97-454 -
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
November 24 97
Date 19 _
• This is to certify that work requested to be done as shown by Permit No. 97454
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT 135 ROSE LANE
Location
PASSARELLI, GUIDO •
Owner
TAX MAP NO. 125. --9-135 By Order Town Board
TOWN OF EENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE $ 125000 No.
97/.54
TAX MAP NO. 125 . -9-135 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PAS SARELLI GITTMO
OWNER of property located at LOT 135 ROSE T,ANE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a_ �TNGT,E FILY DLLINC
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. OWNERS Address is
RR 2 BOX 34A
LAKE LUZERNE, NY 12846
2. CONTRACTOR or BUILDERS Name
LAMOTT , MICHAEL
3. CONTRACTOR or BUILDERS Address
1 MABEL TERRACE
QUEENSBURY, NEW YORK 12804
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECTS Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
SINGLE FAMILY DWELLING
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
19181T9Q FT SINGLE FAMILY DWELLING WITH 2—CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
SINGLE FAMILY DWELLING
247 August 20 19 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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.)
20 August 19 97
Dated at the Town of Queensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
Building Permit Application
Town of Queensbury - Dept. of Community Development, 742 Bay Road, Queensbury, NY 12804 [761-8256]
o BUILDING _& CODE ENFORCEMENT
NOTICERequirements prior to issuance °Ma —
r of this permit: PERMIT FILE NO. Jr
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$.�.1 I j as���
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREATION FE' P iD$
applicants' spaces on this application
MUST be completed and the signature n Planning Board Action REVIEWED BY: /
of the applicant must appear on the _ SPR / Subdivision /Other Building Inspector
`pplication form. Thank you. ) Recreation Fee Payment
Applicant:' C t,/r E9 r.. SS. yr'1.1.l Owner:__.-_.. .
%
. ' Address: 7e2 /t/1 c49 0 ?. Ot S Ji I Address: r �—
Phone #' ( ) 7 - 1 i Phone # ( ) -
Property Location: A lr35 frO,S - 421 0 -_.—.
Tax Map Number /
Subdivision Name: r�,i��.cl- LS a,vy� -
If Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE '
1' New Building: CONSTRUCTION: $ J Bpp
aresidenc)/ commercial
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Prim ry Building - , ;,,� - �,;�
residence �� - ��/ commercial VSingle Family Dwe•1]ii gP_ _. � .
Residence / Commercial Two Family Dwelling
no change to exterior size Family DinrellgaG 11' 1997
Office
Other Work (describe below) Mercantile { 5,°Gi;i;,, ,:%F C,- :=E,.;;::: :-,/
Manufacturing. =,'.SIL�oiNe AND r;c;�,E
�j Other - �-
GROSS' AREA OF PROPOSED STRUCTURE: '.. - •
1st Floor /f}�(, s• ft.�Vv If ADDITION, what will ' use
2nd .Floor sc3� sq. S of new, addition be? :
Other Floors eq. ` ft.o2 ,
(not unfinished cellar or bas- entI
• . . S ACCESSORY BUILDINGS:
• • . Detached Garage 1, 2 -car
TOTAL FLOOR AREA: / q/ $/ SQ. FT. (� t/ 'Attached Garage 1, agtop
Private Storage Bui ding
SIZE OF NEW STRUCTURE: Commercial Storage Building
g"Lf FEET X a 6j FEET Other
Foundation Type: Pop y&:C(, r,a yl r ye-TA Will any second-hand or ungraded
Number of Stories : 9 lumber be used? If. so, for what?
(habitable space only)
Height (grade to ridge) : ail feet` TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove '(circle all which apples)
to be installed: I 'Electric / Oil / *' JWood
(Forced Hot Aim / :aseboard / Other
Person responsible for supervision, of work as regards to building
codes is: ' ' J jc h vet. /&i/fDTT ya NjcOiv w 7q(.5--rc y,!
Name Addresss ' Phone
Builder: ew wi e- --
Plumber: . /rJ iih 3e.),de✓ 6 94-3f97
Mason: ti - The:,ww,s 692-r3412-7
Electrician: 0:5, "I h t wi as u—6.23d
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 Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: ' & `,,&le
(owner, .i7 er's agent, architect, contractor)
I r ,
TOWN OF QUEENSBU ' Y
742 Bay RdQueensbury, NY 12804 ,
. APPLICATION FOR SOLID FUEBURNING APPLIANCES AND CHIMNEYS
, i 97—4/9/
Date `11 ,19 97 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 andBuilding 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 r, ,r,40 ro5 ,,, �1, 9 APPLIANCE (check appropriate boxes)
Address et,2 ' Phe,eil.e 0,6 4:.1 :,iR
❑ STOVE: ❑Wood ❑ Coal ❑ Pellet o Gas
° ® 0 FIREPLACE INSERT
Zip j1 4 mogFI REPLACE, FACTORY-BUILT:
o¢Wood ❑ Gas
El FIREPLACE, MASONRY:
Phone `�'�6" -°,��. '" �' � ..
❑ Wood ❑ Gas
Owner - = &:.. ❑'FURNACE: ❑ Wood ❑ Gas o Oil
Address IF NON-MASONRY APPLIANCE:
. .__Manufacturer_
49 Model: , 0.2•' I.
Phone,
CHIMNEY (check appropriate boxes)
*EXACT ADDRESS of proposed construction
0 MASONRY: 0 Block 0 Brick 0 Stone
Loll1 a c� 4,- Cora. i' e. FLUE: ❑ Tile ❑ Steel
._ .... .__.„. .. , w. .. . Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT: ,
CONFORM TO NYS FIRE PREVENTION & Manufacturer: P „rhh ii Model:
BUILDING CODE. CONSULT AVAILABLE Listed By: Number:
TOWN OF QUEENSBURY HANDOUTS " 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 Refunded.
Code Number . Title (
A 173 3389 (190) Public Safety
A 233 265.5 '(230) Minor Sales ' `
4
Fee Collected From`°or Refunded to: ', ‘. ,,i1 "--\ `, i ti c' C^ " f‘t \ A 'kip--
--Address:
Dated: ,,,v ci 1 Town Clerk or Deputy: - ,,C}rtiA 4. V A /1 fi ,o-%
' White: Applicant Green: Fire Marshal Yellow: Bldg. Dept/ Pink &•Goldenrod: Cashier's Dept.
J
Application for SEPTIC DISPOSAL PERMIT 1 O
n
. • STAMP RECEIVED l 7
Location of property for iitstalll m atic : /no7 135 'ROSe- h .
KD
• Owner's Name GU1c j O �.a,S.S9Ye.t.LJ PERMIT NUMBER
q/2 PIiGOLPi Do. 62,1 e D\41 ` .5L
Owner's Mailing Address: Y
rri
-� 1 FEE PAID Z
Installer's Name: [/e-PP 1J1 YeW Phouc #: if -1.292
•
Number of bedrooms (if residential): (3
)
Total daily now (residential -compute (ir 15(1 gal. per bedroom): #5.0
Topography: at . 0 Rolling I—I Steep Slope 9n of Slope
Soil Nature: �1�,Sand Q Loam Q Clay ni Other /Depth:
Ground Water: at what depth? - _ Tfee.t_._.--r----•--••—
l:
Bedrock or Impervious Material: at what depth? " Teat-
1 1997
i:(�7 7
Percolation Test: Not Required F—,� 5qu-rccl/ ,it I
—miff per inch
Domestic Water Supply: 1 l�l 1:Iunicipal I al I `'Well t- 9*'. . l' ` I,.,()iher
If domestic water supply is a W1:1._l. water supply from any septic absorption is feet
PROPOSED SYSTEM:
s i •
Septic tank: Ij 0b0 gal, (minimum size: I.000 gal.) .
'life Field: each trench t 'i/7 feet. / total system length a00 feet.
Seepage Pit(s): number of / size each: ft. x ft. • •
Size of stone to be used: # / depth or thickness feet. - - •
IIOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gal. . - - -
Alarm system and associated electric:al 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
Qucereshury, any permit or approval granted which is bared upon or is granted in reliance upon .
any material misrepresentation or fitilure to malce a material fact or circumstance knoern by or on
behalf ofan applicant, shall be void.
1 have read the regulations with respect to this application and agree to abide by these and all
requirements o f the Tonne o f Queensbury Sanitary Sewage Disposal Ordinance.Signature of responsih'e person: ,��.(� %�/� Date: 007 •
•
"I have seen or observati - ' . . " . ..
dII objects suCh as • . -4 ' y.4 4„,, ,'
shown Olt this t., , ^ .; , 4 ;4
personA�{y ;_°44. ,;,
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AUG. 11 1997
.4.4'/..a'Al_ !C).).:),:l.n1",),,J.��J.� J.n.),.,p_gp,tp. :1,4::11�JJ 7_tp_,.0 91),.Cl_._C7_/:).�rCJ_��l.1",_'.)..CJ...I'J.%���Ca il'..... ..•,,,,,,C .l�.._l��.l'. .Ca,1�.. )..CJ._ps:<.:��0,.,0,n. .0 �cIJ....0 � �,., ,,.tCA_.I'
THE NEW YORK BOARD OF FIRE UNDERWRITERS ti'ivq.:. 1 r
^' 8067410 BUREAU OF ELECTRICITY r
,c+
111 WASHINGTON AVE., SUIT' ALBANY, NY 12210 y
i' Date 1i9OV1 ^ciEtI R 26, (**7 Application No.,o file e9-'),i.96'-9-7,:97 El 4460)r;} r
..ok, THIS CERTIFIES THAT PEF?1'ill 140 '7.-454 ,r
only the electrical equipment as described below and introduced by t ,,licant , ,med on the above application number in the premises of Y
• AID° P1'-,SSikl?1sLLI, ROSE LANE LOT 135, i?IiETlNSBU ,. N-Y
+r-
1<, in the following location; E Basement 11 1st Fl. 0 2nd Fl. GAR Section Block Lot 1•ski
. was examined on 'l1i i�,�'{ ;•+{i1'�P 7,ci, i r=;?+"7 and found to be in compliance with the National Electrical Code. ;T
14
t FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS til
OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. ' AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
io'C' i
:32 52' :;'.1i 4,2 I •l . ?) I b'
-. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r
ic• SYSTEMS�' 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
Tv 01,
' \ 1 .J i-.:•i:-} Y
1+ 4.
'i' SERVICE DISCONNECT NO.OF S E R V I C E 's
t
�+ AMT. AMP. TYPE METER
1,0'4W 1,B 3W 3,P1 3W 3,0'4W NO.OPER CC. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUT W.GRAL '
-t.
• '1- 150 CO .X I 2/0 1 1/0 ,
ii(' OTHER APPARATUS: +)
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i' C1'iil.l.Lti7G -rAN'-..5 r
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-S. ,.3V,.a14'}, I.l:tTE.Ni.-Ii: .,.6 ti
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. Atzt• -.ze--,' ,• ..e-co [ . L 20..-yz :)-1
io
u •s= le�,a GENERAL MANAGER ,Y
'ra,. k, _ ....le . .
- II - ' at Per ,r
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. ;}
'(•i i";Ca(•i?.;i'-i --t i', ''-i i.-i 1.• ('i Y'I i-i CI f'i s-;el i'Y\'Y YI Y;.7Y•i\;`i CY i'Y i'i 'Y'C:F(, 'i`-i fY Y.'%(Y'WY YY Y,Y YY YY YY Ti-YY e,71'Y YY FY YY Y.i,r Y'%Y'I Y..Y Y.Y 0'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
h ENERGY CODE COMPLIANCE" APPLICATION k
r' 1'•I QUI':I!:N SI.1IJltY. , WARREN -ate"
it i.'UWII OF'
COUNTY
Y
• r•
41., % '".`1 O U U- 1,I L1\'.LIBP 11I!_V IZ!!E DAYS
p,U G 111997
Compliance McLtiodu : PART 5 •- Acceptable Practice Method
li'71u.i.ly Dwellings (o4.l�y.),. _
i.'1\I.t'1' ti 6 -- Thermal Rating - Lompolieu'I`,;its{I:i tIt .(;1'1-):`Fi—'�
I.&2 Family Dwellings; Mtl-Gi-"riiin.i.J.y
Dwellings ( 3 stories or less )
PART 'I * - Design by Component: Performance
Commerci.al. Buildings-Hi Rise Residential
(*Requires submission of worksheets
APPLICANT' S . tit\MIE: : I,'ItOL'I'Ht'.I'Y LOCATION : _T —
PART 5 METHOD OF COMPLIANCE 13Y ACCEPTABLE PRACTICE:
1 . Gross Floor Area uquar.'e feel
2 . Type of Heat 1.!:.I:c:cLr. .i.c Oil _ Gas Other3 . Is building mechanically cooled? —_-_- Yes e/' No
4 . Percentage of urea of windows and doors Over 17% J/ Under 17
5 . R-VALUES FOR :LNSUI.,A'1':I:OI:I GIVEN J:JIsLOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R• _ p
b. .Exterior: walls It iq
c . . Glazed areas It -�-
�; d. Exterior. docirn R -/D.cS
e . Floors over untreated spaces l //
f . Edge of slab on grade ( Treated building) It
g. Basement/cellar walls (above grade) it
h . Basement/cellar: walls (below grade) It
i.. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code LYes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT DE EXCEEDED
Applicant ', ,^,' yl atur.c Date Phone Number
INSPECTOR' S REMARKS :
•
•
•
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518) 761-8256' g
Building &Code Enforcment:. Arrive: G ' T) Insp: 'G—""
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: I(,I 21 R7
742 Bay Road
Queensbury, NY 12804
NAME 4 &4I,o PERMIT NO 7'
LOCATION 1.0r/55-7 -G- L.✓ DATE q
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"ht/"B" Vent/Direct Vent Location
g
Fresh Air Intake
Plumb Vent Through Roof l'‘‘' r
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 "if
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 - -- -' i __. ___ ___ ___ . __ ____ __ ,
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" ,�I
Floor Finish f
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 V
inter connected i
Bathroom Fans
'Plumbing Fixtures
oundation Insulation
.!3/4 Hour Fire Door/Door Closer
Garage Fireproofing
Garage Penetrations Sealed
4(
Furnace In Separate Room Protected (In Garage) 1
Light Ventilation Per Room
Safety Glazing 18" or Less From Floor
Final Electrical Si.
Site Plan/Variance Required JI Final Survey Plot Plan As Built Septic System Layout Req.
Okay to Issue Temp C/O
p m
c&, L-, c2,
RL SIDENILAL FINAL INSPECTION REPORT
Office No. (518) 761-8256 ��.,�
Building &Code Enforement Arrive: Insp:
Dept. of Community Development .�
Town of Queensbury Date Inspection Request Recei•ved: a 1 —9-7
742 Bay Road
Queensbury, NY 2804
c)
NAME 'S SCL � t (IA a_2 PERMIT NO. !—Li c
LOCATION ., 13 ,c
.s s;)_ .n DATE l 1 vg..1-9 7
TYPE OF STRUCTURE 5 YTh
N/A YES NO COMMENTS
Chimney Height/"B" Vent/Direct Vent Location `
Fresh Air Intake W
Plumb Vent Throu oof
Roof Complete ' V
Exterior Finish Co fete\
Interior/Exterior Rai ' gs 3 " to 36" iii
N
Exterior Han ails, B conies, Landing 18 in. or more l Interior Handrai Stair Both 'des 3 or More Risers
Grade 2% Away Fr undatirit
_
8" Clearance To Sill.P -
Gas Valve Shut-Off Expo e ator 18" Above Grade /J.
Gas Furnace Shut-Off wi ' 30 Feet or within Line of Site I
Oil Furnace Shut-Off at En,ance to Furnace Area . e/ i
Furnace/Hot Water Heater o.-rating
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 �i /
Bathroom/Kitchen Watertight - /
Interior Handrails Balconies/Landing 18 in. or more / ✓
Railing Across Window in Stairwells /
Smoke Detectors: toli
l✓
every level /
every bedroom V/
outside every bedroom V/ .
inter connected Ii/
Bathroom Fans
Plumbing Fixtures ,,,�`
Foundation Insulation 1 C vv—pLece ¢�riviz- VAee-HA-Vte4L5
3/4 Hour Fire Door/Door Closer - '1
Garage Fireproofing V
Garage Penetrations Sealed
Furnace In Separate Room Protected (In Garage) V
Light Ventilation Per Room
Safety Glazing 18".or s rom Floor 7
Final Electrical t,�1 �Ckl 'u 1
Site Plan/Variance Required /
Final Survey Plot Plan - `/
As Built Septic System Layout Req.
Vi
Okay to Issue Temp C/O
CAu, 01 9&61rit-c-K 1/014&id R&A-6
-...,, g---IIPTOWN OF QUEENSBURY
�' 'a} FIRE MARSHAL.
':_NF ';*' y QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
VA\REQUEST FOR EVE SPECTION RE D . °��
NAME . al &
�
LOCATIOt 13 �)` c� �Gv
5ic:
DATE PERMIT # \\_1, 91 CA/ 451---1
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS i
AUTO. EXTINGUISHING M
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE r.
FIREPLACE-MASONRY /
FIREPLACE- FACTORY BUILT
REMARKS:. ❑ OK TO THIS DATE
lef
/ I
INSPSLIP.PUB NSPEC CA '
/
•
1,/� TOWN OF QUEENSBURY
.0,� A."" BUILDING & CODE ENFORCEMENT
f 742 BAY ROAD
� � QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: DEPART: INS :
FINAI. INSPECTION REPORT - RESIDENTIA1
DATE INS (�I.ON REQUEST
�R{�E E�VE,,D: \ —1 —CA
NAME ��S 0V �iL�C-- 5\T11 c! 0
LOCATION Q 1 v 11 `.Yot - a `----
DATE 1V---1,Q 1 1 PERMIT 1• L
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC _ INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT •
ROOFING
EXTERIOR FINI
DECK/PORCH/S PS, RAILINGS
RELIEF VA ES
FURNACE/HOT WATER OPE 4ING
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.
SURVEY PLOT PLAN 0
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 4, i‘e; //1,4 -
LOCATION 2--( 7-�-(l/ff 61
DATE PERMIT # /O 1/V `7 7-
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING ,
FIRE EXTINGUISHERS
AUTO. EXTINGU HING YSTE
HOOD INSTALLA N
AUTO. SPRINKLER ST M
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
j,IREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: ( OK TO THIS DATE
(f)-gaY&/
INSPSLIP.PUB IN ECTO
q'9y) .
OWN OF QUEENS WRY
-41 FIRE MARSHAL.
° QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST F INSPECTION RECEIVED j'( -CC
/.r
NAME.. ass�xl L�� fyptae--)
LOCATION / 3> S rcio 'N
DATE PERMIT # JCS-(9-3 A 7 ' -7- l 91
APPROVED '
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS \\O
EMERGENCY LIGHTING
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 - FACTORY BUILT
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REMARKS: "���7❑ OK TO THIS DATE
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INSPSLIP.PUB . (-t SP CTOR
9 (518) 761-825,6
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TOWN OF QUEENSBURY ' e;N
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804 "' ;, ;J..,
l� 03INT‘Ji2C---
._,qINSPECTOR'S REPORT: AREA DEPAR�
REQUE FO INSPECTION gJIsVED: ��� L,
NAME (1 r' , J . �C-�. t_t_c_
LOCATION / ) $
DATE/O 3 7 PERMIT 9 q 7-- 1 S 5
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC ,PO ' FORM
•
REINFORCEMEN+ IN PLAC _
THE CONTRACTOR RESPONSIBLE FOR
PROVIDING PROT TION FROM FREEZING
FOR 48 HOURS F. LOWING THE PLACE-
MENT OF THE CON RETE. _
MATERIALS FOR T IS 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 ,
AIR INFILTRATION BARRIER
HE ING ROUGH-IN ' /
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
WALLRS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UN ATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT "y
742 BAY RD., QUEENSBURY NY 12804 'a. f '';:,:••r
INSPECTOR'S REPORT: ARR Ai) DEPART INT3'y
REQUEST FOR INSPECTION RECEIVED:
NAME J7� 11C�J
LOCATION 1/J1JC
DATE /(�� /7 PERMIT i 97-
TYPE OF STRUCTU E:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS .
MONOLITHIC POUR FORM
r -
REINFORCEMENT IN PLACr
THE CONTRACTOR IS RESPO :LE FO•
PROVIDING PROTE TION FRO, . REEZI'G
FOR 48 HOURS FOLLOWING TH= PLAC .
MENT OF THE CONCRETE. I
MATERIALS FOR THIS PURPOS ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB --
y;/
FRAMING: - -�!'`
JACK STUDS/HEADERS
BRACING/BRIDGING __
JOIST HANGERS
JACK POSTS/MAIN BEAM Le-
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-
•
.,___. i,',.47 7fr. aft .4-4 4.,/•25 it-
71 e
73k/k�l j,4 / s
4,7
IC,c \lc 4 g b
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 sa.•= +..n r
INSPECTOR'S REPORT: ARR O DEPART INT %)/04
REQUEST FOR INSPECTION RECEIVED:
NAME 'V ,S-f/
LOCATION Ytat 135 g„, L=��
DATE JC 2] 7 PERMIT A 5' -
TYPE OF STRUCTURE://
RECHECK APPROVED
N/A YES , NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ANL,
THE CONTRACTOR` ' RESPON.IBLE FOR
PROVIDING PROTE `+'. -'•M FREEZING
FOR 48 HOURS FOLLO ING 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 _ Y
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURYC NY 12804 7 .,;•
INSPECTOR'S REPORT: ARR / 7'JDEPART INT /1"
REQUEST FOR INSPE N RECEIVVEED:
NAME
LOCATION /31 !/
DATE /6/ PERMIT A 97 -'4_
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FO
REINFORCEMENT IN PLA E _
THE CONTRACTOR IS RESP j1SI E FOR
PROVIDING PROTE TION 0 FREEZING
FOR 48 HOURS FOLLOWIN THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PU POSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB _ a/
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS �J
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-
I� 'ad_ if
/7
Wd &&et/ c// Avy"
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 s..a:e'f .'
Oir
INSPECTOR'S REPORT: ARR I& !IDEPARTb.1Sr --
REQUEST FOR INSPECTIONjr ` ERECEIVED:
NAME VfA'7'1t-CP..t�M \ ,! `
LOCATIONe 1QT t T t"V Y?F t. NNW_ 1
DATE ‘DI 4 ICV1 PERMIT A ` � 1'—^4nn3'1/ �(�
TYPE OF STRUCTURE: (��� kl�1 2_ ciLT. (-;P ..
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS19E
A
MONOLITHIC POUR FW
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RES''NSIBLE FOR
PROVIDING PROTE TION F'OM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
$ACKFILL 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 BARRIERN(//
HEATING ROUGH-IN
INSULATION:
_FOUNDATION WALLS INTERIOR R- 1_
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
. Name iLe54105,66,(
Location It0-7' )131r /eSC- L ti
Date 9/7)97 Permit # j 7 --W4Y.
SOIL TYPE• a d- oam- ay- .
Results of Perc', at on Te t-,
(if applicable) R. .--Min .te/Inch
TYPE OF SYSTEM: 1
ABSORPTION FIELD: Tital Length, lZ)
Length of each .tren , lb
Depth of trenches 1 • .
Size of stone • s
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size _
PIPING: ' - •Size Type-
'
Bldg. to Tank • . " 'GO �(>
Tank to Dist. Box a u de7
Dist. Box to Field/Pi 0 <i
Openings Sealed? a No Partial
LOCATION/SEPARATI
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits f
Conforms as per Plot Plan Yes No)
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear. - Left Side Right Side
Middle Front - • ar
• COI MENTS:
CRy . p„,7- 6,,,i
. .
cx --no CcieiC
SYSTEM USE APPROVED: YES NO 1
Arrived: P, J'
Departed: i-7311.
Building Inspector .
TONN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location 13 A ' 41.4V.
Date Vi07,7 Permit. # P7V�AY
SOIL TYPE: Sand-Loam-Cl .y-
Results of Percolati 'n -st-
(if applicable) Rate- i 'nute/I ch.
TYPE OF SYSTEM:
ABSORPTION FIELD: Tot. - gth
Length of each trench
Depth of trenches
Size of stone.
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size _
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
oundation to Absorption feet
eparation of Pits et
Conforms as per Plot Plan (r No
LOCATION OF SYSTEM ON PROPER
(circle one)
Front - Rear - Left Side Right Side
Middle Front - Middle Rear
COMMENTS:
St C— CRK .
SYSTEM USE APPROVED: (41) NO
Arrived: ? P- 6e::-
Departed: 77 0
P—C
Building Inspector
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT .r ':,.
742 BAY RD., QUEENSBURY NY 12804 `�,"«�.,='�f;„,; =
k
' L'
INSPECTOR'S REPORT: AR RAG )DEPART ' INT P
REQUEST FOR INSPECT RECEIVED: - �S� P
�� 6
NAME �j). , 2 C�
LOCATION /-f 3Su1 C
Q �J
DATE (o / �1 PERMIT if ! - �Y -
TYPE OF ST UCTU E: f:, i 5) 1T
RECHECK k APPROVED
1 P N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORMi'
1,i {
REINFORCEMENT IN\PLACE
THE CONTRACTOR IS\tEeSPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONdNG THE PLACE-
MENT OF THE CONCRETE'.
MATERIALS FOR THIS+PURPOSE ON SITE
I;
FOUNDATION/WALLPOUR \ _-
.,://////;
REINFORCEMENT IN PLACE \ _
FOUNDATION/DAMPPROOFING
1.
?aCKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE A _
\
ROUGH PLUMBING r' , _
r
PLUMBING UNDER'SLAB
FRAMING: I `.
JACK STUDS/HEADERS '\4 .
BRACING/BRIDGING
JOIST/HANGERS '
JACK PPOSTS/MAIN BEAM
i AIR INFILTRATION BARRIER
HEATING ROUGH-IN 5`
INSULATION:/ .
FOUNDATION WALLS INTERIOR R- .
FOUNDATION WALLS EXTERIOR R-
FLOORS' R-
WALLS . R-
CEILING R-
DUCT WORK OR. PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR1°c,s
�;-
REQUEST R INSPECTION IV,ED: ♦ 14142& AO
'.
NAME �.� ���.- U 1 I G!I �
LOCATIO "i � ��i�� Y.
DATE -dr) - 7� PERMIT A l `"Ll5 LI
TYPE OF STRUCTUREi `1 " 1
RECHECK_ I APPROVED
N/A _ YES NO
FOOTINGS/PIERS }
MONOLITHIC POUR FO
IIM
REIN FORCEM ENT IN PLACE /_
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TIOO,, FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE—
MENT OF THE CONCRETi .61
MATERIALS FOR THIS PURPOSE ON'sSITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE,
FOUNDATION/DAMPPROOFING, I
BACKFILL—APPROVAL — —
.,
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING ' r,
PLUMBING UNDER SLAB \,
g,
FRAMING: -
JACK STUDS/HEADERS ¢i,
BRACING/BRIDGING
JOIST HANGERS'
JACK POSTS/MAIN BEAM `e
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— •
•Rt—V--\ \
•
C 7
(518) 761-8256
TOWN OF QUEENSBURY r
BUILDING & CODE ENFORCEMENT 'r.
742 BAY RD., QUEENSBURY NY 12804 a�!.,k-„
�yi V
i DEP IN
INSPECTOR'S REPSORT: ARRI`a.�� ART'Vc� -' - --
/
i:rREQUEST FOR INSP
ECTION RECEIVED /
•
NAME /
S4,
LOCATION ( s - Pl ,i)F-: \ _ \ E-
DATE �j 17 (1 `J-11 sE) �PERM'.IT 09-1-'`-t5 c�
TYPE OF STRUCTURE: ' � CAS Gi\K
44
RECHECK y=? 4! APPROVED
:,1 N/A YES NO //
FOOTINGS/PIERS //
ti /f
MONOLITHIC POUR FORM
\ /REINFORCEMENT IN PLACE ,
THE CONTRACTOR IS �RESPONSIBLE FOR
PROVIDING PROTE TIO1 FROM FREEZING /// •
FOR 48 HOURS FOLLOfING'THE PLACE-
MENT OF THE CONCRETBo ?`
17,' /
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR . /
•
REINFORCEMENT IN PLACE /
FOUNDATION/DAMPPROOFING ,//
BACKFILL APPROVALG;' i
PLUMBING VENT/VETS IN PLACE. _
V W
ROUGH PLUMBING }'.i
rr'` _
f
PLUMBING UNDER SLAB / \FRAMING: / \
JACK STUDS/HEADERS '1 -_
BRACING/BRIDGING 1 _
JOIST ANGEFRS ;)
JACK POSTS/MAIN BEAM '\ .,
/ ?�
AIR INFILTRATION/ ARRIER
HEATING ROUGH-IN/ ;\
�1
I f
INSULATION: /
A
FOUNDATION WALLS INTERIOR R— '11..,
FOUNDATION MALLS EXTERIOR R- _ .
FLOORS g / R- `
WALLS e! / R- �a
CEILING 1 / R- 'C,
DUCT WORK/OR PIPING IN T �;A
UNHEATED {SPACES R-
• If
-
DPA' DFF
ua S \ 60-vnc c c
Nov 101997
gr by ' 7? ,v
i �C o ! Tot
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of tl
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L� \34 nxrw�ssrrx�w.�
Hr rlfs Y l.Oili M��t
Bowe f- ll
�x is�K mi rw�i• 3 'f•!
v 0,r Du s e.0 Yap of a Survey made for
Bc Steves Michael W. & Sara J. Roberts
Land . Surveyors
n CtgAw� i�MIN now Tat i0Mt Town of 4VEEN56vaY WAlt26a Conaty, New York
6i{ IN-804 Mw Tork LM.llw "NiT!"in