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98-314 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK September 23 98 Pate 19 ...-. This is to certify that work requested to be done as shown by Permit No. 98314 i has been completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 5 * 8 LOREN DR * Location MICHAELS GROUP Owner TAX MAP NO * 7 4 . - 2 - 5 By Order Town Board TOWN OF QUEENSHURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 1495ee TOWN OF QUEENSBURY No. 98 .314 TAX MAP NO . 74 . - 2 - 5 WARREN COUNTYr NEW Y©RK PERMISSION is hereby granted to MICHAELS GROUP (OWNER of property located at LOT 5 *8 LOREN DR . Street, Road or Awe_ in the Town of Queensbury, To Construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t AWR16" i*9 LAKE* GEORGEr NY 12845 2. CONTRACTOR or BUILDERS Nance MICHAELS GROUP , INC . 3JT8 �` ;r �r4 MGf3 1810 ROUTE 9 LAKE GEORGE , NY 12845 4. ARCHtTECT'S Name NEW YORK BOARD www"mm ' mmr) OF FIRE UNDERWRITERS 6. TYPE of construction - (Please indicate by x) SINGLE FAMILY DWELLING [ I Wood Frame I I Masonry I ) Steel ( I 7. PLANS and Specifications 2047 sq ft SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PEW- PLOT PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLING 275 June 11 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES t9 lit a forger peritid is required an applica ion for an extension must be made to the Sullding and Zoning inspector of the town of OueenSbuoy before the eKpifation date.) 11 June 1998 Dated at the Town of Queensbury this Day of lg s for the Town of Queensbury .SIGNED BY Buisdifg and Zoning lrsspeotor Building Permit PP ccxtxv�x limn of Q1feellsbilly - 11rlm- ofCrulsrruroily Dew^leprije +r, 742 DaylRrhrrl, i`JrretrrsZu+). NY 12804 1761-82561 *� -- 17UfLDImmu & CIIUG rrNF RC,iEAfCt1VT IZCIIlIlrC111Ctr15 prlU!' {U 15Sn11tGC of Ihis )tclnul: rc MIT r" NOW Lpeallitit mmlal Ire nlltsirretl hc:ii)mtg conslrrrclioll. Nu inslrcclicnrr .�wlllrr 11rMr'd ACllult11M& tlrrhl nl,ldicsnl II eccrivn! $'u nun.ltwc.l r'lutntlr. All Ate" l U"= 1?"rCRC1117ZON FZXX P v"pnccr lilt Ilik nly.lic"14RI IV ntngrlcecrr told ll� "ig,lnittrc Ul•lrrrrrrllrg llunrrd Acfla++ JriCsY1GW,Lx"1) BY: grliennt 011MI alrlrrnr en lire 1'IL 1 Srllxliviak,n 1 Outerioll f"Ill, r+..arw ltecleal'nrlt 1'cc i'ayn,cnl /11,111icnnt: llte ili.iclaterb GJtoull, lose. owner: Snorte A(I III Iess: 1910 Poul.e 7+ Lis kC GeoAxIV , NV 12&1(tdtltcss: l'ilorra # ( i 1 8 ) 669 - 3316 1'Itone # [ --_ _) _ - _ __ {'rullcrlg Lusatian: - '1'tu Nish lrismbor . - - 5rlbdivisiolr Nnitru: ' ~ Seoli Block Int 1tnxUttr•, OF YFLUF'vSSil 111010L : ESTIMATED MARKET VA. 7" OF T1Law New D1111d-tlry : CONSTRDCTION : $r � _ realdence / cemnrerclal Addition to Iltrlld.iny : r:err t-eleaco / commercial. : Rlt,er_rtt-. 10111 t:o Uiilbll.t,yE Yrituary Building - renideace / camitlercial X Single Family Dwelling ltealcleace / Goulator. clal Two Family Dwelling Ila chanyn to exterior size _ . Family Drtallittg 5TfIco Other work ( describe below ) Mercantile e Manufacturing Other GRUSC ARKR Or PHOIE'U'SLIS STRUCTURE • �. a If ADill'PION , what will usq 1st: Floor , . . . . . : J U aq it • f of stew addition be7 t tad .Floor * . . . . . . nq " ft . 9ls o NIA Other t" 1OGrr3 . , all . ft . ( nol, unfiuished collar or basement: ) ACCESSORY' BUILDINOS r '77��-.,;� (� l Detached Garage Is 2 car 'l'V'1'nL [rLVtllt A1LBA : L-L.-j"'r ! S(1 . 1"'1' . may,_ Attached Garage It �2 '+,car private Storage Bu3.`k Ing SLZC OF NC'W S'TItUCTURC� collmt rcial Storage Building - T I Other Will anyy second-hand or ungraded fitill boo aatl 'Lor1 : flu! J umber be used? If sa, Ectr what? ' flu limber o E Sterl.r_g ( ltalail able space and ) ' _ I l ---� Ileiyht ( grade t:o ridge.. �Q^�_ feet TYPE or' urDATiNa Sfsr>a�sr Number caf IireltLace� attd/or woodstove ( Cattle Qa itwil t es ) Lo be lasta fled : l( /1�_ Forced Electric / Ail Gas Wood Forced Hot Air f s oard f t7l=ltez' Person r. espcsnla i t, 'I w rr,r .,,.pvision of--woXk an regards to building .. codes iZt:tttre -stet aRa Yly tte Builder : site �lichaeCe G�taup _file 18r3 lzte 4, Lake Gaon C 128A5 5fA-668 -337G Plurr+faer : faun f'Cui+s,_G3lx(t, fbA f� Raatf G°eltA �a Ga NY 128Ui 5iE- 798- A394 1laeustt )lp�3rr�errlrah . L3nX 2b8 _1r...`testU' "° V Ny 1y3R8- Klg- 371 -4922 L+lectr.iclan • T-Ahem r.7 fPnrl+t,(.t^_ 7dAh fnd[hau S1 Sclry P tf-.-- - DL4-CxARA170N. t•lease s1gr+ befamv nfle3 you trove rem so rend 1l+e slate+ncrrr. 01'0 the best of lily kelowtedge the slaleneenls contailied ill this alspliealion, together wilt tine )clans and sltcciricatians strttutitletl, arc a true and complete slaternent of all proposed work to be done on time ttescribett ttrceniscs n+td lhat all provislotrs or the Building Code, time Zoning Ordinance and all ocher Incas perl:lininlG to he prolwsed work shall be cornpl" with, wilctlrer specified o ri r oted, and that Such work is nutlwriycd by the owtrer. le"urttler, it is understood that I/we stroll submit prior to a Ccrlificatc of C7cculmacy'or certificate or Carriplialtce being issued, nit AS 13L1LL'T YLDI PLAN by a liceersed sielve r; d w o scale• sho g actual location of project on prendsest Siguaturc: r, awltcr's agent, architect, cvlliractor) SEPTIC DISPOSAE PE RM1.1 Location of properiv for installation: Owners Na lttc: 1 A ,+ {ticht"2La Ghcu� . Ll C rl� � , it'r Nc1 ;�ttstwit Add CSS t s ' � 2nR•.s D G l rr ? {^.6 ^,'- (fd NV P ? .< dti Installer' s Nniiie: i'1:1: rr'tll7 Phone Tffi ( ) ^ T 3 - 53 Nunsliar of ticdreomR (IrresidcrtinI ToLnl daily ftcw (reridennial - et-mpute iTsp 150 gal, par lictirt:om ): � Tol:ogratxlry- fiat Rolling Steep Stolle er{, or Slope St:il Nzture: Saixd 1 .cnam l C:la I IOther II7ci:rlt: " round Water: aL what dc=.Lit? fact De-drock or Imperious wvlatcria[ : at %vinat deptlt? fccL S'er�t:latiost '1`est: r�] Nut Rattuiret: fZa:;uirc 1tlxale T ntin. Per ilrcir Dunic' tic Water Supply: lafuniciPal Walt 0tiler Ir dornesLie tivater supl'ly i t a ;L V*I A . water su1:l^ly Front any septic nbsurption is reat PROPOSED SYS'I.ff;m - Septic tank: 11900 gal. (ntizti :ntuilt size : 1 .000 gat. ) ��r q '111e Field- each trench rect. I toLZI syctLc:n `langth &JLreat. Seepage 1'it(.^,) ; nttmhcr of ''IAA f Sire each: ft. a ft Si c or Slone to i;e used: # S © fit' / depth or iltickucss feet, 11Ul_I] ING TANK SYS'Iiihi : (if required) Number oC tanks: '�f Size of each: gal . lifarrrx systerrr artd ctssocfated electrical work to be inspected by a car€ifred agelICY- For yottr protectfoit, please mote that ptirstrarrt to Section 136-29 of1he Corse of the Town of : Qneensbury, any pernrft or approval grunted which is based upon or is granted in refirritcc itpoit any material ntisreprescrrtaxiorr or firil€ere to rrtake a irraferiaf fact or circumstance known by nr oil , behaffofan appficant, shall be void. - I have read the re<gtrcation .7 with respect to tlri.s rr plrlieatiatr and agree to rrbhfe by these and all rergtriremetres v f tfrc Town o f Qrt :rrr: .sb er nftary Sewage Disfooserf Orelinfzttee. 1 I Sienatrrre o rrestronsible persrrl I.3srt44 �t e t 4 bed home M , TOWN OF Q UEEWSBURY 742 Bay Rd. , +Queensbury , NY 12804 ; APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Jo Date :1i i ' - , ] 9 ` C& Permit No. �^ " J AP'PIL.ICA'rION IS HERESY 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 additionsl form if more than one appliance andlor chimney. Applicant- yrt- L.LC APPLIANCE (check appropriate boxes) Address LIU &L,( W 61 O STOVE : ❑ Woad ❑ Coal ❑ Pellet o Gas FIREPLACE INSERT UWU� W{_,.t lie IV 4 Zip i LEL1 V FIREPLACE, FACTORY Ui LT: r1 Woad Gas Phone1�t, ) Lt. ( t , ❑ FIREPLACE, MASONRY: ❑ Woad ❑ Gas Owner Arl jt° 1 Z1 [„ 1Lij " ( � -f oA ,gip. LPL ❑ FURNACE: ❑ Woad ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE : Manufacturer: LL, iu- ]� _i l Zip JJOLJI Model : Phone ( `�.l'�r_ � li< �.�`�.� �� )�-� � CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY. ❑ Block ❑ Brick ❑ Stone [� FLUE: ❑ Tile 0 Steel Size : inches CONSTRUCTION / INSTALLATION MUST ACTO RY-BUILT: CONFORM TO NYS FIRE PREVENTION & (;Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple (Nall REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier's Department Town of +Queensbury, New York Dept : Fire Marshal Amount Collected Amount Refunded Code Humber Title A 173 3389 (190 ) Public Safety -awl ' ro a A Z33 2655 (2.10 ) Minor Sales Fee Collected From or Refunded to: � Address: Dated : Town Clerk or Deputy: t , White: Applicant Green. Fire Marshal Ye!towrff1dg. Dept. Pink & Goldenrr.+d. Cashier's Dept. _ 1 TOWN OF QUEENSBURY { BUILDING 6 CODE ENFORCEMENT 742 8AY ROAD QUEENo^BURY NY 12804 (S I S) 7461-8256 ARRIVE : _ DEPART ; INSP : FINAL INSPRCSCI0M REFORT . - RESIDENTIAL DATE INSPECTI REQUEST REC VED : � NAM$ LOCATION , F DATE z I PERMIT I TYPE OF STRUCTURE i FOOTINGS FOUNDATION I ROUGH PLUMBING BACKFILL FRAMING 9 FINAL ELECTRICAL SEPTIC INSULATION ! WOODSTove OR FIREPLACE_ A tars Na VEN G T PLU B ROOFING R F N SH 4 K Ii ST P L NG r E V LVESr O w T R O E -INTERIORR V C D S F g - WA2=911GH S S E P B E OTHERFLDOgSC PET D T IR C E NC LING O S BATHR29H FA m I G ZXTVIR S JFOUN12ATXQq IliSUON r' G O ING i P-QOF, CLQR FINkL E EC R C L I P AN V A CE REO i FSNAL SURVEY PLOT PLAN i O 1 s UE R C C ._- Q 0 XUI ma:1911209 LEHLAND PAR BY D.L. DICKIN� FILED NOVEMBER 3 CABINET A SLIDE Nax-i D u s eh 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 518) 792-8474 New York Lie. No. 50135 %1WTd = ALTERATION ON AMUN TO A lM1EY NAP EAF" A LI WOM LAND MANEVIMI !AL 15 A WOLATNYI W IECIION 7201L 918-OP SM 2. OF YK NEW YORN STALE EDUC411011 LAW *ONLY COPES FAN THE ORI m& or MR 9RPEY MAIM WIIN AN 01IMM OF THE LAID 111AMM SEAL SHALL E CMdWIED M BE WYD TRI! COPRB.• D1111rVIRC MM NDICATED HDEON SNOWY THAT MD 9IRVEY WAS PREPARED W ACCORDANCE W M ME ENSTM CODE OF PRACTICE FOR LAND IRMEY00 ADOPTED BY THE NEW Y= STALE ASIMATION OF MFCMONAL LAND 9MYEYOILi SAID CFRTRICAIRM 9 ALL RUN CILY TO TIE PERSON FOR am THE savvy E3 PFEPAIED, AND ON NIS MAIF TO 7K TIRE 0WANY. BDYE NMTAL NOW AND LDICIIA NISOIUI M LISTED MUSK AND TO THE ABOI EES OF THE LON" EFSIPUBON.• 0 eLAND �+` j/ ��p� s��-�`y e e s e , Map of a Survey made for DEAN R. & CHRISTINE B. WILLIAMS Town of Queensbury, Warren County, New York I HEREBY CERTIFY THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. CERTIFIED TO: DEAN R. & CHRISTINE B. WILLIAMS M do T MORTGAGE CORPORATION. IT'S SUCCESSORS AND\OR ASSIGNS CHICAGO TITLE INSURANCE COMPANY CERTIFIED BY: MATTHEW C. STEVES. LLS NYS 50135 SEPTEMBER 16, 1998 NO. I DA TE DESCRIPTION r 1'=30' S-1 BFEEf 1 OF 1 LEHLAND DWG. NO. 89423-5 r FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 1280�4 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # � eon NAME LOCATION SCHEDULE NSPECTION O ' m p ANYTIME APPROVED N/A YES NO EXITS 1 AISLE 'WiD S EXIT SIGNS EMERGENC LIGHTING ----- I FIRE EXTING SHERS _- FIRE ALARM S TEM _ - - - ---- - - FIRE SPRINKLE SYSTE -- FIRE SUPPRESS' SY EM _ --- -- F'- HOOD INSTALLATI INTERIOR FINISHES __._ - - -- - -- - - - STORAGE-. CLEARANC TO PRINKLERS I CLEARAN TO TING UNITS - REQUIRED S'GNA ---- - CHIMNEY I WOOD STOVE -- J FIREPLACE - MAS NRY FIREPLACE - FAG ORY BUILT _ OK TO THIS DATE REMARKS: K kAJ 1 ---- - > 2L INSPECTOR }NSP�dP� RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement Dept. of Community Development Arnye anVpm � Depart�t - Town of Queensbury Inspector's Initials 742 Bay Road Queenshury, New York 12804 NAME PERMjT # +.� � " " LOCATION DATE TYPE OF STRUCTURE 4/A, YE5 N COMMENTS Chimney HeightP"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% awav from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 19 above grade ow Gas Furnace shut-off within 30 feet or within, line of site Oil Furnace shut-off at entrance to furnace area Funuw&/Hot Water Heater opera 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 rise Interior privacy/trim/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight oe Interior Handrails Balconies/Landing 18 in_ ore Railing across window in stairwells Smoke Detectors7 every level every bedroom outside every bedroom , inter connected Bathroom fans Plumbing fixtures Foundation insulation 31A hour fire doorldoor closer bor Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or le f floor Final Electrical ky Site Plan/Variance reqdir6d Fuca! Survey Plot Plan As Built Septic Svstem layout required Okav to issue C/C (Cert& of Compliance) Okav 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 ' 7 Dept. of Community Development Arrive am/ Depart Pin 1•Town of Queensbury Ins 's Initials 742 Bay Road 7 Queensbury, New York 12804 I� NAME (-x,c 4 LOCATION 4 ' . . r x. • v D TE TYPE OF STRUCTUREi N/A YES NO COlv1Nff2*ITS Chimney HeightP B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" vy 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-oflr 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 rS ri teor Handrails Balconies/Landing 18 in" or inailing across window in stairwells7ke Detectors Jevery level every bedroom Outside every bedroom interconnected Bathroom fans Plumbing Fixtures Foundation insulation a/4 hour fire door/door closer Clarage fireproofing Garage penetrations sealed. Furnace in separate room prx9kcted (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical /Site Plan/Variance required ,/�, tI Final Survey Plot Plan C: N As Built Septic System layout required Okav to issue CIC (Certif. of Compliance) Okay to issue temp" C/O (Certif of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) 402fi"739 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE T04, ALBANY NY 12210 Date SEPTEI�93ER 161. 1998 "13f5t3Fi / 9i3 A 136461 THIS CERTIFIES THAT o �314 only the electrical equipment as described below and introduced by named on the above application number is in the premises of THE 11ICHAELS GROUP , 81 L OREN DR . QUEENSBURY , N I� + Y in the following location; r• Basement ® 3st Pl. ® 2nd Fl. GAP Section Block Lay 5 was examined an SEPTEMBER 11 . 1'95t3 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K-W, AMi. K.W. AMT, K.W- AM7. K.W. AMT. H.P. 26 36 33 26 4 y DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P, GAS H.P. AMT, NO, A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P, SYSTEMS NO. OF FEET AMT- WATTS 1 F 1 2 SERVICE DISCONNECT NO. OF S E R V i C E METER AMT. AMP, TYPE EQUIP. 1 a 2W 1 * 3W 30 3W SIP AW ND. Op RCS OND, 4F CC. G. p, ND- OF HI—LE6 OF H+-LEG NO- OF NEUTRALS OF d W_ RAL 0- 1 150 03 1 X l /0 OTHER APPARATUS: POST LIGHT- 1 G . F . C . z : - 4 S14OKE DETECTOR : —4 FOREVER ELEC /BOEL ELECT . WIL.LIAM D . MCPARTLON 2446 JAFFREY ST . GENERAL MANAGER SCHENECTADY , NY , 12 309 w 39 per 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. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ,ANY MANNER. �. 3 +GENERAL INSPECTI NN REPORT Town of Queenslmry Dept. of Community Development Date inspection request received: Building & Code Enforcement �, 742 Bay Road. Queensbury, NY 12804 Arrive am/pm Depario pm Inspector's Initials -- NAME: .� , [ PERMIT -0 LOCATION: DATE : ' -4:11 TYPE OF STRU : RECHECK NIA YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete_ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundatiion/Dampproofin Backiill Approval Plumbing Under Slab E E Plumbing Vent/Vents in Place Rau Plumbing. Heoing Rough4n ation Foundation Walls Interior R- Foundation Walls Exterior R Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack SnxWHeaders Bracing/Bridgin Joist Hangers Jack PostslMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin Town of Queensbury GENERAL 1NSSPECTION REPORT Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart l- am, is Initials NAME: l C e e PERMIT # � LOCATION- DATE : fat zq - TRUCTURE: CHE NIA YE NO CO S FoatingslPiers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dazzipproofing. 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 NeFramuin lack Studs/Headers racing/Bndgin u'r Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping TOWN OF QUEENSBURY 1ti,1 FIRE MARSHAL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME ----h���a. �� � r� A � LOCATION DATE PERMIT # APPROVED N/A YES NO EXITS AISLE WIDTHWSTEM EXIT SIGNS EMERGENCY FIRE EXTING AUTO. EXTkN HOOD INSTA AUTO. SPRINALARM SYST INTERIOR HNISHES STORAGE; CLEARANCE TO SPRI LERS CLEARANCE TO HE I UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE - MASLRY FIREPLACE - FA TBUIL REMARKS: K TO THIS DATE M P, 1c.. �v� �(p INSPSLIPRU6 E T . ^r GENERAL INSPECTI(iN REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road eenshu NY 12804 Arrive" = Depart ' inspector's Initiab 4 # NAME: PERMT"I' LOCATION: D TYPE OF STRUC RECHECK NIA YES NO COMMEWS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site FoundationlWallpour Reinforcement in Place Foundationlparnpproofi n Back" Approval Plumbing Under Slab plulvbrng VentfVents in Place gh Plunibin 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 Jack StudslNeade -- E _ tt i 1 _ ' 6 ( S� v: N41��1► ridgin Joist Hangers ' Jack posts/Main Beam % y : , Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour ` �pt �-� I ' ' � \A0'42 ' FirestapPing Tok* OF QOEENSBURY 8llLG A CODE ENFORCEMENT 742 BaY Road Queensbury NY 32g,04 (518) 761,8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name " Location Date (v Permit SOIL E• Sand Loam, Clay. I Results o rcolation Test_ ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total L Length of each trench Depth of trenches Size of stone SEEPAGE PITS : umbe r SSze - -� fte x Stone size � ft . PIPING: — -_ - Bldg. to Tank Sure ype Tank to Dist . Sox Dist . Box to Field/ u v Openings Sealed7 y ft LOCATION/SEPARATIONS : ° artTa Foundation to lank Foundation to Abso / c> feet Separation of Pits rp) i on feet onforms as per Pico) Pl -' eet LOCATION OF S an SYSTEM ON PROPER Yes No ( circl Front - Rea - Left Side - Right Side (�� Middle Front - Middle Rear COMMENTS: SYSTEM USE APPROYED: ES NO Arrived: Vs �d Departed: Suzl Ing nspector N r � Y_^ GENERAL kN PEC Wff REPORT Town of +Queensbury Dept[. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pan Depari�" �am/ r Inspwectoes Initials NAME: V � 5 V PERMIT # 9 LOCATION: _� � ti+ Y2 c DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COlw4NIEN'TS Footings/Piers Monolithic Pozq Form Reinforcement in ace The contractor is nsi for providing pro on freez' g for 48 hours followi the t of the concrete. Materials for this se on site Foundation1W pour Reinforcement in Place F undation/Dampproofin �backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbi Heating Rough-in Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in ,unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers BracingfBridgin Joist Hangers Jack Posts/Main Ream Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping k.E&ERAL PECI'IC)N REP+f7RT Town of Queensbury Dept. of Community Development Date inspection request received: 't Q Building & Code Enforcement 742 Bay Road r Queensbury, N1' 12804 Arrive am/'pm Depart'-' am�+pm Inspector's Initial NAME: PERMIT # LOCATION: r DATE TYPE OF STRUC UJRE: REC'TIECK NIA YES NO COMMENTS Footings/ 'iers Monolithic Pour Form R.einforoement in Place The contractor is responsible for providing protection freezing for 48 hours following placement of the concrete. Materials for this purpose on si FoundationlWallpaur Reinforcement in Place Foundation/Damppr ng VUa�fill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Phumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceil.ing, R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin .foist Hangers Jack %stsllvlain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin GENERAL INSPECTION REPORT Town of Queensbury , Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128f14 Arrive o am/ Departa Inspector's Initial NAME: F PERMIT # LOCATION: n r DATE : TYPE OF STRUCTURE; RECHECK NIA YES WO COMMENTS tings/Piers_ NZI Monolithic Pour Form or Reinforcement in Place The contractor is responsible for providing proteMtion from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in P Foundation/D proofing �v Backfill roval Plumbing Under Slab Plumbing Venl/V Znts in Place Rough Plumbing_ Heating Rough-ly Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 1 , 2. 3 , hour Penetration Sealed_ Fire Wall 2. 3, 4 hour Fi restopping