98-763 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Apr 11 12 99
Date 19 ._
This is to certify that work requested to be done as shown by Permit No. 98763
i
1 `
has been completed.
SINGLE FAMILY DWELLING
This structure may be occupied as a
LOT 86 # 142 HUDSON POINTE BOULEVA
Location
(Jwrnee HUDSON POINTE . INC .
TAX MAP NO , 1 4 8 . - 3 - 8 6 By Order Town Hoard
"rowl4�.O_F QQUUEENSBURY
S
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 18290JOWN OF QUEENSBURY
TAX MAP NO . 148 . — 3 - 86 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to__ Hrrn m: DnTNTF r,TNr•
OWNER of property located at _ LOT 86# 142 HTITISCM POINTE 13QII1-EArARI9treet4 Road or Ave.
in the Town of Queensbury. To Construct or place a
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 Ordinanee.
1, OWNER'S Address is
300 ERIE BLVD . Wa
SYRACUSE , NY 13202
2. CONTRACTOR or SUi L.DE64S Nara
MICHAELS GROUP , INC .
3, CONTRACTOR or SUIL.DER'S Addraas
JIM CHANDLER , PROJECT MGR 1810 ROUTE 9
LAKE GEORGE , NY 12845
A. ARCHITECT'S Nanw
NEW YORK HOARD
S. ARCHITECT'S Address
NEW YORK HOARD OF FIRE UNDERWRITERS
6. TYPE of Construction — IPiaase ir4ipta by X1
SINGLE FAMILY DWELLING
11 Wood Frame I I Issonry 1 1 Steal 1 1
�. PLANS end SpaoHications
2714fo.SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
S Proposed Use
SINGLE FAMILY DWELLING
333 December 161g 2000
PERMIT FEE PAID - THIS PERMIT EXPIRES
(if in r nsteury esmwioubaforani p elerpiratic for
a n c tarn routs ba made to the evitding and Zoning impactor th of e
t
16 December 1998
Dated at the Town of Quaensbury his bay of 19
SIGNED BY for the Town of Queensbury
tiv and Zoning I nspaaw
'rrr'lc�Ci� r. Permit pPI teatteoft
70' 11'/1 (Jf ell i'c.'11.5hIl;)T - llrfd. .r/' 742 1I11y l,iured, S7rrecir.XLrrry, NY 12M4 1761-82361
-^ . -- -- JJ #J1L11lNei cl (: G717I I: NI XJIi ( IsAlGN7'
�T ILccllCirelllcllls iariur lu issllstllcn 1llr.-lthlll' r11.Ls' NO. - i a=:ZL31
11 lrr:lntii 1rt11.i1 Irc nlrinirtcrl Ire+firfc _.._______-_ -- fry �lrlLls 1'.l11J
Ifr iururTg t trrrx#r rrcCion, Ncl inslx.c#isms 4� i?/7r11rtV tf mod Ac'li011
will Im mill rn+1;1 nl+l+lirnnl 1u1.^. rcc�r•ivedllC2N J
'
n VA1.Sf1 SILIIC I)#Nfi 1 tiF{11t11'. All Arrt ! t1sr, �ClirrlL-lt f !L1
nrrJ+licnnla' lcloncrn roll Ilriv nlq+Is nr;nn
MUST Ixs Col rrnd file fiiKruthrTc l'/clrrrlrltg llurlt�l Aclivrr l2LsVILslVlslJ"1j2� BrrJJr1nrg lrrrloecrna
of the nErplic.trr# Ilarst atllr<nr ton [he 51"Fk J irrlxS;vi.hllr J (Jlhcr
il,l,licntiull 1i0111. rn . rrr� �_- lkccrc,tlitra I °cc E'nytncrll
Sr.toil E
/� frlrlic:tn #:
l he I # ir'llru� f � ti+r-r.rrrJ.l , t Irti . (J�vrlcr :
/leftfles.,: f h14 I�rnt (e 9 l.rllte f�s�ulrr c�_ , Nl' 1 2hfislcltcss: ,
GG $ - 3316
i'Iu lie r #y l {tc:ttioit. w_L_' - °J
1"ait Mnlr NutXlbar
' E EL�t�l�C [ll[hl Scelivlt Block 1rr+l
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T11-114T 01) t'-JAIC.E4ST V
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_ _ flew 11Xx sly
r. ntll<cle: rtr� i� / c:crnrruet•c .i_al
Ac3cI .i. L' l.tXrt #: {t E) lfi .#.dl- altl ' r)ccut•nllrMrx Inrolull►T101411
r loos i. rlcrrr� c* / t'crrnrrrc� c' r_ -L .'.t 1. 1• t: l.rn:try l)ui !_r11r1cJ
J►, }. l:. � T: rt1 . i-
tort t.:+� I.t11 .L l.tl 1 Tit# : x S' l. Itq . e lrerltl,. lV L?W#3 �. lirtcJ .
t nzr -i-tlr. nr rs / r_calrnrTc*. r c a :tl Two rant-l. ly Dwelling
li* �3l-cletre. X+ / commerc ial f<'eltr3. ly Uwelllltg
IttJ C11; X(3^ Ge) Cxl et: ial: X7 �. Q ULLice 1998
Other work ( describe below ) "aXXui acL- urIng
Other
laltt)sG Alirn or 1' ILUE'U5tal7 1 itU(''1'UIIC C ,nDl,} ITIO" t what: will use
1. 0L- r100r . . . . . . n<; . 1L . �� oL rlevw ttcld3Clort bei' :
211d .Ploor . . . 0 • nc LL . �� N A
Oullesr ACCESSORY Cic1iLClItfC#5
( ncrL unt in relXed ' c llesr ca r b a s letr Detached Garage 1 , 2 car
1 S� tJ i, W _ AI L nclxecX (;are
1 . 2 car
rc�'lntr trra{J{J1L AlkJslt : '�1 , private - storage j dclog
Collvaerc.lal Storageg
S t 7M or JIG OW STRUCTMIC : Other '
rt; l: l" x YGMT
ter : E'otl lCc[ Will t3recvncl- hand or ungraded
t vulerl�tL i_ on 't'}' l l uuXber ore used ? It en , toil what- 7
lI{ttu#acr. crC Sl.orl cr3 t ly
( h�nl� lfaE3le (Dace only ) feet
T7[ P>✓ UF` , BuATIM3 STSxI�M :
lieiyltL ( ycar3e to ridge ) �-
circle all wisat1 (1g3=rddbOard
EIP wood
iJurrtlaer c� L C .i. reltl. #Xcles tld /cXr wvoctaLoXre Electric / Oils Woad O4' ltetr
Loa be itt � I fX .tlerl : r6ot:ced Fltrt Air /
plerr;can r- eeper11 a for ravperrv3 ivn workoraErric Rice ,gards to tauildYny
codes 'Ill im
seen ]* !tc lie - 3376 .
h 1V12
Fitt ]- l-tfer_ : I lre Ilii.!c,luxeCA ii11ut1 ►tJ [ lEc . i & 1U #tLe 9 f_ctlte GEUftr e
r }- ttrnlrrr : 1cLycil'fuJJlU1n, i llv. ar{ . Li-1Q11� 1"caCC�S iV'Y 128Uf SJ - 148 - d34g
tS.rnvtt : _. l I;vcle.lxe . � .ax— �c8�.Gxurxs �e-, 1' NY I2311h__ SI8 - 3J1 - ` 922
lJliC7 411•�77UN. 1'lcrrsc .tlgrl below Oct' YOU 11"Ve crrrcflrlly ]'Cud die slrrlcrrrcrll.
dic
tis
Ter the best of ally kitotviel.1 •c the statcllicalts contained ill this altlrlivatotl +edler work Willi duucavrt
tncl C11CCffrcrilrctt+s strlrrllillCcl, no a Irttc auto coltrtttcle st:Xlantcrtk of all proposed
1 1 b C rx1e, the T_oaling Ordinalice aXid all
tort rlcscriLtctl rrclniacs :1nd ilt:tl atl4 truvisictrts of tltc 11tti1cSiXt * alit]
trtecr lat++s ltct I Xirrirlg lea Xhe lrtralxrsed work s11cX11 be Complied With, wltelhar slrccified or IXolcd,
Xfrnt slrcl% work is attthotimctl lty tlra atwttar» 1 'tftkkTcr, it is ur'cft #sltxxl nnaAS BLI SIR*
LL:r pL.C) L PL1ANlbyt
( cr #ilic:tic of C)cctrlrartcy" tar C,el lificnlc of Clot, being, isstlecl,
:t liccnsctl gl1X V CytTry tf r :twn Lo sca s ttrwing actual lttc:alittll of lt• 0jecl on 11s cillises.
-
(Owner, owttcr's ;tgeltt, atclli#ccl, c{rntlactvr)
PP
A DISPOSAL PERMIT
for SEPTIC DISPOSA PERMIT
.�
Town of QueensbuCommunity
L7e uni
Permit No. �
pt. of Community Development
Building & Codes Office
742 .Say Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: 4V r )fZ_.
Property Owner's Name: ,�, rr t ,,
Property Owner's Mailing Address: l � 2jUlk q ( � h,4 )0-)bLIS�
Installer's blame: Liuq& }^1(,a Phone # tQ2r �[ •r'!
Number of bedrooms (if residential) : � Total daily flaw: LDb U
(residential - compute 0 150 gal.Jbdrm-)
Topography: ✓flat, rolling, steep slope % of slope
Soil Nature: di loam, clay, other C depth:
Ground water: at what depth? go feet 1 Bedrock or Impervious Material: at what depth? . feet
Percolation test: not required, required { rate f min. per inch ]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any septic absorption is feet,
PROPOSED SYSTEM
Septic tank: QSv gallon (minimurn size: 1 ,000 gal.)
Tile field: each trench ',;PL4 _ feet / Total system length: 24 LP feet
Seepage pit(s): number of I size each: fi, by ft,
Size of stone to be used: # I depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
Alarm eryetem and associated electrical work to be impacted by a ctiart fled agemicy.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queeosbury, any permit or
approval granted which is based upon or is granted m reliance upon any metered or failure to matte a
material fact or circumstance known by or on behalf of an applica +, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all require®erts of the Town of
Queembusp Sanitary Sewage Dislimal Ordnis e.
Signature of responsible person: Date:
1 2- 15-1 998 d : 34PtA FROM STEJES/NACE/HILLER 518 792 S51 1 P '
L Vi
37 Chester Street, Glens Falls, NY 12801
Phome - 518-745-4400 Fax - 518-742-8511
December 15, 1999
h1r. Tim Chandler VIA FAQ. 669-4523
The Michaels Group
IS d State Route 9
Lake Creorge, NY 12545
R8 ; Hudson Pointe PW
Construction Services
Fi;e #46109
Dear .lira,
Today 1 performed a percolation test on lot 086 it, Hudson Pointe PUD_ This test w__a����s perEfned
e and
in the approximate location of the proposed septic system elo from the front w existingde.p T}P� soilsty in n he
f approximately
locafiotj of he septiom the ftOrt c system are fineoto medium and with some Wave - �
The stabilized percolation rate was one minute and four seconds-
Please call me if you have any questions.
Sincerely, 1
Thomas W - Nace, P.E.
li
i
TOWN OF QUEENSHURY Fee Paid
BUILDING & CODES DEPARTMENT Permit p
APPLICATION FOR : PORCRES-DECKS-
DOCKS & BOATHOUSES Est . Cost —
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . PLEASE ANSWER ALL OF THL FOLLOWING :
The undersigned hereby applies for a Building Pennit to do the following work which will be
done in accordance with the description , plans and specifications submitted , and such special
conditions as may be indicated on the permit . TWO SETS OF STRUCTURAL PLANS SHALL BE SUBMITTEO
WITH TIIIS APPLICATION .
Owner of Property:
P . O . Address — , Jkj Phone N IG'
Property Location Tax Mai 0
Subdivision Name ( If applicable )
PERSON RESPONS14LE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES :
Name : 7 Address !9a iy_` -A Phone
BUILDING SPECIFICATIONS :
Type of work to be done : Porch Deck Dock atFrouse (Circle one )
Size of Structure to be built ( square footage ) : r-'�<
Foundation Material . Width Thickness
. Depth of Footing , below grade :
Size of Posts or Studs : � x Ll x Long
Size of Floor Joists : _ ' x x Span
Decking or Flooring Material :
Row will Porch or Deck be fastened to building?
awl"
If Roof Will Be Installed , Answer Following Questions :
Size of- Posts or Studs : x x Long
Roof Rafters : x Spacing Span
Roof Trusses ( pre-engineered spacing ) : Span
Type of hoof : Sloped Flat Shed Other ( Circle one )
Material of Roof :
ZONING INFORMATION :
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED , drawn reasonably to scale and attached
hereto , showing clearly an disc innctly all buildings . whether existing or proposed and
indicate all set back dimensions from property lines . Show location of water supply and
location and configuration of septic disposal area .
Size of Property : ft . x ft .
Existing building ( s ) : Size ft , x ft ,
Size ft . x ft .
Use of Existing building ( s ) :
Proposed structure , distance from property line :
Front yard ft . Rear yard ft .
Side yards ft . and ft ,
If on corner , setback from side street : ft ,
DECLARATION
To the best of my knowledge and belief the statements contained in this application ,
together with the plans and specifications submitted , are a true and complete statemereL
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 not , and that such wo is authorized by the
owner . �-
z I { --
DATE . SIGNATURE
Ow er , 6 Agenc , Architect , Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER , DATE 11/11� W S1GNATORF �
TOWN
O E UR ;,,r i
742 Bay Rd., Queensbury , NY 12804 i
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
i
Date jam - , I
Permit Na �L !�
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 inspections.
Please fill out additional form if more than one appliance andlor chimney.
Applicant ; , VCIA APPLIANCE (check appropriate boxes)
Address _��-� - ❑ STOVE: ❑ Wood ❑ Coal ❑ Pe!!et ❑ Gas
❑ FIREPLACE INSERT
Lak I M ,� N zip FIREPLACE, FACTORY-BUILT:
-- ❑ Woad as
Phone ` : - '( o ❑ FIREPLACE, MASON
1 ❑ Woad 0 Gas
Owner - 1c`( � t ( t ` ti + ❑ FURNACE: ❑ Wood ❑ Gas El Oil
Address IF NON-MASONRY APPLIANCE:
Manufacturer:
J Zip Model :
Phone CHIMNEY (check appropriate boxes)
EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone
f7 - �IUC �1Y� i FLUE: ❑ Tile ❑ Steel
Size: inches
FREGARDINTGOLREQUIRED
STRUCTIINSTALLATION MUST ManuOfactuBrarLT Model :
FORM OS FIRE PREVENTION & Number:
LDING COCONSULT AVAILABLE Listed By :
N OF C2lJSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall
INSFECTIONS. ❑❑ Insulated
Liner❑ Direct Venting
Cashier's Department Town of Queensbury, New York
Amount Collected Amount Refunded
Dept. Fire Marshal
Code Number 'Title
A 173 3389 (190) Public Safety
A 233 2655 (230 ) Minor Sales
ollected . Fxr'-Cr Refunded to:
AcTTr-ess -_
Dated ; h Town Clerk or Deputy:
White: Applicant Green: Fire ,Marshal yellow: Bldg. De #. Pink & Goldenrod: Cashier's Dept.
C A '
TOWN OF QUEEN'SSURY
BUILDING S CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
S (S l8} '7 f61-8'256
DEPART ' /� INSP *
ARRIVE ' ------ _ RESlvE"TIAL
FINAL ITi5 P13CTION REPORT
DATE INSPECTION REQUEST RECEIVED : _v
PERMIT #
DATE
-FYPE OF STRUCTURE CKFILL Rp,FMING
FOOTINGS_._,.ING FOUNDATION BA INSULATION
_ SEPTIC
ROUGH PLUMB W�OODSTOVE OR FIftEFLACI_---
FINAL ELECTRICAL N A IECi NO
CHIMNEY iiEIGSiT B VENT HEIGHT
PLUMBS VEN
ROO NG
r
x OR NIS
DEC K/PORCH /STEPSIRAI.L-INGS
RE L EF VALVES
TING
FURNACE ISO WAT
O FRA
INTERIOR TR M PRIVACY DOOR
INIS F O S '
_BAT K CHE ATERTIGH
OTRZR F LOORs SWEEPABL
OTHER FLOORS C RPE
STAIR C E
NC I NGS
SMOKE DETECTORS
g SIR OM NS
U BIN FIXTU ES
gOU A
ON IN T ON
GARAGE F ROOF "
DOO [SSE S
F NAELC RIC
SITE PLAN VARIANCE RE
F NAL SURVEY OT PLA
OK TO ISS C OR
g� A eJ 5
RESIDENTIAL FINAL IIVSPECTION REPORT
Office No. (518) 761-8256 Date inspection request received
Building & Code Enforcement Dept, of Community Development Arrive wWpm DepartD ano,+M
Town of Queensbury Inspector's initials 02--
742 Bay Road
Queensbury, New York 12804 NAME - I `w` i - PERwr '9r 7&
L OCAUON DATE
TYPE OF STRU TURE
NIA YES NO CONOAE1*TT5
Chimney HeightP'B" VentlDir+ect Vent Location
Fresh Air Intake
Plumb Vent through roof,
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 3WY 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 egulator i 8t above grade
Gas Furnace shut-off wi 34 feet or wi in line of site
Oil Furnace shut-o at cc to fauna area
Furnace(Hot Water opera
Relief Valve(s)
install
Headroom, 6 ft. 6 in. stairs 6 V
Basement stairs, 6 ft. in.
Handrail exterior s rs both sides more than. 3 risers
Interior privacy/ doors/main entrance 36"
Floor Finish
BathroosivKitchen watertight
Interior Handrails Balcomes/L.anding 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/a hour fire door/door closer
Garage fureproofmg
Garage penetrations sealed
Furnace in scparatc rcxam protected (in garage)
Light ventilation per tnom
Safety glazing 18" orilesslit0m tloor
Final Electrical 3 '
Site Plan/Variance requiiW
Final Survey Plot Plan
As Built Septic System layout rdqaired
Okav to issue CIC (Certif. of Compliance)
Okay to issue temp- CK) (Certif. of Occupancy)
Okay to issue permanent CIO (Certif. of Occupancy)
E�
aEa
oEa
GENERAL NOTES
1.MICRO-LAM(M.L)BEAMS AND TJI•$TO BE ® --
INSTALLED PER TRUSS JOIST CORPORATION ® c
-
RE5IDENTIAL.PRODUCTS REFERENCE GUIDE
2.HOLD FRAMING MEMBERS 6"CLEAR
OF EITHER SIDE OF WAST7EE DRAINS AT TUB
TOILET AND SHOWER,DIIdENSIONS INDICATEb PCL.RIM W/f1MIC'sERS IN I ARE FROM CENTER LINE OF DRAIN @�rM WINDOW
3.ALL FRAMING MATERIAL SHALL BE 2 1 7 S•'M -_
62 SPRUCE-PINE-flft OR BETTER I I I I I I
4.FIRST&SECOND FLOOR DECKING SHALL BE _hE9#
3/4"WAFERWOOD-GLUED AND SCREWED 5 I I I I I I I I I I I
�aE`oo-
5.B33L22OOKlNCG UNNDEOR BAFARILE WALKS?ION WALLS ABOVE
16"O.C. BEARING WAILS.
6,ALL JOISTS FRAMING,TO BEAMS SHALL BE SUPPORTED
BY SIMPSON U210 METAL JOIST HANGERS U.N.O.,.
2. ALL 21,
6QOO.COIU N 0@ FIRST FLOOR FRAMING
8. ®INDICATED BEARING PARTITIONS
ABOVE OR BELOW
9. ■PROVIDE SOLID BLOCKING TO UNDERSIDE
OF FLOOR SHEATHING FOR TRANSFER
OF POINT LOADS.RE: 4/D-5
IQ INDENOTES PLUMBING DRAINS-MAINTAIN 12" q-%12 /8 Ell
-
CLEARANCE TO FRAMING MEMBERS 16 5,9"Ll 5fl STI EL
z R. `f
m
_ 9 Y M II / IEFdI
1' 9
IIII
�IIIIII I
1 �
r
® p�{�"n
FIRST FLOOR FRAMING PLAN ®
:.
sym+Aa Twr7
asr.rP
142 HUDSON POINTE BLVD.
r H657 SAGAMORE
REVISION DATE
I FLLISN VS.PROPPED 5TEL DEAM 9/15/DRIM—D.GODFREY ---- - - A8•07R
DATE:Is uARCN.Isss - - SHEET NO.
row of QUE01SI
OWlEpw
BUILDING1,
1 ba Road
Queensd NY 12MI,
518-745--4447"
SEPTIC DISPOSAL SYSTEM INSPECTION
Name d _ C)
Location
Permi t #�
Date
SOIL TYPE: Sand oa -Clay_
TestddIddd
Results of PercoR
( if aPPlicable ) ateaMi note/ Inch _____
TYPE OF SYSTEM:
ABSORPTION
FIELD : Total Len th -
Length of each trench
Depth of trenche f
Size of stone t
SEEPAGE PITS : Number- f t .
Size - y. _ f t . x r--- -
Stone size _ e
PIPING: Tank
r— --
81dg . to , .ice C7
Tank to Dist . Sox
Dist . Sox to Field/P No artial
openings Sealed?
LOCATION/SEPARATI / 0 feet
Foundation to Tank on feet
Foundation to Absorp eet
Separation of Pits 1 an -- yes No
CanfOms as per PI a PpROPER
LOCATION OF :SYSTEM
(circle ¢ - , Side - ight Side
Front CRPar ' L
ar
Middle Front Mi
COWENTS
i SySTEM USE APPROYEt
YES NO
Arrived: - l Departed :
Building Inspector
R+ 16 Owl,
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761 -8205
FIRE MARSHAL INSPECTION REPORT
4e
REQUEST RECEIVED
NAME
LOCATION �L
SCHEDULE INSPECTION ON _ -- r
I� <9(o Al PM
APPROVED
NIA YES NO
EXITS
AISLE W IDTHS --
EXIT SIGNS —
EMERGENCY LIGHTING -- —
FIRE EXTINGUISHERS --_-
FIRE ALARM SYSTEM -----. � ._— -- --- —
FIRE SPRINKLER SYSTEM Sri
--�____-- —
FIRE SUPPRESSION SYSTEM/ ---_
HOOD INSTALLATION .— . _ .
INTERIOR FINISHES —
STORAGE: -- --- ---- -- - — --
CLEARANCE TO SPRINKLERS — —
CLEARANCE TO HEATING UNITS --
REQUIRED SIGNAGE _ -- -- - --
CHIMNEY —
WOOD STOVE _
FIftEP CE ❑ MASONRY FACTORY $LT, —
ROUGH-IN _
FINAL — --
REMARKS: DK TO THIS DATE
wspsuP.Pue _ INSPECTOR
TOWN OF QU ENSBURY
BUILDING & CO17 ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12604
(518) 761 -9256
DEPART :
ARRIVE :
FINAL INSPECTION REPORT - R1?SIi7EN
DATE INSPECTIVN REQUEST RECEIVED :
NAME �___-.-.----
PERMIT 1
•TYPE OF ST ICTURE
_ BACICFLLL FRAMING
FOOTINGS„ FOUNDATION INSULATION
SEPTIC
FINAL PLUMBING p,)OODS'TPVI: OR FIREPLACE
FINAL ELECTRICAL �
NIA _ XES !!{f
C;ItIMNEY REIGHTfB VENT IH319 T
PLUMBING VENT
R OOf I NG
EXTERIOR FI ISM
I,ECK{'PPRCH/STEPS LIN
ftCLIEF VALVES
FURNACE HOT WATER OPE N'G
INTERIOR TRIM/PRIVACY OR
FINISH F OORS :
BATH.{KITCM N WATER IGHT
_ PTIiER FLOORS SWE P BL,E
_OTHER FLOP,_,_ R��RpE ED
S•I'AIR CLEARAN N
CE RAI IGS
SM(3KE DE ECTO S
gn'rssRoo t,zNs
PLu� MBIY3G FIx•ruRES�,------""-
FdUNDAT ION IaSULAT PN
GARAGE 'FIRE PROOFING
DdOR C SERS
FI NAL ELECTRICAL
SITE LAN VARANCF' RE --
INAL SURVEY PLOT PLAN
O TO ISSV C O OR
GENERAL IN PE I N REPORT
Town of Queensbury
Dept, of community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive am/pm Dep
Inspector's Unit' �-
NAME: PERMIT # +
LOCATION: I LA DAT'1✓
TYPE OF STRUCTURE: +'3
RECHECK
NIA YES NO CONDAE 3TS
Footings/Piers
monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete-
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in P
Rough Plumbin
Heating Rough-In
Insulation
Foundation W s Interior R- _
Foundation alls Exterior R- _
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent � ,`r11�� j
F Franvrig !-�
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
Firestoppiun
TOWN OF QUEENSBURY �—
BUILDING & CODE ENFORCEMENT i
742 Bay Road
QueensbuprY NY��12W4
(51O) 761-8256 IP
SEPTIC DISPOSAL SYSTEM INSPECT ON
Name lir ItS --
� �Location
Date - c .Permit # (93
SOIL TYPE : Sand- Loam� Clay-
Results of Percol a n Test
. nuts/ Z nch
( if applicable ) Ra
TYPE. OF SYSTEM:
ABSORPTION FIELD *FIELD * a chal ength
Length
depth 0 trenches
Size of s ne
SEEPAGE PI um r- f t .
Size - ___—_— _ X
Stone slae Size ype
PIPING:
Bldg . to Tank
Tank to Dist . Box
Dist . $ox to Fiel /Pit No Pa" r aj
openings Sealed? Yes
LOCATION/S€PARAT ORS : feet
Foundation to T feet
Foundation to A sorption ----- feet
Separation Of P ts plot: PI an Yes No
Conforms as pe
LOCATION OF SYSTEM ON PROPERTY
( circle one) Left Side - Right Side
Front - Rear
Middle Front - Middle Rear
COMMENTS&
SYSTEM USE APPROVED :
YES aKO
� to
eparted :
?* C
DepArr
Building nspector
401 s73U THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
BUREAU OF ELECTRICITY
y 71 WASHINGTON AVE., SulT 71b'BANY, NY 1221 0
r4f'Fi'TL 14 , 19.99 �.2 +5Fi!79J9q 141463
63
THIS CERTIF{!WS THAT
only the elecpw6zl equipment as described below and introduced by the a icant name on the above application number is in the premises of
TUE I,; r;ROVP, 143 " HUI]:iOM PDXNTE BLVD. LO7' 6 , QUE;.S'XSBURY, Nf"
G F2 �Fh
in Ate following locatiotrl� 1asftt � Ist Fi. En 2nd Fl. Section Block Lot
�
was examined on .f9L z HHHHHH and found to he in compliance with the National Electrical Code.
FIXTURE IRANGE5 COOKING DECKS GIVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES I14CANDESCENTI FLUORESCENT I OTHER I AMT. I K.W. AMT I K.W. AMT. K.W. AMT. K.W. AMT. H.P.
34 .57 49 .30 3 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECDPT.1 TIME CLOCKS BELL UNIT HEATERS MLSYSTEtA4 ET DIMMERS
AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A. W. G- AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. N" OF FEET AMT• WATTS
2 F 1" 30 ,
SERVICE DISCONNECT NO. OF S E R V 1 C E
METER NO- OF CC CONb. A. W. G. A. W. 6. A_ W. G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 a ]W 3 0 3W 3 a 4W PER a OF CC. COND. NO- OF HIAEG OF NI-LEG - OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
G. F. C. T. -4
a` 110KE PETECTL7R a -6
:rO�'1EVElR E1.,EC."BOEL Ott Cr- frE'^LC..aw.K..--. L
W i-,1*.TA.AP D. 11-CP.4RTLON
�'44o JAFFREY 7T. GENERAL MANAGER
Per
This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identifled by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
GENERAL EMPECTION REPORT
Town of Queensbury :
Dept.. of Community Development Date inspection request received:
Building & Code Enforcement
742 Say Road
Qaeensbury, NY 12804 Arrive �-.jLt ' - amlpm Depart anViim
Inspector's Initials r"
NAME: ;e k4-e S 7 PERMIT #
LOCATION: YJ,4A L7IJ DATE
TYPE OF STRUCTUFIr
RECHECK
N/A YES NO C13N064ENTS
Footings/Piers 1
Monolithic Pour Form
Reinforcement in Place
The contractor is nsi c for s
providing protection m frecz' g
for 4$ hours followin the pl ent
of the concrete.
Materials for this purpose on site
Foandation/W'allpour
Reinforcement in Place
Foundation/Dampproofm
Backft l Approval
Plumbing Under Slab
Plumbing Vent/Vcnts in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Wails R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Frarnin
Jack Studs/Readers
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
GF.IVERAL IN PE 1V REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 'Say Read
Queensb�ury, NY 12804 Arrive am/pm Depart
Inspector's Initials E
7C
NAME: ti J __ ItMIT #1 CJ
Le
LOCATION-
TYPE
1L 4 �J �r�ATE
TYPE OF STRUCTURE: fS
RECHECK
NIA YES NO COMMENTS
FootingsJPiers
Monolithic Pour Form
Reeinforcement in Place
The contractor is a for
providing protecdo from ing
for 48 hours follo ng the lacement
of the concrete.
Materials for this se o site
Foundation(Wall
Reinforcement in
Founda`= fin
Backfill l
Plumbing Under SI
Piumbing Vent/Ven in Place
Rough Plumbin {'�H�g Rough4n 5�y -- �
Lx-�'� '`-
Foundation Wails I rior R-
Foundation Wails Exterior R-
Floors R-
W'alls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framin
Jack Studsffleaders
Bracing/Bridgin9
3oist Hangers
Jack Posts/Main Beam,
Air Infiltration Barrier
Fire separation 1, 27 3. hour
Penetration Sealed _
Fire Wall 2, 31 4 hour
Firestoppsng
GENERAL INSPECTI¢N' REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received: 179
Building & Code Enforcement
742 Bay Road /
Queensbury, NY 12804 Arrive am/pm Depar%/O
Inspector's Initials
NAME: . ►' W5 PERMIT #
LOCATION: rJ DATEir
;
TYPE OF STRUCTURE:
RECHECK
NIA YE NO CC*AA EN'TS
ootm 'ers I
Monoli r Form
Reinforcement in Place
The contractor is responsible for
providing tcetion from fh=o g
for 48 hours llowing the pl cut
of the concrete.
Materials for this on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproo8n
BackSll Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing.
Heating Rough-In
Insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceilin,g R-
Duct work or piping in
unheated spaces R-
r Vent, Attic Vent
Framin
Jack Studs/Headers
BracinglBridgm
Joist Hangers
Jack PosmfMam Beam
Air Infiltration Barrier
Fire Separation I, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
GENERAL JIVSPECT`!O N REPORT
Town of Queensbury
Dept, of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Qrueensbury, NY 12804 Arrive am/pat Depart L
Inspector's Initials
NAME: _J .,�GN.F�'"[.S i��_ --- PERmrr # (3
LOCATION: DATE :
TYPE OF STRU
RECHECK
NIA, YES NO COMMENTS
Footings/Piers,
Monolithic Pour Farm
Reinforcement in Place
The contractor is reskionsible for
providing protection #om freezing
for 48 hours followink the placement
of the concrete.
Materials for this purpose n site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproafin
Backfill Apprcwal
Plumbing Under Slab
Plumbing Vent/`J'ents in Place
au utnbin
eating Rough-In ; I04k �V ,Av
Insulation V
Foundation Walls Interior Foundation Walls Exteri R-
Floors
Walls
Ceiling R-
Duct work or pipin in
unheated space R-
VProper Vent, Attic nt
Framin
Jack Studs/H rs
Br~acing/Brid g
Joist Hanger's
Jack Posts(Main Beam
Air Infiltration Barrier �
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoplsin
r
GENERAL 1N�CTll7N' REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Read
Queensbury, NY 12804 Arrive amrpin Depart pin
Inspector°s Initials G--- --
NAME: &C9460 6 RMIT #
CAT ICEN: G v rCe+ c 40
I.O DATE
TYPE OF STRUCTURE-
RECHECK
rA YES NO CO s
Footings/Piers I
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.
Baclrfin Approval , }
Plumbing Under Slab
Plumbing VentlVents in Place
'gh Plumbing
,
eating Rough4n
Insulation
Foundation Wails Interior R-
Foundation Walls Exterior R-
Floors R- 1000e �j%Ur'�sB v y`►r ►.K t.,� 17r�= . S
Walls R YIA
-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack PostsrMain Beane
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestoppin
FIRE &4ARSHAL
4ww TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 76 4-8205
FIRE MARSHNiNspECTION REPORT
REQUEST RECEf 15
PE IT #
!NAME
�ATfON - -
SCHEDULE INSPE TION ONf�h
M ANYTIME
EA / � APPROVED
EXITS NIA YES 1 NO 1
AISLE WIDTHS - - ---- - -- - -
EXIT SIGNS
EMERGENCY LIGHTING ---- -- - -�- - ~-
FIRE EXTINGUISHERS + �
FIRE ALARM SYSTEM - -
FIRE SPRINKLER SYSTEM _ -- --- -
FIRE SUPPRESSION SYSTEM - j -
HOOD INSTALLATION
INTERIOR FINISHES j -
STORAGE: - _- __ ff 1
- -- -
CLEARAIIICE T SPRINKLERS
CLEARANCE O HEATING UNITS __ -
t
REQUIRED SIGNAGE
WOOD STOVE - ` ---- -- - -- - - - ---i - -
FIREPLACE - MA NRY y - - - - - -- - -
FfREPLACE - FA ORY BUILT -- --
REMARKS: - --
Hn 6WTO Tl fs TE
rHsasr.rs -we
INSPEC OR
GENERA INSPECTION REPORT
Town of Queensbury Dept. of Community Development Date m* spection request received.' c>2 ��
Building & Code Enforcement
742 Bay Road �Ar�
Queensbury, NY 12804 Arrive 1fL1t it�1'tmpi Depart n
Inspector's Ini
NAME: ERMIT # C /
LC CA TION: d D -
TYPE 4F STRU
RECHECK
N/A YES NO COA4ME 4TrS
Footingsll'iers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible or
providing protection from g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site
Foundation,/Wallpour
Reinforcement in Place
FoundatianlDampproofin
Bacicf ll Approval
Plumbing Under Slab
P. umbin a ents in Place
a
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-
Fro nt, Mic Vent
min
ack StudslH rs P1 [ 1� CaI L 1 _ '� F� 1-��1L
13racinglF3ridgin
Joist Hangers
Jack PostslMain Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour `
Firestoppin
GENERAL lNSPEL'T`WN MEPC7RT'
Towel of Queensbury
Dept. of Community Development Date inspection request received;
Building & Code Enforcement
742 Bay Read
Queensbury, NY 12804 Arrive • De art e
p
spectar°S
NAME: / {_ !� 6. PERMIT #
LOCATION. r if.� v @sue s DATE :
2
TYPE OF STRUCI IJRE: "
RECHECK
Footings/PiersNIA YES NO COMMENTS
Monolithic Pour Form
Reinforcement in Place
The contractorX&S re Bible r
Providing pro 11 on m ing
for 49 hours folio g the p ment
of the concrete.
Materials for this se to
Foundation/Wall
Reinforcement n
Fundation/Dam P
oo6n0ckfil Approva
Plumbing Unde Slab
Plumbing Ven eats in Place
Rough Pi
Heating Rough-In
Insulation
Foundation Walls Interior R. _
Foundation Walls Exterior R-
Floors R-
Walls R_
Ceiling R-
Duct work or piping in
unheated. spaces R-
Proper Vent, Attic Vent
Framin
Jack Studs/Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beata
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration. Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERALAPECTl NI REPORT
i i rrr
f �
Town of Queensbury
Dept_ of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road � � �
Queensbary, NY 12804 Arrive am/pm Depart ■1 : " iatnl�Inspector's Initials �dfF
LOCATrON- Z- u r_ +�72 r
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
FootingsJPiers I
Monolithic Form
Reinforcement Place
The contractor respansi a for
providing protecti fra g
for 48 hours following ment
of the concrete_
Materials for this on site
Foundation/Wall
all
orcement in P
aundation/Damppr 8 _
te►Ppr C�
BacIcfill oval
Plumbing Under Stab d
Plumbing Vent/Vents in Place
Rough Plumix
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
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Starrier
Fire .'Separation I , 21 3, hour.
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestopping
`1 30
GENERAL & Y�'FE�T Nf REFQRT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arrive Rneiij :)L.-Depart
inspector's
NAME: r / PERMIT #
L0CATIOFN: & a DATE :
TYPE OF STRUCTURE:
RECHECK
NIA YE NO COMMENTS
oatings/Piers I
Monolithic Pour Form
Reinforcement in Place Z _
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampprooftn
Backfill Approval
Plumbing Under Slab
Plumbing VentlV in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R.-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framin
Jack Studs/Headers
Bracing/Bridging,
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Harrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Fire ing