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2002-154 aw ILE t TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12895R02 (518)761-8201 Community Development-Building&Codes (518)761.8256 C'ErATIFIr ATEFOCCUPANCY Permit Number. P20020154 Date Issued: Friday, September 27,2002 This is to cer*that work requested to be done as shown by Permit Number P20020154 has been completed, Tax Map Number, 523400-308-018-0002-037-000-0000 Location: 10 KIMBERLY Ln Owner; DANIEL&KARIANNE RYAN Applicant: DAN&KARI RYAN This structure maybe occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached Single Family Dwelling Director of Building&Co o ment TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020154 Application Number: A20020154 Tax Map No 523400-308-018-0002-037-000-0000 Permission is:hereby granted.to: DAN& KARI RYAN For propetty4ocated at: KIMBERLY Ln 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 ONvner Address: MARGARET MC DONALD Single Family Dwelling 150,000.00 593 CORINTH Rd Garage-2 Cars Attached QUEENSBURY,NY 12804-0000 Fireplace i. Total Value 150,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency MILES CUSTOM HOMES, INC. 6 COTTAGE HILL Rd GLENS FALLS,NY 12801 Plans&Specifications 2002-154 DAN &KARI RYAN hSE#10 KIMBERLY LANE 2752 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS $402.24 PERMIT FEE PAID- THIS PERMIT EXPIRES- Friday,March 14,2003 (If a longer period is requited,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date) Dated at theX-owq of Qu nsbury; Thursday,March 14,2002 SIGNED BY for the Town of Queensbury. Director of Builmj'p&kpde Enforcement Building Permit Application Town of Queensbury-Dept of Community Development, 742 Bay Road, Queensbury,NY t (518)761-8256 A permit must be obtained before beginning construction. Permit File No. _ 111,— No inspection will be made until applicant has received a Fee Paid $'_ valid building permit. All applicants' spaces on this Rec. Fee Paid �$ application must be completed and must appear on the Reviewed By: application form. A l Applicant: ,5'-J--ev-R.. 1U . 1 { {es Owner: Address: Address: �-J`It. Phone#(j2L) 793- &'o o Phone#(�) 7�_- /c�'D Property Location: Lot Number:��a / House Number Subdivision Name: ,So1.`+11v..r v.. su r e Tax Map Number: Z New Building: residen /commercial Estimated Market Value of Construction: $ ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? o Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 ❑ Other work(describe ) Check OccupahcyInformation I"Floor 2"d Floor Other floor Total Below sq.ft. sq.ft, sq.ft. Square Feet Single family dwelling 13 74 113 7 K_ ❑ Two family dwellin o Townhouse ❑ Multifamily dwelling _ #of units --t ❑ Office ❑ Mercantile 20(1t. ❑ Manufacturing TOW ❑ 1 car detached garage 1 plly� eafs RY ❑ 2 car detached garage ❑ 3 car detached garage j ❑ car attached garage 2 car attached garage ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential ❑ Other What is the proposed height of the structure feet cr inches Will any second-hand or ungraded lumber be used? If so, for what? 6 Type of Beating System: electric/ oil /g s 1 ood forced hot air /other: Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes: Name Address Phone Number Builder 5+.=, 1 - s .9 Cam, � is ag L-r.�?�/aL?� Plumber S-Fwe- 1� �`d _ /' 1eF .V. P s Mason 497->,? -i'.s lly Electrician 7`1,3-/ 9 y 3 Declaration: 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,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new,-jorolruction. Signature: ._�- owner,owner's agent,architect, ontractor Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,IVY 12804 (518) 761-8256 1. OWNER INFORMATION: ............................................... ................................... Office Use Location of installation: © File Permit No. 4?-1 5 Tax Map No. Fee Paid Owner's Name: .............. .............. ......................... Address: 2- INSTALLER'S NAME :Jv't-A, 0_�A,_ PHONENO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House:' No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 galfbdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110gal/bdrm = Garbage Grinder Installed yes_ / no x SUP Spa or Whirlpool Installed yes_x' / no % 4. PARCEL INFORMATION: (circle applicable information&indicate measuremenA OF C"JesossxE- VON Topogra SJO' ature Ground Water Bedrock or Impervious M P, e c .-ater Su I rFlatph an at what depth ail what depth municipal -Rolling loam feet if well; water supply Steep slope clay from any septic-system %slope other i7; depth: absorption is other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: _minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: gallon(min. size 1,000 gal.) Tile Field: each trench �D ft. Total System Length: CrC> ft Seepage Pit(s): number of --1Y5 size ofeach: ft. by C_ ft Size of Stone to be used: # -3 depth or thickness—el feet Bed System Size: Alternative System: length andlor size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: Size of each: —gallons /TOTAL Capacity: _gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) i. For your protection,please note that pursuant to Section 13 6-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. X�o Date Signature of responsible person �r- Fire ilTarslt:tl's Office Town of QQueensbury. 742 Bay Road,Queenshtit-Y, Ny (51€3) 761-8205 Application for Feel Burning Appliances & Chimneys. applicable to solid fuel & vented gas appliances Date �l �. ` �p 0 ,., Permit API)lication is hereby made to the Building cC Codes Officefr)r the iss'uarice of a Building rittcl U.ve Pei nnif pursuant to the Net-v York State ril-e.Prevention tend Building Coek,. The ctpplicanj trr other agrees to comply with all applicable laivs, ordinat,cea 1%,ai lations. card ol/conditions that are part of• these requiretnents card also will allow all inspectors to enter Premises to perfot-tn required inspections. NOTE to applicant: Rough-in and Final Inspections are required. p Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: . , �L Stove: ivood coal pellet gas Fireplace insert Address: ,` r . Fireplace, factory-built: wood ' as Fireplace, masonry: ivood gets Furnace: ivood gas oil Phone: 7 73 — E00a If non-masonary applicance, }Tease provide Owner: + ,.� � � �t� Manufacturer Name: . Address: ! ,S j E c) Model Number: LAI Chimney Information Phone: ,' (circle appropriate words) Masonry block brick stone Flue the ­ste_el i. e: inches Exact Address: Lo4 .V_r.y _,. of Construction01,installation Factory-Built J9/-5Me?r )Manufacturer name: Model Number: Note: Listed By: Number: Construction lInstallation must con or•rn to NYS Fire Prevention &Bxilding Indicate (circle) chimney material: Code. Consult available Toivn of Queensbnry Handouts regarding i-equired inspecriorrs. Double it-all 1` Triple wall f Insulated ! Direct venting Chininev Liner Fire kfarshal Code# S Collected S Refru,dcd Received Iron, trcfitndc(I tn) .a 173 3389 (190) Public Safer -.42332655 (330)k inor Sales t White(Applicant) Greets(Fire:ZSarshal) ? . Yelloiv(Bldg. Dept,) Pink&Goldenrod(Cashier's Dept.) fi]@ E!��:'��E!�',iapLIMPLPLPLPLrL3rr3j !![RPLrL3rQffl3rL3PLIE- ��i::! 1 i��:i,1.; 1 4 PUPWIVEMPOPRIEWPLIMPRIVED111 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTTIES THAT Upon the application of upon premises owned by MURTHA, BOB DAN RYAN 91 MANNIS RD 10 KIMBERLY LANE GLENS FALLS, NY 12804-1306, QUEENSBURY, NY 12804 Located at 10 KIMBERLY LANE QUEENSBURY, NY 12804 Application Number: 1048311 Certificate Number: 1048311 Section: Block: Lot: 30 Building Permit: BDC: A239 Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below, located in/on the premises at: Basement,First Floor,Second Floor,Attached Garage,Outside, was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the l3th Day of September,2002. Name OTY Rate RgiRg Circui Type Receptacle 8 0 GFCI GFCI Circuit Breaker 1 0 GFCI Outlet 6 0 Telephone Receptacle 1 0 Dryer Outlet 6 0 CATV "Arc Fault Circuit Interrupter 4 0 General.Purpose Paddle Fan 1 0 Residential Service I Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. : Pr-j� RW�PL�PPEBJJ U J PRIERPRIERPRIVER l� 1111 "z TOWN O F Q U E E N S B U R Y BU T L,DT NG & CODE ENFC3R4(--OmowT 42i A- � 742 Bny RtJAD QUEENSBUR'i' NY 12804 (.518) 761-8256 ARRIVE : L?EPARZ' a INSP z F'7CI3rAL �N �aP�G'�3COEtiT RE1P+CiFt� ChOtel, mc3tel. a , 'o X) DATE T N S P SON REQUEST RE C E T V E D s NAME LOCAT=ON j�-� Af TYPE OF STRUCTF3RE FOOTINGS BACKF LL FRI+rMT1VG PLUP3BINCa TNSUL�TTt3N M YES �d0 CHTMNEX/ „ 8 •• VENT' iE�G�iT PL.L7MSZNG V NTzvTX. RES ROOD"T NG EXTERIOR F=NTSH �.� � _.........................�. HEATTIVG HOT WATER RE L T E F VALVE S FLOORS FOUNDATTC3N INSULAT N T N T E R T O R S TA T R S T L I N G S STOCKROOM E N C L U R E F-IRE DEMISE ALLS P E N E T RAT I O N F T RE DAMPER S CETL.TNG FIRE STOPPING FTRo DOOFLS/CLOSERS EXIT DOOR llnaDWARE EXIT S VIA TFts/RATLS P LAT FO RM Z E LE VA TO R HANDICAPPED ACC E S S fiANL?ICAPPED BATHS H AN D T CAP P E D PARK T NG FINAL ELECTRICAL S T T E PLAN VARIANCE RE FINAL SURVEY PLOT P LAN I F OK `.CO TSSUE CLO OR C,/C RESIDENTIAL FINAL INSPECTION REPORT q-e L Office No.(518)•761-8256 Date inspection request received: ! �� Building&Code Enforcement Dept.of Community Development Arrive ' 4,2= Depat ' m Town of Queensbury Inspector's Initial 742 Bay Road Queensbury,New York 12804 ) NAME C. L� l L� cz PERMIT# LOCATION .� DATE TYPE OF STRUC N/A YES NO COMME-NTS Chimney Height!"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,landing 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area FurnacelHot Water Heater operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/trim/doors/main entrance 36" Floor Finish BathroonAGtchen watertight Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation s/4 hour fare door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Cerdf.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) LEGEND o I.R.F. o I.P.F. o I.R.S. moo., 0000 0 W.F.P. --ohw- n/1 NOTES: IRON ROD FOUND IRON PIPE FOUND IRON ROD SET UTILITY POLE STONE WALL BARBED WIRE FENCE POINT WOOD FENCE POST OVERHEAD WIRES NOW OR FORMERLY 1) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB —DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. MAP REFERENCE: MAP ENTITLED "SOUTHERN EXPOSURE" A SUBDIVISION OF LANDS A SUBDIVISION BY ROBERT E. McDONALD" PREPARED BY RAYMOND J. BUCKLEY L.S. DATED APRIL 1981 FILED IN THE OFFICE OF THE WARREN COUNTY CLERK 'AN ANK AND TRUST COMPANY, SIGNS. 3URANCE COMPANY ED FROM AN ACTUAL FIELD '.002. "ICATIONS HEREON SHALL BE lR PARTIES HEREON NAMED AND ADDITIONAL INSTITUTIONS OR THAN AS MAY BE OR _7- +� �. L) SEP 2 7 2002 ;Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE II Received: Permit# INSPECTION ON: Name- AM ANYTIME y Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERJS 6Ac,7 40J CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRIC L REQUIRED SIGNAGE EMERGENCY PLAN fi MAXIMUM OCCUPANCY Sir, • cs< CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN Ru- F.INAL WOOD - STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK T S DATE KF RCO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN INSPECTED BY FINAL COMDEV/CHRISJNVORD/LETTERS20OI/FIREMARSHALINSPECTIONREPORT11022001 WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: f � Building&Code Enforcement Dept.of Community Development Arrive i a m Depart Town of Queensbury .Inspector's Initia s " 742 Bay Road Queensbury,New York 12804 NAME < PERMIT# LOCATION 10 ajg�q DATE "TYPE OF STRUCTURE N/A YES NO COS S Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 18 in.or more Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate 141 Gas Valve shut-off exposedtregulator 18"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 operating Relief Valve(s)installed Headroom,6 ft.6 in.on stairs Dta Basement stairs,6 ft.4 in. Handrail exterior stairs both sides more than 3 risers_ 1 Interior privacy/him/doors/main entrance 36" / Floor Finish / Bathroom/Kitchen watertight / Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom / inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer l--IR-, Garage fireproofing Garage penetrations sealed Furnace in separate room protected(in garage) .t Light ventilation per room 1 Safety glazing 18"or less from floor . pA t5 k Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required NR�", � A�Okay to issue C/C(Certif.of Compliance) p �? � Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif,of Occupancy) n , "Tl^;"o W 7 7 I°'° 0 0 H pq `f,�{11 �� tla Ci I_' ,� ���T Gy 1� iw"' 0 ", 1 00 MOO G)'O -J. a .4Hct .1.m.,, ro rD Q a0 0 1 1 z(D + N pi `, "',� Q (Dact s -i ct b , Q@a -� O C) OQQt Xd N� �� .� y,�,Q 0 a (D a Z V)cn . . -1 rD wrt �+ � .�n -� Qrrna c+ � a -�Q 1 ro (Aa M -h Q Q rD :3 n H m rD �D d 6 (D h :rmsmI Q X (D n Q rD -Jf (D i, N rm NN Opp N 11.r �• -16 rD tD rD th I a rD rD (D .r, rD ./ tD Q rh C+ a Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone(518)761-8205 Fax(5 18) 745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received'. Piarmit# INSPECTION ON: Name: LJ CyA KAR4 AM PM ANYTIME' -- Location. fie , APPROVED N/A YES NO COMMENTS II EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING -PI/ON, gK� FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM eJt_0_VWVw FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS PC Uk A I, CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS I t i CLEARANCE TO ELECTRICAL I/ REQUIRED SIGNAGE IT EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGH IN ok FINAL CHIMNEY FACTORY BUILT ROUGH IN tbi_t7 - WOOD FINAL 0A A)A �d �C t STOVE ROUGH IN VENTED GAS FINAL APPLIANCE ROUGH IN FINAL wAl FIREPLACE MASONRY ROUGH IN K THIS D OWFOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROUGH IN PECTED FINAL CoMDEV/CHRISJ[WORDILE7TERS20091FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Office Use GENERAL INSPECTION REPok���: Inspector: Ready Town of Queensbury Re time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am n RT am n otes: Is (518) 761-8256 Inspector's Initi Is NAME: PERMIT I#. LOCATION: INSPECT ON(date): —Q TYPE OF STRUCTURE: RECHECK Y NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place A 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 lambing H g \)4,�i� e g Rough-In elation tz) lation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- roper Vent,Attic Vent IPraming ti :Tgo bb 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 Firestopping_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Ins tor: A Town of Queensbury Ready at time: Dept. of Community Development Request received: eet: Building& Code Enforcement At time: 742 Bay Road r Queensbury, NY 12804 ARRIVE am/pm: DEPAR Not T m)pn1 G&M� (518) 761-8256 Inspector's Initials NAME: PERMIT# Oc;L t 5 L LOCATION: INSPECT ON(date): TYPE OF STRUCTURE-. RECHECK N/A YES NO COMMENTS 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,'WaRpour Reinforcement in Place Foundation/Dampproofin Backfill Approval Plumbing Under Slab / lu ing VentNets in Place Heating ou Insulation Foundation Walls Interior-R-- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in eated spaces R- Pr er Vent,Attic Vent V ZR&ders Bracing/Bridging Cd e-e-44TI&�— AJ Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed 12 4W L:%ueHemingwaylBuilding.Codes.Inspcction.FOP,MS\GENERAL INSPECnIIIJ k4ifi�dC 111/"�'K V-111 - - I Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART am/pm Nrites: (518) 761-8256 Inspector's Initials NAME: (, N PERMIT# 0 7- ` l b LOCATION: tit vi—ir? L i INSPECT ON(date): 5 b ?f TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers _ Monolithic Pour Form Reinforcement in Place The contractor is re s o ble for providing protection om eezmg for 48 hours follow' the p acement of the concrete. Materials for this purpo e on si Foundation/Wallpour Reinforcement in Place Foundation/Dampproofm Backfrll Approval 4- Plumbing Under Slab ( ` Plumbing-Vent/Vents in PI e �ough Ilumbing Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior Floors R Walls R- j Ceiling R- Duct work or piping in unheated spaces R- ro ttic Vent FramMAng Jack Studs/Headers j Bracing/Bridging Joist Hangers /f l0, TP,o � Jack Posts/Main Beam t% Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed 4rour ' i r.estopping L:1SueHemingway\Building.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Town of Queensbury Ready e: Dept. of Community Development Request received: Meet: Ready Paa jdy Meet: Building& Code Enforcement At time: 0 L 742 Bay Road Notes: a. Queensbury, AT 12804 ARRIVE am/pm: DEPART.4.`'ram/pm Notes. (518) 761-8256 Inspector's Ihitials�r7 NAME: PERMIT# aC(9— LOCATION: 1 INSPECT ON(date): 5 l 7- 0 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS 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 iab 'hts in Place gh P1 ing V 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- PropXVent,Attic Vent /P$Q 1s0lp uz,5 /A)1—6 E- N,Ml-ftm-` Elck-Studs/Headers V Bracing/Bridging gist Hangers — \/ /Jack Qsts- ain Beam 1 if , 110 tion Barrier 14-1 4011-1141- Fire Separation 1,2,3,hour Penetration Sealed Fire yall 2,3,4 hour __ 01, NZ Vf, gvm,, L:\SueHemingway\Building.Codes.Inspection.FORrvfS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbut y Ready at time: .Dept..of Community Development Request received: f o Meet: Building& Code Enforcement At time: 742 Bay Road �, Queensbury, NY 12804 ARR VE � am E R' `� a Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# � � LOCATION: L INSPECT ON(date): TYPE OF STRUCTURE: " RECHECK N/A YES NO COMMENTS 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/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R � y' Walls R- Ceiling R- Duct work or piping in t unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracingBridgimg Joist Hangers- Jac k Pasts/Main Beam -` Air Infiltration Barrier Fire Separation 1,2,3,hour `C4�� Penetration Sealed Fire Wall 2,3,4 hour •�` ^��-''J �✓ FirestoppingtY L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc - l �� Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuyy Ready at time: Dept. of Communi0i Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pna: DEPARTS- / � am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT V O LOCATION: V 30 C-) kMINSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Farm Reinforcement in PI a e The contractor is r po 'ble for providing protection from eel for 48 hours followin the p cement of the concrete. Materials for this purpose o si e Foundation/W allpour _ Reinforcement in Place Fo tton/Dampproofing ckfill Approval Plumbing Under Slab Plumbing Vent/Vents-Wlace 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 Framing Jack Studs/Headers Bracing/Bridging- Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hotu Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMSIGF,NERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building&Code Enforcement At time: 742 Bay Road Queens�bury, AT 12804 ARRIVE am m: PT a Pn2 Notes: (518) 761-8256 Inspector's Initi is NAME: PERMIT#LOCATION: & INSPECT ON(date, TYPE OF STRUCTURE: RECHECK N/A i YE V-11k COMMENTS zotinRsip—iers Monolithic Pour Form Reinforcement in Place The contractor is responsible f6r '6 providing protection from freez ng for 48 hours following en of the concrete. g the place jen Materials for this purpose on site Foundation/Wallpour V Reinforcement in Place Foundation/DarnpproQfm&� Backfill Approval Plumbing Under Slab Plumbing VentlVents 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 Framing 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 Firestopping— L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc off A � ` lotc RE ED ; MAR 1 " � �yI'C (gyp t ,� 1AG QUEENSB ty ' � ANDGODE - � t I N t i 44 , ti i ill , of ""r• t!. `Ar , nl �y i 1lilt to �t!ri 0 Of ieve 1 saw evidence f, 0 01 all obects such as hoes , ,trees,fences,etc,, ��''�� ++ '� t,I also re resent that 1 have shown on this document, p personally ersonall measured the distances set forth on the d gram:' b' ' SIGNATURE DATE