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98-665 i CERTIFICATE OF O CCUP N CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 4 99 Date 19 _ r 98665 This is to certify that work requested to be done as shown by Permit No. has been completed. ' SINGLE FAMILY DWELLING This structure may be occupied as a LOT 127 # 15 NICOLE DRW Location PASSARELLI , GUIDO Ownnor TAX MAP NO . 1 2 5 . - 9 - 12 7 By Order Town Board TOWT4 [3F QUEENSOURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 145000 TQWN OF QUEENSBURY No. 98665 TAX MAP NO . 125 . - 9 - 127 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to PAS SARELLI , GUIDO kk OWNER of property located at LOT 127 NICOLE DR IN Street. Road or Ave. in the Town of Gueensbury, 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 Dueensbury Building and Zoning Ordinance. t. OWNER'S Address is 465 LAKE AVE . LAKE LUZERNE . NY 12846 7, CONTRACTOR or Bll1LDeRIS Name LAMOTT , MICHAEL 3, TRA rOR or BtiiLOERS Address 1 MAHEL TERRACE QUEENSBURY , NEW YORK 12804 -4. AR+Jrii i c.:"� o :flame COMMONWEALTH ELECTRICAL AGENCY 6PV � !S.Addrs: HAGUEr NY 12836 6. TYPE of Construction — ;Pleas° indicate by Xi SINGLE FAMILY DWELLING { I wood Frame ( ! masonry t 1 Steel I 1 T. PLANS end SIications 2342 FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACKED GARAGE AS PER PLOT PLAN SPECIFICATIONS SINGLE FAMILY DWELLING October 29 2000 301 �g $ PERMIT FEE PAID — THIS PERMIT EXPIRES (it a longer period is required an application for an extern lon must be made to the Building and Zoning inspector Of the town of Glueensbuty before the aapiratiuon date.) October 1998 29 Dated at the Town of t]ueensEBuildirve Day of 1g for the Town of Gueensbury SIGNED By Zoning Inapectar Building Permit Application Town o,f Que!`.'fZSbury - Dept. of Convnwdry Development, 742 Bay Road, Queensbury, NY 12804 [761-8256] BUILDING & . +CODE ENFORCEMENT NOTICERequirements prior to issuance (0 of this permit: PERMIT FILE NO* " A permit must be obtained before beginning construction. No inspections PERMIT FEE PAID $ �1 r will be made until applicant has received 0 Zm.Utg Board Al ion a VALID BUILDING PERMIT. All A7ea t [ xse RECREA77ON FE applicants` spaces on this application MUST be completed and. the signature Q Pkwning Board ACd4on REVIEWED B of the applicant must appear on the sPR 1 Subdivision I Qdwr eldid ctor (application form. n�.m ytw Recreation Fee Payment Applicant: 1= 1I eM is j er 'I T �a� . Owner: A. Address: 72 12deadUAme i. Address: Phone # ( + !) 7 /�O_ ` Phone # ------ Property Location: !`1rrun —'77 X0I - fr Tax Map Number. Subdivision Name: _Her ✓;*4 t�rcw� Section Block Tot NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : _- �rest commercial Addition-t17n- 15uilding : " residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Pri ry Building - residence / commercial ma Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Office �, 1998 Other work ( describe below ) Mercantile Q , Manufacturing Other GROSS AREA OF 'PROPOSED STRUCTURE : If � If ADDITION , what will use 1st Floor . . . . . . . . zieVA4IIIIII0 sq . ft of now addition be7 : 2nd ,Floor . . . . - . - . �,4al sq • - Other Floors . , . . . $q - ft • ( not unfinished cellar or basement ACCESSORY BUILDINGS : _S Detached Garage 1 , 2 car TOTAL FLOOR AREA : t?�r` - ._ SQWIER ,+�✓ Attached Garage 1 , car Private Storage Bui ] ng SI2_F__ OF NEW STRUCTURE : Commercial Storage Building Other FEET X f ' 02_ FEET Foundation Type : �vu c �rya� * - will any second-hand or ungraded Number of Stories : lumber be used? If so , for what ? ( habitable space only ) Height ( grade to ridge ) : feat TYPE OF HEATING SYSTEM : Number of fireplaces and/ a oodstove ( circle all which a p es ) Electric Oil to be installed : / a Wood Duce Hot A3. / a'seboard / Other Person responsibl`e for su ervision of work as regards to building codes is : rr C.i7P9 eff - - _ Name Addresse Phone Builder : n r Plumber : Mason : Electrician : v � - DEC,t,ARA774N.• Please sign below cater you have carefully read the sfateriteirx. 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 dome 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 I/we shall submit prior to a Certificate of Occupancy' or certificate of Compliance being issued, an AS BUxI-'I" PLa'I' PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. r 6 1 ► /ha Signature:: ,. z�.•-.c (owner, teris agent, architect, contractor) -- aip]liCaticsll rot* SEPTIC "IS'.I- OS`A.L. .I'..�,Ti.11/.l.IT � STAMP Rli(A: lVl7i3 I _t)catiort err proSmerty hPr iuvInI tielir: U%vffcr`s Nu Ill r. ' 4r22 RN111' NUM H1- lt +C� Owner's Mailing Address: -7^ Fli1t PA D C� installer's Nan �C te: _� j —f 1'ltctrrc #: r -• C� Nunslscr of lfedrnunfs (ir resiticnlia! ): tf h/ 'Halal daily Iluw (resiLlcffti:el - ct+Inloule Cr-�t 150 ,gal. per bcdroonf) : Iolrtsgraplty: CEO 1'InI © Rolling Q .'SLCCIt S10lee ?:r or $lttlac Soil Nature: ® Sand Q 1.nanr QD Clay F�j (Olio /1Jclatlt: Ground Water: at what depth? rcct Bedrock ar Impervious Malcrial ; -it Wh.IL delx117 feet Percolation 'Fust: {,;Z Ntst RCgIteired Requircclilkatr fniet_ Ix•r inckf l-)trnfcstic Watcr Strl+lrly: ] Murficill. [� Well Cliltcr if dssfucstic water sulalvly is a Wls1-.1 . water sulaltly wont arty sciatic al+stxlaeitan is rc c l 1s [to POSE D 5Y5Uih7 ; Selriic t enk: 1 `'S — �'r�l , (tsiinintLnn Xi7c: 1 .000 'Isle Meld; each trench S -f'cct. of lotal System Icngilt rJ�f> rcct. seepage Pit(s): nutlrbcr or ! size each: rt. z rL depth nr thickncsx feet. Sirs of stlanc to tic lg4cd; # / do p lll7!_IJINO '1•ANK SYS111M: (ir required) i;unalaer of ranks: SiT.0 as!• each: gal. III r Li~6Y Alarm sysrenx raid crssocirrred eleclricu! work to be it sflrcred by acertified agency. For yarn prejAectiorr, pleasr^ rresse that prtrsrrtrrrr its Section 136-29 of the Code ofrhe 700110st of Qrreertsbrtry, rise), permit or apprnverI Xrrrrrted wiriclr is based tepors or is ,granled in rely"since rr pan any material rrrrsrepresatrirrtiorr or filihrre to snake er material jrct or circurrrstaller kttotvrr by or iwt baIlaIfofarr applirafit, slrerl1 he void• 1 /Ialie read the reguIntio+rs tvirlt respecr to this rt pplierttiorr arrd rrpsrer to chide by These and all regrriressrerrts of llte Toles, of Urteensbrsry Sanitary SQctl"n'r',9CCIlrspusrrl Ordinal.ice#Signature ofresponsWe person: lute.* uloa11qz TOWN OF lQ UEENS B URY 742 Bay Rd. , ©ueensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date l�.��� , 19 -- Permit No* .' iL� ppPLICATION IS HERESY PVIADB 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 i all inspectors to enter premises to perform required inspections. Ij Please fill out additional form if more than one appliance andlor chimney. Applicant j" _ — A -- ��-� APPLIANCE (check appropriate boxes) .��'� tr���c Address . Q, Z*14o o1 a 12 f 12 s ❑ STOVE: c3 Wood ❑ Coal cl Pellet 13 Gas Cl FIREPLACE INSERT Zip - -L g =A/ ©r�'FIREPLACE, FA od R� Gas T: Phone .y'�� - 'S Ham' [IF I REPLACE, MASONRY: _r ❑ Wood ❑ Gas Owner FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: _ Manufacturer: Zip Model : Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction 0MASONRY : ❑ Block ❑ Brick [] Stone FLUE: ❑ Tile la Steel Size: _ inches CONSTRUCTION I INSTALLATION MUST II�FACTORY-BUILT: CONFORM TO NYS FIRE PREVEENTION & Manufacturer: cember: BUILDING CODE . CONSULT AVAILABLE Liste By : TOWN OF QLTEENSBURY HANDOUTS ouble Walt ❑ Triple Wall REGARDING REQUIRED INSPECTIONS . ci Insulated Liner Direct Venting Cashier's Department Town of Queensburry,,Amount w York fed Amount Refunded Dept: Fire Marshal Code Number Title _ A 173 3199 (190 ) Public Safety A 233 2655 (230 ) Minor Sales �. Fee Collected From qr Refunded to: --"'" � "'h Dated : - Town Clerk or Deputy: White: Applicant Green: Fire Marshal yellow: Bldg. Dept. pink c& Goldenrod: Cashier's Dept. TOWN OF QUEENSBURY BUILDING CODE BAY ENFORCEMENT QUEENSBURY NY 12004 ( 1 (519) 761-8256 ARRIVE : �� DEPART : IN FINAL INSPECTION REPORT - RESTO NT I+ DATE INSPECTION REQUEST RECEIVEDNAME LOCATION r} J_ - PERMIT N 'T DATE TYPE OF STRUCTURE BACKFILL FRAMING FOOTINGS_____ FOUNDATION 1"SULATION SEPTIC ROUGii PLUMBING �. WOODSTOVE OR FIREPLACE ! FINAL, ELECTRICAL CHxM iEIG iT B VENT/111SIGH'S' PLUMa,,j G VEN EXTERIOR FINLS33 ECK ORCH .`"T PS RA N S RELIEF VALVES FURNRCEfUoT WATER. OP RATING NTE RIOR^,I'RII'i/ PRIVA Y DNORS� WISH FLOO S HATHfKITCBEN WAT TIGHT pTHER FLOORS SWE FABLE .I OOKS CARPETED OT.__---t E -EL I STAB CLEARANCE RAILINGS 1 DETECTORS gATlIPUP- ''j FAN .,B G FlxTve�--- i 1 UN ATINN INSU ION GARAGE F RE R ING I DOD OS R.S F py LEC 'RICAL aYm �LAp /'�✓aR1ANCE RE FINAL SURVEY PLOT PLAN K To I SU C O OR C C FIRE MARSHAL TOWN OF QUEENSBURY QUEE NSB RY,N 128" 05 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # � NAMELOCATION SCHEDULE SCHEDULE INSPECTION ON -- IME APPROVED I NIA YES NO EXITS AISLE WIDTHS �---- - EXIT SIGNS EMERGENCY&iIGHTING FIRE EXTINGUISHEK -- FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM � - FIRE SUPPRESSION SYSTEM -- HOOD INSTALLATION _-- INTERIOR. FINISHES - .-- - - ------- STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY �- WOOD STOVE -- i FIREPLACE - MASONRY �.�---- FIREPLACE - FACTORY BUILT OK TO THIS DATE REMARKS: INSP R It13p9l.IP.P� RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request recei ve& Building die Code Enforcement Dept. of Community Development Arrivr71.lb anVjj ._�pa Town of Queensbury Inspector's fnivs 742 Bay Road Queensbu ew York 12804 NAME # _ LOCATION DATE TYPE OF SIR C`I"[.JIiE N/A YES N(7 GC7NOAEN`I'S Chimney HeightP13" Vent/Direct Vent Location l Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" t 36" Exterior handrails, baieomes, ding, 18 in. r more Interior Handrails stairs both s des 3 or more isers— Grade 2% away from foundat' n 8" clearance to sill plate ` Gas Valve shut expo regulator 1 above grade _...-- Gas Furnace shut T withi 30 feet witltitt line of site - oil Furnace shut-o furnace area Furnace/Hot Water Rea operating Relief Valve(s) install Iieadrexxrn, 6 ft_ 6 in- o stairs Basement stairs, ('} R. in. Handil exterior stai ri both sides more than 3 risers Interior privacy/trim/ oors/main entrance 36" Floor Finish Bathroom/Kitchen tertight interior Handrails conies/Landmg, 18 in or more Railing across win ow in stairwells Smoke I3etectors_ every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures foundation insulation �/4 hour fire door/door- closer Garage frreprool7mg Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 1 $" or less from floor Final Electrical Site PIan[Variance required ^ , igin l Survev Not Plan y� \ As Built Septic System layout required Okay to issue C/C (Certif. of Compliance) oka}' to issue temp. CIO (Certif of C n >ccupacy) Okay to issue permanent C/O (Certif. of Occupancy) — q 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�f 1 742 Bay Road Queensbury, New York 1281W PMXT # _ ._ NANIE LOCATION DATE TYPE OF STRUCTURE N/A YES NO coN* TENTS Chimney HeightP"B" Vent/Direct Vent Location Fresh Air lnta3ce Plumb Vent through roof Roof Complete Exterior Finish Compiete interiortExterior Railings 30" to 36" Exterior Handrails, balconies, landing 19 in. or more Interior Handrails stairs both sides 3 or more risers (bade 2% away from fo in lion g" clearance to sill plate Gas Valve shut-off exposed/ ulator 1 S" above grader, _...... Gas Furnace shutoff within 30 or within lime of site -- Oil Furnace shut-off at entrance t furnace FurnacelHot Water Heater opera Relief Valve(s) installed Headr(Hxu, 6 ft. 6 in. on stairs Basement stairs, 6 ft_ 4 in. Handrail exterior stairs both sides more 3 risers Interior privacy/trim/doors/main entrance 36 Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconiewl anding 18 in. more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Iloundation insulation 1/4 hour fire door/door closer Garage fireprooftm Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation Per room Safety giazsng i 8" or less from floor Final Electrical i ance required inal Survey Plot Plan /1s Built Septic system layout required _ 0kav to issue C/C (Certif. of Compliance) Okay to issue: temp. C/() (Cerbf of occupancy) Okay to issue permanent CIO (Certif- of Occupancy) ELEC. TELP C.T.v 210, I HEREBY CERTIFY TO: 1)JAY K. &ANGELIA S. SHEERER 2)MARINE MIDLAND MORTGAGE CORPORATION, IT'S SUCCESSORS AND/OR ASSIGNS. 3)FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK. LOT 128 lq THAT THIS MAP WAS PREPARED FROM AN ACTUAL FIELD SURVEY. THIS SURVEY AND THE CERTIFICATIONS HEREON SHALL BE VALID ONLY TO THE PARTY OR PARTIES HEREON NAMED AND ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR % VN EXPRESSLY STATED HEREON. Aq 4-- 'o (3i DAVID J. BOLSTER LOT 127 DATE: FEBRUARY 12, 1999 23,169 SQ.FT. O 44,91 F " RECE GE MAR 0 5 1999 TOWN OF QUEENS13URY F31JILDING AND CODE � o LOT 3 a 180.0 MAP OF A SURVEY OF LOT 127 HERALD SQUARE MADE FOR r) LOT 2 JAY K. & ANGELIA S. SHEERER TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK MAP REFERENCE: DAVID J. BOLSTER MAP ENTITLED "MAP OF A PROPOSED SUBDIVISION "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY LICENSED LAND SURVEYOR MADE FOR HERALD SQUARE SUBDIVISION LAYOUT MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 AND UTILITY PLAN", DATED 5/29/96 LAST REVISED VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF THE 10/2/96, PREPARED BY VANDUSEN & STEVES, LS. NEW YORK STATE EDUCATION LAW." DATE: FEBRUARY 11, 1999 1 SCALE: 1" = 30' N.Y.S. LIC. NO. 49534 FILED IN THE WARREN COUNTY CLERK"S OFFICE ON "ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DWG. NO. 99014 B DEC. 31, 1996 IN PLAT CABINET B, SLIDE 85, MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS MAP #185. SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES! THE NEW YORK 130ARD OF FIRE UNDERWRITERS =► uurf ;'.`i -I BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 I Fff1F ;'N Date ! e' . I'-a`� Application N rE •I i ie)5 zyy r+a i - - - - , 0 . THIS CERTIFIES THAT only the electrical equipment as described below and introduced by t ed on the above application number is in the premises of in the following location; 0 Basement ® Ist Ff- L3 1 2nd F f. :. rAR Section Block was examined an �'r;'t3]•tL'.FIFi'�' " i'' ' 1999 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXFU TS RECEPTACLES SWITCHES K INCANDESCEN FLUORESCENT OTHER AMT. K.W. AMT. .W. AMT- K-W. AMT. 48 49 .3.3 3 % DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS AMT. K.W. OIL H.P. eAS H.P- AMT. H4. A. W. G, AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. HO. OF FEET AMT. WARE SERVICE DISCONNECT NO. OF S E R V I C E METER Np. OF GC L.OND. A- W. G. A. W- " NO. 11 NEUTRALS F E G. 1 PER b OF CC- GOHb. NO. OF HI-LEG QF y{I_�G 4F NEUTRAL AMT. AMP. TYPE EQUIP. 0 2W 1 0 3W 3 0 3W 3 0 dW r7 OTHER APPARATUS: SHORE LJETEC7Y74-, : 92 HIC. rLE; DR- GENERAL MANAGER (3JE.EEN13Upy, lay. 12804 1 .3!-) 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. FIRE MARSHAL TOWN OF QUEENSBRY, NY 2 04 QUEE 5S8)761 -8205 / 6.' UCH FIRE MARSHAL INSPECTION REPORT REQUEST ECEIVED 1 "PERMIT # NAME LOCATION - SCHEDULE INSPECTION ON ,.�"f PPM YTIME _62 APPROVED NIA YES NO EXITS -- -�` AISLE WIDTHS --- EXIT SIGNS _----- - EMERGENCY LUG TING _ � I FIRE EXTINGUISHERS -- - FIRE ALARM SYSTEfVi _ --- - ---- FIRE SPRINKLER SYSTE ---- FIRE SUPPRESSION SY EM -- - HOOD INSTALLATION --_ _----- - INTERIOR FINISHES ._ _ - -- - - -- - -j - STORAGE: ---- -- -� - CLEARANCE T SPRINKLERS CLEARANCE T HEATING UNITS REQUIRED SIGNAGE -� - - CHIMNEYi-- WOOD STOVE - FIREPLACE - MASONRY F REPI_AC - FACTORY BUILT __- OK TO THIS DATE REMARKS: •I INSPECTOR IM9P91-IP.PUB GENERAL INSPECTION REPORT Town of Queeosbury �} Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive amlpm Depart 1M Inspector's Initials yzl=�� "" L NAME. PERMIT # LOCATION; DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the con Materials for 's purpose to FoundationlWa :nf:wmpt:t in 1 FoundatiortlDam Backfill Approva Plumbing Unde Slab Plum g Vent/Vents in Place -�ItCSu'g�ltxPlurtrbin Heating Rough-In Insulation -c'3+TjA p.?vJ S . QI:2 r Foundation 'Wails Interior R- Foundation Walls Exterior R- e "J r" d� ► "2 ( �"7"�J +r F= + 7 Floors R- �^ Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, At t -- Jack Studs/Headcrs BracinglBridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed l ! [J II} Fire Wall 2, 3, 4 hour Firestoppin TWm OF QUEEKSBURY & CODE ENFORCEMENT 531 Say Road QueensburY NY 129G4 518• 745-4447 SEPTIC DISPOSAL SYSTEM rINSiPECTION N ame Locati on Date -- Permi t # ��5 Loam- i SOIL TYPE: and — } Results of Per ation Test- ( if applicabi Rate-Minute/ nch TYPE OF SYS 0Len�ith j ASSORPTI I£L-D T .7 [} ' Length of enc _ Depth of renche� Size of tone SEEPAGE ITS : Number' f t . Size - ft . x Stone size7 ote PIPING: 7' �► Bldg . to Tank - - Tank to Dist . Box •' c7 Dist , Box to Field Openings Sealed? es No artla LOCATI ONI/SEPARATION, ee t Foundation to Tank feet Foundation to Absorption t Separation of Pits — Yes o Conforms as per plot Plan LOCATION OF SYSTEM ON PROPER ( circle Front ide - Right Side ;RjeMiddleout - Nii ddl a Rear COMMENTS : 1 i 1 1 i YES NO � SYSTEM USE pPPROY'ET.): Arrived: Departed : Building nspector i i 127 93 "3 231998 i 28' 4g� ,fir eo � n o burr j 1 l06 1 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12MM Arrive Depart " sppee�ctoes Initials NAME: + PERMff 4 LOCA ON: DATE : TYPE OF STRUC RECHECK N/A YES NO CON04ENTS Footings/Piers Monolithic Pour Form Reinforoement in Plane The contractor is nsible fo providi 'o from tng for 48 hours cement of the concrete. Materials for this se on site Foundation/Wall Reinforcement in P F o7�IDam Sn �" oval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation Foundation Walls Interior R- Fouandation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- PrnpeT 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, 31 4 hour Firestoppain at �� AN►� GENERAL LNSPECTIQN R.EPORT Town of Queensbury Dept, of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, MY 12804 Arrive ° 7 a� DePart Inspector's Iaiti NAME: �f�'S �1 1 __ PERMIT # LOCATION: 12 7 ^K, 1( - DATE TYPE OF STRUCTURE' RECHECK. NIA YE NO CONEAENTS JFRei tings►Piers nolithic PourFanforc5eement in Place The contractor is nsiblc for providiWpm on from freezing for 48 hlowing the placement of the c Materialspurpose on site FoundationlWallpour, R,�in_fnrrprn_ ent in Place Foundati on/Da mpproofin Backfill Appraval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin 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- r^roper-Vent. Atdc Vent Framin Jack Studs/H.eadcrs BracinglBridgmg Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin GENERAL IIVSPECTI 1V RE RT Town of Queenshury Dept of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm GPM Inspector's Ini NAM �jf-PE: ' 3O B F- 1 l PER 41T # LOCATION: l DATE : -' TYPE OF STRUCTURE: RECHECK. NIA YES NO COMMENTS FootingsJPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for , providing protection from freezing, for 48 hours following the placement of the concrete. Iyl � af� Materials for this purpose on site Foundation/Wallpour Reir&orcemennt in Place Foundation/Dampproofin Bacldxll Approval Plumbing Under Slab Plumbing Venv Vents in lace Rough Plumbing Heating Rough-In Insulation Foundation Walls In or R- Foun,dation Walls E or R- Floors R- Walls R- Ceiling R- Duct work or pi g in unheated s R- Proper Vent Atli Vent Framing Jack Stu — Bracing/BB V Ioist Bang Jack Po in Beam Air Infiltrati a Barrier Fire Separa on 1 , 2, 3. hour Penetration. Baled Fire Wall 2. 3, 4 hour Firestopping Lotl I2 f=LWO PLANu , Cf2C55 5tCTIGt E ASEMEJJ T j:rOYZi TL(ACAIL 4FECS VE,7A [LS$ r yE4A�LO S(! VfL. LA6 wLOT ViL �► - -� GENERAL IS69PEC77ON REPORT Town of +Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initi NAME: 01/-l�W l t 1 PERMTr # LOCATION: DATE TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/F'iers Monolithic Pour Form i.O \ k ( _. tJ E�VISD Tp _60brA\-V 1\ Reinforcement cora in Place The contractor is responsible for providing protection from freezing A �2bCA VA M I tr V-00 to for 48 hours following the t of the concrete, Materials for on site C�b 1 ' ► � Foundation/Wallpour Reiinfnrr rnent in P1 Foundation/Dam Ping Backfill Approval Plumbing Under S Plumbing VentlVents in aoe Rough Plumbing Heating Rough-in Insulation Foundation Wails terior R- Foundation Walls xterior R- Floors R- Walls R- Ceiling R- Duct work or pi ng in unheated s R- Proper vent, Attic ent Frar in Jack Studs/H rs BracinglBri Joist Hangers Jack Posts/Ma n Beam Air Infiltration B er Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall. 2, 3, 4 hour Firestoppin