginning conslnlction. No inspections I_I 7�ntJrrp, Board Action �d
will I,o oinde uctlil niq,licand turn received Alen r Use , a%� W:CltG/MN FEE 1' 1U `L_
n VALit) flU,i UINc1 1'IsRMI I'. All �� !,
'MUS I'Ibd conl{IICIcd nntlthelin' Spleen Oil 116 �slignntuce l___� naming Ucxud Action Ii,LV11s'lYl.L•11J:' i��
of the nl,pliennt must n{riionr oil tho SI'It / 'iub(livisinn /Ulhcr
Building.bupcdor•
q.iiplicnIkIII knot. m.,"►), l RootCnlimi Ice Payment
Iltc. Michael: (;swift.), Ins. owner:
SameA11Ii1ic:ui t:
Addtcss. 110 Ituu.f.r_ 9, (.alte l;eu/t�e, Nl' 12k�i7iltc s: .
. t'Itotta.1/ ( 518 ) 668 - 3316 1'Ituito 11 (-- ) ...
Property l.,oclllion. 'I'tu Map Number_
Subdivision Nnto: J. V. ' ' Section Block Lot
•
S
t
11111:UHF, or t'Jloroscv nottil:: ESTIMATED MARKET VI AL OF 'XE .
vc- Dew Building: • Cor15T1IUC'1'ION:
residence / commercial
Addition to Building: �ccut'nticx xtlronr`tn'rxoN:
r:cr.I.i.cl(:ncsc / conunor.•c.l.t�'1' Primary Building -
• Alteration i on I:o Ltn.i ld li ct: X Single' ir'um.i,ly Dwelling`--" ):crt.i_cic�ncr, / commercial
Residence / Commercial Two Cannily Uwelt �
OV .
HO change. to exterior
ri7o • Family Uweingp
_ffice JUL 2 0
E
Mercantile, 1999
Other Work (describe below) Manufacturing T;Oy,:,.e ,- J� i3bt1RY
_ — Other i111_OiNG 1ri,df�C�O�
nos AREA OF PROPOSED STRUCTURE: /S� ,
U• If ADDITION, what: will use
let: Floor l2(Pt sq. - 3S. . of now addition be? :
znd •.Flovr• .
1®(0o eq. ft• ..f rJ/A
Other Floors erg. ft..
•
(not. unfinished cellar or baser enC,1_� . •
nCCE55011X DUILDIt1G1S:. 2 car
Detached Garage 1, .Z
II,� yl nLLaclted Garage 1,
'1'U'1'11L FLOOR AREA: 2�Z _ Private ' Storage Dull .t.- •
Commercial Storage F3uilding
SIZE OF tdLW STRUCTURE: _ 0ther . '
FEET'1' X 4 FEET I.
• •
Will any second-hand or ungraded
Number
Type: I'uu/tec[
lumber y used? a eor unJ adeL-7
' t`I11tilbcr. oC Sl:vrics : _2 --�
(habitable space only) r reef TYPE UF' 1ic11INa Slft;'JCt1)
Height (grade to ridge) : circle all whirl es)
Humber of fireplaces and/or wooclstove Electric / Oil Ua l Wood
es)
to be atlsLa.lJ.ed: • �—__ Forced Clot Air / ga u oard / Other
Person responsible for supervip_ion of workorasri g arch t p builds ng
codes i.s : .111L�.Matti,(. t.,—�'•b•�-1 e—j attati •
Ntiiite ndclresss Phone 518-GG8-337G
_ I lie. 18)0 R.te 9 l ttlze Geo/u e
.Hu
Plumber
the Cvlic'.haef� Gnutlil-, G.Cett�S I�CC�NY 12801 51�-798 9
Plumber : lava I'.(.t)►t.bit1I1,_.1_61il tik Road Ny
Marion: _.jam lirzlir.l�e�t,_ �x-21_8_Gacu Js�i CC.e.._ (, a�,r3-�--�18-3Y 1-992
•
Is"l e c t•r.i.c:i.a n :`i_c2 ke tai_LCe djact, ?4 4 G '_I all 8.e y_lf _,-
DECLAUA11ON.' Please .sign below r1Jlc)'you have Cal.efrlly read the stalcmcnr. .
To the hest of my knowledge the statentcitts cotitautcd hi this apptof toll, togeth work loith a plans
one o
. and specifications subntillcd, nre n true and complete •
the IICSCIIb((I pICINISCs mat that SiII provisions be compilding lied,Lied willtc,whethert tslc cOficdlor noted, and
other laws pet tabling,to the proposed work shall {
that such wilt is authorized by the owner. Put tiler,
lcit lhde rstoo l thatn 1S L;Usll:il submit1'LANr to a
Certificate of Uccupancy.or (-crlificalc of Compliance being •
a licensed surveyor; dr to scale, showing actual location or project on premises.
Signature:
....,,,,.,• •,wnrr's at?etil, architect, contractor)
Application for SEPTIC'DISPOSAL PERMIT"
r
Town of Queensbury
Dept of Community Development Permit No.
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: 'Qk SC\ — Lo l?Y' .
Property Owner's Name: '1Q rn II' tts` hrDL tp
Property Owner's Mailing Address: 19310 rA ..i1 `7 ml C��
Lis-
Installer's Name: E110,1 aka_ Hni tt2( rij Phone # —a I oq
Number of bedrooms (if residential): L Total daily flow: Ll.Y_.L_J
(residential -compute @ 150 gal./bdrm.)
Topography: ✓ flat, rolling, steep slope % of slope
• Soil Nature: / sand, loam, clay, other /depth:
Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _feet
Percolation test: not required, required [rate I min. per inch
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank Ip gallon (minimum size: 1,000 gal.) •
• Tile field: each trench s4 feet / Total system length: 21(D feet
Seepage pit(s): number of / size each: ft.by ft.
•
Size of stone to be used: #2„StYr / depth or thickness feet
HOLDING TANK SYSTEM:'' (if required)
Number of tanks: N I A— . . Size of each: . gallons
. (Alarm eyetern and associated electrical work to be inspected by a certified agency
For that
.pursuant:toSectloJr136=29of ICode oftheZo�vaiofQueecebur9:ianyp . ' +;",
:. ,approval granted �_.::. <
which is�baaedvpoaor.re:graabed3a'i+eliaa�ee,supoa':43mataoalimianspreseateboa•or fa4Fe to makie a* *
material fact or circumstance known by or on behalf.Of an lapplican[:`shall
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of . .
Queensbury Sanitary Sewage Disposal •. • .. ( Q
Sib ature of responsible person:
Date: 1 Z o( /
z'., I- • . TOWN OF QUEENSBURY Fee Paid
P A BUILDING & CODES DEPARTMENT
;Y �: APPLICATION FOR: PORCHES-DECKS- Permit # _ ���
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: \hc, d'(O(\ \S C to
P.O. Address ZBZ. LS ars Rcalo Phone #
Property Location .(- -( SC1 ^ ' S(.471:1\f `a.A, -iv...t. Tax Map' # 7 o7-,S9
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: rrn CV L-CLAr' Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square ootage) : (Cj(/irj
Foundation Material : Width e. j `' hickness & II
Depth of Footing, below grade:
Size of Posts or Studs: y x y x a Long
Size of Floor Joists: 2- x le.) x / Z Span
Decking or Flooring Material : J75(“
. 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 th s ch work is authorized by the
owner.
DATE: T - - .7 (cIü( ,N SIGNATURE
, Owner s Agency, Architect,
g y, i ect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
i
ieu ING PE T NO_
(By
TEMP.# DATE /cif
CITY OR VILLAGE ZIP CODE TOWNSHIP )COUNTY / /!
STREET AND NO.OR ROAD POLE NUMBER
S � .v, a gg
BETWEEN WHAT TWO CROSS STREETS IS PREMISE OCATED7 SECTION BLOCK LOT
C.)
OCCUPANTS NAME (( 11�� ,�pp ttt BUILDING OCCUPANCY
OWNERS NAME AND ADDRESS HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
INV\MO
BUILDING IS
NEW" OLD ❑ I WORK IS NEWT ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
Lion 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 IS 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 MAIN FEEDERS
105 Applicant affirms that there is not an application for electrical
CHARACTER OF WORK ❑COPOSED inspection pendingwith aqualified electrical inspection
❑CONCEALED P P
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 V I I I I I t
C{ 1
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT �/'],�'' DATE OF APPLICATION SIGNA, E O� PPLICANT
1 '-.}f� "--{ L r i f �-- 1���
STREET ADDRESS x , _ -'1' (,rELEPHONENO.
CITY OR POST OFFICE t ZIP CODE LICENSE NO.WHEN APPLICABLE
U INN( ( (21 l `2 2 C.Y.ill85 John Street y111 Washington Ave. ❑3291 Lake Shore Road I ❑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
\)_...l:!,.. X..x'A.,,. 1. "Q...._l''Al!J.x ._Q'Ail.l���:111' ,x'l!l' ..1 J! 5.._Q J_•.0 11,Q J_0_l''Ail'N AQ�6_l' Al'J_"l ..Q')!l Wi_l'AC .A;'.. AQ;k4 "::(6_l:k.1"l' It: J_...�e_l',%:J�!,Q Al' __l"/,
,r
1 IA
-K THE NEW YORK BOARD OF FIRE UNDERWRITERS AGE 1 14
4028789 BUREAU OF.ELE.CTRIC.ITY P
111 WASHINGTON Ei., SUITE 704,'ALBANY, NY 12210 ' }
ir.c Date NOVEMBER 05,1999 Appl cation No. on file 4580 499/99 A 146506
{ P.LRMIT NO. 99-447 'A
!�+ THIS CERTIFIES THAT _ �;
only the electrical equipment as described below and introdu by the appiicanapplication number is in the premises of t named on the above ij
1, - iY'
'i IN
'I' THE MICHAELS GROUP, 56 LEHLAND DR. LOT 59, QIJEENSBURY, NY r
il; in the following location; ® Basement 1st Fl. ® 2nd FL GAR Section Block Lot 59 it
was examined on OCTOBER 26,1999 and found to be in compliance with the National Electrical Code. - ly
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS p},
OUT•
LLETS f INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. /H..P.
61
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Y
-
W' SYSTEMS •
AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT.' AMP. AMT. AMPS. TRANS. H.P. NO.OF FEET AMT. WATTS '
•
_ i Il ,>.!„
•
--s' SERVICE DISCONNECT No.OF - -- - S E- -1R - V - - I C E y
_ METER�•, AMT. AMP. TYPE EAU P 1 0 2W 3 0 3W 3®4W NO.OF CC COND. A.W G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. ,
_(� PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL ,r•.
-' OTHER APPARATUS:
p •
'<' POST LIGHT-1 `r'
'' GELLING FAN-4
•
G.F.C.I:-4 1.
1 SHORE DETECTOR:-7 r
SC, 1}
IA
-Ci
— VI
,v t--
•
4e.IF
,, 0.
��,I L,. y. [ L •L.it, ,Y
FOREVER LR EL EC Ci'BOLM E.LE'CT. `k T, i ,""fit r.� r
=U 6i.C1•,T,.L-IM D. 1-fCP.AR7LON ' ' r� s r+, ' GENERAL MANAGER '�
j' 2446 JAFFREY•ST. h�-;, t L u r,' r?..
W SCfiL'r3 'CTAI?Y, NY, ? 3O9 '.,'"e >t ?err;-. -tom. Per .'39 '
I
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. tip
'/,Yi,-7,Y .Y 7•Y 4Y Y.Y ZyY YwY Y;(,Y.Y Y-.Y Y.Y 7•Y;1"sY Y.Y;Y.Y,Y�Y 4ii 476 YwY Y�Y 4Y Y.Y Y Y ''.'cr.YoY,47r,4Y iY.'il l'iiYY-YailT4 GY�Yi 17iY?Y�YYoY:ii ii 1 Yiii'aYBY,YiYY•Y Y�Y 4i1;ii it.S
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
41-1
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: A ,YVT J5l ?g'7
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Deparit):2 pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York /2884
NAME /'If 5 Ct7�e PERMIT# q /
LOCATION Z CP 1`e 4.1 a� 10 r DATE n . (CCQ ]n
TYPE OF STRUCTURE j)
N/A YES' NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location f is (ree �c� ,
Fresh Air Intake
�//
Plumb Vent through roof J/
v//
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
17/
Exterior Handrails,balconies,landi 18 in. .r more
Interior Handrails stairs both sides or more 'sers
Grade 2%away from foundation V/
8"clearance to sill plate.. V
Gas Valve shut-off exposed/reg r a or 8"above grade
Gas Furnace shut-off within 30 t or within line of site V
Oil Furnace shut-off at entran t to furnace area
Furnace/Hot Water Heater o ating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on s ..,s
..{/v, .
Basement stairs,6 ft.4 in
Handrail exterior stairs sth sides more than 3 risers ii,
Interior privacy/trim/d,srs/main entrance 36" V Floor Finish /
Bathroom/Kitche atertight 1/
Interior Handrai Balconies/Landing 18 in. or more _ l ii
Railing across . dow in stairwells . /
Smoke Detec ors:
every lev ,,,���
every be oom �' /
outside every bedroom /inter connected
Bathroom fans
Plumbing fixtures ✓�
Foundation insulation
3/4 hour fire door/door closer _
Garage fireproofing ✓ V 1 o`'[ 5 O-F F 10 P
Garage penetrations sealed
Furnace in separate room protected(in garage) V OE �'L-L ale 5%A-k0 k&-�
Light ventilation per room A K
Safety glazing 18"or le fro floor
([r T'Gj , / /
Final Electrical 1 0 Z
Site Plan/Variance req ed �3 �1/ / /�
Final Survey Plot Plan ✓ l`� lak I d/(.frer
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)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Deparp-_�
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME VA.\C 11 5 6 PERMIT# . ` 4 ` !
LOCATION DATE L i
TYPE OF STRUCTURE
N/A. YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or wi line of ite
Oil Furnace shut-off at entrance to furnace ea
FurnaGe/Hot Water Heater operating
Relief Valve(s)installed.
Headroom,6 ft. 6 in. on stars -
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides ore than 3 risers
Interior privacy/trim/doors/main ce 36"
Floor Finish (7.t.6:1)Bathroom/Kitchen watertight i C) <7-7_,(/C)
Interior Handrails Balconies/L ding 18 in. or more
Railing across window in staff ells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire•door/door closer
Garage fireproofing �0 g' Ci,d t)S —
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Cerlif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) 7Okay to issue permanent C/O(Certif. of Occupancy) (,l) &kik'? Ap p//,/r/
4�4y' TOWN OF QUEENSBURY
v"c/V.
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12604
(518) 761-8256
ARRIVE: DEPART: �� INSP ""
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME Gd� E_�S �'n4P(�.�
LOCATION F�`-i '-1' Lif._ -
DATE t l( 75 PERMIT N / /14/'
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY SLEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER ,"ERA'
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERT GHT
OTHER FLOORS SWEEP:BLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RA INGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
-_-_, -/4_:1
S E PLAN/VARIANCE REQ.
FINAL SURVEY ' T PLAN
OK TO ISSUE C 0 ►R C C
• FIRE MARSHAL
, TOWN OF QUEENSBURY
silt j QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED ��1I� 3 /Q4
NAME 0"//G � S���'�'
LOCATION �P RMIT# l•••1/47
SCHEDULE INSPECTION ON
CL
�' e/at6r APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTE
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: —
CLEARANCE 0 SPRINKLERS
CLEARANC TO HEATING UNITS
REQUIRED SIGNAGE _
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY FACTORY BLT.
❑R¢UGH IN
INAL
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
. TOWN OF QUEENSBURY
ISU1 b111G & CODE ENFORCEMEN"
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date to Othel Permit #
SOIL PE.. Sand Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Lengtp 22,1
Length of each trench /
Depth of trenches c�
Size of stone ,t L
SEEPAGE PITS: Nu •erl
Size - _ ft x ft.
Stone size
PIPING: \ Size Type
Bldg. to T'aQk HH 5p,2 a5"
Tank to Dist. •ox' ' rA �z �
Dist. Box to Fi el/d/Pit as
Openings Sealed? , Yes (9 Parti al
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan l) No
LOCATION OF SYSTEM ON PROPERTY:
(circle o /
Front - /- Left Side -high Side
Middle front - Middle Rear -
COMMENTS: / j
&YTG N v f✓�LC-7" L-i iu& /.i 1 0
(74v1‹ CrA5 r Pr
C r-c-c- /2 t ‹:1 (-4/‹:
SYSTEM USE APPROVED: YES NO
Arrived: -�
Departed: /4-../43
< e
Building Inspector
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Its < 01fre-', PP
Location
Date l/21/1'7 Permit # W-7'7`
///
1
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: umber-
Size - f: x ft.
Stone size
PIPING: \. Size Type
Bldg.` o Tank ` _
Tank o..Dist. Box
Dist. Box it
Openi gs Sealed? Yes No Partial
LOCA ON/SEPARATIONS:
Found Lion to Tank feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
Co2rZ&c7-,o ,'Y _ —OK
•
SYSTEM USE APPROVED: (Si NO
Arrived:
Departed: �jl-A%-''
Building Inspector
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' O i rn/p
Inspector's Initials �U<:�`�
NAME: Ole 6-C- Lv,�f f PERMIT# 0-2/ /
LOCATION: L.l�PL-4.4 'I (91 DATE : i
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers /r�
Monolithic Pour Form /
Reinforcement in Place 4
The contractor is respo rsible)for
providing protection frm freezing
for 48-hours following.thciplacernent
-'
of the concrete.
Materials forislircpufrosC on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprool7n6
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
Framing
Jack Studs/Headers.
Bracing/Bridging
Joist Hangers
/Jack Posts/Main Beam •
V
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
Firestopping
Ck
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' am/,pm
Inspector's Initials
NAME: MCPAQC) rfly` PERMIT# ( \- /
LOCATION: 5� L !-p„l cQ/ DATE : 1 0 '-0 Li lot
TYPE OF STRUCTURE: S t �,�
RECHECK �/
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is res.-.nsible for
providing protection om freezing
for 48 hours followin L the placemc t
of the concrete.
Materials for this puI9s( on site
Foundation/Wallpour
Reinforcement in Place__
Foundation/Dampproofi nm
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ace
Vgough Pliimbiiig
Heating Rough-In
vIefulation
- •Foundation Walls Interi r R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- qg.7
Duct work or piping in
unheated spaces R-
Pfoper Vent, Attic Vent_•vP
ram ing_ Y/
flack Studs/Headers_ VAtc+te -L V
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
Arestopping 'r�15 r7 v c-05 `Af' MI- l#�
" t f , d"P 0
C EA C l 0
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Quecnsbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Lay Road r (�
Qucensbury,NY 12804 Arrive am/pm Depart I a p
Inspector's Initials
NAME: Vlk`C PM-6GS GrQp.'? PERMIT# — Li7
LOCATION: DATE : -0 �I
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respon•ible for
providing protection fro n freezing/
for 48 hours following'he place tint
of the concrete.
Materials for this pu c c e on s'
Foundation/Wall.-our
Reinforcement in Pla,e
Foundation/Damper'o17ng
Backfill Approval
Plumbing Under S b
Plumbing VenUV'nts in Place
Rough Plumbin
Heating Rough n
Insulation
Foundation Walls Interior R-
Founda on 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 Bean
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Pe titration Sealed
ire Wall 2, 3,4 hour
Firestopping
3 ` Fril:\t-3 ?fr)
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 'bO an epart
Inspector's Initialffiv
NAME: e \k('% „ G PERMIT# "L L
LOCATION: L�,P,1. r,�� f �,a;e__DATE : 30—CFI
TYPE OF STRR
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place C Q�A-VE__The contractor is responsible for V
�O t � V
providing protection from fr ring �
for 48 hours following the pl ccmc 1
of the concrete.
Materials for this purpose on si c
Foundation/Wallpour
Reinforcement in Place r
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
AilalipiTutnbl Vent/Vents in Place
ig_
Heating Rough-In gQ F31--- t LL-A\Eez_ cfp;
Insulation C�t_upty j
Foundation Walls Interior !R-
Foundation Walls Exterior'R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spec R- rw � •
Proper Vent, Alt' ► �� r '
Jack Studs/Headers \76ae�c9 s3C�C�� tJ�G - Z l�N`
Bracing/Bridging — \-kO Q- �t�5
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3,4 hour
ping 1tiYS� _ �tP��l -�C1� 811i
Pra_D ufl
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury �Q
Dept.of Community Development Date inspection request received: 1
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart. O n/pm
'/ Inspector's Initials
NAME: r 1,eti Pr'MIT#
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is res., isiblc for
providing protection 'rom freez) g
•
for 48 hours followi g the pla 6ment
of the concrete.
Materials for his pu•..se on : tc
Foundation/ Ilpo r
Reinforcement u
Foundation/Damp.roofing
ackfill Approva ✓Plum ing Under Slab _ •
Plumbing Vent/ ents in Place_
Rough Plumbi g _
Heating Rougl -In
Insulation
Foundatiot ails 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 I, 2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
"Mimi., V,' 30 ovn
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ,
Dept. of Community Development Date inspection request received: er 4V 97
Building& Code Enforcement
742 Bay Road 0_,4
Queensbury, NY 12804 Arrive am/pm Depart pm
Inspector's Initials
NAME: /)2iej3(y.1,5 6R.eJf PERMIT# 97"17/y0
LOCATION:* S1,, 4eh�b,,J DATE : 8/ 4/9?
TYPE OF STRUCTURE: \ sib
RECHECK 1`
\\ //
N/A NO COMMENTS
fr-Footings/Piers r I
Monolithic Pour Form
- *L.(
Reinforcement in Place (a
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 F
Reinforcement in Place
Foundalion/Dampproofi ng
Backfill Approval i
Plumbing Under Slab 1
Plumbing Vent/Vents in Place i \
Rough Plumbing i
Heating Rough-In e7
Insulation 1
Foundation Walls Interior R- 1
Foundation Walls Exterior R- a '
Floors Rif
-
Walls R- 11 �i,,
Ceiling R-
Duct work or piping in yl
unheated spaces R- _ l
Proper Vent, Attic Vent_Framing
Jack Studs/Headers
Bracing/Bridging —_
Joist Hangers .
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation I,2, 3, hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
42 . T4.. o• 4 le€4.4
•
# :
,c •
•
•
RECAVFD
NOV 0 8 1999
U LT
6_p c LIA/1 r...-.4.61,11oll,F4c7i.nErpcisoBc),(11.7,y
FIRE MARSHAL
/1111111111K„' TOWN OF QUEENSBURY
fw c �'�• QUEENSBURY, NY 12804
^Kp
�`�0�� r d (518) 761-8205
cY.`�?A U
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# "T____g7
NAME 44'/(c4.05. 6AP.
LOCATION lefln O2 ,
SCHEDULE INSPECTION ON
AM PM ANYTIME
APPROVED
I c� N/A YES NO
EXITS ,1
AISLE WIDTHS 1
EXIT SIGNS
EMERGENCY LIGHTING i
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE \AA)Cr-
WOOD CHIMNEY ll+R�—��STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT R w . J4
REMARKS: V OK TO THIS DATE
qct 0 z-6 1. -6G
INSPSLIP.PUB INSPECTOR
CI
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