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2006-723 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20060723 Date Issued: Friday, August 09, 2013 This is to certify that work requested to be done as shown by Permit Number P20060723 has been completed. Location: 27 TREASURES PI Tax Map Number: 523400-302-008-0001-060-000-0000 Owner: AMEDORE GROUP, INC. Applicant: AMEDORE GROUP, INC. This structure may be occupied as a: Garage - 1 Car Attached By Order of Town Board Townhouse TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or ` ,/), approvals other issues and conditions as a result of a ls bythe Planning Board ` pp anngDirector of Building&Code Enfo cemen or Zoning Board of Appeals. 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060723 Application Number: A20060723 Tax Map No: 523400-302-008-0001-015-000-0000 Permission is hereby granted to: AMEDORE HOMES For property located at: 314 BAY Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: JAMES & GLADYS BROWER TRU 121 POTTER Rd Garage- 1 Car Attached GANSEVOORT, NY 12831-1011 Townhouse $17,500.00 Total Value $17,500.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-723 BUILDING 3 1641 SQ FT CONDO WITH ATTACHED 268 SQ FT 1 CAR GARAGE $256.54 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 21, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of ensb Tl u rs)ay, September 21, 2006 SIGNED BY 1 for the Town of Queensbury. L-� Q nsbury. Director of Building_ a.: :.:', Tn orcement _ rt, I LI ; Id!:11 6" ' -- i� ■ iilir`-.Tr-oet OFFICE USE ONLY TAX MAP NO. A • — �— PERMIT NO... )(-) -4L-22.1. ; Date FEES: PE- T h� - 'CRE • p ATION • ENGINEERING 801( Nc�s`ii/ tij s� - a (If appllcabte) StlYl �5 PRINCIPAL STRUCTURE: APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT A P`ER +IIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.APPLICATION REVIEW BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION. IS SUBJECT TO APPLICANT/BUILDER: 2 OWNER: oa_ . ADDRESS: 4 4. -lI Al - libEftnxi �) I22C� ADDRESS:PHONO S. X51 ��S"l — ,, PHONE NOS, _Qi . CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: PHONE; LOCATION OF PROPERTY: ...._... k 2 / ci_so es Act SUBDIVISION NAME: I a PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW: CHECK ALL THAT z 0 PROJECTO YOUR oce ,--7c o E LL o ° co w t co �- S , cn OL• ° a = 0 U p SINGLE FAMILY 0 MP 1 • zzci•.-i4 le;14 TWO-FAMILY MULTI-FAMILY (NO.of UNITS_ TOWNHOUSE BUSINESS OFFICE RETAIL- MERCANTILE FACTORY OR INDUSTRIAL ATTACH. A GARAG�' ,3) E---"2 VCJ OTHER Z . IF COMMERCIAL OR INDUSTRIAL-NAME OF BUSINESS: ESTIMATED CONSTRUCTION DOST: �� ` _' -FUEL TYPE: HEAT TYPE: 'HOW MANY FIREPLACE(S):4pi ian 1ND I OR WOODSTO ZONING CATEGORY: VES(S): ARE THERE WETLANDS ON THIS SITE? IS THIS A HISTORIC SITE? _.__y_e_5 PROPOSED USE OF BUILDING OR ADDITION: & 0 / 411 *Please complete a separatepp Application for`Fuel Burning Appliances&Chimneys" :vailable in our office ,` 83.1,01.11-05 ,, .., of QueensIntry Community Development Office • 742 Bay Road, Queensburu. MY 11 pm ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN? /\)(-) ARE THERE EASEMENTS ON PROPERTY? /di e4,Y,IntkaAJ5 I acknowledge no construction acti sties Shatl be commenced prior to issuance of a valid permit. I certify that the application, plans, and supporting materials are a true aid complete statement/description of the work proposed, that all work will be performed in accordance with the NY State Building Codes, local building laws and ordinances, and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand that I/we are required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuancerof a certificate of occupancy. I have read and a7to the above. Signed t Director.of Building &_C.des:.•761-8256 (for questions regarding Building Permits, construction codes or septic systems Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process, application requirements or to schedule an appointment) • Permission is hereby granted to the above : This application I proposed action described Applicant to erect or alter the building herein is found to be in accordance with the described herein in accordance with said zoning Laws of the Town of Queensbury. Application: Ali/ BUILDI GII 0I6ES APP- •' • ZONING APPROVAL �1.70(� DAT DATE QUESTIONS? CALL 7614256 OR EMAIL odesqueensburv.n0t VISIT OUR WEBSITE FOR MORE INFORMATION WH►W,gburv.net - Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 , c /-_3 Cir)) 'Queensbury Building & Code Enforcement - Residential Final Inspecton Office No. (518) 761-8256 Arrive: am/pm Depart: l 4 am/pm Date Inspection re uest received:lInspector's Initials: • NAME: ` 1 �R c-C�+t-o+. PERMIT#: (.1)(0— , 3 LOCATION: A. 7 I n p c 0 r.::,,, DATE: --41----/ 3 TYPE OF STRUCTURE: (• '-rk rd., Comments: Yes No N/A 4" Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location ✓ Fresh Air Intake ,, 3 inch Plumbing Vent through roof minimum 18 inches Roof Complete/Exterior Finish Complete ,Z.,/ Platform at all exterior doors Handrail 4 or more risers ✓ t Guards at stairs,decks,patios more than 30 inches above grade v/, Guard at stairwell at 34 inches or more Guard at deck, porches 36 inches or more / Handrail Termination at Newell Post or Wall j Interior/Exterior Railings 34 inches to 38 inches _ V 7 Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet // 6 inch clearance to sill plate ✓/ Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches f/� Bathroom/Kitchen watertight v/ /` Safety glazing/Window in stairwells safety glazing r ✓ Interior Smoke Det6ctors/Carbon Monoxide'Oetectors Every level: r/ E ry Bedro / Outside every bedroorea: Inter Connected: --(( Battery backup: f Attic access 30 inches x 22 inches x 30 inches(height)in accessible area / "/ Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window V Plumbing fixtures Foundation insulation to floor/Sticker on Panel / o/ Duct work sealed properly/Blower Door Test Certification 4/ Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below gradeV, ' 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 operating ✓ Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/:"Gypsum tt06 /:"..- Basement stairs closed rise>4 inches / I Garage Floor Pitched v/:, Garage fireproofing/3/4 hour fire door/door closer Gas Logs in Sealed or Glass Enclosure , l Final Electrical; Energy Saving Light Bulbs 50% ✓ Final Survey Plot Plan Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles Flex Gas Pipe Bonding t/ As Built Septic System/Sewer Dept. Inspection Sticker E ,, Site Plan /Variance required ."\ V Flood Plain Certification, if required ":,:,/ Okay to issue C/C or C/O[Temporary/Permanent] ci.....2 L:1Building&Codes Forms\Building&Codesllnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008; Revised 6/26/08; Revised 12/22/10,Revised 04/13/11 � k3 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm • -part: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: A, . Ttf" NAME: PERMIT #: ale)-7a 3 LOCATION: �'7 �e _ INSPECT ON: La-al-1 3 TYPE OF STRUCTURE: Y N N/A Rough Plumbing /Nail Plates Plumbing Vent/Vents in Place 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/Commercial Check Tyvek or Similar Exterior Sealant \1\cee Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/ No duct tape COMMENTS: Rough Plumbing Insulation Reportrevised Nov 17 2003, revised February 15,2005, revised January 7, 2008 1 t.— Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Ins ction r quest received: y /Y/ 3 Queensbury Building & Code Enforcement Arrive: am/pm 742 Bay Road, Queensbury, NY 12804 Inspecto s l iti Is: . __Ilk IF NAME: 4)0\ ((a«_. PERMIT#: 06- 7 2-3 LOCATION: 2-1r(�/rl 5c e 1 L,1 C _INSPECT ON: iW 3 TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 20" minimum Jack Studs/Headers Truss Specification Provided Bracing /Bridging Joist hangers Jack Posts/ Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. Notches / Holes /Bearing Walls Metal Strapping for Notches Top Plate 11/2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice ans water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour cry/ Firestopping r ie,_ I V) 4.'c. f1 ''-e_____), fC,-0) (2- Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space /Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above / below grade 5.0 sf grade Design Professional Sign-off, If required Framing Firestopping Inspection_Revised_02 0513 Framing I Firestopping Inspection Report N1)r\eioti l0 -IA (( i,.e) Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p D=• - .: c ' am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: PERMIT#: 44 3 LOCATION: ;a, - fr A 12 ,%i { i --C INSPECT ON: ic'1 c-t TYPE OF STRUCTURE: Y N N/A COMMENTS: Framing Attic Access 22" x 30" minimum N7/ Jack Studs/ Headers Bracing /Bridging Joist hangers V Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches/ Holes I Bearing Walls Metal Strapping for Notches Top Plate 1 %(w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed ‘5" ) 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space / Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above /below grade 5.0 sf grade L:1Building&Codes Forms-OLD1Building&Codes\nspection Fcmxs\Framing Firestopping Inspection Report.doc Revised January 7,2008 Town of Queensbury Fire Marshal tivoTO 742 Bay Road Queensbury, NY 12804 if 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/ Stove Inspection Report Notice: New York State requires that all UL Listed, factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's instructions or specifications is allowed. Permit#C7a36 `J — ` S hedule Inspection 6/74..? Time 344am p anytime Inspector(J' Name �f(S/� 4tJw5Address 07 / ReA9 s p���� Rough In Final Appliance Manufacturer#10 V..10fres_ iiikr"Model# 19V37gC, Direct Vent Factory Built Chimney/ Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments �t Floor Protection gb�L ®D��� - /4",j Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles X. Vent/ekenEw Termination ,,� �.� �� - /�� ju .s Chimney height must be 3 feet above roof ® V �,J,G��tj��' penetration; 2 feet above any combustible EEIIII) Ci��, lf construction within 10 feet `P o Coi � cti� Ai V Gas Shut-Off Valve Lztai /M Jfie le Combustion Air X Hearth Extension (if any) Mantel —, /1. Aittitild //h,-Mfkej If oit- Height above f/p opening Witness Operation X , Tank Placement (if LP) .... 444 ii* " ./ r 04,k, CO Detection V '1 / 0 CSST Bonding x, /"C ` /� White—Building Dept. Yellow—Customer C- AL Fire Marshal csv 10 Rough Plumbing I Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: _ am/pm Depa am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: re- PERMIT #: Id LOCATION: e ("it)t r INSPECT ON: TYPE OF STRUCTURE: (W - ?b =7 -rJ ���. N NIA '�3 3 Rough Plumbing / Nail Plates i — ) `1 3 Plumbing Vent/Vents in Place V 1 % inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction � Pressure Test Drain /Vent Air/ Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test ,7y/ Water Supply Piping Air/ Head 50 P.S.) for 15 minutes Insulation / Residential Check / Commercial Check Tyvek or Similar Exterior Sealant Proper Vent, Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace f Duct work sealed properly / No duct tape (3-((_k:" COMMENTS: Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008 Framing / Firestopping Inspection Report d= lb Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/p Depart: 1 �am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: I NAME:_ GSI, r e PERMIT#: 069- 7/3 LOCATION: .11„o� INSPECT ON: S /to / 3 TYPE OF STRUCTURE: 01'11"f:3)10 Y N NIA COMMENTS: 0 (9 - 7a 3 Framing Attic Access 22" x 30" minimum 6(9-7 3 3 Jack Studs/ Headers3 Bracing / Bridging 40(9 Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Exterior Deck Bracing Headroom 6 ft. 8 in. • Notches I Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 ' (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Botts 6 ft. or less on center Ice and water shield 24 inches from wall Fire separation 1, 2, 3 hour �- "Th :44 v V Fire wall 2, 3, 4 hour --- Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side inch or 518 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/ Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/ below grade 5.0 sf grade L:\Building&Codes Forma-OLDeuilding&Codes\Inspection Forms\Framing Firestopping Inspection Report.doc Revised January 7,2008 L(. ,S D Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm DepaJ 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: /"\14'-6D�`� PERMIT#: 0 — / A a LOCATION: 1°/j c8.6 �� - r , ♦, INSPECT ON: -9- 1 3 TYPE OF STRUCTURE: Comments (0-7a3 Y N N/A Footings ` _) 3 3 Piers — 7 f3 Monolithic Slab 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 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval —0/ P x�mbing Under Slab � V J -1 '11V9i Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: ,'am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: L �� lam' NAME: 19 re PERMIT#: 01.9- ? / 3 " LOCATION: -13. r_j��� ��'rf� INSPECT ON: 4(-- TYPE OF STRUCTURE: u3K-v it-- II 3 comment, -7013 '- ®(9 Y N N/A Footings • Piers 7 it Monolithic Slab 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. F n tion/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper -� Foundation Insulationtenor/ Aterior R- _ Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 00,?) / '. a 0 Foundation Inspection Report Office No. (518)761-8256 Date Inspection re• iv..: Queensbury Building& Code Enforcement Arrive: 1Z • :-//or, Depart: "7" • p� 742 Bay Rd., Queensbury,NY 12804 Inspector's Initial NAME: _ •VtMIT LOCATION: AQ INSPECT_ Q ION: (f,3 TYPE OF STRUCTURE: Comments �d �✓ Y N N/A •VjlW) , Footings 1 Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing (p 3 for 48 hours following the placement of the concrete. Materials for this purpose on site. / Foundation_/Wallpour � 19f Reinforcement in Place � / i-3 t t6�E F 3 Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM -3 6 butz, 1 4) Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ h De art: a m 742 Bay d.,Queensbury,NY 12804 Inspector's Initials: p NAME: 1, e a a r p_ PERMIT#: 6& r 7 / .3 LOCATION: / � �' /-' p L INSPECT ON: TYPE OF STRUCTURE: 667 Comments 33 Y N N/A 3 Footings Piers Monolithic Slab 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 PlaceTD 9 l Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing 1 Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forrns\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM C S /0 -I Foundation Inspection Report Office No.(518)761-8256 Date Inspection request received: Queensbury Building& Code Enforcement Arrive: am/pm Depart:/C pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials NAME: a-ciprc . PERMIT#: 0(o— M LOCATION: � INSPECT ON: 3 — o—/ 3 TYPE OF STRUCTURE: 0(9-7 3 Comments O(a r7 3,3 Footings V) Piers Monolithic Slab 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 Place6/) Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM 7/3 Final Survey Inspection Dept. of Community Development Town of Queensbury rr 742 Bay Road Queensbury, NY 12804 • Date received: -1,7Z • ( NAME: c,re LOCATION: ��11 < ( 3 ( fue\W PERMIT #: a(SOCA.- 7 j .3 7,A3 73 .3 Final Survey Plot Plan Approved Denied The attached final survey has been • received by the Dept. of Community Development. Upon review the survey has been: 1 _h Craig BroWii, oning Administrator • Notes: L:1SueI-lemingway\Building.Codes.Inspection.FORMS\Final Survey Zoning Administrator.doc RX DatelTime 0812812013 10:52 • • • • • • •• • P.002 Z i♦• ilii ; , • A (.:4•I• y' I.,J. / I •a • Aug. 28. 2013 '10:49WHome Funding Finders �a .;;.,, �.✓5 �,�:�:�.'w�,v"',v'th 'No. 5132•� rP. 2/6• t�,� .�, • (.* MIDDLE DEPARTMENT INSPECTION AGENCY, INC. (0Y y a that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date l',,,t c'i,"1 noted below and is issued subject to the following conditions. f?j l;) Owner: Date: (;) �� , Amadora Homes 08106!2013 r� Occupant: Location: ? (0 Same 27 Treasures Place r�; %� Queensbury, "Ga Occupancy: Single Family Dwg. Warren Co. NY ,(9; >> Applicant y� Immanuel Electric Inc. ti (c� 2 Mohawk Ave. y�'' >...3 f.;., it k•>. ?A', 'i•; J Alplaus, NY 12008 .,.;.:•,...... ;"~: : ,.. ^}: ._ , ' ., ; ;' s .,- ��. ..'� yr is `;.' r:.'". (� <<�: Joseph A.Holme'[ ,�: .ire, ;�.:,:; ;.;P;fir. '47?..� g 140864:1'62356EL- r'n3=° .A i'. ? ..,..k!':.,,,-..:-.,:.'' ''' r Equipment: jx. ': :~<•::• . y } c�''-Mir :t:r',;',. t- 1 .i•-, : .t` ..,4 i k. 21 -Switches; 38 - Receptacles; 2'4'{='Fixtures; 1`-Air''condition r'S'I-•- BClrner, Winrigf Controlss, - Dishwasher; (�,� p, e , Ga 1 ,S .:,'• 1 -Dryer; 1 -20 Amp. Receptacle Washer; 2 -Vent Fans; 6 -Smoke Detectors; 1 -1.100 Amp Sub Panel; 1 -Water j, Heater • r.5 o .• 1J Thi&certificate applies to the electrical wiring to the electrical equipment listed Immediately null and void. This certificate applies only to the use-occupancy and 15 yw �h. sfl >GW above end the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use.occupancy or ownership (N /(<,1) inspection, No warranty Is expressed or implied as to the mechanical safely.effi• 0f the property indicated above,this certificate shall be Immediately null and void. y) � ciency or fitness of the equipment for any particular purpose, The certificate shall In the event that this certificate becomes invalid based upon the above conditions, 4�� `'S, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department '.1 l ) System to which this certificate applies be altered in any way,including but not limit- Inspection Agency.Inc. An application for Inspection must be submitted to Middle <;J (k,tci ad to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation •'i- any of the components installed as of the above noted date,this certificate shall be (U�) process. A lee will be charged for this service. •V,,!. G?�L:.•.R,.✓moi:" Y;.".•;:`�l^>�°$4:.Z'41 ...v � :s.144v•,••;`?::.,:;: in.•; �.v;••.� ',,,nN. 'w; ••„ r�• ✓, it•d`.4W.. ..::.y✓i r:`•!:✓:✓' S1`-•:Ak T y � k's . (� *%i� Si: 1•1 ;•,Z n'�• v �..w �. -V�. .� `. .-,%�.-� ����� ;5\may: �' .✓' .i rr, }r ��t�' ��: ��:'•ri,:',.5n� ��.� v�iv r;:ri•,,�• •��y •�.�..�,?.•.`.�- _ . :J.Jest`s::: >,`'.: ..%:.Jays%,.=:.::z::�✓l'�•'��1; ,,'