97-027 _.- .. - ... . -• w _. .... v • r ._.... ... ._.__ .- ` .ter- - . _.. . .."kr�.�..- _.
_. - ..
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 1019 — 98
6/5 SO
This is to certify that work requested to be done as shown by Permit No.
97027.
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied:as a
LOT 50#93- HUDSON POINTE BLVD.
Location
Owner MICHAELS GROUP
TAX MAP NO. 148 .7 3.-50 = By Order Town Board •
TOWN OF QUEENSBURY
/'
41,-1,4e
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 16793-QWN OF QUEENSBURY No. 97027
TAX MAP NO. 148. -3-50 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
MICHAELS GROUP
OWNER of property located at LOT 50#93 HUDSON POINTE BLVD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWHLLINI
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 ROUTE 9
LAKE GEORGE , NY 12845
2. CONTRACTOR or BUILDERS Name
MICHAELS GROUP
3. CONTRACTOR or BUILDER'S Address
1810 RTE 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
( )Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
23880•SQ FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
301 PERMIT FEE PAID —THIS PERMIT EXPIRES February 7 19 99
$ (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.)
7 Da of February 19 97
Dated at the Town of Queensbury this Y
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
At, .
TOWN OF.QUEENS .e URY ,
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS -
Date..t�' � ,19 Permit No.l
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 iCe c)- } '_ cis t) ( () APPLIANCE (check appropriate boxes).
-,
Address \ -10 \� ,k4 ... C) ❑ STOVE: ❑Wood ❑ Coal o Pellet o Gas
�a 0 FIREPLACE INSERT
LC \� ( Vi1,L, . Zip i c IN r q*FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
Phone ( (" 4( �``,�---))); (-) 0 FIREPLACE, MASONRY:
❑ Wood in Gas
Owner 0 FURNACE: ❑ Wood ❑ Gas p Oil
Address ,,- i r ►; IF NON-MASONRY APPLIANCE:
- - , - ' Manufacturer: . -
Zip ., Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
� 0 MASONRY: ❑ Block 0 Brick 0 Stone
0, i ►l I 7ul,' ( 1f-dFLUE: 0 Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST , r 1FACTORY-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
0 Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A 173 3389 (190) Public Safety ,
A 233 2655 (230) Minor Sales
t
� t t--
Fee Collected F'r.om"'or Refunded to: �I\-- .. ' ,,e'l r : ' 1 ,---`,e` 1 .(-.--`i—
Address: / -Jr-, i-' ' ti
Dated: -- . - c ._ Town Clerk or Deputy: .4` (i ., ,`4
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
a ,
/Y
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date' r ,19 r'
;
0,--)
q17
� 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 Ii sr, i ii, (`{J 'y 4„
;` ;'f g / 1'(4�.)�:;� APPLIANCE (check appropriate boxes)
Address , COL /./2,j: (1 ❑ STOVE: ❑Wood o Coal o Pellet o Gas
0 FIREPLACE INSERT
_(ILL . /_: i Zip / t`s7Li- `s, „NO FIREPLACE, FACTORY-BUILT:
p Wood NO Gas
Phone F i ~-4142 • Y 0 FIREPLACE, MASONRY':
( f ❑ Wood ❑ Gas
Owner ��; i _ 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
Zip Model:
Phone
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
Vie . , C k a 0 MASONRY: El Block 0 Brick 0 Stone
=U �G� FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS o Double Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated 0 Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title (;x
A 173 3389 (190) Public Safety .,
A 233 2655 (230) Minor Sales
Fee Collected.Fr-om or Refunded to: 1 C? \\\ ( \;a ,_. . .-.1') Ica—C. I
Address:- ,
Dated: i - �>r .r' ("I `- ' Town,Clerk..or-Deputy: : :'fie f C, ,�_ ,
White: Applicant `Green: FireiMarshal Yellow: Bldg. Dept.11/ Pink & Goldenrod: Cashier's Dept.
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
o BUILDING & .CODE ENFORCEMENT
NOTICERequirements prior to issuance
r 1 of this permit: PERMIT FILE NO. 7 02%
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received pi Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FE PAID$
applicants' spaces on this application
MUST be completed and the signature f l Planning Board Action REVIEWED BY'
of the applicant must appear on the SPR / Subdivision /Other Building Inspector
4pplication form. Thank you. J Recreation Fee Payment
The M.Lchaea Gxou� Inc. Ow
ner:, Same - -
. Address: 1810 Route 9, Lake George, NY 1284 dress:
Phone # ( 518 ) 668 - 3376 d 4 5O Phone # ( ) -
Property Location: Q:� , (�.. lft, ' —J
Tax Map Number_ /
Subdivision Name Hudson Pointe Ceda Count Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
x New Building: CONSTRUCTION $ jbnI; QO
residence / commercial - j c C / 4-'; t
Addition to Building: (%a
residence. / commercial OCCUPANCY INFORM/(TIO41 '•, , t,`
Alteration to Building: Primary Building' v n/
residence / commercial X Single Fami,lycpwell3$ ion
Residence / Commercial Two Family "D 11 !ng ,;w
no change to exterior size Family DW -ifk n
Office '.1aL;;:;:��Y
Other Work (describe below) Mercantile
Manufacturing .
Other
GROSS AREA OF PROPOSED STRUCTURE: /,` -
1st Floor { , `319 sq. ft 3 C5 If ADDITION, what will use
1st of new addition be? :
2nd Floor
I ;Obi sq. ft. N/A
Other Floors n sq. ft.Q 0# •
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
• Detached Garage 1, 2 ar
TOTAL FLOOR AREA: a,3$ 5 SQ. FT. x Attached Garage 1, litt
Private Storage Bui • ng
SIZE OF NEW STRUCTURE: Commercial Storage Building
Lf S' 6 �� FEET X s� FEET Other
Foundation _^Type: Powted Will any second—hand or ungraded
' Number'.of: Stories : a lumber be used? If so, for what? •
(habitable' space only) „ No
Height (grade to ridge) : 3O -J. feet TYPE OF. HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all whit 1' es)
to be installed: I' Electric / Oil GasWood
Forced Hot Air / eboard / Other
Person responsible for supervision of work as regards to building
codes is: Jim Chandien, Pnn jPnf MaviageJr
Name Addresss Phone
Builder: The Michae.L4 Group, Iiw. 1810 Rte. 9, Lake Geo/L.ge, NV 12845 518-668-3376
Plumber: Fava P.eumb.tng. 16A Panfz Road. Ruiz Fa-Ea, NY 12801 518-798-4399
Mason: JD Soucheit., Sox•268, Gnanuilie, NY
Electrician: FnnPVPJ1 F.I'POthi0, 94417Ja44nP y St. , Sche.neo.:ady, NY 12308 518-371-9922
DECLARATION: Please sign below after you have carefully read the statement.
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 Code, 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 Uwe shall submit prior to a
Certificate of Occupant ..or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed survey ' (2choinctua1 location of project on premises.
Signature:
(own wner's agent, architect, contractor)
ei '83/35 13:27 5187454423 TOWN OF QUEENOEURY PAGE 01
'r TOWN OF QUEENSBURY Fee Paid
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DECKS-
DOCKS & BOATHOUSES Est. Cost
PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. PLEASE ANSWER ALL OF 1HE 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: The Michaebs Gnoup, LLC
P.O. Address 1'810 R-te 9, Labe Geonge, NY 12845 Phone # 668-3376
Property Location q:5 'vd 7,2;ia,.-.)) Tax Map #
Subdivision Name (If applicable) Had/son Pointe
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: Jim Chandten Address Same Phone#
BUILDING SPECIFICATIONS:
Type of work to be done: Porch Dock Boathouse (Circle one)
Size of Structure to be built (square 'ootage) : )(
Foundation Material : Width 8" Conce e P- Whickness
Depth of Fodting, below grade: To {rno. -f tine pen code
Size of Posts or Studs: 4" x 4" x pen gnadeLong
Size of Floor Joists: 2" x 8" x 10' Span
. Decking or Flooring Material : 5/4 x 6 pne.,mune treated
How will Porch or Deck be fastened to building? .Caq batted
•
If Roof Will Be Ins ailed, nswer following Questions:
Size of Posts or Stu s: x x Long
Roof Rafters: x Spacing Span
Roof Trusses (pre-et in ered spacing) : Span
Type of Roof: oped 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;—Towing 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 Tine:
Front yard ft. Rear yard ft.
Side yards T- 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
,f all proposed work to be done on the described premises and that all provisions of the
3uilding Code, the Zoning Ordinance, and all other laws pertaining to the proposed work
shall be co plied with, whether specified or not, and that suc " rk is authorized by the
)caner.
ATE; 101
SIGNATURE
0 cane Agen c test, Contractor
tEVIEWED BY CODE ENFORCEMENT OFFICER, DATE 1 1 SI IAT —
, SIEPTIC DISPOSAL PERMIT STAMP RiiCL'[VL'D ` '-
2.
Location of prpperly furinstallatio,n: q 13 ,
PERMIT NUMBER
Owner's Name: The MichadA Gnaup, LLC
Address: - 1810 Rotate. 9, La.he GPahge,NV 12845 9") ,00:7
Installer's Name: edman Excava . ng FEE PAID
Phone #: ( ) 518-639-4035
•
Number of bedrooms (if residential): Fad' . •
•
600
Total daily flow (residential -compute @ 150 gal. per bedroom):
Topography: X Flat I-1 Rolling El Steep Slope % of Slope
Soil Nature: I X] Sand n Loam n Clay • n Other /Depth:
Ground Water: 'at what depth? 30 feet
Bedrock or Impervious Material: at what depth? feet • '
Percolation Test: n Not Required I X I Required/Rate 1 min. per inch
' Domesstic Water Supply: r Municipal [—I Well [-1 Other -
If domestic water supply is a WELL: water supply from any septic absorption is feet
PRO PPSi D SYSTEM:
Septic tank: 1 250 gal. (minimum size: 1.000 gal.)
'Iilc Pield: each trench 54 feet. / total system length 216 - •feet.
Seepage Pit(s): number of N/A / size each: Ct. x Ct.
Size of stone to be used: # 2 Stone / depth or thickness feet. •
IiOLDING TANK SYSTEM: (if required) .
Number of tanks: N/A Size of each: gal.
11- Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please.note that pursuant to Section 136-29 of the Code of-the Town of
Queenshury, 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 known by or on
behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree-to abide by these and all
requirements o f the Town o f Queensbury tart' Sewage Disposjl Ordinance. '
.
r
Sienature ofresponsible person: ` lj Date: Ai('V
4 bed home
• C }�k
HAANLN NOINEERINO �'��
JOMN L, HAANEN, P.E.
G. THOMAS HUTCHINS, P.E.
February 4, 1997
Mr, Jim Chandler
The Michaels Group
6 Century Hill Drive
Latham,NY 12110
Via Fax -668-4523
RE: Hudson Pointe P•UD-Phase 2
Soil Percolation Tests
Dear Jim:
Confirming our conversation of today, the following percolation tests were performed on August
13, 1996:
_ ea s �q�aoia�on$ to_
Si 1:10
52 1:10
53 1:15
Should you have any questions,please call.
Sincerely,
4444
471L— NATURE SAVER FAX MEMO 01616 Data *of
G.Thomas Hutchins, E.E. Noes
Co!Dept. Co.
Phone x Phone*
Fax x IMAM EON
F c1TRACY46146029Q.L'tR
254 SAY ROAD,OUEENSBURY, N.Y. 12804
TEL: (518)793-7444 FAX: (618)793-7061
...%?nJ,..,..l ,.4., sJ.��)}lh��let' ,la.,J_,A,.�1•I..:"..,.. ..ne.C)...Cagy,.... CI.�.0 ..i.S.�.�7.�K.�.Ll.I :.A..C�.. J. A.11_�,&.:e.A::,.,C��A��tiJ_k...._, k,, 7_,c1,.nC ,.IJ,,A ..Ao....AA...p. •J_.�Aa*._4.:),,��,!:t
//yy THE NEW YORK BOARD OF FIRE UNDERWRITERS
t<<t i I. ;r
BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 ')
Y,
r�[1L�'Lfi,"I' t)l.�y �,`-�,�'�9Y•` �...�EeFJ.�w�41/' �. r��i1 � T
Date Application No.o ile r
i THIS CERTIFIES THAT P,' aR: U'1' NO`. 97 -0:7 r
F only the electrical equipment as described below and introduced by the o. , • ,med on the above application number in the premises of it
i
0, TUB HICi-iH.i:;i.,i (11,t0 ip, 92 HUD ON Y.T. BLVD, i-,'r :1, CijiNINSPUPY, N.'-. r
ilf in the following location; MI Basement 1st Fl. 2nd Fl. (4f;R Section Block Lot !)H �r
was examined on .W :i -30. 1997 and found to be in compliance with the National Electrical Code. �j
fii
FIXTURES RANGES COOKING DECKS • OVENS DISH WASHERS EXHAUST FANS ;�
OUTLETSUTURE RECEPTACLES SWITCHES
INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MUSYSLTI-OUTLETTEMS DIMMERS
AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. MAT. MAP. MAT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
Iii .lP 4 12 '.1 1
1. SERVICE DISCONNECT NO.OF S E R V I C E
2i MAT. AMP. TYPE IL METER
1.9'4W 1,E'3W 3,0'3W 3.0'4W •NO.OPER�COND. OF CCC.CO.ND. NO.OF HI-LEG OF HI--LEG NO.OF NEUTRALS OF NEU W.TRAL
[[[SO' 1 .1 2) CO 1 '? I ;..'{:� I i r'?;
OTHER APPARATUS:
E•OS ' LtMIT-
i i1O'1'•t)1kkSL 1._.I' H.T',
1 S1-1i)fal DETECTOR: -'l
?'OPE'1i,R E],C,r /fL1EL ELECT. :€xT+_• ,. U)., • ,,*s." !4 "'' "wZ ;:
1'1I:),I.,.CnCi ?, n?:'f'E`allrl.'i:,l'I3 1 .. '"."'L' 1 v
. 2'I 6 3 i PPREY ::T• ►aw e��'} -�'�a�,.i GENERAL MANAGER S
�i-f11�11L�--:I.? t)'`y, fl I. ].s:, E)_ I • 4 — tk Per JI
�1 = a5
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.
'C-ie'4(7.i).0,ai 4i.;P q\"ie7).i[ij•ieY'i•fY• iei'iAii•f'iii 7ifia(YA\'Y.Y)f(ieY•i"i.Y,Y•f)e•Y•s:YiY7e Y•i"rdi\'7afYe'%e?'e.YeY�YYiYYIY,YeYj1 n,(Ya,if'(a\'Yiii•,Ye'ilii'Ye:'ni'r.Ye'i'sY'I (Ys(
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
°-• TOWN OF QUEENSBURY
k ' FIRE MARSHAL.
`: `';, QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT )�/
REQUEST FOR INSPECTION RECEIVED - - C/ O
NAME t d-PPIS 6-
LOCATION �l(JGf
DATE PERMIT f 4 g _! 7
AP"OVED
N/ YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY L HTING
FIRE EXTINGUISH IRS
AUTO. EXTINGUIS ING SYSTEM
HOOD INSTALLATItN
AUTO. SPRINKLER S TEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI •ERS
CLEARANCE TO HE INt. UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE /
(REPLACE-MAS NRY
(REP C - ORY BUILT
RE ARKS: - -0 • TO THIS DATE
ay
INSPSLIP.PUB INSPECTOR
' RESIDENTIAL.FINAL INSPECTION REPORT
51g 761-8256 Date inspection request received:? —7.
®�ce No ( )
Building& Code Enforcement . ' '.���
�am/pm Depart` pm
Dept of Community Development Arrive Inspector's Initials
Town of Queensbury
742 Bay Road —�' /
Queensbury,New York 12804
NAME r PERMIT# v 7a�
b � e .S :`mac DATE A?cN g —9'`�d
LOCATION
TYPE OF STRUCTURE
__. N/A YES O COMMENTS
Chimney Height!" 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 expo— . egulator 1 "above grade
Gas Furnace shut-off wi •• feet or wi. in line of site r
Oil Furnace shut-off a trance t• • a area
Furnace/Hot Water ..'eater operating
Relief Valve(s) • -. . led
Headroom,6 ft • in. on stairs
Basement s .s rs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
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
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 J
Garage penetrations sealed 0�\ \' c 15 5-cs C �iii, i0/
Furnace in separate room protected(in garage)
Light ventilation per room /�
Safety glazing 18"or less from floor I�C� �AYZ3 L M PRe .
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
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) .
(k)fAc)J6 IV6VJ
TOWN OF QUEENSBURY
FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED r .3 -q
NAME V_SZ.%'vC9r z Q. \c1M-1.
��JJ �
LOCATION "�-�.4 D :\)n Ccsr. '
DATE PERMIT # `1 I-C c 7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
--
FIRE EXTINGUISHERS
AUTO. EXTINGUIS N SYSTE
HOOD INSTALLATIO
AUTO. SPRINKLER SYSTE
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
JEPLACE- FACTORY BUILT
REMARKS: ['�OK TO THIS DATE
(2.79, -- 01 O/C,
V � /
jpal
INSPSLIP.PUB IN PECTO"
`c tIttgV e Y\ bi'61_1/t7TA-
TOWN OF QUEENSBURY
FIRE MARSHAL.
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION/REPORT
REQUEST FOR INSPECTION RECEIVED / .
NAME NV- MORCAO- ---1 11AA 2
LOCATION 1 .l r1kX \ ZLI i9 1 VO
DATE PERMIT # - fl-9g �t'7
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS `.
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING STEM
HOOD INSTALLATION
AUTO. SPRINKLER SY' EM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT -CL)
REMARKS: 0 OK TO THIS DATE
C-1463 6)/
v.e 1 V
/
44
I C
INSPSLIP.PUB /� INSP.' l
0 lyir
qk,is,,,0 41 (518) 761-8256
TOWN OF QUEENSBURY '';'
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 'V'!". '.1 x'
/ /.0".---
INSPECTOR'S REPORT: ARR?' DEPART J INT'V/- -
REQUEST FO �SPECvT y RECEIV0 7 6- /
NAME C`�� v � V��l
LOCATION ) V
DATE 1 �a-D.- 1 PERMIT `1 7^Oc7
TYPE OF STRUCTURE: il
RE IECK APPROVED
N/A YE NO
_FOOTIN S/PIERS- {
MONOLIT C P R FORM
REINFORCEMENT IN PLACE ._
THE CONTRACTOR IS RESPONSIB E FO
PROVIDING PROTE TION FROM F EEZIN `
FOR 48 HOURS FOLLOWING TH LACE-
MENT OF THE CONCRETE. /,.
MATERIALS FOR THIS PURPOSE N SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB ._
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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BUILDING & CODE ENFORCEMENT 4'
742 BAY RD., QUEENSBURY NY 12804 w:• k
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INSPECTOR'S REPORT: ARR2'3S DEPART '/_J INT
REQUEST FO NSPECT RECE D: ,S--1 L1--.37
NAME
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LOCATION 3 ! 'vC') ety
DATE 5 / L 7 PERMIT fl okY7 O t/
TYPE OF STRUCTURE: 4,..-72_1 _7-0
RECHECK APPROVED
" N/A YES NO
FOOTINGS/PIERS A
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE Ai
lir _
THE CONTRACTOR IS %'SPONSI:L FOR
PROVIDING PROTE TION FROM •. EZING
FOR 48 HOURS FOLLOWING THE •LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE _
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
�F RAM I NG:
JACK STUDS DERS t*;;;:l
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HE TING ROUGH-IN
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FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R- _
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN.
UNHEATED SPACES R-
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(518) 761-8256
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 ,.w3.. w
INSPECTOR'S REPORT: ARR DEPAR (5INT1j C
REQUEST y i/FORJ INSPECTIONS RECEIVED:
NAME �' 0 6S�� ��--�.
LOCATION / %/j/Ac7,cSc ) /f�% kee-IAD .
DATE 5//4/T7 PERMIT 0 / 7-027
TYPE OF STRUCTURE:
RECHECK APPROVED
/ N/A YES NO
FOOTINGS/PIER
MONOLITH C PO R FORM
REINFORCEMENT IN PLA
THE CONTRACTOR IS PONSIBLE FOR
PROVIDING PROT T FROM FREEZING
FOR 48 HOURS FO /NG THE PLACE-
MENT OF THE CO BETE.
MATERIALS R THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE L
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
JNSULATION: v
FOUNDATION WALLS INTERIOR R- _
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRJ' DEPART`"✓ INT\/&
REQUEST FOR INSPECTION RECEIVED:// ,�
NAME _ `1'I�1 I� wt ic{6-1 elcLc G c
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RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
•
•
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
CA—IR INFILTRATION BARRIER
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-
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, , TOWN OF QUEE BURY
<� ' FIRE MARSHAL
QUEENSBURY, NY 12804. .
(518) .761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED - S/ G 7
NAME M tr_iX L .\
LOCATION q J ( Jl40. Po:kA'ttA.
DATE PERMIT # 5-7/`7 - ! 477 r) 'O 7
APPROVED • •
N/A YES NO
EXITS .
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING .
FIRE EXTINGUISHE _
AUTO. EXTINGUISHING SYSTEM • •
HOOD INSTALLATION - .
AUTO. SPRINKLER SYSTEM •
ALARM SYSTEM
INTERIOR FINISHES.
STORAGE:
CLEARANCE TO SPRINKLERS -
CLEARANCE TO HEATING UNITS ,
REQUIRED SIGNAGE .
CHIMNEY
WOODSTOVE - -
FIREPLACE-MASONRY
FIREPLACE- FACTORY BUILT. / '
REMARKS: '-❑ O,K TO THIS DATE
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(518) 761-8256
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TOWN OF QUEENSBURY 7-, 7�
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 'u'•.=:,f
INSPECTOR'S REPORT: ARR DEPARIli ji
NT(/T
REQUEST FOR INSPECTION RECCE/EIVED:
NAME &cal ''
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LOCATION "�'3 \ £.'S o t) �f` Zed t
DATE '�jj/ /2/77 \' PERMIT A ' CI
TYPE OF STRUCTURE: 1t
RECHECK k APP OVED
A N/A ! YES NO
FOOTINGS/PIERS 1 /
MONOLITHIC POUR FORM \1 ;;I •
REINFORCEMENT IN PLACE t i7
THE CONTRACTOR IS RESPONS BLE FOR f�
PROVIDING PROTE TION FROM REEZING I'
FOR 48 HOURS FOLLOWING THE' PLACE- i
MENT OF THE CONCRETE. It`
MATERIALS FOR THIS PURPOSE QN SITE
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REINFORCEMENT IN PLACE \\ / _ L
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FOUNDATION/DAMPPROOFING A _
BACKFILL APPROVAL /
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JACK POSTS/MAIN 'BEAM
AIR INFILTRATION BARRIER t,
HEATING ROUGH-IN �,! _
INSULATION: (' t1
FOUNDATION WALLS 3NTERIOR R-FOUNDATION WALLS/EXTERIOR R-
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INSPECTD�R'S REPORT:. ARR//il 5DEPART . IN'A
REQUEST\ OR INSPEC ION RE IVED• • 7
• NAME !'.1 M 1 C.� OW (Yf ;•'''/
LOCATION I'‘ of 3 kiu-d,S r ayrn J
DATE _J' --/ 2_-9 /PERMIT 8 tr7 27
TYPE OF ST`!RUCTURE: %l
RECHECK \ i APPROVED
1l ,if N/A YES NO
FOOTINGS/PIES 4/
,
MONOLITHIC PO' FORM ,i,
REINFORCEMENT IN PLACE q - -
THE CONTRACTOR S RESPONSIBLE/FOR
PROVIDING PROT TION FROM FREEZING
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MENT OF THE CON TE.JIE
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MATERIALS FOR THIS PURPOSE Ot SITE
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INSULATION: A
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FOUNDATION WALLS EXTERIOR R-';
FLOORS / R- 'i _ _
WALLS d R- \�._ _
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TOWN OF QUEENSBURY a m
BUILDING & CODE ENFORCEMENT ,:f,
742 BAY RD., QUEENSBURY NY 12804 lam`;k ': ,.,r.
INSPECTOR'S REPORT: ]ARR_l. ,C5 DEPART''/,/INTc)JW
REQUEST FOR INSPECT REC VED• J /
NAME ` e 1.<LX �(� Y U '
LOCATION -3 Vs_. „e0A,c , — ( Q lln + (����
DATE � 1 4i PERMIT 0 6/ 1) O C2 7
TYPE OF STRUCTURE: l )
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RECHECK AP'•OVED
N/A YES NO
FOOTINGS/PIERS 1 o
MONOLITHIC POUR FORM,
REINFORCEMENT IN PLA4E
THE CONTRACTOR IS RE-PONSIBLE FOR
PROVIDING PROTE TION FROM FREEZIN'
FOR 48 HOURS FOLLOWIi.e THE PLACE
MENT OF THE CONCRETE.
MATERIALS FOR THIS PU•POSE ON •ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLAC
FOUNDATION/DAMPPROOFINt,
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PACE _
ROUGH PLUMBING
i /TP UMBING UNDER
SLAB
RAMING:
e7,,t) _ /
JACK STUDS/ ADERS Y
BRACING BRIIGING - ____ _
JOIST HANGERS �•�''
JACK POSTS MAIN BE.
AIR INFILTRATION :ARRIER
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INSULATION:
FOUNDATION ALLS INTERIOR R _
FOUNDATION WALLS EXTERIOR R-
FLOORS R
WALLS R-
CEILING R-
DUCT WOR OR PIPING IN
UNHEATE' SPACES R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUIL'ING & CODE ENFORCEMENT
742 BA RD., QUEENSBURY NY 12804
V
INSPECTOR'S •EPORT: ARR DEPARTIT Vee-
REQUEST FOR I. SPECJlO27)c —)/(ft
N RECED: 1
NAME LOCATION 4w C�s ( •C � � 6 ehic
DATE c—,r 11111 PERMIT I 7 -(3; 7
TYPE OF STRUCTUR : c
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO'
REINFORCEMENT IN PLACE
THE CONTRACTOR IS •JSPONSIBLE 'OR
PROVIDING PROTE TION FROM FRE.ZING
FOR 48 HOURS FOLLONIaG THE P ,CE—
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PU•s•OSE IN SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING/ _
BACKFILL APPROVAL
PLUMBING VENT/VENTS It' PLA _
;/ROUGH PLUMBING .. I/ ._
PLUMBING UNDER SLAB
FRAMING:
JACK STUD , HEADERS
BRACING B"IDGING
JOIST HA ,' ERS
JACK POS S MAIN BEAM .
AIR INFILTRATIO. BARRIER
HEATING ROUGH— IN
INSULATION:
FOUNDATIO WALLS INTERIOR R— _
FOUNDATIO WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WOK OR PIPING IN °
UNHEATED SPACES R—
TOWN OF QUEENSBURY
vC` { FIRE MARSHAL
f:-S`" QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT '
REQUEST FOR INSPECTION RECEIV D6 E. 9 7
NAME Prn ) (i4( O jrall)
LOCATION 2) OC)(SC�'fA&) n1e-
DATEPERMIT # 5 O c 7 01 7--0 , ---,
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY L1914 NG
t
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE -MASONRY
/FIREPLACE - CTORY pUILT
REMARKS: 0 OK TO THIS DATE
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INSPSLIP.PUB ` 'I SPECT R
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENTiR)
531 Bay Road
Queeisbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ,ttcQ ' cw'cw
Location � r,�,CV J(/-v)
e Dat —9 ,7 Permit # CY/-- (2-
/7 •
SOIL TYPE: Sand-Loam-Clay-
Results of Pe colation Test-
(if applicable fle-Minute/Inch
TYPE OF SYSTEMS
ABSORPTI D:' Total Length
- Length of eachtrench /=1c,(
Depth of trenches
Size of stone t,, 1`,_1-4—P "S' �
SEEPAGE PITS: Number-
Size - ate
Stone size =
PIPING: Size Type
Bldg. to Tank bast-1
Tank to Dist. Box • 4. ?\)
Dist. Box to Field/P' " F‘3('Openings Sealed? ( Y . artial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption ? feet
Separation of Pits fe-
Conforms as per Plot Plan Ye. o
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Le . Side -Right Side
Middle Front - M�rirlle Qea}^ ,
COMMENTS:
SYSTEM.USE APPROVED: YE O
Arrived: - < 5
Depart
uildi g_/) ector
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR127.'t 6D7EPART V'' INT ��
REQUEST FOR INSPECTIONR EIVED: '-9 /
NAME %°-
1i�_
LOCATION (f( ((( -5 �1>\,A,661
,�
DATE ^ � ck7 PERMIT W 7'-0(.-7
TYPE OF STRUCTURE: 1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS •• :PONSI= E FOR
PROVIDING PROTE TI' FROM F• EZIMO
FOR 48 HOURS FOLLOWING THE P .CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
? AACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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- •
/ V (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSJBUR
Y NY 12804 + � '
INSPECTOR'S REPORT: ARP/2' oDEPART)' INT
REQUEST FO I SPELT ON-RECE D:
NAME ��•�'Ack_ C
LOCATION c_, 0 -f T ( asc i Z-01.1.5
DATE � PERMIT .Q 7
TYPE OF STRUCTURE: SR-,D
•
RECHECK APPROV
N/A YE NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM REINFORCEMENT IN PLACE 1)-4(L
THE CONTRACTOR IS RESPONSIBLE FOR .
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
TOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: •
JACK STUDS/HEADERS
BRACING/BRIDGING •
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER •
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-
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept.of Community Development Arrive am/pm Depart am/pm
Town of Queensbury
Inspector's Initials
742 Bay Road
Qeaeen§bury,New York 128�4 o±a_
NAME 4� �9 Elf-Q7T PERNIITLOCATIO - 7 /) i- J.. c- : Q_.. � DATE
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 within line of site
Oil Furnace shut-off at entrance to furnace 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 than 3 risers
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
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
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
,QFinal 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)
Shy