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98-780 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK May 28 99 Date l9 — 98780 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 145 V INCENT PLACE I.mcarion PASSARELLI , GUIDO Owner `PAX MAP NO * 12 5 . - 9 - 1 4 5 BY (Jrder Town Board TOWN OF QUEENSOURY r Director of Bldg. & Code irnforcement BUILDING PERMIT VALUE $ 130000TQWN OF QUEENSBURY No. 98780 TAX MAP NO . 125 . - 9 - 145 WARREN C UNTY, NEW YORK PERMISSION is hereby granted to PASSARELLI . GUIDO OWNER of property located at LOT 145 VINCENT PLACE Street. Road or Ave. SINGLE in the Town of QueensburY. To Construct or Place a FAMILY DWELLI11 NG at the above location in accordance to application together with Plot Plans and other information hereto filed a nd approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNIEFt"S Address is 465 LAKE AVE . LAKE LUZERNE . NY 12846 2. CONTRACTOR or BUILDER'S Name LAMONTr MIKE 3, CONTRACTOR or BWLoeW9 Address 45 HERALD SQUARE +QUEENSBURYr NY 12804 4. ARCHITECT'S Name NEW YORK BOARD S. ARCHt"IlI Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction — (please indicate by X) ,SINGLE FAMILY DWELLING { I 'Wood Frame { ) masonry { l Steel [ Y 7. PLANS and Specification DWELLING WITH 2 -CAR ATTACHED GARAGE AS 1918Nd5Q FT SINGLE FAMILY PER PLOT PLAN SPECIFICATIONS S. proposed Use SINGLE FAMILY DWELLING December 29 2000 247 , 19 $ PERfil41T FEE PAID — THIS PERMIT EXPIRES (I It a tonyer period is required an application for an extension must be made to the Suitdirp and Zoning inspector of the town of Oueensbury before the expiration der*.l 2 9 December1998 Dared at the Town of C3ueensbury this Day of 19 for the Town of Queensbury SIGNED BY — atamwir and Zoning�insWctor Building Permit Application Town Of Queensbury - Dept. of Conununity Development, 742 Bay Road, Queensbury, NY 12804 (761 561 BUILDING & CODE ENFORCEMENT Y i i� Requirements prior to issuance of this permit: PERMIT FILE N . 4bb A permit must be obtained before *1� beginning construction. No inspections ction PERMIT FEE PAID $[ will be made until applicant has received Zoning Board ` a VALID BUILDING PERMIT. All Area ! Use RECREATION FEE applicants' spaces on this application MUST be completed and the signature Pig Board Action REVIEWED B � of the applicant must appear on the SPR ! Subdivision 1 Other Buitding Inspector pplication form. a�x ,.�, Recreation Fee Payment a _ Applicant- 4 ' «* s --�C- �n c- + Owner: Address: Address: Phone # Phone # s Property Location: Tax Map Number Subdivision Name: Section Block Tot MATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE L/ New Build ' CONSTRUCTION : $ +� real ence / commercial Additio uilding : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : primary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office Other work. ( describe below ) Mercantile Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : l�o� C Q If ADDITION , what will use 1st Floor . . . . . . . �— s ft • of new addition be? : 2nd .Floor OL sq • _j Other Floors . . . . v s4 • ft ( not unfinished cellar or base ACCESSORY BUILDINGS : Detached Garage 1 , J9 /' S' Attached Garage 1r c TOTAL FLOOR AREA : Private Storage Building SIZE OF NEW STRUCTURE : � OO Commercial Storage Building S her FEET X c 7_iy FEET Foundation Type : 'Fs� c� r� ,re � Will any second-hand or ungraded Number of Stories : lumber be used? if so , for what? ( habitable space only ) Height ( grade to ridge ) : feet TYPE Oil" - HEATING SYSTEM : Number of fireplaces and/or woodstove ( circle all which appl es ) to be installed : / E ctric Oil / tVs boardwood or Hot Ai ' / "S'S"seboard / Other Person responsible for s}sp�ervisio of work as regards to building codes is : lKiI 1 % / Namee Address P _ons Builder : fkil Ay.' plumber : ► '°� Mason : Electrician : PECLARA77ON Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of occupancy-'or Certificate of Compliance being issued, an AS BV LT PLW PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: _. _r�1 1 � (owner er s agent, architect, contractor) Application fol� ISEPTIC VISI' OS.AL PERMIT S I1 A!Vll' ItIftmCti! l ,eicntiein eil' Iiresi+vriy !e>r iiivtallatie+�i: �!x'�—� �''��� ` 1 C?tvncr's 3`Jciinrx _.L "L?'`'raid 1•' 3 r , r`-" .s��'+ri�^y I'IxltP.11'1' iVV hill lilt Ckweter's 1Vlailiog Address: -rA ?h'G'd �'+ e" �T- ty 1:1*1:. I'Al D S� h stallcr's I'laiuc: F' j1YG11 ! l'lxuite aY: Q. �0� 9 Nuru lie r of bcdroottts (if resideWial - - 'I"erta! daily Ilow (resicicuxi:tl - ciiutirulc rex 15() gal, liar liceSrrxseil) : -� v Lixir . ^ral3ty: ® 1=1at E= 1toilitig SLcclT Sletlra 1i of, Sid+iio Soil Nature: ] Solid © 1x10111 Q Clay [= Otlicr /DC1.111: Orounc! Water: at xvllat delttli•T reaL Bcdsock or 11l1i.erVi0LV% Material : ;it tvIlat elcjstlr? feet Percolation 'fast: Ntit IZetixiireel ntiu: isvi. i1101 1}emlestic Water ;opply: C� htutticipat © Well r'—j [blur If cltirtiestic tvater sul silly is a WF.LI -: water supply from :illy septic altSori,(iou is fact 12 Ito 110SliD SYSIi?i.7 : Saliba tartk: 0 g-tl . (rrtinirttueu siZc: 1 ,()()() grrl-) "tile Field, cacti tretxcli _ l3 root_ / Lutal systctil lcrigtir fact- Seepage I'it(S): nuvibcr of — / size T:ach: ft- x ft. size or stoke Lts tic used: # I depth or thick»o.ss fact. I [0L1JINO •I"ANKSYS1•1i' m (irrcaluirad) Number or tanks Size ar each: gal. 11 _+ ilietrrxr Ee PIT rare1 erssoc•r'rttecl elecrrictrl rrork to be ittspected by a certified trgrnr}=. 14"ur your prorvelioti, pleetse itole deft( ptrrsrtttttt lrx ectitrrt 136 29 of the Coile oflite Yun•+t of Qtteexeshttry, ttxty perxttil rrr a p prot•til gristiled rt•ltich is based itpoir or is grtrreted ire relidttxce tt pott extry ttiotrrru! ++xi.rra. piesexrruticxxi or feliltrre to xxtetke c xxtateriat fact or circtxrrxsrttnce kxeernrxi by or art ba his Ifofan itplxlid•ttPit, rltdtll be %Noidl- I Iialie read the reg silo tior:.sWith respect tcs this isisplicittioit and agree to trhide by these area rrrt rcerlet ire Psi ell tr o ftlrc J'owxt of Q+teexesbttry Sttrtitory Selkloge Disposal Ordinal Ice* Sigoartirr ofre.sponsib -e person: 1)erle: _ ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY r WARREN COUNTY 9000 HEATING I7EiGREE DAYS Come l LanceMethods : PART 5 - Acceptable Practice Method 1 & 2 Family Dwellings ( only ) PART 6 * - Theri al Rating - Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings -Hi Rise Residential *Requires submission of worksheets APPLICALdNT ' S NAME * PROPERTY LOCATION : PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - , scruare feet/^ 2 . Tv-ne of Heat - Electric Oil ►r' Gas Other 30 I s- building mechanically cooled ? Yes L�No 4 , Percentage of area of windows and doors Over 17 % ender 17 % 50 R- .z.LUES FOR INSULATION GIVEN BELOW 1K.T3ST CORRESPOND TO R-VALUES AS SwOW-N ON PLANS SUBMITTED : a . Roof R - 0 - b . Exterior walls R 'x co, Glazed areas R 0,3 do Exterior doors R /f�. .s/ e . Floors over unheated spaces R i . Edge of slab on grade ( heated bui lding ) R go Basement / cellar walls ( above grade ) R b . Basement / cellar walls ( below grade ) R i . Heating/ cooling-ducts -piping is unheated space R _ �44 6 . S ervlce ( domestic ) hot water heating device Con = orrns to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140'0 - WILL NOT BE EXCEEDED Apt ? i c a=t ' S ' g ature Date Phone Number INSPEC =O � ' S REMARKS : 3"OWN OF QUEENSBURY 742 Bay Rd., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND 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 inspections. Please fill out additional form if more than one appliance andlor chimney. , Applicant Tw r Y .V ,� ,S74 c. 1 r7 C APPLIANCE (check appropriate boxes) Address } ? illenL o r . � ❑ STOVE: o Wood a Coal ra Pellet a Gas Q FIREPLACE INSERT zip 1,2 ? Cq oa%�PIREP'LACE, FACTORY-BUILT: o Wood Cl Gas Phone 0 FIREPLACE, MASONRY: p Wood o Gas Owner © FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: Manufacturer: aLaL To ✓ Zi Model : Phone "`� '% . 2 Z .. CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction O MASONRY: ❑ Block ❑ Brick ❑ Stone FLUE: o Tile o Steel - Size: inches CONSTRUCTION I INSTALLATION MUST WOP° mACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Modal BUILDING CODE. CONSULT AVAILABLE. Listed By : Number: TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS, ❑ Insulated ❑ Direct Venting o Chimney Liner Cashier' s Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title -� A 173 3389 (190) Public Safety ��-- A 233 2655 (230 ) Minor Sales ` Fee Collected From Refunded to: Dated: ���_,L�,,,� Town Clerk or Deputy: White: .SR,pplicant Green: Fare Marshal Yellow: Bldg, Dept. Pink & Cvlde»rod: Cashier's Dept, RESEDENTIAL FINAL INSPEC11ION REPORT Office No. (518) 761-8256 Date inspection request received, Building & Code Enforcement ,,,���---��'' Dept_ of Community Development Arrive a�m/put Departs _ Z l Town of Queensba 742 Bay Road Queensbury, New York 12804 NA '0 ME �'-+ PERMrf # LOCATION j (W% t2_ c ELATE TYPE OF STRUCTURE NIA YES NO COBS Chimney HeightJ" B" Vent/Din=t Vent Location Fresh Air Intake Pitmtb Vent through roof Roof Complete Exterior Finish Complete ILAX Intedor/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 exposed/regulator I Wl above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater opera i Relief Valve(s) installed Headroom. 6 fL 6 in. on stairs Basement stairs, 6 ft, 4 in- Handrail exterior stairs moth sides more than 3 risers Interior privaLy/txim/doors/main entrance 36" Floor Finish Bathroorn/Kitchen watertight Interior Handrails Balconies/Landing 18 irt. or more Raiiing across window in stairwells Smoke Detectors- every level every bedrooni outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3l4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Ligh[ ventilation per room Safety glazing 18" o less fiom floor Final Electrical � M2 4 Site Ptan/Vananc req Final Sur-%•ev Plot Plan 5 As Built Septic System lay(o) required OkaN to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Certif of Occupancy) Okay to issue permanent C/O (Certif. of Occupancy) RESIDENTIAL FINAL. INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement �✓ Dept. of Community Development Arrive amlprn Depatrt�' 7amfpm Town of Queensbury lr spZ tor's initials 742 Buy Road Que+ensbury, New York. 12804 NAME L N PERNII'T # LOCATIONfC4 CbDATE TYPE OF STRUC"IUR.E N/A YES NO COMMENTS Chimney HeightrMB ' Vent/Direct Vent Location Fresh Air Intake _ Plumb Vent through f Roof Complete Exterior Finish Com lete Inte'I'1ilf/E or Rat gS 30 � to 36" Exterior drails, Iconic landing l8 in. or more interior Han ils s both ides 3 or more risers Grade 2% a y from founds n 8" clearance t sill pk to Gas Valve shut ff e posed/ gulator, 18" above grade Gas Furnace sh -off within 3 feet or within line of site Oil Furnace shut ff t en to furnace area FurnaceMot Wat f eater o ry-i Relief Valve(s) in led Headroom, 6 R, 6 i 'rs VZ Basement stairs, 6 4 mi t Handrail exterior irs both sides more than 3 risers Interior privacy/tri doors/main entrance 36" Floor Finish Bathroom/K.itchen tertight Interior Handrails alconies/i andin,g 18 in. or more Railing across ow in stairwells Smoke Detectors- every level every bedr m outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Cxarage fireproofing Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing 18" ojr les fiom floor Final Electrical 15� Z tali Site Plan/Varianedreqtfired Final Survev Plot Plan Sal As Built Septic System lay o required Okay to issue C/C (Certif. of Compliance) Okay to issue: temp. C/O (Certif. of-Occupancy) Okav to issue permanent C/O (Certif. ofoccupancy) law 807677�3 THE NEW YORK BOARUECTRIC RE UNDERWRITERS PAGE, 1 BUREAU OY. 111 WASHINGTON AVE., NY, NY 12210 7UMe�;' 02, 1999 Ap,p��lic .5 20g99t!�3 fr �kS 335 l�ERM.I'T THIS CERTIFIES THAT only the electrical equipment as described below and introduced byed On the above application number is in the premises of TERRE J'fAJEST-rC 1"NC'. VXNCENT' LACE LOT ?4Y, Nf" in the following location; Wi i Basement ® 1st FG ® 2nd Fl. GAR Section Black Lot �' 45 was examined on Ir `erg• 9 -� and found to be in compliance with the National Electrical Code, FIXTURE gfCEPFACLES SWITCHES Fi]CTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS fHCAN FLUORESCENT OTHER AMT. K.W. AMT. K.W. T. K.W. AMT. K.W. AMT. H.P. 34 44 30 3.3 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTI. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W, OIL H.P. GAS H.P. AMT. NO. A. W. G. AMT. AMA. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS N WATTS O, OF FEET AMT. 1 F 11 SERVICE DISCONNECT O. OFMETER S E R V I C E AMT. AMP. TYPE EQUIP. 1 • 2W 1 d SW s r sw 3 0 iW O►FR i NHI' pF CG- COND. NO- OF MAI A- W' 'O' NO- OF NEUTRAL$ q �r OF HIAEG OF NFLgRAL 1 750 CB L A 1 210 OTHER APPARATUS: G. F, C. X: —S SMOKE DETECTOR: —fa TEJIZRE PL3JESTXC 1XNC. I N 9 ' 2., ,2 I'C0.LE DD. QU ENSBUR'Y` '' 1 '809 GENERAL MANAGER 239 Per This certificate must not be altered In any manner: return to the office of the Board if incorrect. inspectors may be Identified by their credentials. 'Y COPY FOR BUILDING_DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ _ PERM€T # NAME �4 LOCATION SCHEDULE INSPECTION ON AM PM ANYTIME APPROVED NIA YES I NO EXITS -- -..,.... -- AISLE WIDTHS - EXIT SIGNS EMERGENCY LIGHTING _ FIRE EXTINGUIS RS FIRE ALARM SYST FIRE SPRINKLER SYSTE FIRE SUPPRESSION Sy TEM HOOD INSTALLATION 1 - -- - - - - 1 - - — INTERIOR FINISHES ._..-- STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS -- - - REQUIRED SIGNAGE CHIMNEY WOOD STAVE ----- ------ - - _ _ �_ - - - - — - - - FI�LACE - MASONRY wFIREPLACE - FACTORY BUILT _JI— �nJf{"C REMARKS: -- -- — OK TO THIS DATE INSPSUP.PUB INSPECTOR i TOWN OF QUEE.NSBURY BUILDING 6 CODE ENFORCEMENT 742 BAY ROAD QUEENSBUR"Y NY 12804 (518) 761-8256 ARRIVE : DEPART : INSP : �7 FINAL INSPECTION REPORT RESIDENT ' I►L DATE INSPECTI DES RECEIVED : NAME f.00=A'I' ION f 1-)ATE �_ �� � PERMIT 0 f . TYPE OF STRUCT RE r FOOTINGS FOUNDATION BACKFILL FRA6 G ROUG11 PLUMBING SEP C INSULATI N FINAL ELEC2'R ICAL W DSO T�JVE OR FIRE LACE N/A YES NO CHIMNEY HEIGHT B VENT HE HT PLUMBING VENT ROOFING EXTERIOR FINISH Ui�:CK,/P4RCf; (S•1,EPS /R7tILINGS , RELIEF VALVES FURNACE HO WAT R PERATING INTERIOR TRIMZPRIVACY DOORS FINISH FLOORS ' BATH/KITCI[EN WATERTIGHT OTHER FLOORS SWEEPABLE ,_. OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETEC Tons B1'�THROOM FANS _ PLUMBING FSXTURES FOUNDATION INSULiC ION i GARAGE FIRE PR FING DOOR CLOSERS 1 FINAL ELECTRICAL SITE PLAN /VARIANCE REQ . NAL SURVEY PLOT PLAN OK TO ISSUE C O OR C C ` TOM OFt QUEEASBURY BUILDING A CODE ENFORCEMENT 742 Say Road Queensbury NY 12804 (518) 761 -8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Qa Location -CQ �v "W� - Dat %, _. Permit # �; — � ` ( 1 SOIL TYPE : an }- Loam- Clay- Resul is of Percolation Test- ( if applicable ) Rate-Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Len th Length of each tren G► Depth of trenches Size f stone SEEPAG PITS : N er- Size - f x ft . Stone siz PIPING : S ; ze Bldg . to Tank hype 6 Tank to Dista ox sit u C) Dist . Box to field/P ' �+ Openings Se ed ? es No Partial LOCATION/S ARATIOffI Foundati o to Tank /�' feet Foundati n to Absorption feet Separation of Pits feet L for*ns as per P7of P7an es No ATION OF SYSTEM ON PROPERTY . rcent - Rea - Left Side - Right Side dle Front - Middle Rear MENTS : SYSTEM USE APPROVED : 6YE NO Arrived :Departed : d : Boil ding Yh1ppector i nave s oeri or *Dw raa, Or lave" f cvvl "jdgn a 01, all objects such as bow do shown on this downwit I ex aWw at ad i bmw � r personally meswnd the dMoom set ftM 00 Do diagram 51 TARE DATE PLOT PLAN SEPTIC SYSTEM Notice : The following statement uxust be "stamped" oa , your plot plan . This sheet of paper may be used for purposes of drawing your plot plan . After drawing such plot plan , please read the statement and sign it . If you choose to use csther papex for your plot plan , the office will stamp those plans for your signature . O. oa 4 4 z ; APR 3 0 1999 ry .N OF OUEE rbe B 1LDiNG ANC C, ' 71VFD APR •: -FOWN C BUILDi F IRE MARSHAL. 4 -roWN ©F QUEENSBURY QUEENSBURY, NY 12804 (518) 761-8205 i FIRE MARSHAL INSPECTION REPOR REQUEST IVED P IT # I NAME LOCATION 2 SCHEDULE INSPECTION ON � yAM PM ANYTIME APPROVED NIA YES NO EXITS �-- — AISLE WIDTHS EXIT SIGNS - EMERGENCY LIGHTING FIRE EXTINGUISHERS f I FIRE ALARM SYSTEM -- - I FIRE SPRINK SYSTEM FIRE SUPPRESSION a -- - HOOD INSTALLATION _ - 1 INTERIOR FINISHES . _-- - -- - ---- — -� - I STORAGE: --- CLEARANCE TO PRINKLERS i CLEARANCE TO HEATING UNITS - REQUIRED SIGNAGE CHIMNEYL� WOOD STOVE - FIREPLACE - MASONRY PLACE - F ORY BLIII __�_�-- RE KS: OK TO THIS DATE � �►� A � 1 INSPECTOR 1!l9PELIP-PUB � !r GENERAL DIVA09 POjWj Town of Queensbury Dept. of Community Deveiopmen# Date inspection nequest received: Building & Cade Enforcement 742 Bay Road �I Que+enshury, NY 12804 Arrive aL i'r Depart ' Inspector's Initi -' NAME: .l �°`....7 #R c LOCATION: DA 'af TYPE �?F STR C"TCTR�E: 11 RECHECK N/A NO CO NTS 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/Dampproofing. Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin ��ing Rough-ln ation Foundation Walls Interiof R- _ Foundation Walls Exterior R- Floors R.- Walls R IL 1/000 - Ceiling, R- C�7 Duct work or piping in Of unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin Joist Hangers Jack Posts/Main Beam do Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppi n GENERAL .INSPE It3 RT i Cti e" Town of Queensbury Dept. of Community Development Date inspection request received: " Building & Code Enforcement 742 .Bay Read Queensbury, NY 12804 Arrive �5�7 Depar-t Inspector's mitt f NAME: ct � PERIw+IIT # LOCATION: CtC DATE ; -- TYP'E OF STRUCTURE. RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi for providing protection froth g for 48 hours following th P ent of the concretetPlace Materials for thio site Foundation/Wall Reinforcement inFoundation/Dam Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Plate Plumbing Heating Rough-In Insulation. Foundation Walls Interi r R- Foundation Walls Exteri r R- Floors Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent (�r2f`'min Jack StudslHeaders BracingAElridging, 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 LMPECT'ION REP+DRT ' Town of Queensbury Dept. of Community Development gate inspection request received: Building & Code Enforcement K� J 742 Bay Road _ Queensbury, NY 12804 Arrive � pa spe rt 'cator,s . . NAME: PERMIT # 7 C> LOCATION: DATE TYPE OF STRU RECHECK N/A YES NO COMMENTS FootinggsANers Monolithic Pour Form _ Reinforcement in Place The contractor is respo ble f r Providing protection m ing for 48 h rs followi the nt of the con ste. Materials for .i site Foundation/Wal1 Reinforcement in _ Fo tion/Dam fin ` 40 Approval Plumbing Under Slab Plumbing VentfVents 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 Barrier Fire Separation 1 , 2, 3, hour. Penetration Sealed Fire Wall 2, 3, 4 ,hour Firestoppin r GENERAL IN ME I+ON REPORT 0 ( �. Town of Queensberry Dept,. of Community Development Date inspection request received: Building & Code Enforcement Bay Road Qu Queensberry, NY 12804 Arriv al spector Dep*'s �'7, Q� NAME: r f PERMIT # / V LOCATION: o-CD '-,TE : -- TYPE OF STRUCTURE: . ` RECHECK NIA YER NO COMMENTS ers Monolithic Pour Form Reinforcement in Place 2� The contractor is responsible for providing protection from for 48 hours following the men, of the concrete. Materials for this purpose site Foundation/Wallpour Reinfibree ent in Place FoundationfDAM Bac"11 Approval Plumbing Under S Plumbing VentlV is in Place Rough Plumbin Heating Rou n Insulation Fonndati Walls Interior R- Foundati n 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 BracingMridging. 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 have 1 or Obmvs(L or bdWfo ! rm wMepw o1, aff objects such vs , 44LO shown on this dcunwwt t also 1OPM"M did 1 bw perso"AY MOWN l the dfstames se+t on the dhWam SINKT—URE '• TE PLOT FLAN SEPTIC SYSTEM Notice : The following statement must be " stamped " on your plot Plano This sheet of paper May be used for purposes of drawing your Plot plan . After drawing such plot plan , plea„e read the statement and sign it . If you Chooseto use other paper for your plot plan , the office will stamp those plans for your signature . A V C V { e� lid0 / I 'Ll Cs-s