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98-754 cER.TIFZCATE +CIF oCCUPAN+CY TOWN OF QUEENSBURY /It{" WARREN COUNTY, NEW YORK i April 12 99 x Date 19 5i LP " 98754 Thi is to certify that work requested to be alone as shown by Permit No. i has n completed. SINGLE FAMILY DWELLING This structure may be occupied as a LOT 50 * 37 LEHLAND DRIVE L 4mation MICHAELS GROUP , INC . 0Wner TAX MAP NO . 7 4 . - 2 -- 50 By Order Town Board TOWN of QUEENS uitY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 162901OW N OF QUEENSIBURY TAX MAP NO . 74 . - 2 - 50 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to 1! OWNER of property located at LO'C 50IHL Street. Road or Ave. in the Town of Oueensburya To Construct or pisee 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 Oueensbury Building and Zoning Ordinance. t. OWNER"S Address is 1810 ROUTE 9 LAKE GEORGEr NY 12845 2. CONTRACTOR or gUiLDER"S Name MICHAELS GROUPr INC . 3. CONTRACTOR or SUILOeAM Address JIM CHANDLERr PROJECT MGR 1510 ROUTE 9 LAKE GEORGEr NY 12845 4, ARCHITECC"S Name NEW YORK BOARD 5. AR ITECT'S Address �W YORK BOARD OF FIRE UNDERWRITERS $, TYPE of Conssru"jon — (else" Indicate by X) SINGLE FAMILY DWELLING l I Wood Frame ( I Masonry I I Steel l 1 2, PLANS and Specificatlons 240%. SQ FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $ Proposed Use SINGLE FAMILY DWELLING December 7 2000 297 t9 IS � PERMIT FEE PAID - THIS PERMIT EXPIRES il# a longer period Is ragyired an application for an extindon n%m be made to the Building sod ZOnirq inspector of the town of dueansbury before the erplratlon det" 1998 Dated at the Town of Ouaertsbury this 7 December Clay of 99 the Town of Otreensbury SIGNED BY Suildim eatd Zeeiry lnsPOO r 'u. ilc ` %►� r. ', x�tttit lipplicatiott i _ r xr• >,. r ..tu,nirr,tlilY l�r+ t IrTl�,lt ,il. 742 IM)" 1104v 1, 011ec tb,ft y, NY 12804 17G►�825G} If1I of C [. l"I rsrrrrl l y 1 - -- ^ " -...i_. 11 tz 1 r rr 1 N c. �� C. rJ 11 1 Is N F' (? ft x is Af ► N 7' --� h _-_.�-_.__ iretJelitctltcltls Jlliur to isstrrlltcc 1'L•"I�AurnLG NU. - - U i11 : Joel1161 :�_�� _ -- -- q A Ix rliiil untsl l>e 11111AiiteRl ix-IR,tC _."___ ]1, r�" aj1I* I•E1s" 1'.f1JJ ` Ircgilnling cerr1.111,clitn►. Eats invlstclitsslS I�i 7rJrlr,ig 1#rhrrrl �141irJ1r � will 19C 18110c ►r,llil applirr1i11 final ret-rivrel Awl, r tlgc 1lG""CJtli.i7I+VN ! L Li !' t► toVACIIIJ Iatlll,I)INCt r l ltntl in, nn lsV►LsIVEV Did nlilrlic'1ttt,n' t:l,nerrt R.rt nlin nlryrlirnlir 11 r -- 1 �'rrrtlillllg P(Niltt AC11011 ►t EvEUS'l' l,tr cennlrlciR.11 nt►rl [he n;lrnnlrlrc L- 3 Sl'l! / ';i+lldivisitsn 1 Ulbcr car llte nlsislicrlttl IIt11st rl,I,c1,r tnt 1110 ill+lrlienlittn 1'ctlut, te.�# r•� �. _ —. 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( cleat rllae below } Mortal aGLuring ` ,•__�_.__ other u Il I�DD1,rto" wltFx4 will a � GktUss 111iE:11 'orl'1tV >i'l]SI;U S'lilUt:]'t111C lIb root . r. t . � s Nle" aarllLlort ba ? : �- U; l rJ.tour . . , . . . . . c .�-__70� t; . ql iter l lour. . . - - -- base tll nC" CE85UIlI i3ilILGara5a Caz ( nral ttltL i rti. rlleetl COi l ar or oe4 arched GarAcla i • ar cyly(� � At: LvaLeri rge O att ru'vnL 1 l,tJ[a1i nitl:n : pr l va1: e Storage as a E3uildi�ig Cotronerl:ial Storage oL• lrer s � 'LI� yr 1a1 w S'I'ltul 'S'L1lLG : .. FBI L"i' W111 all €� eCvttd- hattd g�r oxrwl aL7 Typed - 1^uit4CcI i untlaer bey used ? 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I i i }Q= 1rL! liter -• 9 9 2 lsrinott : JJ)�+,U[LC.flE11! • �fYUiL -� f,� .—Cz'rcil�v Ce� � .� - • -- 1: L e c tt n : J;It1r_ VEGI..AnAlION: IFICuse slg+r 'bdoll, III yvle htrte CrlrCfrr�ly + cr=+� iJle slnfclrlclventer with tits irlalts oil tl►e Fuosl aC liq ktiowicsl9c Litt sl:ticlttcrtts cealllaitteci in this of Vappi l P.I.ttr tell, try toscct work to 110 clout oil ;tntt stile b stti C s :strllitiMccl, tote a tteec fillet Cu1111r1cte slattc+nent or ati l I ail the tlrFcs loll tE 1,► ctR,ioc� tyncl llenl :►tt 1/1 Vrd vtsiVt►S e+l ll►c 13e1ileti+►t, C mic, trot` 7tJttil►� (]rell►t.lS1CC :tt7cl tool %vile er ed eslhcr 1ct+vs lrcttainin}7 ira the lT1}c>1 itc uwt ells shJoball lira CC l ►isrltilid tstcI Il alltilwet Shall su 1►tittltrA to b a {iRal CIIS h 4VVI k 15 ►elll►rarl7.Ctl 1 ► a nctu:ti lucatiu+t tJr irrujccl colt Irtcttt'tscs. ( ci 1'If ic:,lc ur (3cctrlta,tcy or C etliricalc wtt otlitiiiatm ilciltg issucli, attt it UULL C , PL Y :t tic cnscci stsrvcyur; ci atvlt 5 ic, situ b Siglt:tturc: ltrcltilcclr culttractor kowttcr, owl CT hBell t. Application for SEPTIC DISPOSAL PERMIT Town of Queeusbury Permit No. �- Dept. of Community Development Building &c Codes Office Fee Paid S 742 Saar Road Queensbury, NY 12804 Location of property for installation; Property Owner's Name: ct. [cElll+2L bm A n property Owner's Mailing Address: —� 120(46r Installer's Name ^+Q. I�GL f F Cn Phone # 0 2.3 -2I 09 Number of bedrooms (if residential) ,* ^ Total daily flow: COW / (residential - compute a 150 gal.lbdrm.) Topography. �/ _ flat* rolling, steep slope % of slope Soil Nature: z sand, loam, clay, other I depth: Ground water: at what depth? W feet ! Bedrock or Impervious Material: at what depth? . feet Percolation test: not required, required [ rate � I ruin. 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 S Septic tank: gallon (minimum size: I,(1170 gal Tile field: each trenchr.� y feet / Total system length:00=� feet Seepage pit(s): number of f size each: ft. by ft. Size of stone to be used: # / depth or thickness feet HOLDING TANK. SYSTEM: (if required) Number of tanks: tj Size of each; o4OA5 Alxrxn s3's and aaaociatecl electrical work to be iaspected by a certified agm'y. For your protection, please now that pursuant to Section 136-29 of the Code of the Town of QoeemburY, any Permit or approval granted which is based upon or is granted im reliant-a upon any material XrLW or faslure to make a materud fact or circumstance known by or an behalf of an awhc4wt, shall be void. I have read the regulations with respect to this application and agree to abide by these aril all reTzxemexxta of the Town of Qzusensbm'y sanitary sewage Disposal Chdinance Signature of responsible person: �— Date; ___ TOWN I l 7 OF Q UEE R SB 4+ R 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS 41 Date 19 ` Permit NoL 1 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 term if more than one appliance and/or chimney. Applicant �, ' �'S t APPLIANCE (check appropriate boxes) Address / 1E 1 { ❑ STOV E: 0 Wood 0 Coal a Pell et 0 Gas `�0,,,� FIREPLACE INSERT 1+'� f� Zip _1`2��/`a y FIREPLACE CRY-BUILT: Woo 0 Gas Phone ' ❑ FIREPLACE, M ONRY: 0 Wood 0 Gas Owner /17 r` Ili` r� 1s C ' ,� ❑ FURNACE: ❑ 1Naod ❑ Gas ❑ Oil Address fry'/ ,� IF NON-MASONRY APPLIANCE: Manufacturer: 04 zip Model: Phone CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction © MASONRY : ❑ Block 0 Brick O Stone FLUE: ❑ -rile la Steel Size: inches CONSTRUCTION 1 INSTALLATION MUST FACTC} RY-BUILT; CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model ; BUILDING CODE. CONSULT AVAILABLE Listed By : Number: TOWN OF QUEENSBURY HANDOUTS C] Double Wa44 0 Triple Wail REGARDING REQUIRED INSPECTiC)NS. 0 Insulated❑ Ch mr►ey Liner❑ Direct Venting Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title Q6 A 173 3389 (19o ) Public Safety A 233 2655 (230) Minor Sales ry Fee Collected From or Refunded to: �'`C° C� 7 E Address: f ? _ Dated : - _ Town Clerk or Deputy: White: Applicant Green: Fire Marshal yellow. Bldg. Dept. Pink c& Goldenrod: Cashier's Dept. RESIDENTIAL FINAL INSPECTION REPORT Date inspection request received: .- Office No. (518} 7+6i-8256 Building & +Code Enforcement Arrive wpm Depa,,,,, ,,�}, Q` a pm Dept, of Community Development Inspector'sIni �xtia'l' s Town of Queensbury 742 Bay Road Queensbury, New York 12804 PERMIT' # } NAME DATE LOCATION TYPE 4F STRIJC N/A YES NO corDAENTS Chimney Height/"B" Vent[Direct gent Location --- Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 3 " to 36" Exterior Handrails, balconi s, landing 18 ' . or more Interior Handrails stairs bo sides 3 or m e risers Grade 2°/n away from founds 'On 8" clearance to sill plate L Gas Valve shut-off exposed/re for 1 ' above grade_, Gas Furnace shut-off within 30 f t or line of site _ Oil Furnace shut-off at entrance to arm FurnacdHot Water Heater opera Relief Valve(s) installed u � ' Headroom, 6 ft. 6 in, on stairs r t�. t4 Basement stairs, 6 fl- 4 in. Handrail exterior stairs both sides mo than 3 risers Interior privacy/trimldoors/main en cc 36" Floor Finish Bathroom/Kitchen watertight interior Handrails Balcomes/Landin I8 in, or more t _ Railing across window in stairwells wry C! t CC <7,4 i� Smoke Detectors: levep� � �� { ,A every level 1�,! � `- every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofin Garage penetrations sealed Furnace in separate room protected (in garage? Light ventilation per room Safety glazing 18" or 1 m fly Final Electrical Site P1ardVariance r tti Final Survey Plot Plan mAs Built Septic System layout required -° Okav to issue CIC (Certif. of Compliance) Okay to issue temp. C/o (Certif of Occupancy) Okay to issue permanent CIO (Certif- of Occupancy) TOWN OF QtJEENSBURY Aft7nkBUILDING & coue BAY ROADRCEMENT OUEENSBURY NY 12804 { (5IS) 761-9256 rp4 _ o DEPART . ' INSP RESID'ENTIAL FZNhL INSPECTION REPORT %DATE INSPECTION ION REdD E$T Ri;G:E L V EU u0CATION _ PEItMLT # -f- DATE AS TYPE RUCTURE FR.A141 G BACKFILL FOOT INGS�___ FOUNDATION IC SE INSULATION PT ROUGfi PLUMBING "CODSTOVE OR FIREPLACE_-- FINAL ELECTRICAL � A YES NO CSiIf4NEY lie PLUMB VENT/HrlGli'I' PLUMB N'G VENT po oFING R F Ali I7 CK d cH N P rRaILINGS,.._--- RE L EF VA V S FURNAC 110 ATER OPERA ING INTERIO TR RIVACY ixl INIS FLO 5 : AT EN WATER T THE FLOOR SW BL OTH R F RS CA E ED S iR CLE RANC IL NGS S OK D CTO H N LUM NG I?CT RES F UNDAT ON SU A DN GAL GE F R PROD IN DoO DSE S F AL ECT C i' S�7TE k AN VARIANCE RE F INAL SU VEY PLO PLAN OK /`' SSUE C OR C C Clemente Latham Concrete Corp . 40 River St., P.O. Box 448 Bus, Qfc. 270%1767 Troy, NY 12181-0448 Dispatch 27245750 i tt a 4 J � 1 % �l F rn t 0 0 �► ( z m 0 own" j a . M -- m r TOWN OF QUE - S6URY f3l7ILDItSG EMENT & COS Et.>�pOAC 742 "- 3AY ROAD D60A QUEEN5BURHy 1 (519) 74 GL 1 I N S P : 0 DEPART : -- A RR I V E : -------- REPORT �. RESIDE T I FINI►L IltSPECTIDl1 � „yQ INSPECTION REQUEST P.ECEIVF..D : DATE l . NAME LC7C A'I' SON PERMIT M , iCTURE - .1,YPE. OF STR FRAMING �- BACKFILL FOUNDATION INSULATION FOOTINGS�� SEPTIC FIREPLACE ROUGR PLUMBING WOODS"i`OVE OR FINAL ELECTRICAL ---- !tq CSIiMNC___'K_1tE�'GH'f TM V�15{EiGi- 1-T��- . PLUMBING VENT ROO_F_ING �----- r}L'lNAI4A FINISH PORCft/STE� g� It'INGS DE C K I�- RELIEF VALVES -- FRAYING F1URN�T Wh EA 'T`AIMfPRI_"VACy- 00 S INTER F FINISH FLOG S ' 13 ATnr : r r[ HEN WR_T�l"r?Zxi''HT _O'I'ktER FLOORS SWEEPAB E OTTRER,_ FL,OORS CA PETER NCEIRAILING ~� S'1'A I� --- SMOKE DE CC d S ------- PLUMBING FIXT RES FOUNDRY ON INSU ATION GAAA E FIRE PRdOFiNG �_ �� Do�olxCL(7SEA _ �---- FT ELECT PLAN VAR AN E RE 'SITE FI AL SURVEY PLOT PLAN © C TO Iss C O OR /4-L-7U OE �p`�SEiURY. �+( 12 (SAS) 7B1-82aS T 1 FIRE MARSN�-' INSPECTION REP ."_�-y Rh►11T # ��f � ` PE fl —� REQUEST R�CE'NE NAME �pGAT10N _pN -- f�~AM PM ANYTIME 5G'NEDNLE II35PEGTI©N �---- APPROVE NO NtA `YES SITS --_------ xm-E WIDT4�5 SKIT 5lG S LIG"MAG EMERGirN FIRE E1NGOtSHERS _v� FIRE p1ARM SYSTEM _ FIRE SPRINKLER SYSTE SSION SY TEM _ FIRE FIOOo INST1�l I INTERIOR FINI'SNES STORAGE-.. — SPRINKLERS 1 CLEP+'RP`N GE�O REp,TING UNITS - �-�---- GLEARAN REaUIRECI S%GIyAGE -- - MOOT] STO`JSOIiRY FIRE,PLAGE A " SONRY BUILT FIREPLAGE ' _---- K-V0 -VtIISIDANS REMARKS t'-r '� �s- iNgp9-1P.411B THE NEW YORK BOARD F FIRE UNDERWRITERS BUREAU O ELE:CTRICITY Ill WASHINGTON AVE. SUITE 704;,ALBANY• NY 12210 Date AFIR-T , Ill • 1g94:� 44837T9'9i'+4 .� .1 .I : .� ';ti THIS CERTIFIES THAT an�jile 7 �} t ��'33 ! only the electrical equipment as described below and introduced by applicant named on the above application number is in the premises of THF• f! CHAELS (sF2!�UP. 37 LXLA3VD DR . LOT --50m In the following location; I_I Basement Ist Fir 2nd Fl GAP Section Block I�t ;1 was examined on APR-Ili • i `QC) 1 and found to be in compliance with the National Electrical Code_ FIXTURE RECEPTACLES SWITCHES FIXTURES OUTLETS RANGES COKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCE FLUORESCENT ' OTHER AMT. K-W, AMT. K.W- AMT. K,W. AMT. K.W. AMT. H.P. =' 46 34 ? 7 1 x' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL RECTPT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL, H-P. GAS H.P. AMT, NO, A. W- G. AMT. AMP. AMT. AMPS. TRANS, AMT. H.P_ SYSTEMS NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO, OF METER S E R V I C E AMT- AMP. TYPE EQUIP. If 2W 10 3W ] 0 3W 30 4W Np. OF CC COND. h. W. G. NO. OF HI-LEG A. W- G, A. W_ E`.. PER r/ OF CG. COND. OF RI-LEG NO- OF NEUTRAL$ OF NEUTRAL OTHER APPARATUS: "1OT0-1??S: 2 —4P H. P. r lJF3E LEl? ELE7C'i ROEL ELECT. - WZ L Ul'.-11 D, MCPARMON 244t; ✓A.FFRVY ST. GENERAL MANAGER ar }i ' VE< T117 ', 1Vf', 1 3€39 , 3y Per This certificate must not be offered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 111101 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. l TOWN OF QUEEKSBURY1 � BUILDING A CODE ERN�d CE1+"T � l '742 Ba�Y Road Qu,eensbury (s18) J761-9756 SEPTIC DISPOSAL SYSTEIK INSPECTION %ame Location �--- Permit # Date am-Cl aY- 'i SOIL TYPE• arid_ �- Res is of Percolation Test- 1 i cabl e) Rate-Minute/ Inch__-.�_� ( if O SYSTEM** Length .� TYPE OF FIELD : Total ASSDTtPTI[1N Length of each trench Depth of trenches Size of Stone PITS umber- f SEEPAGE f x size - � -- — stone size Sizee t, PIPING: ` 'ice" Tank to dank4�t ' Tank to gist . box c . Dist , Box to Field/P U artza openings Sealed? feet LOCATION/SEPARATI Foundation to Tank on ,�-fe+at Absorp -�' feeQ�'- � Foundation to pits Separation o planes----�`f Conforms as per Plot PROPERTY .* LOCATION OF SYSn" ( circle one) _ Left Side _ Right Side Front - Rear a ear Middle 'Front COl"EN - YES - --' SYSTEM USE APPROVED ---� Arrived: Depa Ang or FIRE MARSACMA HAL- � pF CtUEENSBI-tiR QUEENS$U lffi'i- S �2 FIRE MARSHAL INSPECTION REPORT RECEIVED PERMIT # REQUEST NAME C ` LOCATION `r ` - SCHEDULE 114SPECTION ON � M PM YTIME S i APPROVED 1 NIA i YES NO { EXITS AISLE - Ex1T SIGNS v EMERGENCY Ll H-TING -- FIRE WINGUIS ERS - tv FIRE ALARM SYS M __---- --- � Y FIRE SARI LER S TEM STEM FIRE SUPPRES -- -- - KOoD It4STALLATI©ff ItdTERIOR FINISHES - --- - --- J - — --- - - STORAGE: _ CLEARANCE TO SPRINKLERS -- dd CLEARANCE TO HEATING UNITS RE{]UIRED SIGNAGE C"IMNEY -- --- ~f _- WOOD STOVE _— -- —~-` FIREPLACE - MASONRY — -- FIRE P CE - FAGToRY BUILT �- �.,. _ OK TO TFIIS HATE REMARKS: � � ICrCol$:s-v � 7 `� INSPECTOR SSygpglAP PUB GENERAL INSPECTI+DN REPORT Torun of Queenstrary Date inspection request reaciv+�0 Dept. of Community Development Building & Code Enforcement 742 Bay Road Depa>r Queens amp�n bury, NY 12804 Arrive am/pmr C._�.--�''""` Znspectar s Initials '4 PERZ+viI r # L NAME; DATE : -c LOCATION: TYPE OF STRUC'TUItE; RECHECK NIA YES NO CON04ENTS l Footings+'1'i� Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection in for 4$ hours folta the placeme It of the concrete. Materials for this on site FoundaticnJWallpour Reinforcement in Place Foundation/Daroppro0fin Backfitl t Plumbing Under Stab Plumbing VenvVents in P Rough Plumbi Heating ugh-In on 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 StudwReaders Bracing/Bridgin Joist Hangers Jack Posts/Main EteanY Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Seated Fire Wall 2. 3, 4 'hour Firestoppin GENRRR,L MSPECT N REPORT �- Town of oslrury Dept. of Community Development Date inspection request received• Building & Code Enforcement 742 Bay Road Arrive am/pm Depart arn/pm Queenslwry, NV 12804 Inspector's Initials PERMIT �8 47S� NAME: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS FaotingslPiers 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 FoundationJWallpour Reinforcement in Place FoundationlDampproofin Backfill Approval plumbing Linder Slab P g Vent/vents in Place gh 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 Ven ttic Vent 1t1+ak `� t-i� kTt-firA)'U ramin Jack S rs -- BracinglBridginS�.�- joist Hangers Jlack postsfMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin -~ FIR co 3 E 'SFIAL 0 TOWN F MARSHAL QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVE E6q ,e I c:;�, jer NAME , PERMIT # LOCATION ------------ SCHEDULE INSPECTION 0 pl- 022'i6l)- AM YTIME APPROVED EXIT N/A YES I No AISLE WIDTHS EXf7- SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE. CLEARANCE To RINK ER CLEARANCE To EATING UNI S REQUIRED SIGNAGE CHIMNEY WOOD STOVE FIREPLACE - MAso y FIREPLACE , FACT YBUILT REIVIAR-K-S-- E3 OK 0 THIS DATE JNSPMIF�PUB fNspEcToR GENERAL VV PECTI4N REP(7�R� Town of Queensbury Dept,, of Community Development Date inspection request received: � °T Building & Code Enforcement _ 742 Bay Road spa � pmNY12804 Arrive am/pm n/ Queensbury, N Inspector's Initials—� NAME: + PERMIT # �j � '7�14 LOCATIC)N 7 rr'. DATE : - TYPE OF STRUC"TURE: RECHECK. NIA YES NO Cob4MENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsib for providing protection from ing for 48 hours fo owing th place t of the concrete. Materials for this purpose site Foundation/Wallpour Reinforcement in Place Fbundation/Uampproo ackfill. Approval Plumbing Under Slab Plumbing Vent/Vents n 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 Framin jack Studs/Headers Bracing/lInidgin Joist Hangers Jack posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour penetration Sealed Fire Wall 2. 31 4 hour Firestoppin GENERAL MEEGAT N REPORT `-- Town of Queensbury / - ` Dept. of Community Development .Date inspection request received: Building & Code Enforcement 742 Bay Road �p� TM � amlpm Queensbury, NY 12804 Arrive am/pm Inspector's Initials 90 4c e(s PERMri' # NAME: DATE LOCATIO 1: TYPE OF STRUC RECHECK NIA Y NU CC &IMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place The con r is responsi a for; providing on from. for 48 hours fa awing the p nt of the concrete. Materials for this se on site FoundationlVfJallpaur Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab Plumbing VentlVents in Rough Pl Heating Rough-In Insulation Foundation Walls In 'or R.- Foundation Walls E rior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Frami Jack Studs/Headers Bracing/Bridgm joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed _ Fire Wall 2, 3, 4 hour Firestoppin9 - 0„ 136 "I have seen or observed, or believe 1 sa ,1 all objects such as ha fences, etc., +' s ocurnent ISO � � i� �--- Aresent that I have . •-•- - 1 o4 personally measured the � brth �" �� ' iiiiiiiiiiiiiiift SIGN URA 430E 0 . 47 1` t 0 9 f 0 l� JZ .sq, of ' acres i Jill .,r . �... � r 36f00 020 I,Jill o y �� OD IM