91-472 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY T
WARREN COUNTY,, NEW YORK
Date 1a4i,. IA 19 LL
•
This is to certify that work requested to be done as shown by Permit No. 9F 472
has been completed.
This structure may be occupied as a Single Family 1 tag
Location Lot 23 Foos 1 Butternut Hill Drive
Owner Denise & Paul Przybyl o
By Order Town Board
TOWN OF QUEENSBURY
i( J)s// 47.71-4/1
zit
Director of Bldg. & Code Enforcement
BUILDING PERMIT
a
TOWN OF QUEENSBURY
No. 91-472
CD
WARREN COUNTY, NEW YORK
rt
to b
PERMISSION is hereby granted to Denise & Paul Prz y y
OWNER of property located at Lot 23 ST 11 Butternut Hill Drive Street,Road or Ave.
kel
in the Town of Queensbury,To Construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CP
O
1. OWNER'S Address is
Same 0
I',
fD
2. CONTRACTOR or BUILDER'S Name
fam
Schillinger Construction
3. CONTRACTOR or BUILDER'S Address
10 Talbot Ct.
Clifton Park
c
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4. ARCHITECT'S Name N
a
cI
5. ARCHITECT'S Address
I-
0
6. TYPE of Construction— (Please indicate by X)
0
(X)Wood Frame ( ) Masonry ( I Steel ( ) fv
7. PLANS and Specifications
•
No. 2,176 sq ft Single Family Dwelling as per plot plan specifications tin
and application rn
8. Proposed Use
Single Family Dwelling with attached 3 Car Garage484
m
$ 339 no PERMIT FEE PAID —THIS PERMIT EXPIRES July 3, 19 92
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 3rd Day of July 19 91
SIGNED BY / -t/✓'%�. —j/1�'�_ for the Town of Queensbury
Building and Zoning Ijtispector
TOWN OF QUEENSBURY
1� REVIEWED BY: 7�� ��
%laTei, FEE PAID: / WciC, I n1.t;7°""'ILIF`e
PERMIT NO. : . ./7
J UN 2 8 1991
BLDG. 61 r 01* DEPT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: b h, t.s A,,,.0 Nut_ Piz Z4 V1_a R y3V l_()
P.O. Address: XO 13IUv t1240 [z/p , PHONE 7?3 2- ci t O
Property Location: i) 33t. i ,.thJu r l4f�L 0 (gyp. Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No K
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: .1313 O. i)VT ;);Li_ Lot No. c.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
JPiim1:',:sue' S 1 U'IL ,-t!,2 -IP , PI211.s r,i;' CC-11 i We,G D
1i
.i l_Oi4ATkUGT/o�.1 1 /0C/
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
X' Construction of new building * CONSTRUCTION: $ 1 6 Dli DUO ,
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
;(no change to exterior dimensions) * Size of Property: /,2.t,e f-t--x—/16, ft.
Other work (describe) * Existing Building Size:
v •
* ft. x „Z T S , 1-? i
* Proposed build'ng - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor a 4, 0 -7- Sq. Ft. ,26?'p * Front Yard 4O ft. Rear and 2/r ft.
s- * Side Yards 9 ft. and 5 d ft..
2nd Floor / owe` Sq. Ft. j _ * If on corner, setback from side street-
„ , O ft.
Other FloorsG�,,:e Sq. Ft. '' *
(not cellar or basement) j * OCCUPANCY INFORMATION:
/ '24 *
. TOTAL FLOOR AREA: g-1-e�- Sq. Ft. * Primary Building -
* X. One Family Dwelling
Size of New Structure: I , ft. x C ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) ()M P * Other
Height (grade to ridge) Ig ft. *
If residential , no. of families: cio * If addition, what will use be?
No. of rooms (excluding baths) : /j *
No. of bedrooms: *
No. of bathrooms: a I; * Accessory Building:
Primary heating system: c' 1 L 1-46T uw,w e. * Detached Garage - One/Two Car
Type of fuel : oa ! * •� Attached Garage - One/Two Car Q
No. of fireplaces to be installed: 04, c * Private Storage Building
Will a woodstove be installed?: 106 * Other
Central Air Conditioning: Yes X No *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? No
Foundation Wall Material : Ph,,,,,,,6 (,,,,,,«;W a4 Thickness: /a ''
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? Heated or Unheated? b t) C,zfa-76a Floor Sq. Footage: 21„,o7
Will there be a basement? yo Will any portion be used as living space? A)p
If so, what portion? uGwiL Sq. Ft. Type of Use? S7tw:4G P.
Type of Roof: Sloped/Flat/Shed/Other s' C op c,-o Material of Roof 3 G, «,,_t b
Size, wood studs ?_ " x , " ; spacing /.J " o.c. ; length ft.
Joists (floor beams) : 1st Floor 2 " x in " ; spacing / b " o.c. ; span /0 ft.
Joists (floor beams) : 2nd Floor AJowie„" x " ; spacing --- " o.c. ; span — ft.
Overlays (ceiling beams) : 712vss' S " ; spacing ? " o.c. ; span 32_ ft.
Roof rafters: T12(. I x " ; spacing alp o.c. ; span 7 LI ft.
Roof trusses (pre-engineered) : spacing 2 '/ " o.c. ; span 327 ft.
Exterior Wall Finish: 6 2,c of what material ? 134-« K / 1)../t a.d
,
Interior Wall Finish: S/,etc7`
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:, •
%wue
Is there to be an opening between garage and dwelling? �3 If so, will a Fire-Rated door,
enclosure, self-closing device be provided? y(oc C. L 4 , j�( _ noo
Will a flue-lined chimney be installed? (/)O !Height above roof Z ft.
Depth of chimney foundation below grade: th.v ft. r et`7O`'"7 L
Depth of fireplace hearth: Z ft. in.
Water supply - Municipal or private well : j,� v L
SEPTIC SYSTEM: Distance from any private well (including adjoining properties: •ib0 + ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: _ /D 45a-1 (17 , C L iP%o 'Pan(1 PHONE 3 7/ - 3 )3 Z
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: (c) 1 rat g;Or c-,i - i Y i cw 1Pa-A/1 PHONE -J ),( _ 3 7.3 2,
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
To the best of my knowledge and belief the statements contained in this application,
together with the plans and specifications submitted, are a true and complete 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 not, and that such work is authorized by the owrr r.
Signature
wn r, (w er's agent, architect
co rac r
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
cg
�o TOWN OF QUEENSBURY s®l�P'er.,tl a JC'
APPLICATION FOR SEPTIC DISPOSAL PERMIT rma-t #" „EF? 2 t a
Fee Paid
JUN281991
Date: 6 A. 3/7 / Reviewed By
�€�� DEPT.
LOCATION OF PROPERTY FOR INSTALLATION: 1/ C3 f17],"Ei2/vv7 � 2L �-Iv °
Owner' s Name: 199DoISE pn0,4 I A-0L. i°(L2 yey j -
Owner' s Mailing Address: ,fib d31 (IF Nino vew , Ct,0711 (1,-0 6s�c jai _
Installer's Name: -,140.,,t,{ Srit,,L( Phone #: 3 )/ 3 7 3 .?
Number of bedrooms (if residential ) : ;3
Total daily flow (residential-compute @ 150 gal . per bedroom) :. Li TO CAC,
Topography-Circle One: Rolling Steep Slope % of Slope • 2 'S
Soil Nature-Circle One: Sand Loam Clay Other /Depth:
Ground Water-At What Depth?. Gjj4_ Feet
Bedrock or Impervious Material-At What Depth? it)//- Feet
Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch 7' 47''Z vitv"'`=
Domestic Water Supply-Circle One: Municipal 4111110 Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption /o a feet
PROPOSED SYSTEM: Septic Tank /c o.O gal . (Minimum size: 1,000 gal . )
ZO
Tile Field: Each Trench a—erc5.0 feet//Total System Length feet
Seepage Pi t(s) : Number of IJ 7A- / Size each: ,16 ft. x 2, 8 ft.
Size of Stone to be used: # L / Depth or Thickness /8 `/ feet
**************.
HOLDING TANK SYSTEM IF REQUIRED
No. of Tanks Size of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
****************
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: DATE: S///Z 3A/
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and approval by the Building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, anew proposal must be submitted
to the Queensbury Building Department before further construction.
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
y'. y „ - ,•r•77;'r o-J.y7'a;(,•yr..44;ya..J•lr r'J—> �•nTOWN
®�•-c;: .,,�..,/,{\/77���,/T^�^d•.,,r .y, ,.. F�--•7�, ' '�¢- '' eT r' ' ' /.
J. l O I • 1 V OF Q UEE � SB I d l
Bay at, aviland Roads,Queensbury,N.Y.12801-9725 •
APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES
Date , 6 /c.2 3 19 atl Permit No. ./-171�.�
APPLICATION IS HEREBY MADE to the Building Department 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 for the required inspections.
Applicant's Name APPLIANCE TYPE
Sc,(� iCLt�, �v,,, r�awtih,�rTr�
Stove Coal Wood ?c
Address /0 Ti c. ed o T ( , C, C t.F7Ow pf4h/ Furnace Hot Air Boiler •
Zero Clearance 'X.- Circulating Unit
July, Zip /L ( L/g .
Phone J 7 / — .3 ) 3 L 3 7 ) .c-6 / 4 If Non-Masonry:
Owner's Name 10 1,7Gu r s e R 1',40l P 2 2 Vi \J / 0
Manufacturer s t i Cie..o.t o vt .
Address 2.a . 18 t 0 V. tt.r w h k Jo / Model ,le, /e Outlet Size z //
Soc, 6-461 -t y.,,>s 174,Ls Zip / 18b3 Listed by I') L Number .. a c
Phone CHIMNEY TYPE 7 9,5 - 2- y 6 0 ,
Masonry: Block Brick Stone.
Property location of proposed construction Flue: . Tile • Steel; X .`
Size: •8
Factory Built: ,
Manufacturer .,: .3c,�kModel . Size 3 6.//
COPY OF MANUFACTURER SPECIFICATIONS IS Height S4 r, .isted.By ' tJ L 'Nttniller
REQUIRED FOR FACTORY-BUILT APPLIANCES Type: Double Wall•` .? ?C ''.;.: Tripp Wall .': .
AND CHIMNEYS. MUST BE INSTALLED
ACCORDING TO SPECIFICATIONS. COPY OF Insulated ;;';;
Estimated Cost $,._ t'w c661i 4-a l w 1400s e,
CONSTRUCTION DETAIL REQUIRED FOR MA- Fee$ `1 S':f•
SONRY FIREPLACES AND CHIMNEYS. i . ','
Y
CASHIER'S DEPARTMENT
TOWN OF QUEENSBURY,'NEW YORK ,
•
Department: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A173 3389 (190)Public Safety
A233 2655 (230) Minor Sales . '
ee ected from or Ref nded to: 44IJ� P'/`I/lvl�/��r.r-1�, ao
Address:
Dated: & ..
A �'/Q / Town Clerk.or Deputy ��rf . -- .,_,A
/
," ,
While:Applicant Yellow and Pink:Cashier's Department Goldenrod:Fire Marshal
°
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: TOWN OF OU€F€=IVJ
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; J UN 2 8 1991
Multi-Family Dwellings
(3 Stories or Less) BLDG. & CODE DEPT
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
fJ IZ +U l s C. 4 ti3 J 19 Au L P 12 Z`y by L[� /-� t$cs+i l2✓L u v,— f J L L CO r2, v I%
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
allCp
1. Gross Floor Area - :t 5 a ?' Sq. Ft.
2. Type of Heat - OIL Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors / ?% Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 2 u/ p/
B. Exterior Walls R / /8
C. Glazed Area R .3 ,c /, )
D. Exterior Doors R ,2
E. Floors over unheated spaces R Iv�
F. Edge of Slab on Grade (Heated Building) R /,3 /
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R /3 / a
I. Heating/Cooling - Ducts - Piping in Unheated Space R. 16
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code NO
TEMPERATURE CONTROL MAXIMUM SETTIN(140t;) - WILL NOT BE EXCEEDED
/ �3 / � / 3 71 — 3 7 .S
APC NT'S SI NATURE (/,) DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REV IEWE
•
• .
•
•
•
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
- FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP. /# DATE / .
• 1 -- /
CITY OR VILLAGE .:TOWNSHIP • COUNTY
• .)((
STREET AND NO.OR ROAD • POLE NUMBER
;
BEN/EN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT •
- /1 O )
OCCUPANT'S NAME / BUILDING OCCUPANCY / - , •
' / / P;;:(1/ /
OWNER'S NAME AND ADDRESS • HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS
NEW l=1 OLD El WORK IS NEW .1=(,. ADDMONAL DEFECTS REMOVED D
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures&
MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attachep't H.R Watts AW.G.
Ceiling wall Recii, Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
•
•
•
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. •
• •
•
THIS APPLICATION IS INTENDED"TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK n EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
ET! CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING - MANUFACTURER OF SIGN
0 OVERHEAD El UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION'MAY BE RETURNED.
PRINT NAME AND ADDRESS .
NAME OE APPLICANT ) DATE OF APPLICATION SIGNATURE OF APPLICANT
Jr' //1) / X
STREET ADDRESS.-
• . TELEPHONE NO. _
.71/0 /15 -1; ,) • / (
CITY OR POST, ••-•
OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
• .
•( / ) / ) • --•••
85 John Street 41 State Street 1 570 Delaware Avenue 217 Lake Avenue 0 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207• BUFFALO;NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THF NEW YORK BOARD OF FIRE UNDERWRITERS
•
Member N.F.P.A.&I.A.E.I. j�
ATLANTIC - INLAND, INC. - NEW YORK Electrical Certificate �� 517
Electrical and Fire Inspection-Enforcing&Consulting Service CONCEALED WIRING
997 McLean Road,Cortland,NY 13045 DATE: t 7-18,-1994 `"„CERTIFICATE NO.: C._r'746i
OWNER: Paul & Denise P:rzy'b �l.ta AS APPROVED FOR:
Butternut Hill Rd. - Fes dence:
ADDRESS: Queensbury, NY - ..
.28-sw. /4' -:recces •t. /O6-md. bass:, fis.. /
.r` . ''c 1-dlshw. /2-venL fans/2-smokerapt,. �t;1 i.
The conditions following governed the issuance of this certificate,and any certificate previously issued is,
— Allen D1ckti:1_nson cancelled:
ELECTRICIAN: This certificate only covers the electrical equipment listed and installation conditions,and does not bear any.
Box 337 RC 1 .:' ,,,: res onsibility or liability for loss due to electrical reasons as of date posted.Upon the introduction of additional'
ADDRESS: Greenwich, NY,' 1283 ment or alterations,application shall be promptly made for inspection.
\`inspectors of this Company shall have the privilege of making inspections at any time,and if its rules are.
..,--, .',,.-,..,,,,c0P
y iolated,the Company shall have the right to revoke this certificate.
0
A�-2�'flertsicate is not for the approval of the zire a.tarm protective system.
TOWN OF QUEENSBURY `"f
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5 //1q 1
NAME Zfl ZJ /
LOCATION /f
DATE bftrict.r
% PERMIT # %/ •- 9j7,
91
TYPE OF STRUCTURE •
RECHECK V/ APPROVED
- N/A YES NO
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/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING '
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB /
FRAMING:
JACK STUDS/HEADERS /14
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INT RIOR R-
FOUNDATION WALLS EX ERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
4145 Corte
ARRIVE 3�4)
DEPART 33 6
INSP OR
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME / 1 j/ .
LOCATION l�—27Z .
DATE f/7f r PERMIT.# 9/97
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTILLATION
AUTO. SPRNKLER SYSTEM
ALARM SYS EM
}
INTERIOR FTN. SHES
STORAGE: s
CLEARANCE TO SPRINKLERS
CLEARANCE, TO HEATING UNITS
REQUIRED S}YGNAGE
CHIMNEY
WOODSTOVIE
FIREPLACE—MASONRY
✓FIREPLACE—FACTORY BUILT
REMARKS: 1 1 OK TO THIS DATE
. J
C :
7 (
2/015 INSPECTOR
F„ TOWN OF Q JEENSBURY '0��?'C.-^
531 BAY ROAD
`►` ; QUEENSBURY,TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED -�/7/ �
NAME g f egt L 1, AI.lt. crlhyr/Ae. 69
LOCATION,% f o?g c/ /4 .'
DATE ,5://1#0 PERMIT# 9/,5‘72
TYPE OF STRUCTURE , oh( r y/
•
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION 4---BACKFILL _$RAMING
LROUGH PLUMBING FINAL ELECTRICAL ASEPTIC
1IfSULATION WOODSTOVE/FIREPLACE
REMARKS `j X fer,t4.1 p ig
APPROVAL
N/A • YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT / \
ROOFING
SIDING I k
DECK/PORCH/STEPS/RAILINGS I !
RELIEF VALVES
FURNACE/HOT WATER OPERATING1
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT II
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED / °,
STAIR CLEARANCE/RAILINGS /
SMOKE DETECTORS /
DOOR CLOSERS /
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: / `
Ck? /7
le" j- 6,- ChG ;_. b7e.W1 6'x
ARRIVE 9,/d I ./ (-Deer.
DEPART 9/.30 1d
INSP CTOR
, •
,. ..,,,.. a--R.,„..k_,
p
TIWN�OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
.TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT .
REQUEST FOR INSPECTION RECEIVED /
NAME 44-"0:(--640A-4frehi..‹._
LOCATION italk;r417. 7" .
DATE 1//IS ) PERMIT# //"7"7
•
'�' `� � APPROVED
N/A YES NO
' EXITS
AISLE WIDTHS
EXIT SIGNS
• EMERGENCY LIGHTING
FIRE EXTINGUISHERS ,
AUTO. EXTINGUISHING SYSTEM /
HOOD INSTALLATION /' / '
AUTO. SPRINKLER SYSTEM I i
ALARM SYSTEM I'
i 1
INTERIOR FINISHES \I
STORAGE:
CLEARANCE TO SPRINKLERS/
CLEARANCE TO HEATING UNIT
REQUIRED SIGNAGE /
l �.
CHIMNEY
IW ODSTOVE
/IREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
•
REMARKS: `' . OK TO THIS DATE
1-d/OA/{a' A 1 v-
,______-/0,4.417,,vtibireuA7rgie
2/015 I SPECTOR
TOWN OF QUEENSBURY .A?'
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
' FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED `a f2cf/ly'SL
NAME p,Af1iAl, t iv,.c,2_ g/t 10
LOCATION-0Z9 �/ .d /44CU_/ 4_
DATE 4/ /q,/ PERMIT# 9/-4172_
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS /
AUTO. EXTINGUISHING !SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM /
4 c
INTERIOR FINISHES //
STORAGE: /
CLEARANCE TO SPRINILERS
CLEARANCE TO HEATING, UNITS
REQUIRED SIGNAGE ,i,``. .
/ t..
P `.
. 11
1Y
CHIMNEY t%
WOODSTOVE 1'
FIREPLACE-MASONRY4Y ‘
FIREPLACE-FACTORY BUILT \
REMARKS: 4K TO THIS DATE
* /( 4/7)/P,,e2977--- .„% ..,72/4k,
6/4,0-/)-..-- ' - , 6'. --)
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2/015 '" INSPECT R
TOWN OF QUEENSBURY
C-- --BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST IR INSPECTION RECEIVED ,S-- --'S'S4
NAME r ' :.n 74 ,P e z y 5 Li)
r
LOCATION
DATE ,,3;.4--5 /- PERMIT 0. q /--472—
TYPE OF STRUCTURE
RECHECK IAL. APPROVED
N/A YES NO
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',PURPO,SE ON SITE
FOUNDATION/WALL POUR //
REINFORCEMENT IN PLA E
FOUNDATION/DAMPROOF AG
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VE TS 1IN PLACE
PLUMBING UNDER LAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: ;%
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS (kg`At R- Jd . Z/ _
CEILING I R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE AW •
DEPART /6,'L6) ,-/ ,,�
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �!'t$-- ate'" f e VoylLO
LOCATION J- +v�3 P���.c�A` JJI/
DATE T,,2 3 -`j'7� PERMIT q/-412-
TYPE OF STRUCTURE
RECHECK % eiu,,.,,6,l�l L. APPROVED
N/A YES • NO
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/WALL POUR •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
OUGH PLUMBING g./
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDER SLAB 1
FRAMING: ;
JACK STUDS/HEADERS ' •1
BRACING/BRIDGING
JOIST HANGERS ,d' '
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALE" INTERIOR
FOUNDATION WALLS EXTERIOR R-
FLOORS R- \ �.
WALLS R-
CEILING R- 3'� ✓
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
C6fd -161- V".'64ct-
454-11 4 Ce4
ARRIVE /%U
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 r
TELEPHONE (518) 745-4447
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED 3/a ./9
NAME
ie
LOCATION r / i Litr 1u,6 Jl '
DATE 1014 PERMIT #
TYPE OF STRUCTURE la .3 e
RECHECK APPROVED
N/A YES NO
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/WALL POUR •
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
(ROUGH PLUMBING/4.QO,
PLUMBING VENT/VENTS IN PLACE/
PLUMBING UNDER SLAB /
FRAMING: /
JACK STUDS/HEADERS t /
BRACING/BRIDGING'
JOIST HANGERS
JACK POSTS/MAIN BEAM ,
HEATING ROUGH-IN if
vINSULATION: /
/" FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS , /,,4 R-
CEILING L/
y f,� ,- R-3 —
DUCT WORK OR PIING IN UNHEATED
SPACES
REMARKS:
/gee/" 5 / 4/ _c./��L� (1./e._
/iece/ -7 /rep/
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ARRIVE 3'o
DEPART -31 Li
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n„
531 BAY ROAD /� r
QUEENSBURY, NEW YORK 12804
TELEPHONE' (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED g//7/0
NAME
LOCATION&?34 L. i bj/
DATE 0// /91./Z. PERMIT #. 9/-4L'72_,
TYPE OF STRUCTURE SIO w 5c a-O a f,
RECHECK APPROVED
N/A YES • NO"
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/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPR OFING
BACKFILL APPROVA r /";
XROUGH PLUMBING i \wJ
/ PLUMBING VENT/VEN IN:-PLACE
PLUMBING UNDER SLAB, ,
FRAMING:
JACK STUDS/HEADERS;
BRACING/BRIDGING y .41,
JOIST HANGERS / ' ,
JACK POSTS/MAIN/BEAM \
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
REMARKS:
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ARRIVE \ / / _
DEPART 2 o7 J �/ G
INSPECTOK
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 7/
NAME ///�
LOCATION //;#erg j
DATE // 7f PERMIT# 6P-41
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM \ ,'
HOOD INSTALLATION \
AUTO. SPRINKLER SYSTEM , S\
ALARM SYSTEM 1 \ /
A
INTERIOR FINISHES /
STORAGE:
• CLEARANCE TO SPRINKLERS
/ \%
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE '
CHIMNEY
WOODSTOVE
F/IREPLACE-MASONRY
VFIREPLACE-F CTORY BUILT
i
�. //1 i.7
REMARKS:% 1 1 OK TO THIS DATE
---- -f-77/7 /,i,iig/i-/0-,,,(/72 .2__Wz_Aa,,e.z.€
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2/015 INSPEC OR
�0CA-i',
TOWN OF QUEENSBURY \iJ i -e--` -
BUILDING AND CODES DEPARTMENT
531 BAY ROAD {A-e---Q--cn''
QUEENSBURY, NEW YORK 12804 � �
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT 1-1-' c
REQUEST FOR INSPECTION RECEIVED I -1 1 1 3
NAME (-Dr zL- b 10 zDeli.SCS-- -4
LOCATION IV 13),
,�,��i k-k; I. (7.
DATE 1 c�— - 6)P�RAIIT # //,
TYPE OF STRUCTURE
RECHECK APPROVED
- N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROt1
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMP ROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
AMING: I /
/JACK STUDS/HEADERS i /
BRACING/BRIDGING 1 /
JOIST HANGERS V
JACK POSTS/MAIN BEAM q_
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
REMARKS:
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DEPART /O. l Z ii \r vo'"Vi/\.i
INSPECTOR
-.
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+A TOWN OF QUEENSBURY lP
=� � _,-, 531 Bay Rd., , Queensbury NY 12804
518-745-4447
Building & Code Enforcement
INSPECTOR'S REPORT q)-4 72._
I A _
19,� .
•
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Property Location
1— F‘-1L0 '
-Owner or Tenant
Building Sewage Sign Other
Remarks:
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- CONTACT THIS OFFICE WITHIN , .7 '' / 1/1 ,,
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Building Inspector
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 49/: �� .' "ae_P , A/L4
LOCATION 16 4,3- 1// h,/.eelyiz.!/- A4' ,&
DATE D /93 PERMIT if /-171/72_
ad
TYPE OF STRUCTURE c5/ w ,-)(1, 9 4Ve _ill)
RECHECK APPROVED
N/A YES NO
)(FOOTINGS/PIERS c'� 7//v/g'/ , f.3
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE . r'
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/WALL POUR
REINFORCEMENT IN PLACE �
FOUNDATION/DAMPROOFING \ /
"ACKFILL APPROVAL L iii jr/,i /
ROUGH PLUMBING \ tr
PLUMBING VENT/VENTS IN PLACE /
PLUMBING UNDERSLAB _ /
/JRAMING: d-k_, 4 l'/q1 T78 1
JACK STUDS/HEADERS �
BRACING/BRIDGING / \
JOIST HANGERS / \
JACK POSTS/MAIN BEAM / 1
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTER/'OR R- \
FOUNDATION WALLS EXTE IOR R- \
FLOORS I R- k
WALLS J R- 1
CEILING R- 1
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: // .
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.�ehvvu-L 0. -i - '0 e�d62-' 7��3 f 9�
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ARRIVE - /j J
DEPART --3: —
IN ECi'OR
TOWN OF QUE BURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME f pA21,&P `1- -POW A tlyel LOCATION oo '' ` l f ,6,[ / -/Ka/ Xe'•'' io
DATE /',;Z 1/d 191 PERMIT 72
TYPE OF STRUCTURE 4-) 3 (7Ct t� 1�'0_ Q'_
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS OTC, 1,61) icii 915
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROII
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
( BACKFILL APPROVAL ►A, Aq t_j1j 9
ROUGH PLUMBING
PLUMBING VENT/VENTS IN'>,PLACE
PLUMBING UNDER SLAB °v,
X FRAMING: [Lit
JACK STUDS/HFADERS /cf
BRACING/BRIDGING t^
JOIST HANGERS
JACK POSTS/MAIN BEAM / 'q
FIRESTOPPING d'
WALLS
CEILING
FIREWALLS .
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
REMARKS:
o il -,6%U2214
4‘;
/Gr ( "
ARRIVE
DEPART
INSPE OR
4.:)-1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED
NAME ! Vcnice.--I- CLOCATION Prrikil,c)
o -e r de}u CI d 49-0
DATE g/ 1,/c J PERMIT # �"!I^ L/7.)
TYPE OF STRUCTURE Sin4c,cr,, Q...�-P-Q,�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT F THE CONCRETE.
MATERIALS FOR TKIS PURPOSE ON SITE
FOUNDATION/WALL \OUR ,'
REINFORCEMENT IN RLACE
FOUNDATION/DAMPROOF\ING /
BACKFILL APPROVAL \
ROUGH PLUMBING \ /
PLUMBING VENT/VENTS IN\PLACE / /
PLUMBING UNDER SLAB / 7/
.(FRAMING: \ /
JACK STUDS/HEADERS I
BRACING/BRIDGING `w /
JOIST HANGERS i.
JACK POSTS/MAIN BEAM /\
FIRESTOPPING / \
WALLS / �+.
CEILING / \,
FIREWALLS "\
HEATING ROUGH-IN
INSULATION: /
FOUNDATION WALLS I TERIOR R- ';,
FOUNDATION WALLS Ei TERIOR R- \.
FLOORS R- \
WALLS I R- \
CEILING I R- `.
DUCT WORK OR PIPING IN UNHEATED \
SPACES I \
REMARKS: I "
,\
ARRIVE ) 7
DEPART i� /sCte-- 1
INSPECTOR
awn o/ QUflJ6uru /172
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 .
Queensbury, New York 12801
SEPTIC
� DISPOSAL SYSTEM INSPECTION
NAME_ f�/.)V..11, t?` gz i/ kle
LOCATION , f , ,c.// 04�,gl1T ' ��/ivy
DATE r11;4 / 17 PERMIT NO. 91-472
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Re-quired? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length cl)So
Length of each trench 3-'4O -
Depth of trenches - 3
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size \,
PIPING: Siie Type
Bldg. to tank SL
Tank to dist. box IV "
Dist. box to field/pit/ Sl " (/
Openings sealed? �yES NO Partial
LOCATION/SEPARATIONS:,,
Foundation to tank ' ft.
' Foundation to absorption ft. •
Absorption to lot line\ ft.
Separation 'of pits ^; ft.
LOCATION OF SYSTEM ON PRQPERTY(circle one)
From- Rear - Left aside h= Right side -
COMMENTS: •
•
SYSTEM USE APPROVED® NO
B ing Inspe or .
•
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT (^
REQUEST FOR INSPECTION RECEIVED /
MANE?c 'O�. L0 R)/1. 7
LOCATION a , b(0-0Y/V--04-)ti
DAT696G ) PERMIT 1 9 /
TYPE OF STRUCTURE 5� (t -c- - 9
RECHECK APPROVED
N/A YES NO
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/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING ,' l
44BACKFILL APPROVAL ; V
ROUGH PLUMBING '
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: .�
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING /
FIREWALLS /
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTER'IOR R-
FLOORS F' R-
WALLS s R-
CEILING 6 R-
DUCT WORK OR PIPING IN UNHEATED
SPACES i
REMARKS: �.
26
ARRIVE ,f
DEPART j
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
TELEPHONE (518)NEW 0R 12804K
92-58
BUILDING INSPECTOR°S REPORT
REQUEST FOR INSPECTION RECEIVED '7v Q�
NAME k/121Ap, A_ma/41:0
LOCATION Of 4 3 .X.r% .Qii zza- giav/tv/L-,
DATE 7,3()/9i PERMIT
TYPE OF STRUCTURE (IJ 119', ylgAT4
cI4'/(/ //i'JL�'RECHECK APPROVED v
N/A YES NO
FOOTINGS/PIERS rr
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/WALL POUR
REINFORCEMENT IN PLACE \
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE „'
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM %
FIRESTOPPING
WALLS j'`
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS / R-
CEILING / R-
DUCT WORK OR PIPLNG IN UNHEATED
SPACES /
REMARKS: /
ARRIVE SU
DEPART (4�
INSPECTOR /
111
i/A
_ MORSE ENGINEERING, P.C.
99 Lower Dix Avenue / Dueensbur.y, NY 12804
March 21, 1994
(il0$,�ZZ 23242s2c?
v
Mrs. Denise Przybylo MAR .
20 Bluebird Road Received
So. Glens Falls, NY 12803 pT�nsbry
�dg.De ti�
RE: Butternut Ridge House - Truss Modifications 2� , 4,
0L680930
Dear Denise:
On Monday, March 21, 1994, I visited the site and reviewed the
completed truss modifications at your Butternut Ridge residence.
The modifications, as completed, are in conformance with the
intent of our design as transmitted to Ray Sherlock, - via-letter
-
and - sketch dated February 23, 1994. The only apparent deviation
from our design is the -bottom chord of all trusses consists of
three- 2 x- 6 -members -instead of: two, which has no negative :impact
upon the structural strength of the completed modification.
I -trust this -information is sufficient- for your submission to the
Queensbury -Building- Department, however, should your have any
questions orrequire any additional information, please feel free
to call me.
Very truly yours,
MORSE ENGINEERING, P.C.
G. Thoma .Hutchins, - P.E.
Senior Project Engineer -
GTH/pl
xc: Al Dickinson, Contractor
PHONE: 518-792-5382 FAX: 518-792-5049
_ MORSE ENGINEERING, P.C.
99 Lower Dix Avenue / Dueensbury, NY 12804
March 16, 1994
� 202122 2 2
sr
Mrs. Denise Przybylo ^ .- S
20 Bluebird Roa49 d
So. Glens Falls, NY 12803 ii"'R 7,31
N
1ce, 991
RE: Butternut Ridge House $ fld .Dear Denise:
o �A_Ory
Q iw
At your request, we offer the following regarding the th
conditions you have asked us to address at your Butternut Ridge .
house.
1) Crack above doorway penetration east foundation wall
This is a crack approximately 14" in length, which has
formed from the upper corner of a doorway penetration to the
top of the foundation wall. The sawcut doorway leads to an
area of basement located under the front porch, which is
enclosed by poured concrete wall with no evident cracks.
Considering the door penetration was sawcut out of the
poured . wall, we are not surprised that the wall is cracked
at this location.
We do not feel that this crack represents a critical
structural problem in this foundation, however, we do
• recommend that the doorway be ,framed with a steel channel
anchored to the concrete in order to tie both sides of the
crack together. The channel shape should be 3/8" x 11" x 4"
(contractor to verify actual depth) and installed per
attached sketch. Channel sections should be welded
continuously where shown. Additionally, the crack should be .
pointed with an appropriate masonry material and monitored
for any-. further movement. •
2) Crack against west foundation wall at mid point
This is a small crack approximately 7' in length, which runs
from a point in the top of the foundation wall toward the
base" of the foundation. Considering the length of this"
foundation wall, it is not surprising that this wall is
cracked. Generally, poured concrete walls of this length
will crack at some point. Although the crack may present a
leaking problem, we do not feel that the structural
integrity of the foundation is compromised as a result of
• this crack. We recommend the crack be pointed with the
- appropriate masonry material and monitored for any further
movement. •
PHONE: 518-792-5382 FAX: 518-792-5049
Denise Przybylo
Butternut Ridge
4 3/16/94, Page Two
A., .
..
3) Chimney structural support
We have reviewed the installation of the chimney in the
living room area (main floor). Approximately 8' of 18"
square chimney, partially block, partially brick, is located
on steel framing which is supported from an exterior wall
and an interior wall within the building. A 3 1/2" x 5"
angle steel shape spanning 7' distributes one-half of the
corner chimney load to the exterior and interior walls. The
other one-half of the chimney load bears completely on the
exterior wall. Additional steel angle shapes spanning
approximately 30" distribute the chimney load to the
exterior wall and to the channel member.
Based upon our visual review, we believe the steel framework
supporting this chimney installation is structurally adequate.
We did not review the installation from a fire code
standpoint, however, would recommend an inspection by the
fire marshal be completed prior to enclosure.
We trustthe above information is adequate in addressing the
issues per your request. Should you need further assistance or
wish us to directly contact the building department to discuss
this, please feel free to call me.
Very truly yours,
MOR ENGI EERG, 0 C.
'IcK51 ‘q - ,
G. Thomas Hutchins, P.E. • • . .
Senior Project Engineer '
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531 BAY ROAD, QUEENSBURY, N.Y. 12804-9725 (518) 745-4400
MEMO TO FILE :
RE : BP # 91-472 PRZYBYLO
DATE MARCH 10, 1994
MEETING THIS DATE WITH PRESENT CONTRACTOR OF RECORD, MR. AL .
DICKINSON. LAST CONTACT WITH THIS PERMIT WAS A MEETING WITH:'A
PREVIOUSLY INTERESTED CONTRACTOR ON NOV 30 . 1993 . AT THIS TIME,
THE CONTRACTOR WAS INSTRUCTED TO PROVIDE INFORMATION FROM AN
ENGINEER AS TO THE METHOD OF REPAIR FOR ALTERED ROOF TRUSSES, AND
FAILED PORTIONS OF FOUNDATION WALLS . (CRACKS) HE WAS ALSO ASKED .
TO SEE' THAT THE. CELLAR 'BEAM/JACK-POST ASSEMBLY WAS PROPERLY FAST-
ENED TOGETHER. OTHER CONCERNS INVOLVED THE LACK OF CLEARANCE AT
THE CELLAR STAIRS-- THE METHOD TO BE USED FOR FIRE-SEPARATION OF
THE GARAGE AND AN. INSPECTION -OF THE INSTALLATION OF THE . FIREPLACE .
THE METHOD OF SUPPORTING 'THE MASONRY HALF-CHIMNEY IS NOT ONE IN
COMMON USE AND THE ENGINEER WAS TO HAVE APPROVED THIS WORK ALSO.
MR. DICKINSON HAS RECEIVED A DRAWING AND WRITTEN SPECIFICATIONS
FOR .THE REPAIR OF THE ROOF TRUSSES AND IS IN THE PROCESS OF DOING
THIS. I INFORMED HIM THAT THE DRAWING SHOULD BEAR THE STAMP AND
SIGNATURE OF. THE ENGINEER .AND:THAT THE ENGINEER SHOULD PROVIDE THIS
• OFFICE WITH HIS APPROVAL. OF THE COMPLETED REPAIRS OF. THE TRUSSES.
IN THE INTEREST OF PROTECTING ALL PERSONS INVOLVED, I HAVE ALSO
REQUESTED THAT THE ENGINEER ADDRESS THE ORIGINAL CONCERNS AS WELL;
INCLUDING THE FOUNDATION WALLS AND THE SUPPORT OF THE MASONRY PORTION .
OF THE CHIMNEY. OUR INSPECTORS HAVE REQUIRED THAT THE MAIN BEAM,
IT' S SUPPORTING 'STEEL POSTS AND THE WOOD MIME FOR JOISTS BE FASTENED .
THIS COMPLETES THE LIST OF'CONCERNS THAT REQUIRE INVOLVEMENT OF THE ENGINEER
AT- THIS TIME. SHOULD OTHERS ARISE THEY WILL BE NOTED AND THE:CONTRACTOR NOTIFIED.
G PFRMTT FIL ) PLEASE'SEEEOTHER SHEET RE: PLAN REVIEW
AL DICKINSON, CONTRACTOR
MR/MRS PRZYBYLO, OWNWERS VIC LEFEBVRE 'C.E:O.
/
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763
-
MEMO SHEET # 2
RE : BP if 91-472 PRZYBYLO
SEVERAL ASPECTS OF THE CONSTRUCTION OF THIS DWELLING HAVE CHANGED .
1 . IN THE ORIGINAL REVIEW OF THE BUILDING PLANS, THERE WERE SEVERAL
CONFLICTS AND SOME ITEMS NOT ADDRESSED. I WILL SHOW SOME HERE BUT THIS
CANNOT BE CONSTRUED AS A COMPLETE REVIEW OF THE PLANS OR WORK PLANNED.
REGARDLESS OF THE PLANS, REVIEWS OR COMMENTS BY THE INSPECTORS, THE
FACT REMAINS THAT THE CONSTRUCTION MUST COMPLY WITH ALL APPLICABLE CODES .
1 . TN.SULATION- THE PLANS CALL FOR: CEILING----R-38
WALLS R-19
FOUNDATION-R-10 RIGID FOAM ON INTERIOR
(THIS WOULD NOT BE ALLOWED UNLESS COVERED
BY THE REQUIRED GYPSUM FIRE-BARRIER)
1A. INSULATION- THE FORM FOR ENERGY CODE COMPLIANCE THAT WAS SUBMITTED WITH THE
PERMIT APPLICATION SHOWED: CEILINGS--- R-30
WALLS R-19
FOUNDATION- R-13 ( WHICH WOULD HAVE BEEN 3 z FIBREGLASS
BETWEEN STUDS ON THE INTERIOR WALLS WITH AN ACCEPTED VAPOR
-BARRIER) THIS IS A COMMON AND GOOD METHOD.
IIHE PRESENT CONTRACTOR IS PLANNING ON INSULATING THE FLOOR TO A VALUE
OF R-19 WHICH WOULD BE CONFORMING AND REPLACE THE INSULATION ON THE
WALLS. HOWEVER, IT SHOULD BE NOTED THAT THIS METHOD WILL CAUSE THE
ENTIRE CELLAR SPACE. TO BECOME UNHEATED . THIS MEANS TWO THINGS . FIRST,
WITH NO HEAT IN THE CELLAR, "THESPACE IS NOT USEABLE FOR MOST PURPOSES .
ALSO, THE HEATING DUCTWORK/PIPING WILL REQUIRE INSULATION. THE OWNER
SHOULD BE AWARE OF THESE FACTS SO AS TO MAKE AN INFORMED DECISION AS
TO THE METHOD OF INSULATION DESIRED,
INSULATION/VENTILATION--- THE CONTINUATION OF VENTILATION FROM THE
VENTILATED SOFFIT TO THE ATTIC SPACE WILL REQUIRE INSTALLATION OF
COUTINUOUS BAFFLES IN REQUIRED AREAS . I . E . " PROPER VENT" ETC .
THE RIDGE VENT SHOWN ON THE APPROVED DRAWINGS WILL SUFFICE AT MOST
TIMES. PLEASE BE ADVISED THAT THERE ARE OCCASIONS WHEN THE FREQUENCY
AND DEPTH OF SNOWFALLS COMPLETELY BLOCK THE EFFECTIVENESS OF "RIDGE"
TYPE VENTS . I ADD A PERSONAL NOTE HERE THAT YOU MAY WANT TO CONSIDER
THE USE OF VENTS IN THE GABLE AREAS WHERE PRACTICAL. THESE WOULD PROVIDE
POSITIVE VENTING AT ALL TIMES. ( ASK YOUR ENGINEER ! )
GARAGE FIRE-SEPARATION-- NOT SHOWN ON ORIGINAL PLANS
A "C" - LABEL DOOR IS SHOWN - " "
THE DOOR ASSEMBLY IS REQUIRED TO BE 3/4 HOUR RATED AND SELF CLOSING.
THIS INCLUDES THE JAMB(WHICH MUST BE METAL)
----THE CONTRACTOR. MR. DICKINSON STATES THAT HE INTENDS TO COVER THE
WALL COMMON TO THE DWELLING AND THE COMPLETE CEILING OF THE GARAGE WITH
5/8 INCH TYPE X SHEET ROCK. THIS, WHEN TAPED AT LEAST ONE COAT WILL BE
A CONFORMING FIRE-BARRIER.
AS QUESTIONS ARISE, THE OWNER OR CONTRACTOR IS INVITED TO AVAIL THEMSELVES OF OUR
HELP. .
i
ril, .
,, _ MORSE ENGINEERING, P.C.
99 Lower Dix Avenue / Dueensbury, NY 12804
; _ February 23, 1994
M/E #94-007
% to,01,131920.'ea
Mr. Raymond Sherlock M (�
29 Lafayette St. N� :t1P�,�199 16
Hudson Falls, NY 12839 e�V
®� ON*' Acie
REF: Butternut Ridge - Modified Truss Evaluation 616)
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--Dear-Ray:> , _ zt.--!O --
At your request, we have reviewed the situation regarding the
field modified truss at the Butternut Ridge residence. Due to
the field modifications, it is no longer functioning as a true
truss, but is bearing partial load on the intermediate wall.
We offer -the following recommendations/modifications to be made
to each truss in order to assure structural stability and proper
function as a truss (not bearing on the intermediate wall). A
sketch is attached showing proposed modifications. -
1) The existing 6" bottom cord which has been installed to
form the vaulted ceiling should be doubled on each truss.
This can be done by adding another member and sandwiching
the: webs between the two 6" bottom cords. All connections
between the bottom cords and the webs should be bolted
completely through with 3/8" diameter carriage bolts
(minimum 2 per connection) .
2) In order to return truss function to this unit, another
angled 6" member should be added spanning the other side of
_ ___ __the_-tr-uss,_ as_ shown on _the _sketch.- _ Again, this_ should be,___ ____
two 6" deep members, with bolted connections made at all
web intersections. Connection to existing bottom cord
should be bolted with a minimum of three 3/8" carriage
bolts. A 1/2" plywood gusset, approximately 2' long x 1'
high, be installed over the intersection of the new bottom
, cords of each truss on each side and bolted through.
3) Install additional 2 x 4 web members as shown. These are
single 2 x 4's which should be sandwiched and bolted between
the- two bottom cords and attached to the top cord with 1/2"
plywood gussets glued and screwed.
PHONE: 518-792-5382 FAX: 518-792-5049
Ray Sherlock
447A_ RE: Butternut Ridge
_ 2/23/94, Page Two
In terms of physically completing these modifications, the
following procedure should be used:
1) All snow, ice, etc. should be removed from the entire roof
area such that the roof load is absolutely minimal when
these modifications are made.
2) Wedges should be used to lift the existing trusses 1/8" to
1/4" above the center wall at the bearing location prior to
installation of the new bottom cords. Once all new members
are installed and connections are tight, the wedges should
be removed and the trusses tacked tothe wall plate.
The above modifications should minimize any bearing on the center
wall and return the structural truss function to this area. We
would recommend, however, that the existing 2 x 4 headers currently
within the central wall be upgraded to double 2 x 8's, such that
any bearing remaining on this wall does not show itself by cracks
around this header.
I trust these modifications address your concerns on the above
matter. Should you wish to discuss or review this with me,
please call or stop by the office.
Very truly yours,
MORSE ENGINEERIN P.C.
G. Thomas Hutchins, P.E.
Senior Project Engineer
GTH/pl -- — - — - — — -. ---
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ME CHECKED:CHEC : I SCALE DRAWN°NO.: illi
T. Hutchins R.S. Morse /i/TS SHEET°F MORSE ENGINEERING, P.C.
SHEETS
• TRUSS MODIFICATIONS DETAIL DRAWN: DATE PROJECT NO. Q flG L01YER DIX AVENUE
QUEENSBURY. NEW YORK 12804
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I ! 19151-
This is to certify that work requested to be done as shown by Permit No. 91-47
has been completed.
This structure may be occupied as a Single Family Dwelling
Lot 23 No.11 Butternut Hill Drive
Location
Owner Denise & Paul Przybylo
By Order Town Board
TOWN OF QUEENSBURY
Jtr4t
Director of Bldg. & Code Enforcement