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1998-686 CER.TIFIC KI E OF C3CCIMA.NCam' TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK January 29 99 Date 98686 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 96 * 9 WAYNE COURT L.rrcation PASSAR.ELLI , GUIDO 0Wner TAX MAP NO . 1 2 5 . - 9 - 9 6 By Order Town Hoard wroWN OF QUEENSBURY ttyy Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 1400010WN OF QUEENSBURY TAX MAP NO . 125 . — 9 - 96 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to PASSARELL OWNER of property located at 9 WAYNE COURT Street, Road or Ave. In the Town of QueensburY. To Construct or place a SINrwT F VAMTT Y w2 ET T Tmr= 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. OYfNER S Addnass Is 465 LAKE AVE . LAKE LUZERNEr NY 12846 2. CONTRACTOR or BUILDERS Name LAMOTTr MICHAEL M CONTRACTOR or BUILDER'S Address 1 MAHEL TERRACE QUEENSHURYr NEW YORK 12804 C ARCHITECT'S Name NEW YORK HOARD S' AftWEM&dWAR.D OF FIRE UNDERWRITERS 6, TYPE of Construction -- (Please indicate by X) SINGLE FAMILY DWELLING [ I YYood (Frame I } Masonry 1 } Steel [ } 7. PLANS etd Specifications 202AO.S+Q FT SINGLE FAMILY DWELLING WITH 2 —CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS g. Proposed Use SINGLE FAMILY DWELLING 261 November 2 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES }g (if a longer period is raouired an application for an extenrion n%M be nude to the Sulldli g and Zoning inspector of the town of OtreemburY before lM eaapiret}on date.! 2 November 1998 Dated at the Town at +Dueansbury t1lis _ -- pa of tg for the Town of OueensburY $lGifEED BY building and Zoning louvemor Building Permit Application Town of Queensbury - Dept. of Conunwilty Developvnenr, 742 Buy Road, Queerirbury, Nf' 12804 /761-82561 BUILDING & CODE ENFORCEMENT � Requirements prior to issuance Id PERMTI FiTLE Na. of this permit: t� Ltheapplicant must be obtained before ' construction. No inspections �� ,�, Action PERMIT FEE PAID $ 16 willade until applicant has received BUILDING PERMIT. All Area 1 Use RECREATION FEE D s, spaces on this application e completed and the signature Q Planning Board Action [jIE1d'ED�� plicant must appear on the v,�pR I Subdivision ! Other "- SuFCding inspector on form. 7 Recreation Fee Payment Applicant: `f' - ^Y�+ ar t�^" c�i 77G . Owner: /� S Ill s Address: . s— • Address: Phone # ( If Pbone # ( _____) _ ' _______ Property location: A0T J!'1 JPPlv ',ftI rax Map Number. ------J Subdivision Name: Section Black Tint NATURE OF PROPOSED WORK : MARKET ARKET VALUE OF THE New Building : CONSTRUCTION : i enc / commercial Addition o Building : residence / commercial OCCUPANCY IMF'ORMATION : Alteration to Building : Primary Building - residence / commercial . ngle Family Dwelling Residence III Commercial Two Family Dwelling Family Dwelling no change to exterior size �ga office Other Work ( describe below ) Mercantile Manufacturing r-7Idle Other GROSS AREA OF PROPOSED STRUCTURE : r ��— l � If ADDITION , what will use 1st Floor . . . . . . . . sq £t ��1li �a£ new; addition be ? 2nd .Floor . . . . . . . . a2 " _ sq .• ft . other Floorsa . . . e sq . ft . ( not unfinished cellar or basement ) ACCESSORY BUILDINGS : Detached Garage 1 , 2 ar Attached Garage 1 , ca TOTAL FLOOR AREA : _ t7r AV, _. S4 . T . �_ private Storage Bui Ina SIZE OF NEW STRUCTURE : Commercial Storage Building other - • FEET X FEET Foundation Type ' Pc+ trr� c - �t-� �J Will any second-hand or ungraded lumber be used? If so , for what? Number of Stories ( habitable space only ) et TYPE 0# HEATING SYSTEM : Height ( grade to ridge ) : circle all which apples ) Number of Fireplaces and/ar w ohs o e E Elect Oil � asWood to be installed : my~ic e C� orced . Hot L / aseboard / other Person responsible for supervision of work as regards to building codes is : Phone Name Addresse Builder : v, Plumber : - Mason : d Electrician : DEG'L.r1RA77aN. Please sign below after you have cry read the stk vnent. 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 per#a-;Wing to the proposed work shall be complied with, whether specified or noted, and er. Further, it is understood that Uwe shall submit prior to a that such work is authorized by the own of Compliance being issued, an AS B Certificate of Occupancy-'Or Certificate UII-'I' 1'LQT i' by a licensed surveyor.1 drawn to scale, showing actual location of project on premises. r Signature: 4AI {owner ner's agent, architect, contractor) Appli. cution folm ,S' LPTIC nI.SPOSAL PERMIT � r� STAMP RFCVIVI :I) I .tl(::1 tl rin of I1r(it icr ly I 3r i i Is t:x 11:1 t i r.1 I. (Jrvsxcr's I+larfir_ ,i+�'-✓ Y�„+►,�,ry �7�''Ij y� I ,� / �� 'YlG l l' }*lU :IL 0wiacr's Mailing Address: 7rY .1�1�f7!' t7 l+ G � y'• [•/ • -, ({'�,_f p FEE I'AEf) Installer's N41n1C: tt>ne #: 7f+'.a 1Q ? Nunitiar or ticdrooms (if resid 11ti :11 ). 'o"`—' 'Voiai daily How (residential - t:sxnlltitc Cir 15o ,gal. lxcr 1ledromil ) : 'I-t1lxrgrnp11y: ® flat �'7 Rolling Steen SI011c 3'n orSIt1E1e Soil Nalurc: ® Sand Q [.clans C tay Q 0111cr Ivcptly C'+round Water: at what do rtl1? rcct Ucdrock or Impervimm Malcrial . -it wilat dcV(E1'1 Feut l'creexl:stitnll 'fist: ➢Alit Itetluiret1 Itt•tluiICd/ltelte Mist_ Pvr iittll I3e)11scstic Water Supply: hlunicip.11 © WcIE [ ( Mier If domestic watcr sumAY is a W1 •:i._f .: water supply Frcim tiny septic nhsorptt011 is FR 4`t PROPCISE`s1) SY.S.17� Sclrtic tauk: 1jjj@M � gaI, (lssinirntlnl size: 1 .000 gnL ) -111c Ficid: c:+cl1 trencit mil)feet, f ttxtni systatll Ecslgtll da-k:.t iC scet. seepage Pit(s): nuxuticr or 1 size each: ft. x ft. Size of shine to tic used: At / depili or thickimss feet_ I10LDING `TANK SY511"M: (ir roquired) Num Isar of tanks• Sizc aar cock: gal. ,•ilurne syrlerrr rsrirl u,s.socirrled clectrictrl work to he inspected by n errrifted rr�errcy. 1'or your Irrrrfr:t'tiesrr, plerr.W rer:te that littrsrttrrrt Ill ,Section 131i- 29 of the Code of the •1•owrr trf Urteenslhrrry, arty Irer'nril or re pproverl grtrrt fie el tvltit:lr is b0Xeri rrl>orr or is 9ret0tled irr re till lscr lip v 11 arty oil aterietI lie isre p re sels fit Hot, or frrilrtre to Pit 41 &e a rirrrterinl fir el or tart-rrrrtsrurrce krrotvri by or n12 beheilfofart appliceriil, shrs/1 be void. I ha ve read the Peg Fttolioli,s with respect [o this it plslicrrrioir rrrtrl agree to abide by these isitd is11 regisireru ell Is Of tlee ! east•ri of Cireerrshttry ;Stlrrileiry SGwrrge 1}i,sposrxI Orrlirrrrrrce. -A COOOF , Sigrtatttre of re,spotr,silr 'e person: /Pr 1 Date: - OWN OF QUEENSBURY l 742 Bay fed., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES � 'jr CHIMNEYS Date _ .���.?-+�' , 19 Permit Na. 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 inspection' Please fill out additional form if more than one appliance BndlOr chimney. � ,- �_� ��.T•-�--_--r_"".��,, - - APPLIANCE (check appropriate boxes) Applicant Address '�'.�" J`fr� oL� � � y ❑ STOVE: ❑ Wood o Coal ❑ Pellet � Gas - '"'�"' ❑ FIREPLACE INSERT Zip ..J�a VAY gr'F1 REPLACE, WW od R o Gas l": • �^ [3 FIREPLACE, MASONRY: Phone ❑ Wood ❑ Gas Owner kk ❑ FURNACE: a Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: 5 y Zip Model : Phone � '` - . 'Y� CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed constructlon ❑ MASONRY : ❑ Black 0 Brick ❑ Stone FLUE: o Tile ❑ Steel p1 `76Size: _ inches ACTGRY-BUILT; Model : CC7NSTRUCTION / INSTALLATION MUST anufacturer; i CONFORM TO NYS FIRE PREVENTION & Listed B �� Number:_ _ BUILDING CODE, CC7NSULT AVAILABLE ouble Wall ❑ Triple Walt TOWN OF QUEENSBURY HANDOUTS p sulated ❑ direct Venting REf,ARDING REQUIRED INSPECTIONS. o Chimney Liner +Cashier's Departirtent Town of Queensbury, New York Amount Collected Amount Refunded Dept: Fire Marshal Title ,--I �_ Code plumber ., - A 173 3389 (194) Public Safety A 233 2655 (23{})�inor Sales Fee Collec ed From . Refunded to: r , Address: f r- Dated : f Town Clerk or Deputy: "ire: Applicant Green: Fire Marshal Yellow. Bldg. Dept. Pink & +Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement amlprn Depart � / Arrive Dept. of Community Development Inspector's Initials Town of Queensbury 742 Bay Road Queenabury, New York 12MM PERMIT # FC�J3 NAME � f.7 DATE 1 LOCATIOI14 TYPE OF STRI3CTCTRE NIA YES NO CoNPAENTS Chimney Heiglttl"B" VentlDirect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Filush Complete to 36" lnterior/Exienor Railings Exterior Handrails, balconies, landing 18 in. more Interior Handrails both sides 3 or Grade 2% away oundation 8" Clearance to sill pia G -0ff expo regulator 18" above grade as Valve shut Gas 'Furnace shut-off within 0 feet o withinliline of site ()il Furnace shut-off at entran FurnaceJHot 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 ore than 3 risers ri Interior grivacyltrim/doors main trance 36" Floor Futisb B,adwoom/Kitche7n watertight Interior Handrails Balcomeslf.an 18 in. or more Railing across window in stairwel s Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulationfL 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) L,' t ventilation per room afety glazang 18" or less from floor Final Electrical Site PlanlVariance required Final Survey Plot Plan As Built 'Septic Svster n layout required Okav to issue CIC (Certif. of Compliance) May to issue temp. Cl() (Cer" of t)ccupancy) Okav to issue permanent CJO (Certif. of OCcuQancy) s@a4 THE NEW YORK BOARD OF FIRE UNDERWRITERS PA6. 1 BUREAU OF ELECTRICITY 111 WASHINGTON AVE., SUITE 704, ALBANY NY 12210 FEBI?t1ARY 01 . 1. 999 44594 ° '98/ 9£3 -H 45<558 hate THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the app tcant named on the above application number is in the premises of TE'12R17 IMTESTIC INC . WAYNE C11. LOT 96 , QUE'ENS,BURY. 17Y �yy in the following location �] Basement Enlst Fl. U 2nd Ft. G`� Section Block Lot 96 JAku.'A Y 29, 1999 was examined on and found to be in complacence with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCE FWORESCENT OTHER AMT. K,W. AMT. K.W. AMT, K.W. AMT. CW- AMT. M.P. 34 47 33 34 3 P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS T3ELL UNIT HEATERS M LTI EMS ET DIMMERS 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 :r 30 u 3 laC'IE3 SERVICE DISCONNECT NO. OF S E R V 1 C E METER NO- OF GG COND, A. W. G. A. W, G. A- W. G. AMT- AMP. TYPE EQUIP- 1 0 8W 1 0 3W 3 0 3W 3 0 iW pER 0 OF A- CON NO. OF }II-LEG OF HI-LEG NO. OF NEUikA LS OF NEUTRAL 1 15O CB OTHER APPARATUS: T IME MAJEST-W INC". 92 N.TM-LE: DR . (JURUNSBURY, NY, 12804 GENERAL MANAGER La Per This certificate must not be altered In any manner, return To the office of The HOard If incorrect. Inspectors may be identified by their credentials. COPY FOR 13UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, RESID TTAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received- Building & Code Enforcement rt/� �t Dept. of Community Development Arrive am/ptn Depa pm ,! Town of Queensbury Inspector's Initials ^✓t'`� 742 Bay Road Queensbury, New ark 12804 NA IEF, e4ee aS PERN41T # LOCATION HATE �/_-_�W,-q "TYPE OF STR C NIA YES NO COMMENTS Chimney HeightP'13" Vent/Direct Vent Location, _ Fresh Air Intake Plumb Vent through roof Roof Complete WOOF Exterior Finish Complete We 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 sed/regulato l8"ithabo a grade Gas Furnace shut-off thin 30 feet r win of site Oil Furnace shut-off at ce t FurriawJHot Water Heater o Relief Valve(s) installed Headroom, 6 fl. 6 in. on staff Basement stairs, 6 ft. 4 in Handrail exterior stairs Lh sides more than. 3 risers Interior privacv/trim/loo main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/landing 18 in. or more LOO Railing across window in stairwells Smoke Detectors' every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation a/a hour fire doorldoor closer C:arage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) �:;Zoe Light ventilation per room Safety glazing 18" or less Isom floor Final Electrical Site Plan/Variance required Final Survev Plot Plan i X0 As Built Septic System layokit re aired Okav to issue CCC (Certif. of Compliance) Okav to issue temp. C/O (Certif ofi3ccupancy) Okav to issue permanent CIO (Certif. of Occupancy) t!E�L,gr=C . ©eof eNS sU R$ ^$5 INSPEG�IaN RE 1RE A SH PEW'! WOE E LaCAT10N Ec�ION aN1kN`�TIM r,�,p-IEaUl -E 1N pPPRQ�EQ WN YES NQ E .-t S1GNS — T1NG — XI ERGS"GIY i 1C'H FIRE - `{STEM - FIRE SPRIt31CLE SIN TEt+A - - SUpPRES51C3N - - Hpc3Q SIP tow-ERS - I, Gti FA `NGE Ta HEATj%G 1INITS Y -j - GUENgN - - REG+�IREQ SIGNAGE _�-- --- - ` -- �aOQ STO'+J MAgpNRY� ---�- ___- __-�-- FIRE'pkAGE Y SU1LT S 1 QAYE FIREPUs`GE - FA'�TOR i TOWN OF QUE90SBURY ! BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12604 ( 5IC3 ) 745- 4447 K IIS..iP : �97/- I FINAL jmSPC3CTY0N REPORT - R'ESIDENT'IAL DATE INSPEgZION �REQUEST RECEIVED: NAME LOCATION DATE PERMIT / TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTUVE OR FIREPLACE _ A HO C S Ci MNEX HE GHT B VENTIHEIGHT PLUMBING VE RODFING EXTERIOR FINISH PZ_CLK/PQR HJ§TEPSz. IN RELIEF VALVES FURNACE/HOT.. WAWER OPERATILG NTERIOR TRI iVACY DO O S FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLO RS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE RAILI GS SMOKE DETECTORS $ATHROOM FANS PLUMBING FIXTURES E.OUDDATIO.N INSULATION GARAGE FIR1; PROOFING /1L LOSERS ELECTRICALLAN VARIANCE RE'SURVEY OT PLAN OK TO 1$SUs: C O OR C C . LOT 97 0 RECEIVED Qy JAN 2 01999 � To"OF QUEENSBuRy 64.7' LOT 96 21390,1-SQ.FT gravel I HEREBY CERTIFY TO: , . 7' driveway 1)TROY S. CONE AND BARBARA A. CONE 2)MAYFLOWER DBA HOME FUNDING, .............................. ITS SUCCESSORS AND/OR ASSIGNS. 'D 3)FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK. 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 54.9" e ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR Uj SUBSEQUENT OWNERS, OTHER THAN AS MAY BE OR EXPRESSLY STATED HEREON. 17.1 DAVID J. BOLSTER 0 DATE: JANUARY 19, 1999 0 U7,0 nEs LOT 95 MAP OF A SURVEY OF LOT 96 HERALD SQUARE MADE FOR r"n 0 y S. & BAR-BAR-A A. CONE 11 MAP REFERENCE: TOWN OF QUEENSBURY, COUNTY OF WARREN, STATE OF NEW YORK MAP ENTITLED "HERALD SQUARE—PHASE TWO" "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY DAVID J. BOLSTER DATED MAY 1992, REVISED 5-21-92 MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A LICENSED LAND SURVEYOR PREPARED BY VANDUSEN & STEVES SURVEYORS VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE FILED IN THE WARREN COUNTY CLERK"S OFFICE ON NEW YORK STATE EDUCATION LAW." 342 MAIN STREET, HUDSON FALLS, NEW YORK 12839 OCTOBER 22, 1992 IN PLAT CABINET Al, SLIDE 190 ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY DATE: JANUARY 18, 1999 SCALE: 1 = 30' N.Y.S. LIC. NO. 49534 MAP #142 MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES." DWG. NO. 99006 B TOIL of WEENSBIf GEM�Nt UU-11 ING A CODE t '742 'Bay t d quee+nsbury 4 (51%) 161-$2.56 SEPTIC DISPOSAL SYSTEM INSPECTION t4ame Location PerMm t Date I cl W SOIL TYPE: Sand-L am_ Percol tion Tes ' Inches-� Results of R to-Mt nut 1 ( if appl STEI�►: th �--�- T S`[ -TYPE OF FIELD : otal L 9 ABSORPT � each tre h Lengthtrenches Depth of Size of Stone �-PIT ft . S: liumbe SEEPAGE ft . x �.- Size size Sste Stone - -- PIPING= S dg a to 15 o z el to Box df P t Ro a.�~ Box es opes eale TI feet openings LOC.ATIa11 feet to Tank tion feet Foundation try Abs lio Foundation f Pit of Plan � $eparat s as perN OK PROPERTY con{oxm ( ci rcl a eft Si - RA 9ht de LOCATION ones de Front _ Rear ' i ddl a Rear Middle Front CQ1 ;"' A5 - i z� 4 YES NO i SY5'� USE Arrived' Departed ` . 7ing sPec r ------�g itd Fill: IR ro" lip r OF [ UEEt 280 4 -rpWN 1�1�t.Y, QUEE4aw $ 7g1-8205 TIpN REp©'RT 1NSPr}E{C� FIRE {,,Ap,RS! IP1 Z L PfcRM1T # � REDISEST RECEIVE© — �--- 1 RAME t Cy ,ATI©N SCHEDUi,E INSPEGTI©N J- ._--- APPROVED NIA YES NO ITS �----- - -- -- _- - p,1SLEWIDTHS E}t,IX SIGNS - - -TING . ---- -- EMERGENCY LIGH F F1R IF,E aARM SYSTEM -------- SYSTEM _ - � - -- - FIRE SPRINKLER _.. .- �ti FIRE SUPPRESSION SYSTEM -- }{C3pD tNTER%OR FINISHES - -- STORAGE: - RS _ ---i -- CLEAF NCE TC3 SPRINK UNITS 1 CLEP,I�NCE TO HEATIN - REQUIRE[] SIGNAGE CHIMNEY wapD STOVE -- -- MAS€3NRY _-- FIREPI F ACT 'OVk* FIREPI-,ACE - _ _ __---- -TO OK p THiS f}A"CE REMARKS: �~ 1{ GENERAL INSPECTION REPGRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road !VN*. atQueens�bury, NY 12804 Arrive am/pm Departarrtlprrt i Inspector's Init:W �,,.^ NAME: I -f�i` f G/ PEER.MIIT # �a Cxr3 LOCATION: IjLAoc- G7`, DATE TYPE OF STR TURF: RECHECK N/A 'YES NO COIANIEN'TS FootingsfPiers Monolithic Four Form Reinforcement in Place The contractor is responsible for providing protection fro g for hours foil the p rnent of the ncretc_ Materials thi on si Foundatio ur Reinfor�cern in Foundatio pproofina __ Baakfill roval Flumbin Under Slab Plumbi 'Ventf Vents in Place Rau lumbin Hea g Rough4n 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, Attie `Dent Framing Jack Studs/Headers Bracing/Bridgmg. Joist Hangers / Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping { TOM OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Namerlr� C--G / LocationJ, ,9-ftl/ Ci Date I / - Permit SOIL TYPE: Sand- Loam- Clay- Results of Percolation Test- ( if appiica e ) Rate-Mi a/ Inch TYPE OF SYST ABSORPTION FI To i ength Length of each re Depth of trenche Size of stone SEEPAGE PITS : umber- Size - ft . x ft . Stone size" PIPING : Size Type Bldg . to Tank Tank to Dist . Box Dist . Sox to Field/Pit Openings Sealed ? Yes No Partial LOCATION/SEPARATIONS : Foundation to Tank feet Foundation to Absorption feet j Separation of Pits feet Conforms as per Plot Plan �s No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : OK SYSTEM USE APPROVED : YEs NO Arrived Departed : , Building Inspector GENERAL IN.SPECTI 1C�N .+RE'PORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12&m Arrive n Depart Inspector Iakti NAME: PERMIT # LOCATION: DATE : TYPE OF STRUCTURE: RECHECK N/A YES NO CONEWENTS FootingVMers .Monolithic Pour Form Reinforcement in Place The contractor is respo le for Providing protection m for 48 hours followi the placement of the concrete, Materials for this on site Foundation/Wall Reinforcetnent,in PIace Foundati+oonp�mpprooSng Back fill val _ 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 worts or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1. 2, 3. hour Penetration Sealed Fire Wall 2. 32 4 hour Pirestoppin r TOWN OF QUE©rSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL S INSPECTION i �-~ { clen> h 0 Dame t 1 Locatio Date Permit j 3 SOIL Sand- oam- Clay- i Resu is of ercolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM- ABSORPTION FIEL : 7ata7 n r Length of each re ch Depth of trench s Size of stone SEEPAGE PITS . N e Size - ft , t . Stone size PIPING : a ype Bldg . to Tank ' --� � Tank to Dist . Box F � Dist . Box to Fie d/P ' �+ �t Openings Sealed es h- o Partial LOCATION/SEPA TION ' Foundati n t Tank jo feet Foundati o Absorption feet Separation of Pits feet Conforms as per Plot Plan e y LOCATION pYSTEM ON PROPER ( circle{� r7`�5 FFront - •�.r�'. Left Side - Right Side Middle Front - Middle Rear COMMENTS : AS �rr / o 7—c, C41 tC i SYSTEM USE APPROVED : NO Arrived Departed : Bui ding Inspector 4 © T 4c7 '- W /A Y 11\14E COURT iad ' ao * ' RECEIVED JAN 4 ia'gg T1K TOWN of QUEENSBURY � cis BUfL 1 ,p,NQ 4 iy Jaj la+ o= r :.r a ��Q see.rli or Q lvo.(";�:i. �:.� . 3ff Q�]:u 5 3.rjCJ $ : _rSc"a . S' 1L :t i uij this df° ` 1, 1t I rrm�a5 � rell ;: , e GENERAL INSPECTION REPORT �.w Town of Queensbury Dept* of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart � ` am/pm Inspector's Initials NAME: 4 LOCATI ig DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO COUNTS FootingfirFiers i Monolithic Pour Form Reinforce in Place The con r is responsible for providing 'on from free'zin for 48 hours foll 'ng the place nt of the concrete. Materials for this purpose on si FoundationlWallpour. Reinforcement in Place FoundationlDampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-in ►...�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 Frarnin lack StudslHeaders 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. Firestoppnng GENERAL INSPECTION REPORT T Town of Queensbury Dept. of Community Development Date inspection request received: Building & +Code Enforcement ' 742 Bay Road . Queensbury, NTY 12804 Arriv,, `- �epasrt ]� �r's Ynitial JA NAME: e -+ lw'"' " # ( " LOCATION- DATE : TYPE OF STRUCTURE: RECHECK NIA YES NO GON"Wan4TS Foo i I I I Monolithic Pour Farm Reinforcement in Place The contactor is nsibic for providing protection m for 48 hours following thc ol t of the concrete_ Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproo Backfill Approval Plumbing Under Slab Plumbing Vent/Vcnts in Place Rough Plumbing. Lion Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling, R- duct work or piping in unheated spaces R- Proper dent, Attic Vent Framuin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin 14 RAL VV PE ION RE RI Pro GENE S" �„� Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury: NY 12804 Arriveoam/VQE:: 2_ Depart'' �ap�'� Lrspector's 11nitia NAME: PERMIT # 9— G7 LOCA. 1z DATE TYPE OF STRUCTURE: RECHECK "N/ S NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection front freezing for 48 hours following the placement of the concrete_ Materials for this purpose on site FoundationJWallpour Reinforcement in Place FoundationlDampproafin Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Plurrrbin � Beating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- , Duct work or piping in unheated spaces - Proper Vent, Attic Vent Lin Jack StudslHeaders Bracing/Bridgin %20r-- CAN J--� Joist Hangers Jack PostslMain Beam Air Infiltration Barrier �Q f Fire Separation 1 . 2, 3. hour. Penetration Sealed C.. Et_A. VNV., Fire Wall 2. 310 4 hour Firestoppirt �� LO� GENERAL RaPXGTIQIY REPORT' Town of Queensbury Deptw of Community Development Date inspection request received. Building & Code Enforcement 742 Bay Read Queensbury, NY 12804 Arrive am/pm Depwr* 12 ' amypni y Lanpector' Initia NAME: PERMIT # ] '� Qp LOCATION: Ca 3 DAM : TYPE OF STRU RECHECK. N YES NO COMMENTS FootingslPiers I Monolithic Pour Form Reinforcement in Place The for is for prom ' on fro freezing for 48 llo e t of the concrete_ Materials for this on site FoundationlWall Reittf in Fo o fin �l Plumbing Under Slab Plumbing, Vent/Vents in Place Rough PI Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fran* Jack Studs/Headers Bracing/I3ridgin Joist ngers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 22 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury DepL of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart Inspector's Initial NAME: PERMIT # LOCATION: DATE : — TYPE OF STRUCTURE— RECHECK N/A YES NO COUNTS Foote Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing �{�!- �] �A�1C-�for 48 hours following the placement of the concrete. Materials for this n5ose,on site Foundation/W allpour Reinforcement in Place FoundatioNDam Backfill Approval Plumbing Under Slag Plumbing Vent/Vents in Place Rough Plumbing, Beating. Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior - Floors R- Walls R Ceiling Duct work or piping in unheated spaces Proper Vent, Attic Vent Frami.n Jack Studs/Headers BracinglBridgin Joist Hangers Jack Posts/Main B m Air Infiltration Barrie Fire Separation 1, 2, hour _ Penetration Scaled Fire Wall 2, 3, 4 hou Firestopping Lj I 12 i FL r� PLAN : , Cr2QSS 5ECT6N r ,BASEMENT EL G �t 7% ACAS 4FC-CS i)C?P, [ L�1 r Eli ALO SQ V1LLA4 EE LOT r GENERAL INSPECTION REPORT Town of Queensbury Dept.. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road m Queensbury, NY 12804 Arrive a /pm Depa n pm hapector' itials NAME- -�n � T PERMIT # �. LOCATION: DATE : TYPE OF STRUCTURE: RECHECK NIA YFJ5001NO COriQvMNTS ootinWners I Monotithic Pour Form Reinforcement in Place The contractor is responsible far providing tecuon from ng for 48 ho following theLmentof the conMaterials for this purpose Foundation/Wallpour Reinforcement in Place Foundation/Dampp Bacldill Approval Plumbing Uhler S Plumbing VendVents in Place Rough Plumb' Heating Rough-tn. ltesulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- IDuct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping. GENERAL MAEECTI(7N REFORT Town of Queensbary Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensberry, NY 12804 Arrive am/pnt Depart Inspector's Initi NAME: I F �__ PERMIT # LOCATION: '9(0 , A C�"� DATE TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS Fooungs/Piers ! Monolithic Pour Form Reinforcement in Plank ��-.� \61F'O �"1� The contractor is responsible for Pm'vi�L� protectio from freezing for 48 hours folio g the placement of the concrete. Materials for this on sitz Foundation/Wallfsour Reinforcement in P Foundatio rooFin B l _ Plumbing, Under Slab Plumbing VenVVents 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- Proper Vent, Attic Vent Framing Jack Studs/Headers. BracingBricigin Joist Hangers Jack Posts/Main Ream Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour, Firestoppin i FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST REIVED _ PERMIT # -- NAME LOCATION SCHEDULE INSPECTION ON �AM I'M ANYTIME APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING --- FIRE EXTINGUISHERS FIRE ALARM SYST _ - FIRE SP NKLER YSTEM --- --- - - - - -- -FIRE SUP ES ON SYSTEM HOOD INSTAL ]ON INTERIOR FI ISHES _. STORAGE: - CL RANCE 7O SPRINKLERSCLEARANCE TO TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY __- -- - - WOOD STOVE -- 5KEPLACE - MASONRY "'FIREPLACE - FACTORY BUILT REMARKS: , , 4 i K TO THIS DATE MspsnpPBB INSPECTOR