1999-570 -
• •
1
CERTIFICATE OF OCCUPANCY
TOWN OF, QUEENSBURY
WARREN COUNTY, NEW YORK
•
•
Date December 7 19 99
This is to certify that work requested to be done as shown by Permit No. qgc70)
. has been completed.
,
• This structure may be occupied as a SINGLE FAMILY DWELLING
LOT 34 #69 SURREY FIELD DR.
Location
Owner MICHAELS GROUP,THE L.L.C.
TAX MAP NO. 48 . -8-34 By Order Town Board
TOWN OF QUEENSBURY
,
(a, -111--2-
,a
--506------
--- -r
Director of Bldg. 6; Code Enforcement
BUILDING PERMIT
VALUE $ 15500®OWN OF QUEENSBURY No. 99570
TAX MAP NO. 48 . —8-34 WARREN COUNTY, NEW-YORK
PERMISSION is hereby granted to MICHAELS GROUP,THE L.L.C.
OWNER of property located at LOT 34 #69 SURREY FIELD DR. Street.Road or Ave.
in the Town of Oueensbury,To Constructor 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.
t' O ATE RT. 9, SUITE
LAKE GEORGE, NY, 12845
2. CONTRACTOR or BUILDERS Name
MICHAELS GROUP, INC.
ER ' OJECT MGR 282 USHERS ROAD
CLIFTON :.PARK,. .NY'.. .'12065
4. ARCHITECT'S Name
NEW YORK BOARD
6. ARRVFERAilddS5ARD:OF. FIRE . UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING
•
( 1 Wood Frame ( 1 Masonry ( )Steel I ) -
7. PLANS and Specifications
1928 SQ FT. SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PtR PLOT PLAN SPECIFICATIONS
8:Proposed Use
SINGLE FAMILY DWELLING
255 September 8 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
.8. September .. . . 1999
Dated at the Town of Oueensbury this Day of 19
}}
SIGNED BY �X - for the Town of Oueensbury
uilding and Zoning Inspector
Application tor JtY 111: .11I6YVJAL ftJ<IV111
r
Town of Queensbury ����o
Dept. of Community Development Permit No.
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
L J
Location of property for installation: t -— (aB toezz 4m
Property Owner's Name:r kings emu us_
i
Property Owner's Mailing Address: nu() aci.,LkCf.-- take getitet '
Installer's Name: b toga_ 601,14A±Tili Phone I# (id3 d 1 a 9
. Number of bedrooms (if residential): 3 Total daily flow: Lig—)
(residential - compute @ 150 gal./bdnn.)
Topography: ✓ flat, rolling, steep slope % of slope
• Soil Nature: ✓sand, loam, clay, other /depth:
Ground water: at what depth? Y) 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 tarilc MO gallon (minimum size: 1,000 gal.)r ii
Tile field: each trench- 4 . feet / Total system nth: feet
Seepage pit(s): number of / size each: ft.by ft.
Size of stone to be used: #�Sfix c. / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: MIA- Size of each: gallons
(Alarm system and associated electrical workto be inspected by a certified agency.
For your protection, please note that.pursuant to Section.136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance]mown 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
Queensbury Sanitary Sewage Disposal • :
Sig ature of responsible person: Date: u'J/ty •
. .
Bu id in. Permit. . .
null elf Qllec.'ll,S"bul.)r - IJrin. „lemon►wilp Development, 742 The'Road, Quccr►sbury, NY 12804 1761-82561
--" BUILDING EC. CUUIs IENFOI( CEA11EN7'
!NOME Requirements prior to issuance
ltl this hermit: ROAM'FILE NO. ' 510
A per mil IIIII.,i Ix(Ibhtincci Mine . - -.---- av
beginning cnn.fractiun. Ni; inspections 1'G7i'11111'PEE PA1U$ c�J�
will he made mail nl+ldirnnt hits icccived . i—I Zoning ik)lud ilc/ion
•
n VAI, D IMILDINO I'IsRMI I•. All • Arta I the lu c;nr,I7r(JN 1.Gls l',IV$� O
.
bt)nrgdicn rl+nccn r Ihi;� nly+lirnlinn
MIST lid cumplctcqx nnthlho sigunlu►c I I i'lrrlurilrg iloani Act/on REVIEWED U1?
of the applicant )null nplxnr on the SI'IR / ;iulxlivisiun /Other nnlGling !weave
►il,l)licnlion lint)). 11,..;.1►,._`__----, Itcc,ciiik a Ice 1'nyulut!
Appiiutnl: I1tC WClrrWC4 Glr.unp, Inc. Vwtter: Some .. .'. •
. ' Arlene= 1810 Route 9, (.cute Ge'.Ohwe, NV 1281)dicss:
l'llolte,ll• ( 518 ) 668 - 3316 t'i)ucrc // ( ) - . .
Properly Location: Imo' S•-- �c SOY ve..1+0 --_• -.L-
,Tax Map Number
Subdivision Name:. _1(f,Lsstrt sittit C_Et e. mutt - Section Block Lot
5L3Y .e '4) fe-8 S
NIl'J:UI(r Ur 1'ltoi'OSI;t) YIom ESTIMATED MARKET VALUE OF THE
Now Building: Cons'J.'Ituc'fxoN: •$ 1SS O Ilk '
residence / commercial
Addition i,on to Building:
--
residence / commercial occ.:U 'RACY. IUFUIUNA'T'iON:
I\1Ler:ill: lon to L1uildlncl: Prinntry Building -
r:es.idence / commercial X Single Family Dwelling
_� Residence / Commercial Two Fatally -L1. .1,.�U •
no change Lo exterior; size . IramiiI 41 IP�.k C
Office
Other Work (describe below) Mercantile SEp 01 7999
Manufacturing
—• outer 1O1.'44 01=O.Jz rzad, . FAY
GROSS AREA OF >;'It0I'oSEu STRUCTURE! %�� �. !�,mNr)c_,�
let Floor i a : eq. It. �e� If AUDITION, what will e
Intl .Floor of new, addition be7 :
�-d-9 uq. f t. O� N/A
Other Floors era. f:t. •
(not- unfinished cellar or basemen ACCESSORYI3UILDINd5:. •
S`'u Detached Garage 1, 2
TOTAL rtouit AREA: 15.-2`2) Su. FT. j_ Attached Garage 1,
Private • SL-orage Bull . •
SIZE OF NEW STRUCTURE: Conunercial Storage luj.lding
Other
Ioundati.on Type: I'oulted Will any second-hand or ungraded
' Number of Stories : Z-„ lumber be used? If so, fiat what-?
(habitable space only) _.._1yo
height (grade to ridge) :"EX.L?jO feet 'TYPE O . 1IEATINl3 SYSTEM:
Number of fireplaces and/or wooc[s Love ( circle all whir Rpl es )
to be installed: 0 Electric / Oil GasJ',/ Wood
Forced Hot Air / Ba-ddboard / Other
-Person r.e ponslble for supervipion of work an regards to building .
codes is t ].fix ltailrlfoir, 1'/colifIlaE a.g.n. or Eric Rice, PrQj e:t.
Nliiite Adctresss . Tile
liujidor: • lire Weirder/3 Ghuu•p-, Ilk. 1810 R. 9,Lane Gevluje, �4� 12845 518-668-3.316
Plumber: �I'ctvct 1'.1wn6-tiui,-JM )'watt Road, G.Ce,il� 1=a.C.c , NY 12801 518-198-4379 .
Iii.11)V11: _.j1 Ikttclin.,_I1..L26.8. ajttzW .,NY
EI ec L r.i.c;.i.ern: .1_rllr.r'vs1m._L-_CecDLLe.,. Y446 'ictl'o.ett St. ; (_lo.tlee-tally, NY I1,318.—,i 18-311-99 2%
1)IsCJ Al?Ai11ON: 1'kasc Alga below cflc)•you have carcfrrlly read the statement.
.To the best of my knowledge the statements contained in this application, together.with the plans
. mid specifications submitted, are a true and complete statement of all proposed work to be done on
the descl ibcd !itemises and that all provisions of.the )Building Code, the Zoning'Ordinance and all
other laws pet laining to the proposed work shall be compiled with, whether specified or noted, and
that such work is authorized by the owner. Put flier, it is understood that 1/we shall submit prior to a
• Ceitilicale of Ocenl)nllcy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor.drn n to scale, showing actual location of project on premises.
Signature:
owner's anent, architect, contractor)
.�V TOWN OF QUEENSBURY Fee Paid
F , BUILDING & CODES DEPARTMENT - Permit # �f��^5�7U
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: 9LA... 1\A‘cjvj S C.:)Y kato
P.O. Address Z Z, vs' V?,« Phone #
Property Location l ek co 'S ' k.Newi c...1 FF-eldo Tax Map' #
Subdivision Name (If applicable)
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: _AR" C r, Address Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Deck Dock Boathouse (Circle one)
Size of Structure to be built (square oo age) :
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 at such work is authorized by the
owner.
DATE: 9( ( ( ) SIGNATURE L s-
Owner, Owner's Agency, Architect, Contractor
REVIEWED _BY CODE ENFORCEMENT OFFICER, DATE • SIGNATURE
__l Pere �.l J_.._l AP_,._!el: ,_l ',_11. ..),IV l' __l'J_?'l_. . J.)21Al)!l')P J_Q.lel: ?_l'J_f 'AV: ._l' . ._l J_..V.'"1''._l J_._l'AMItOAQ AQ Wil'),ItQ 10AVAM•r.O. J_e !.Q').°)').?.. '/,
it q
-- 78
it 008
THE NEW YORK BOARD OF FIRE UNDERWRITERS %''AGE' 7
!At BUREAU OF ELECTRICITY • i
:I 111 WASHINGTON SUITE 704, ALBANY NY 12210 ,r
t,Erf'r
WI ' DEf3E? :"2,.1999 AVE., /59177 99,; Q. A 7 47 `7-1:1
r(4 Date Application l o.,o . zle
THIS'CERTIFIES THAT _ r
_ t
only the electrical equipment as described below and introduced by the app zc� ned on the above application number is in the premises of IA
• =G' rY
I •'s'F ' MICILJIELS e.=ROU.P, 69 tiRRCY f I fl DR LOT ,34, c1Ll'LE.NaBJR ',. NY
'1, GAR 34
!A, in the following location, ❑ Basement ❑ 1st FL ❑ 2nd FL Section Block Lot ,•
.was examined onD 'L�z'1 +F�r `r ° and found to be in compliance with the National Electrical Code. •
jt I
ji FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT.. K.W. AMT. K.W. AMT. H.P. �
CI �;t9 48 40 39 3 1" ,Y
�4 t}
"AI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS 'r
z<iBELL
IY'
•" AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS iY
•
1 I 1: 1 2 1 .... 1 ,r
it iv,
' SERVICE.DISCONNECT- No.of _ _.._--S �--E -- -_R --- V- •— I- - -C - ::E----- -- ��-.. -- -'> -
(I- TER rF
-'I AMT. AMP. TYPE EQEUIP 1 0 2W 1 0 3W 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. I�
G PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL
t 1 150 C .1 .. 2/0 1 I/O 1
Ct I.
1' OTHER APPARATUS: '
t POST LIGHT-1
!Aii}
WI CEILING FANS-2 }
W1 MOTORS:1-a" H.P. 'i
r
G.F.C.I:-4
ill SMOKE DETECTOR:--6
"W; TRACK L.ZG'1iT N.�:—4
=Z,
r
çL
� 1,'.......FOREVER GLxC.`30.t L 11r.1 C°'T'. `„' �P,�,.......1, '� ° GENERAL MANAGER
I •
f<i IrV`.7_ .1 IAl ). M'C ARTL�i71F .;d t�•+ "1b /1"-`1"
t '1u itP'I.'. T SiB. 'A.�4� • ' ' Per �, ??Z� 73 Q I•
iCIThis certificate m7ist�r of be affe'�ed irs�an manner'return to the office of the Board if incorrect. Inspectors maybe ident'ifed bytheir credentials. l
�, Y P Ir
YiYYiYY�Y;Tie.4YY�YIYiYY•Y;iiiii1ZiVi".YliYY4iYY�YYiYY6YYiYYWY;VIII'iYYiYYiiYYYYoYY�YYiYY�YY•YYiYYeYY�Y4YYiYY-4YY�YY�Y;4YYFY"4YYYYsY;4Yi".'4YYiYY�Y4YY4YY4Y Zsi
COPY FOR RI III IIINf r1FPARTMFNT THIS COPY OF CFRTIFICATP MI 1ST NOT RP Al TPPPIl IN ANY MANNER
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 Dep iryzi,/n
Inspector's Initials
•
NAME: C) � PERMIT# — 20
LOCATION: lCJ V DATE: --200 b
TYPE OF STRUCTURE: SFAr-)
RECHECK
N/A YES N COMMENTS
tings/Piers \ l I
Monolithic Pour Form A3\6 66eA
Reinforcement in Place
The contractor is respons ble for
providing protection fro freezin: /� e,�
for 48 hours following placem;nt Al o r A°f
of the concrete.
Materials for this purpose n site
Foundation!W 1pour •
Reinforcement Place
Foundation/Dam n
Backfill Approval
Plumbing Under Slab -
Plumbing Vent/Vents in P ace
Rough Plumbing .
Heating Rough-In
Insulation
Foundation Walls Int 'or R-
Foundation Walls E rior R-
Floors R.-
Walls R-
Ceiling R-
Duct work or piping n
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
(_ /1(6414a
iy,, TOWN OF QUEENSBURY
4 .
'. c#Af BUILDING & CODE ENFORCEMENT
r� 7_ 42'BAY ROAD
QUEENSBURY NY 12804
•
(518) 761-8256
ARRIVE: DEPART: INSP: C4
FINAL INSPECTION REPORT - RESIDEN IAL
DATE INSPECT ON REQUEST RECEIVED: /71-- j57:7
NAME /
ON/J/
LOCATI 3`Y i _ (�
DATE / 4 ' PERMIT {I W- ,! 76
TYPE OF TRUCTURE
FOOTINGS FOUNDATIO BACKFILL _ MING
ROUGH PLUMBING S' IC _ INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
. ROOFING
EXTERIOR FINISH L
DECK/PORCH/STEPS/RAILINGS )
RELIEF VALVES /
FURNACE/HOT WATER OP'ERATING
INTERIOR TRIM/PRIV'.CY DOORS
FINISH FLOORS:
BATH/KITCHEN WA ERTIGHT
OTHER FLOORS 'SW EPABLE
OTHER FLOORS C•RPETED
STAIR CLEARANCE RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. /�
sr/FINAL SURVEY PLOT PLAN /'
OK TO ISSUE C/O OR C/C
RESIDENTIAL FINAL INSPECTION REPORT CAAi
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement ' r
Dept.of Community Development Arrive am/pm Depart` G
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME C C� PERMIT 4 q9-s 7 C>
LOCATION to I c,C)\CNC e r) DATE / 7 r�
TYPE OF STRUCTURE S c c—>
N/A YES NO COMMENTSn
Chimney Height/"B"Vent/Direct Vent Location ' ( i U I U 5 ,/�
Fresh Air Intake I
Plumb Vent through roof
Roof Complete N.
Exterior Finish Complete
Interior/Exterior Railings,30"to 36"
Exterior Handrails,balcoes,landin: 18 in. or mo e
Interior Handrails stairs both sicle.s 3 it mo�s(rrs
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 , thin line of site
Oil Furnace shut-off at entrance to furn.ce area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft. 6 in. on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more th. 3 risers
Interior privacy/trim/doors/main entrance 3,"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in. 'r more
Railing across window in stairwells
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 fireproofingC6Rk&<-1-10.10S
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site PlanNariance required
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)
FIRE MARSHAL
TOWN OF QUEENSBURY
4- ' QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME r-
LOCATION LIPLc� G'\AA- 61 J !C J
SCHEDULE INSPECTION ON /Q.— p .. C)
A GPM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS N.
EXIT SIGNS
EMERGENCY LIGHTING \\NL,..... J
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE: 1
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE 1
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY [FACTORY BLT.
DI ROUGH-IN
FINAL
REMARKS: OK TO THIS DATE
\
INSPSLIP.PUB INSPECTOR
RESIDENTIAL FINAL INSPECTION REPORT f12/7
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement l J
Dept. of Community Development Arrive am/pm Depart a� pm/
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New
�Y�ork 12804
1) 1 NAME .\ /\cA.P X-o PERMIT# C 0
LOCATION (00\., ,��19_�„ ` p,)(() DATE
C
TYPE OF STRUCTURE t�-V
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location ✓ '
Fresh Air Intake df
Plumb Vent through roof V / '
Roof Complete V Exterior Finish Complete V/Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies, 0 ding 18 in. or more / /
Interior Handrails stairs bo sides or more risers ✓
Grade 2%away from fount.tion f
8"clearance to sill plate //Gas Valve shut-off expo d/regulato 18"above grade t
Gas Furnace sh t-off wi 30 feet o within line of site / ✓
Oil Furnace shut at e •ance to '• ace area t/
Furnace/Hot Water Hei • o ; mg t/
Relief Valve(s)installed Jie
Headroom,6 ft. 6 in. on fairs
Basement stairs,6 ft.4 n. >! .
Handrail exterior stairs •Oh sides more than 3 risers
Interior privacy/trim/da ors/main entrance 36" 1//
Floor Finish /
Bathroom/Kitchen .tertight t!
Interior Handrails B.l conies/Landing 18 in. or more i/ '5&14L %G P l !L '' i P ' I4 R'v
Railing across windciw in stairwells ----- , (,� �-
Smoke Detectors:
every level /
every bedroom ✓/
outside every bedroom J
inter connected ✓/
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer V I \Garage fireproofing
Garage penetrations sealed 5C— - -1 oc `' mac- C '`r'`C
Furnace in separate room protected(in garage)
Light ventilation per o0 ki-
Safety glazing 18"or es Er floorir5 I/
Final Electrical 1 v 1 /
,�
Site Plan/Variance r ' uired `
Final Survey Plot Plan !z`l 1CM
As Built Septic System layout required
Okay to issue C/C(Certif. of Compliance) I
Okay to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
4/9 CA/6 4
TOWN"OF QUEENSBURY
BUILDING & VDE ENFORCEMENT
'BAY ROAD
040 QUEENSBURY NY 12804
(518) 761-8256 f�i
ARRIVE: DEPART: INSP: (1p
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECT ON REQUEST RECEIVED: / ///9 9
NAME /� a � �lrrf1.5
LOCATION 11'
• DATE — : +i'B I 4'v /i PERMIT N I -76
I / - /
TYPE OF STRUCTURE }1_ .2.L-
FOOTINGS FOUNDATION/>' BACKFILL FRI\ ING
ROUGH PLUMBING _ SEPTIC INSULATION L_
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS •
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
,=FINAL SURVEY PLOT PLAN tii)
OK TO ISSUE C/O OR C/C
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury ��1g9
Dept.of Community Development Date inspection request received: /�/ (/
Building&Code Enforcement
742 it ay Road /
Queensbury,NY 12804 Arrive am/pm Departll�+�..Pam/ m
Inspector's Initials „J�- p./
NAME: Z6-1-e/d3 PERMIT# 257O
sc:S ,3 Ji//9 tgg9
TYPE OF STRUC
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is res 0.nsib e for
•
providing protcctio from freezing
for 48 hours follow ng the placement
of the concrete.
Materials or this pu ••se .n site
Foundation
Reinforcement in 'lace
Foundation/Damp.roofi ng
Backfill Approva
Plumbing Under Slab
Plumbing Vent ents in Place
Rough Plumbi'g
Heating Roug -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
it Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
AoAA
ctc--00.11
FIRE MARSHAL
• :,/, ,; TOWN OF QUEENSBURY
� QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED \
r
NAME
LOCATION PERMIT# 1�J ��'-G
SCHEDULE INSPECTION ON -�r
A all
APPROVED
N/A [YES NO
EXITS 1
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIG\ ING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST:M
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE To SPRINKLERS
CLEARANCE 0 HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE ,�, /
FIREPL��A,,C�E ❑MASONRY L�J'FACTORY BLT.
L'�
'ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
F31Ar-A 1317c%
INSPSLIP.PUB INSPEC
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 DepartU V cn/pm
Inspector's Initials \
NAME: M\c-- A-61-5 'R1 • PERMIT# ` 570
LOCATION: DATE : L S
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsio e for
providing protection fro r freezin;.
for 48 hours following t e place' ent
of the concrete.•
Materials for this purpose on sit
Foundation/Wallpour,
Reinforcement in Place
Foundation/Dampproofi.g
Backfill Approval
Plumbing Under Slab •
Plumbing Vent/Vents ii:Place
Ro gh Plumbing _
eating Rough-In
Insulation
Foundation Walls Int'rior R-
Foundation Walls Ext(rior R-
Floors R-
Walls e�
R- � d
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
GENERAL INSPECTION REPORT YY\
• ( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive m a Depart ° rpm
nspector's Initia /l
NAME: PERMIT# — V
LOCATION: t J� e, �� DATE :
TYPE OF STRUCTURE: r V \
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respons..lc
providing protection fro: frccrin;,
for 48 hours following -ic placement
of the concrete.
Materials or this purpose on site
Foundatio allpour
Reinforcement ' ace
Foundation/Dampproofi g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in 'lace
Rough Plumbing Y �` rL -e: t/
Heating Rough-In
Insulation
Foundation Walls Interier R-
Foundation Walls Extcri i r R-
Floors P.-
Walls (.-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro Vent, Attic Vent
Jack Studs/Headers
Bracing/Bridging
Joist Hangers •
,/
Jack Posts/Main Beam _
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Scaled
Fire Wall 2. 3,4 hour
Firestopping dir ( t 6Fr b
."Via- � - )
l TOWN OF QUEENSBURY
0' BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name McAr\ab Cn' u'ç)
Location 4C01 .2iumility it d`
Date/0,c2-S 29 Permit # qq 51D
SOIL TYPE: San -L a "-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: u ' er-
Size - t. x ft.
Stone size
PIPING: ize Type
Bldg. to Tank i4/1 ,f)l1-,--
Tank to Dist. oy ,e it
Dist. Box to Feld/P
Open i nch-Sga d? e No Partial
LOCATION/SEPA TIONS:
Foundation to Tank l� feet
Foundation to Absorption feet
Separation of Pits feet
Conforms as p r Plot Plan Yes No
LOCATION OF . STEM ON PROPERTY:
(circle •e... . . —`— �
Front - Rear Left Side - \ q t S--i-d:.:)
Middle F •n 4 Middle Rear
COMMENTS: f j4-roK A �ttt&t/ —al<
6i' , c_er
•
S/ zz- -- 69(. e
SYSTEM USE APPROVED: YES) '
Arrived:r
Departed: -770-
4(1.
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 3136 am/pm Depart (..._ 01pm
Inspector's Initials
NAME: G�f PERMIT# I-5 70
LOCATION: ,( c Vim(` ��p���� AN--DATE :
TYPE OF STRUCTURE: •
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 I
Monolithic Pour Fonn
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following.thc placement
of the concrete.
Materials for this purse on site
Foundation/Wallpour N
Reinforcement in Place
Foundation/Dampproofingx 1 t47.
l fll Approval \,
Plumbing Undcr Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R- N
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
....
i .
L /_ ,
...---
... ,_—____________—
( iTit0,;K:ACTiCNN:;;;Ei (1 Sr I,.:JF.1-7 . G N1TIES \\1
: 2 .
1 ;
[ ; .
RFFilirD
: 5 i
: I ate-0-77999 .
• ;
.__,), i
1 OWN OF OLJ:7-t"'N:3BURY i 7 I
\ ,
, i. BUILDINP, A;-•In rn`-'7
8 i .
lc
In
! 12
.1 13
kilt/ 1
4.• 14 ,
! .
t
c%i ‘3 i
No, : 15
.........• • .1
-.... .......
• ;
114 I 16 _ '2 et q
i ....
17
20 • 1
I 6...,........ Nab
i18 0 .......... .
19
1
20
i
, ..........."%•.......... .
21
1 22
1 23
1
1 24
I .
25
1 26
1 27 .
COLD i:br.E'c 1
\ - „ .ii 2E\
-
t,
I• •
•
•
79•49'52" : � N 85'09'
4 � � 6.•�_ •
76.4
/
3 4
\ 'z:,...r. 11111 1 415 11' • i ../0 ..'0
all objectsseen or observed, or -. = Z ,�..oP �r _,$�` iiii"i
t s (217,140181
such s h d� : - •_ .evid ` 0 -.
h a Ouse I L___s
ho rn ;�n this do men s- ►��pts; :.;ce enc r L L..!perScnally �� d t. alai z:. , ttc., .;, Z
n ure the •= ' a j h N e " , ,f �/
- :; n the dingy •L (1, ;'' ��
siGNATURL ;_ /, 3 �_.
L=67.2
a PATE L- ,.
F R= ►-50r0 .
:ham r t .. 1'Si .+
50
"}f .;.cam o
•
,: 1.=44.69
l'I'E Igl: VED
- ..Y=
40- .5
0
__„.„,..s,_ _
...
�-
a :iSEP 01 , 7
eS :city}
ODE
..„.„,...._:. .
39VC 2.,...,...z.. ..... .
„.,...:,.:...
. .
•
N o
:.K��; \s.. o )554.77 s CO ,108 82 s
.. ,
q.
L _
....,
. .
.... ,,....
..._ ,. \........... _____.
-,
,„:„..,
_ ____ 65.00
_,......„,.:,...
:,.,...,,..,,,,_ . ,t.
,_,....„.....,.. ...
':s :, ��.7g'. .
��
7 'T.- S 847 9'04r.
,..1., .-7.-- "-Z.'s.-.:•._••••••••W. Z.;•_•--."---...'s::.,-S--•-•
4111i, iii,.......:,... -... ...*:\...›...:11 .............S......4.,Z,.....z.....
---- .ftIN4 . '----z.„---. ::-.--.-:-.----.;-,--._ ...'--•:-__
---„,____"---=----____-
----- ---.:-...-......"-•- •••=:„...----'-..........----........
dr. I----,-
Nib.----...."••-•:: 3.---- -,..„__ -----—_—
-
\ 1
--------------\----k---..(: `
,..L,
-
----
._ ' ',... .../..., .,,, ,,,_. .:...., ..„ ._
•---) —_ •
t4
•
•
••
1 ,
•.•••:.1.3,54 i'-..,i t, ..../
,1• 1
/384 7
( -..
. .
4
---- --.....__
_ .
.• ----i--a,-t,
, , , ,._ R --•••••• „..":„..„ • .
.• - -- ...oDs,7••••,L, ,
\
ave seen or observed
saw evidence of,
, or believe I
\
1 ad,,..,,. ahl 0 bjeochtsths jusc dh as h.ouses, wells, trees, fences, etc,
0'441, ,i
c4,,...
represent that I have.
tor
tehnet.dii satan!
ler on. , easti°cretudn e ' . th-on-the diagram."
cs set ' , (,
COR
'--7ps' :hvvn 4
so
ass---.J _
-f-\ \\\••-• ----, ------,,
\ (----------
SIGNATURE
:\.\\ \\V o .‘• --.......
Nip
•
. • ,'
DATE
--..... .
••••\\ \\\ic----- .._
....---- ------sc.N."-554-
;-- -.***----- ---"---- •-:..-------S---- •
,......,, ...,.: ,. ___.---s—
...-----
-------
57-5---....
f
...---- ....,,/
cW, 26,
-Vr.v.
•
-'1 ...---- SE
. _
ov---ou-p., -00i,
. •,...z.,„., ,--'-'
I501
(-, ----
.-----
, \
....,
- -----„\
I
i> •