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98-695 CERTIFICATE C]F OCCUI'A Cam' TOWN OF QUEENSSURY WARREN COUNTY. NEW YO►RK Date 14 March 24 99 �i + Lp �� � ? 98695 Tj%is is to certify that work requested to be done as shown by Permit No, i has been completed. SINGLE FAMILY DWELLING This structure nray be occupied as a - LOT 147 FOUNDERS WAY LAFOND , ROLAND & RACHELLE Chvner TAX MAP NO . 12 5 . - 8 - 14 7 By Order Town Board TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 160000TOWN OF Qt1EENSBUR.Y No. 98695 TAX MAP NO . 125 . — 8 - 147 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to LAFOND , ROLAND & RACHELLE OWNER of Property located at FOUNDERS WRYIIIII Street, Road or Ave. in the Town of OueensburY, To Construct or place a SINGLE FAMILY DWELLING at the above location in accordancethe Town of +application nsb together ding and with plot plans andther hereto filed and i . approved and in compliance with jL60iriaROOK LANE QUEENSHURY , NY 12804 2, CONTRACTOR or BUI ll Name SCHERMERHORN CONSTRUCTION '�AP _KM EM t'f NE QUEENSHURY , NY 12804 4, ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. RlI31GiBD3�T'9 !!$Ir"ss HAGUE , NY 12836 E, TYPE of Constructlon — {Pieria indione by X) SINGLE FAMILY DWELLING f y Wood Frame f l Masonry f 1 Steel I I NOVI 7. PLAINS and Specifications 2352 SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PLMR• PLOT PLAN SPECIFICATIONS B. Proposed Use SINGLE FAMILY DWELLING 299 November 5 2000 19 S PERMIT FLEE PAID — THIS PERMIT EXPIRES in w of the Ili a Ionpar period is required an eooiiestion few an extanaion must be �neda sa tlta Building and Zoning aft sown of Qusambury betor. she •apirrtion date.i November 1998 Dated at the Town of Oueensbury this aay of �s# for the Town of Queensbury SIGNED f3Y u &I and Toni '"Passer Building Permit Application Town of Queensbury - Dejx. of Ow. ....iy Development, 742 ,Bay Road, Queensbury, Pam' I2804 [7e51-8256 .BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO _ - beginning construction. No inspections 2 � Action FEE PAID (. will be made until applicant has received tt¢s a VALID BUILDING PERMIT. All Area I Use RECREATION FEE P D $ applicants' spaces on this application MUST be completed and the signature pt $ As REVIEWED R�,, of the applicant must appear on the SPR I Subdivision / Other Building Inspector placation farm, 7r«.,x Recreation Fee Payment ■ � Applicant: �y�rC � QC4AISrLar u r` v+ S t :rCt�e �J�'at �l . Owner: o kAn� On Address: 43 6e!31 r r" S d'u o Lei • Address: 2 S 11 lla rs to C` rook LAIC Phone # ( I�LLNJJ 1 L% - Q�� Phone # Property Location: L a t A 17 22drrole r•s AW 4 }'� 140/7 Subdivision Name: BP-Afa c-cA 0045e Tax Map Number_ 1 L - Section Block Tint NATURE OF PROPOSED WORK * ESTIMATED MARKET VALUE OF THE X New Building : CONSTRUCTION : $ residence / commercial Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial x Single Family Dwelling Residence / Commercial Two Family Dwell ' no change to exterior size Family Dwel rj 19 Office Other Work. ( describe below ) Mercantile , Manufacturing Other GROSS AREA OF PROPOSER STRUCTURE : 1st Float . . . . . . . 117 [e s If ADDITION , what will use 2nd Floor . , • . . . . q of new addition be ? : Other Floors . . . W sq . ft . ( not unfinished • cellar or emen� ACCESSORY BUILDINGS * Detached Garage 1 , 2 car TOTAL FLOOR AREA : SQ . FT . 4< _ Attached Garage 1 , ca Private Storage Bux xng SIZE OF NEW STRUCTURE : Commercial Storage Building trly FEET X 35 FEET Other Foundation Type : Can G rGTQ- Will any second-hand or ungraded Number of Stories : 2, lumber be used? If so , for what ? ( habitable space only ) /✓o Height ( grade to ridge ) : b feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or w�oocstove ( circle all which pl • es ) to be installed : Y�5 Electric Oil / Gas ,Wood orce Hat Ai / aseboard / Other Pearson responsible for supervision of work as regards to building codes is : ScJAe4rvue.. f'6or#J CGoAS "C+ioAd Co £ to 7g45 - 04a'7SI Name Addresss Phone Builder : 5c'l a r~,rn a C)aa r AJ Qy vA ca lr c Q c-+ o AJ Qy it -9 9 4W -- o (0:1 4' Plumber : St , A- II N 741 -,? 5b4� Mason : _x'1_ a.L lClW_ Za '79Q t�s"Z1 Electrician : DEC'LARA71ON Please sign below after you have c arefuUy 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; ctrlwn to scal s ov g actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for SEPTIC DISPOSAL PE:R..MIT Town of Queensbury Permit No. Dept. of Community Development Building &. Codes Office 742 Bav Road Fee Paid $ Queensbury, NY 12904 Location of ,property for installation: 4 o Y I Y ? )C: ►o -'n le r S W14 Y Property Owner's Name: 90103 nd Rcv .C.ln e, e, o ^ja Property Owner's Mailing Address- 25 C, -AI&I /I fe, e' .[] Cog Installer's Name: lrr•J s k eti1 Phone # ? `l $ Number of bedrooms (if residential) : _' -_ Total daily flow: L/a tr cs (residential - compute a 150 gal.lbdrm.) Topography: 'V flat, roiling, steep slope de of slope Soil Nature: `%e- sand, loam, clay, Prher I depth: Ground water: at what depth? j%�A feet l Bedrock or Imperrcus Material: at what depth?.o �ot feet Percolation test: X not required, required [ rate min. per inch � Domestic water supply: )iC municipal., well, comer if domestic water supply is a WELL, water supply from any se:^c absorption is N .9 feet. PROPOSED SYSTEM Septic tank: I .' S'jo gallon (minimum size: 1 ,000 gnL) Tile field: each trench �0 feet ! Total system 'math: j2 feet Seepage Pi t(s): number of / size each: `rE ft_ by ft. Size of stone to be used: # f depth or thickr- � .. feet HOLDING TANK SYSTEM: (if required) Number of tanks: Al 14 � Size of eacbt= gallons .Alarm system and, associated eelectri+atl work to be inspected by a certified egvwy- For your protection please notes that ptuem" to Section 136-29 of the Code of :Se Town of Queembury, any permit or app, val granted which is based upon or is granted in rel nnoe morn any munemi misrepresentation ar farilure to make a material fact or circumstance known by or on behalf of art applicant, Shan be 'ucid- I have read the regulsftions with respect to this applicde;cF and to abide b. ±wme and all requirements of the Town of Qt.recna hnrry SanitarySeweGge Disposal 77T:4.? ague�'Z Signature of responsible person: Date: + /� ~� O . T& ? •y �r "' -T- E: O`ERG� CC] D F. COMo .L, T.PaTC:E APPLICATION T_ 'SOWN OF QUFEVSSUF- , WARRENZ COUNTY 9000 FrEI'VEING DEGREE DAYS cc> mr3 ance Methods ; e oT 5 fl ccAp UaioLe P : actzce Method - I & 2 Faro* 1y 0*4e11ings ( only ) PART 6 * - erhermal Rating - Component Trade cuffs 1 & 2 Family Dwellings ; Mu ? ti - Famj ly owellings ( 3 stories or Less ) PANT 4 - Design y Component Performance Commer- vial Buildings-Hi Rise Res .identia ? * Reouires submission of worksheets AP' pE� _ CR� L S Nr ' !E : IPRC) QF'IRT1Y" LOCATION : Corp . ____ � �' T / Y ''/ Imo ✓ P� c�B 1'S �.JPg PART 5 ME=OD OF C01-1PT -ZA2110E a r ACCEP'I'AEx c PRACTICE 7 C- = wss Floor Area faet 2 aT Hea ` - E ? ect ; c Q' ? ✓" Cas Otfler = 5 CL? �. lC2 � nC rclAn �eu�. , + ra11 -r C44 ay7 V" oS .r t70 o - ran taCL O ,= a ; e � O - uinC C +rS ar G GCG7rS ✓� Ov e= 1 !3 Urider 1721 5 . Y_ -11PI �'.UES FCa rNStJL T -ON GT 'ELi SZILAO;': MVS = CORRE520ND TO R.-- i�.C?ES AS Sc:C3W 'vT ON PL..MS SCIB,£TTTED _ Roof R 3a b . Extes' ioc walls P_ /9 c _ Glazed areas R, � Jr y _ ci _ Exterior doors F -5,__ _ _ c Joors over unheated spamces R / q f _ Edge of slab on grade ( heated buildi Rng ) _ rJ g _ Basement /cellar walls ( aJD (Dve grade ) - h _ 8as erne nt/cellar walls ( below =ride ) R ! _ Hea.tinglcool nng--ducts -piping n. unheated space R 6 .. Service ( domestic ) hot `wa. ter heating clevice Cont� orms to mirilmum efficier1 (=y per cacle ices , No SF::SPERATT RE CONTROL MAXIMTIZ-S SLR TTTDI 140 ¢ TUILL NOT BE EXCEEDED Appl nth? s . note --r5 Date Phone Number A n - .2 7 7 8 - 9:7 INSP' EG'I.OR ' S RrEMARKS : TOWN OF Q UEE.11JN►SB URY 742 Bay Rd. , Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS �� I9 y� Permit No, S ` o9 ✓Date 0 �' � � APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New ''Fork State Fire Prevention. and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional harm if more than one appliance and/or chimney. Applicant �j � h ,. , r ,ti,,r ;0...es i, :tea. APPLIANCE (check appropriate boxes) Address y } �L/,,,y lw ;- tqe ej A O S TO V E: ❑ Wood © C oal r3 P el l et ❑ G as ❑ FIREPLACE INSERT � AJ6 } ' Zip LI' �, #,I Q{ FI REPLACE, FACTORY- UI LT: ❑ Wood 5G as Phone 51 F 0179- g _ - rw' (WP;2 ❑ FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner {c�� .�s 9 CWI.N tr i et. J.. �ti.I�rvAJp Cl FURNACE: ❑ Wood ❑ Gas p oil Address €' �{� , ., ;�- ,,»mac, LA-o . IF NON-MASONRY APPLIANCE: . Manufacturer: as �¢ AJ S � r ,aW'. }''. Zip Model ; IV Phone ,{' !" ;ea - �x CHIMNEY ( check appropriate boxes) *EXACT ADDRESS of proposed construction ❑ MASONRY : ❑ Block ❑ Brick ❑ Stone FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION J INSTALLATION MUST ❑ FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS . ❑ Insulated ❑ Direct Venting ❑ Chimney Liner Cashier' s Department Town of +Queensbury, New York Dept: Fire, Marshal Amount Collected Amount Refunded Code plumber 'Title Cjc} A 173 3389 ( 190 ) Public Safety r 7. A 233 2655 (230 ) Minor Sales e Collected Fro Refunded to: " '� •tit �.. <A _ r_ Dated : y7 Town Clerk or Dep ty: "ite: Applicant Green: Fire Marshal Yellow: Bldg. ept. Pink & Goldenrod: Cashier's Dept. i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 ( 5IB ) 745- 4447 ARRIVE : nr^i';RT = � ; zxasx FINAL INSPECTION REPORT - RESID XALQ^) DATE INSPECT N REQ 8ST IVEDt �II NAME LOCATION DATE �"'t._ PERMIT / TYPE OF STRUCTURE 1;r f FOOTINGS FOUNDATION 'BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODS,TVB OR FIREPLACE M E SQ CHIMNEY HE GI3T B VENT/H�F I+G NT I PLUMBING VENT ROOFING EXT III OR IS PECK /PORCH ST GS BELIEF. VALV S FUR-NACEIHOT W TE ORE T IN ERIOR T I P V Cy Do R FINISH F OORS • F3ATH I CH N ATERTIGHT r C1T}iER FLOG S WEEP 8 $ — OTHER F' RS ARP TED S70AIR CLEARANC INGS SMOKE DETECTORS J3ATHROOM FANS LUMBING FIXmURES �� FOUNDATION INS LA ION GARAGE FIRE P OOFING �30PR CLOSERS FINAL ELECTRICAL y.ITE PLAN/VARIANCE REO a/lFINAL SURVEY PL+aT PLAN . dK TO ISSUE Cf0 OR C�/C 4 1 MAP REFERENCE: MAP OF SECTION SIX BEDFORD CLOSE DATED: MARCH 29, 1989 REVISED: NOVEMBER 2, 1989 BY: COULTER & McCORMACK LU O N N o LOT 147 ocO ^ 45,985 sq. ft. Z 1.06 acres .v an D u s en 8c Steves Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 UALITNDItlffD ALTERATION OR ADDITION TD A SIRVEY NAP BEARNO A LXV ED LAND SAIVEVORS ffx b A NOLARON OF SWrION 7208. Sue-mrew S, OF THE NEW YGIIN STATE EDUGAIION LAW." 'ONLY DOM FROM THE ORIMAI, OF TNIS SLNVEY MANED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SMALL BE CONSIDERED TO RE VALID TRW COMW •CEIITVICATTGNS INDICATED HEREON NOYFY THAT THIS NRVEY WAS PREPARED N ACCORDANCE " THE EWSTBW OWE OF PRACTICE FOR LAID SURWYM ADOPTED BY I E NEW YOWL STATE ASSI)MAMON OF PROFESSIONAL LAND SURVEYORS. SAID IIER1NCw1I0MS SMALL RUN ONLY 70 THE PERM FOR YNOY DIE SURREY IS PREPARED. AID ON HIS BEHALF m THE RILE CMVANY. OOYE' MGNTAL AOENCY AND 1810100 WSRRRHON LISTED HEREON. AND TD THE ASSOEES OF I E LENDING RMIXIROW \-0,* +�9 N77•4U'10„ W LOT 148 x g W C S LOT 117 ASPHALT DRIVE Map of a Survey made for ROLAND A. LAFOND, JR. RACHELLE A. LAFOND Town of Queensbury, Warren County, New York 8EDF0R D 74 Etzc Lo5E - S, T7ON 5 A,5-� 0 (LT '5r� 7 C� 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: Roland A. Lafond, Jr. Rochelle A. Lafond M&T Mortgage Corporation, Its successors and/or assigns Stewart Title Insurance Company RECEIVED CERTIFIED BY: MAR 2 4 1999 MATTHEW C. sTEVES, LLS NYS W 35 TOWN OF QUEENSBURY DATED: December 1. 1998 BUILDING AND CODE MARCH 22, 1999 1 3-22-99 FINAL SURVEY NO. DATE DESCRIPTION S-1 SHEET 1 OF 1 LAFOND 98161 C-15 i TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 51&445-4447 F SEPTIC DISPOSAL SYSTEM INSPECTION Name / Location ! Dat 00 e -� �. ~ Perini t r SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rate- Minute/ Inch i TYPE OF SYSTEM: ABSORPTION 'P ELD : Total Lend+ - Length of eacftr,,trench Depth of trenchet Size of stone I SEEPAGE PITS : Num r- Size - f x ft . Stone size .— PIPING : Size Type Bldg . to Tank Tank to [list . Box Dist . Box to Field/Pit Openings Sealed ? Yes No Partial LOCATION/SEPARATIONS : Foundation to Tank feet I Foundation to Absorption feet f Separation o Pits '- feet Conforms as per Plot Plan - des No LOCATION OF SYSTEM ON PROPERTY: ( circle one ) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : Ir SYSTEM USE APPROVED: Y NO Arrived : Departed * � /X Building Inspector f 10-28, T ')98 10 = 34AM FRU4 STE VES/NACE/M I LLER S 1 8 792 8S T T p 1 cop M pM' cbmrvW, orbdkn lowelMomItr . such as ses - $new dLo Fro ,-, } - �� ; ,,� 5 0 r this d ent I 11rN all , any mea r -40 be dWwmm" c) 8 SI,GMTURF_ - — ~l -, T C n' 3Q 1998 40 Co 405 ill 404 L AW �.J r� RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received, Building & Code Enforcement Dept» of Community Development Arrive It"" andwri Depart am/pm Town of Queensbury Inspector's Initials —:2A. 742 Bay Road Queensbury, New York 12804 NELME d FERNU T # LOCA N ak DATE ^� TYPE OF STRUC N/A YES NO COMMENTS TTS Chimney Height/"B" Vent/Direct Vent Location � Fresh Air Intake f„� _ 4,_ -rite � s ct 0�� Plumb Vent through roof , -'""'rj Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" [��n �` ��t°F� 7 /v'rr ►� Exterior Handrails, balconies, landing 18 i or more Me'e.e, A 'mot 5 c.: jrav^A1 Interior Handrails stairs both sides 3 or rr a risers Grade 2% aunty from foundatio Cc q-rf //4i4 cr.- S;nrJiJ +- 8" clearance to sill plate p� r Gas Valve shut-off expvsed/reg for 1 ' e. shave grade �, 'S`� �" er �`r� �ury .1 Gas Furnace shut-oft'within 30 f or line of site Oil Furnace shut-off at entrance to Furnace/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 mor than 3 risers Interior privacy/ttirn/doors/main en cc 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Landing 118 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required ,ar /r ✓� Final Survey Plot Plan .�� As Built Septic System layout required AleeX � r Okay to issue C/C (Certir. of Compliance) Okav to issue temp. C/o (Certif. of Occupancy) Okav to issue permanent C/O (Certir. oroccupancv) Office No. (5I8) 761-8256 Building 8t Code Enforcment Arrive: ,2afST insp: ^�/ - Dept. of Community Development Town of Queensbury Date Inspection Request Received: 742 Bay Road Queensbury, NY 12804 NAM E rr��r rSL,�- PERMIT NO, ' _ (ai�r LOCATICIN Z„� Jyg DATE 3 f g TYPE OF STRUCTURE Chimney Height/"B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent 17 rough Roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, Balconies, Landing 18 in. or more Interior Handrails Stairs Both Sides 3 or More Risers Grade 2 % Away From Foundation $ Clearance To Sill Plate Gas Valve Shut-Off Ez ed/Regula 18" Above Gas Furnace Shut-Off in 3C) F or within L' of Site Oil Furnace Shut-Off at Entr Furna Furnace/Not Water Heater rating Relief Valve(s) Installed Headroom 6 ft. 6 m. tairs Basement Stairs 6 ft. m. Handrail Exterior S ors Both Sides More Than 3 Risers Interior Privacy/Trim/Doors/Main Entrance 36" Floor Finish Bathroom/Kitchen Watertight Interior Handrails Balconies/Landing 18 in. or more Railing Across Window in Stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom Fans Plumbing Fixtures Foundation Insulation 3/4 How Fire Door/Door Closer Garage Fireproofing Garage Penetrations Sealed Furnace In Separate Room Protected (In Garage) Light Ventilation Per Room Safety Glazing 18" or Less From Floor Final Electrical Site Plan/Variance Required SOOO Final Survey Plot Plan A% Built Septic System Layout Rey. . . C*ay to Issue Temp CIO rt v F COMMONWEALTH ELECTRICAL, INSPEiCTION SERVICE I`YC.r� Main Office 176 doe Run Road - Manheim, PA 17545 ` MUNICIPAL CERTIFICATE - ELECTRICAL APPR(JVA�L Panel Board No. ...... ................. .Cerj. o _ .. N— 66005 Cut-in Card No. ..........................�.... Owner......��?. � I�t +2 Location .��,.L�..C..../�. . .dCT2C-++UI''Cs GJ 'ry ....... r / ]installation Consisting of... ?�? .. y o ,p fie... t!�_. y,......... , ........... ... � :�f....$�..,!'�!'��' Installed Sy...... .... The conditions Fallowing governed t oancelle& he issuance of this certificate, and any certificate previously issued is �( - This certificate only covers the electrical equipment and instailation conditions as of date. Upon the introduction of additional equipment or alterations, application shall he promptly made for inspection. Inspectors of this Company shall have the privilege of ma g pections at any time, and if its [ rules are violated, the Company shall have the right to v ke i te. Date.. ......e.......k . INSPECTOR Member N.F:P.A., LA F..f. FIRE: MARSHAL TOWN OF QUEENSBURY CL QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED PERMIT # NAME LOCATION SCHEDULE INSPECTION ON AM PM AN TIME APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS -- EMERGENCY LIGH ING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTE HOOD INSTALLATION INTERIOR FINISHES — STORAGE: CLEARANCE TO SPRINKLERS _-- -- CLEARANCE TO HEATING UNITS + REQUIRED SIGNAGE - CHIMNEY _— WOOD STOVE — - -._.._._----.----__--' FIREPLACE - MASONRY _-- FIREPLACE - FACTORY BUILT REMARKS:TRr, in , OK TO THIS DATE . tab INSPSLIP.PUB INSPECTOR FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST ECEIVED NAME � .� C'►r"' ,��' LOCATION SCHEDULE INSPECTION ONI +C ZYNI - -�ry1 AM PM ANYTIME APPROVED EXITS NIA I YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM ,SYSTEM _ FIRE SPRINKLER SYSTEM 1^ FIRE SUPPRESSION SYSTEM HOOD INSTALLATION _ - INTERIOR FINISHES STORAGE. - - -- --- -- --I----� CLEARANCE O SPRINKLERS CLEARANC TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY _ WOOD STOVE FIREPLACE - MASONRY _ F(f�R�E�PL�A-'Cy"E` - FACTORY BUILT REMARKS. �� ❑ OK TO THIS DATE lmsps fp." INSPECTOR Oda GENERAL INSPECTION ffF"RT 'Form of Qrueensbury � , t Dept, of Community Development Date inspection request received: { � Building & Code Enforcement 742•Bay Road Queensbury, NY 12804 Arrive ani/pm. Depart i Inspector's Initials NAME: �_ �Y t`� 74 . ' 4u PERMrr # LOCATION: 1--0 DATE - TYPE OF STRUCTURE: RECHECK N/A YES NO CON"OENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsiblo Enegeont providing pro on from n for 48 hours foll g the of the concrete. Materials for this purpose on Foundation/Wallpour. Reinforcement in Place FoundationfDampproofing. Bacldill Approval Plumbing Under Slab Plumbing Vent(Vents in Place Rough Plumbing, Heating Rough-In tton Foundation Walls interior R- Foundation Wallis Exterior R- Floors R- Walls R- Ceiling R- _ Duct work or piping in unheated spaces R- _ Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridging,. .. Joist Hangers lack PostsJMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour. Penetration Sealed Fire Wall 24 3, 4 hour Firestoppin rl � , GENERAL INSPECT O1N RE T } Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road + Queensbury, NY 12804 Aj7ive atn/pm Depas �1 6ani,pm a F'' Inspector's blitials NAME: '� GI• JCS=... —tr-� PERMIT # LOCATION: `] x ATE : � - TYPE OF STRUCTURE: RECHECK N/A YES NO COIVIIKENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible . or providing protection from axing for 48 hours owing the lacem of the concretet Materials for thise o site Foundation/'W'all Reinfancernent in Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Piurrebin p / Heating Ro -In f�K rnsulaubon,_J��*V��7r `� ' j%, Q� Foundation Walls Interior R- Foundation Wails Exterior R- Floors R_ .04 Walls R- Ceiling R. — I uct work or piping in unheated spaces R- per Vent, Attic Vent Jack Studs/Headers BracingBridgin .foist Hangers Jack Fasts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour enetr l 2 Sealed ire Wall 2, 3, 4 hour irestoppin �f GENERAL INSPECTIQN REPORT Town of Queeesbury Dept, of Community Development bate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 128" Arrive w, } NAME: 4-4AY RMIT # LOCATION: d T DATE YPE OF STRUCTURE: RECHECK NIA TES NO COMMENT FootingslPiers 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/Dampproofing. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place gubin Heatingng Ro Rough-In Insulation ` ' � Is ► L Foundation Walls Interior R- Foundauon Walls Exterior R- Floors R- Walls R- Ceilin,g R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgirt Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin i GENERAL INSPECTION REPORT Town of Queensbury Dept of Community Development Bate inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 1ZW4 Arrive ZLID _ Dept is Lni 4 ,+ NAME: )g ERMIT # LOCATION- .ua DATE TYPE OF STRUCTURE: RECHECK. N/A YES CONOdENT FootingsJFiers j 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 FoundationlWalipour Reinforcement in Place Fouruiation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing. Heating Rough4n Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R- Ceiling R_ Duct work or piping in unheated spaces R- r Vent, Attic Vent ramin �t7©t`'►, Dilf"S�R�� - t'` �. Jack Studs/Headers q;O H racing/Bridgin ��j -M Y�.� �_r C1i fir. o rs5rc rl Joist Hangers r' � � � Pc4� ► i�J V:r"X z nfil Jack Posts/Main Hearn Air Itration Barrier ! �, - T� ' �� Vbcp Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin 6 3 t 1A is NAIaI - T� TOM OF CIA BUILDING A CODEEE EIIFOR+NFORC Y ENFORCEMENT 742 Say Road Queensbury MY 12804 (5I8) 761-8256 SEPTIC DISPOSAL SYST LISP on Name Location Date Permit # SOIL TYP Sand oam-Clay- Results of Percol ati o e$ ( if aAp7icab7e ) Rat Minute/ nch TYPE OF SYSTEM: ABSORPTION FIELD • Total Len h5�7f Length of each renchr Depth of trenc es Size of stone SEEPAGE PITS : Size - ft . x ft . Stone size PIPING: C _ - _ Type Bldg . to Ta �n Tank to DiS Box •+ Dist . Box t Fie ld/P -- - -- r Openings S led? a No artja LOf:ATION/S PARATI Foundation to Tank ,/ feet Foundatio to Absorption Separatio of pits --L-`! feet Conforms as fe LOCATION OF per ONP PROPERTY * s No e one) ront Rear Left Side - Right Side 7 7 e Front dl a Rear C QP1MEMTS: 9 P r i I SYSTEF! USE APPROVED: YES MO Departed Dtparted.+ � c Buildings inspector GE1VrER4L4�+��E(�`I"lGi1V REPORT Town of Queensbury Dept. of Community Development Date inspection request+ received: _[ e 1 X Building & Code Enforcement 742 Bay iu and Queensbury, NY 12804 Arrive aunfpm Depart pLt pm ' ] Inspector's Iuitiwls-T NAME: PERMIT # �"' O�i LOCATION-- o n DATE : 11 -� $` TYPE OF STRUCTURE- RECHECK - 47 Footin iers NIA YES NO CONOWEE TS gs/P 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 on site FoundationlWal! _ Reinforcer in undatio Plumbing U Slab Plumbing V ents in Place Rough P1 Heating Ron -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 Franiin Jack Studs/Headers Bracing/Bridgin _........._ . Joist Hangers Jack POSWW sin Beam Air Infiltration Barrier_ Fire Separation 1, 2, 3. hour. Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping �HHEHfj �ENER.4L IN.SPEC'�''I[71y �pRT f Town of Queen�� Dept.. of Community Development Date in i�nildnng ,& Code Enforcement inspection ^ Ise received. Bay Road Road Queensbury, NY 12SO4 ,+4 Arrive am/pm Dep�r Poe K inspector's Xnitinh +OCATT PE17.I►UT TYPE OF STRU DATE : RECHECK tingsv+Piers / N/A N CC11VMU NTS Monolithic Pour Form 1 Reinforcement in Place ; The actor is responsible for Providing protection front freezing for 48 hours following the Placement of the concrete. Materials for this purpose on site Foundation/Wallp� Reinforcement in Place FoundatiadDa�nppfn. Backfll Approval Plumbing Under Slab Plumbin Vent/Vents in P Rough Phunbin Heating insulation Foundation Walls I or R- Foundation Walls xterior R- Floors R- — Walls R_ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Fratnin. Jack Studs/Headers HracinglBridgin Joist Hangers Jack bststMain Beam Air Infltration Harrier Fire Separation 1, 29 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping FIRE. MARSHAL. TOWN OF 41UEENSS28y pUEE 04 5 61-8 5 NOW FORE MARSHAL INSPECTION REPORT PERMIT # lowC1 " REQUEST RECEIVED -- -- — — -- NAME LOCATION SCHEDULE INSPEGT%WN ON _.__ _—_— AM PM ANYTIME APPRO\ NIA 1 YES NO EXITS AISLE W1E7THS - — EXIT SIGNS ----; -I-- EMERGENCY UG-iT"ING -- 4 FIRE EXTINGUISHERS - FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINIS"ES STORAGE: — TO RINKLERS CLEARANCE - ,CLEARANCE TO EATING UNITS REQUIRED SIGNAGE CHIMNEY HI[Coo STOVE _.-------~—`-~ FIREPIAGE - MASONRY FIREPLACE - FACTORY SUhLT __-- — OK TO THIS DATE REMARKS: / JA) to 4L> If 08C J ke rt l T5 4 INSPECTOR �gp3L14.4Ua I J L[ Jr 'I 1