2005-447 Permit No. �`77
Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid - CN
742 Bay Rood,Queensbury,NY 12804
Dave Hatin,Director codes@aueensburv.net Recreation Fee
Phone: (518) 761-8256 FAX: (518) 745-4437
Principal Structure Building Permit Application
Application & Plans subject to review before issuance of a valid permitpp
for construction.
Instructions: A permit must be obtained before beginning construction. No inspections will be made until the
applicant has received a valid building permit. All applicants' spaces on this application must be completed and
must appear on the application form.
Applicant/Builder (MC. H o LO,.,v 6 S J AA y C(. Zlgwner: 0, c Not O,',uG,S/1A4-t y et tire.
Address: 1 3 0 /9 w N R Q Address:
Q , , Nv Izgo9
Home Phone: (Sit ) 7 9 3 - 2 ,2 2 7 Home Phone:
Email Address: Email Address:
Cell Phone: 3 6 / - 2 9 3 6 Cell Phone:
FAX Phone: FAX Phone:
Person responsible for supervision of work with respect to building and codes compliance:
Name: C L- E._ f/i. ;S eS
Address: l 3 O c w r. h 0 Qv ee,v r/S,,,Ly, !V.'j. /2 soy Phone 773 72 77
Location of proposed construction: Lot No. Legal Address:
Tax Map Number: 3 0 8'. / - I / 7 Subdivision Name: N /
Estimated Cost of Construction: $3 00, 000 FQ t /D v N ;7S R EC E I V E D
Proposed construction is for: Residential Use X Commercial Use JUN 2 6/0
1 2005
n(�
Name of Business: L �-1 e A. e 1`0.9D S 7dn A CQ ,,,7t•�WN OF QUEENSBURY
If proposed construction is an addition,what will use of new addition b BUILDING AND CODE
New Addition Alteration Proposed Construction 1"Floor 2nd floor Other Total Proposed
structure (Occupancy Type) Sq. Ft. sq.ff. Sq.Ft. Square feet Height
Single-Family Dwelling Ft.&In.
Two-Family Dwelling
Townhouse
Multifamily Dwelling
Number of Units:
Office
Mercantile
Manufacturing
/0 Sec, 57t I5 & (3 f-OG S Other: Z 0')A 13 s� _ 2,loos 4 Pr X i (3 -i2 s
Attached Garage 1, 2, 3 P 27,o0o sop" a
at-OG
Type of Heating System: Electric, Oil, Gas, Wood, Forced Hot Air, Baseboard, Other: N o 1v e
If a fireplace and/or woodstove are being installed, please refer to a separate application. iv !�
Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review.
The Building and Codes Office will allow commencement of your proposed project only after
issuance of your permit.
Declaration: Please sign below after you have carefully read the statement:
To the best of my knowledge, the statements contained in the 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 Codes, 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
icensed surveyor, drawn to scale, showing actual location of all new construction.
Date: Applicant/Builder Signature:
fhe application of dated is hereby approved
permission granted for the construction, reconstruction or alteration of a building/and or accessory structure and
uctu e as set
`orth above.
Date: Authorized Signature:
_:\Sue Hemingway\Building.Permit.FORMS\Principal Structure Permit Appiication.doc V:12/14/04
NACE ENGINEERING, P.C.
169 Haviland Road, Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
June 8, 2005
Mr. David Hatin
Town of Queensbury Bldg. &Codes Dept.
742 Bay Road
Queensbury, NY 12804
Re: Clute— Luzerne Road Storage Buildings
Dear Dave:
This is to inform you that Larry Clute has retained me to make structural inspections of the storage
buildings he is building for mini-storage on Luzerne Road. Since all of the structural components
of the buildings are accessible, I will be performing my inspections when the building(s) are
completed. I will forward my final inspections to you for your files.
Please call me if you have any questions regarding this matter.
Sin erely,
Thomas W. Nace, P.E.
cc: Larry Clute
-JUN-13-05 MON 08:48 AM E & T O'CONNOR INC, FAX NO, 5187924194 P. 02/03
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION, P.D.&T.S., INC.
4 William Street, Ballston Lake,New York 12019
Phone: (518)399-1848 Fax: (518)399-1913
CLIENT: O'CONNOR CONSTRUCTION, INC. REPORT NUMBER: 2,PAGE#: 1
POST OFFICE BOX 377 INSPECTION DATE: 06/01/05
GLENS FALLS,NEW YORK 12801 OUR FILE NUMBER: 866.005
FIELD INSPECTOR: DAVE CASAW
ATT'N: MR. BRIAN O'CONNOR
PROJECT:WESTSIDE STORAGE FACILITY,GLENS FALLS,NEW YORK
SOIL COMPACTION VERIFICATION REPORT ::: 1NPLACE SOIL DENSITY
MATERIALS LABORATORY DATA
CODE MOISTURE MAx DENSITY PCF MATERIAL DESCRIPTION _ ----- MATERIAL SOURCE
7144 6.3 138.8 — SAND,medium:and fine Gravel;little Silt/Clay _— BORROW ___--_____
4
--1
FIELD COMPACTION TEST RESULTS
LOCATION OF TESTING: SLAB ON GRADE SUBGRADE
ELEVATION REFERENCE: F.G.=FINISH GRADE=TOP OF SLAB SUBGRADE COMPACTION TEST METHOD ASTM D-2922
CO-ORDINATE REFERENCE: PER LOCATION COMPACTION REQUIREMENTS 95%
f TEST SOIL SOIL DEPTH OR ( MOISTURE INPLACE DRY PERCENT
NO. BEARING CODE ELEVATION LOCATION OF TEST CONTENT DT ENSITY(PCD_COMPACT
1 7144 FINISH GRADE PAD#2,NORTH END _ 2.6% 136.6 98.4%
2 7144 FINISH GRADE i PAD#2.CENTER 2.9 % 134.E 97.1 %
--.-----1-$ I 7144 FINISH GRADE PAD#2,SOUTH END - 3.0% 133.0 95.8%
4 T 7144 FINISH GRADE PAD#1.NORTH END - _ 2.5% 135.3 97.5%
5 7144 FINISH GRADE PAD#1.CENTER 2.7 % 136.6 98.4%
I 6 7144 FINISH GRADE PAD#1,SOUTH END , 2.8% 132.4 95.4%
I I I
I .1 1
REPORT DISTRIBUTION: GENERAL NOTES: RESPECTFULLY SUBMITTED,
1:FILE 1.D-1556=SAND CONE METHOD OF TEST CONSTRUCTION TECHNOLOGY
2. 2. D-2922NUCLEAR GAUGE METHOD OF TEST
3 FF3. FF ^FINISH FLOOR
4: 4, FG =FINISH GRADE
5: 5 TOM JOSLIN,S,E.T.(NICET)
6: 6 MANAGER TECHNICAL SERVICES
,JUN-13-05 MON 08:49 AM E & T O'CONNOR INC. FAX NO, 5187924194 P, 03/03
/
CONSTRUCTION TECHNOLOGY
INSPECTION& TESTING DIVISION, P.D.&T.S,, INC.
4 William Street,Ballston Lake,New York I2019
Phone: (518)399-1848 Fax:(518)399-1913
CLIENT: O'CONNOR CONSTRUCTION, INC. REPORT NUMBER: 1 PAGE#: 1
POST OFFICE BOX 377 INSPECTION DATE: 06/01/05
GLENS FALLS,NEW YORK 12801 OUR FILE NUMBER; 866.005
FIELD INSPECTOR: DAVE CASAW
ATT'N: MR. BRIAN O'CONNOR
PROJECT:WESTSIDE STORAGE FACILITY,GLENS FALLS,NEW YORK
SOIL COMPACTION VERIFICATION REPORT ::: INPLACE SOIL DENSITY
MATERIALS LABORATORY DATA
CODE MOISTURE MAX DENSITY PCF MATERIAL DESCRIPTION _ MATERIAL SOURCE _
I 7144 6.3 138.8 _- SAND,medium;and fine Gravel;little Silt/C _ BORROW I`
I
I FIELD COMPACTION TEST RESULTS
LOCATION OF TESTING' SLAB ON GRADE SUBGRADE
ELEVATION REFERENCE: F.G.=FINISH GRADE=TOP OF SLAB SUBGRADE COMPACTION TEST METHOD ASTM D-2922
CO-ORDINATE REFERENCE: PER LOCATION COMPACTION REQUIREMENTS 95%
y-^
TEST SOIL SOIL DEPTH OR MOISTURE iNPLACE DRY PERCENT
NO. BEARING CODE ELEVATION LOCATION OF TEST CONTENT DENSITY(PCF) _ COMPACT_
�.^ 1--- --- 2.8% 134.9 97.2
1 7144 FINISH GRADE PAD#5,NORTH END _�
2 7144 FINISH GRADE PAD#5,CENTER 2.4% 134.1 96.6%
3 7144 FINISH GRADE PAD#5,SOUTH END 3.1 % 135.9 _ 97.9
4 7144 FINISH GRADE PAD#4,NORTH END 2.3% 134.5 96-9%
u 5 _- 7144 FINISH GRADE PAD#4_CENTER ____ 2,4% 134.6 97.0%
6 - 7144 FINISH GRADE PAD#4,SOUTH END _ 2.7% 135.2 j 97.4%
%
7 7144 FINISH GRADE PAD#3,NORTH END 2.6%�. 98
136.2 i .1
I
-8 7144 FINISH GRADE PAD#3,CENTER 3.0% 135.2 97.4%
9 7144 FINISH GRADE PAD#3.SOUTH END _ _
• 2,8% 133.2 96.0%
REPORT DISTRIBUTION: GENERAL NOTES: RESPECTFULLY SUBMITTED,
1.FILE 1- D-1556=SAND CONE METHOD OF TEST CONSTRUCTION TECHNOLOGY
2: 2, D-2922=NUCLEAR GAUGE METHOD OF TEST
3. 3. FF =FINISH FLOOR •
4: 1 4. FG =FINISH GRADE
5. 5 TOM JOSLIN.S.E.T,(NICET)
6. 6 MANAGER TECHNICAL SERVICES
J
T,tifiN-21-2005 12 : 19 AM CONSTRUCTION TECH. 518 399 1913 P. 02
CONSTRUCTION TECHNOLOGY
INSPECTION & TESTING DIVISION, P.D.& T,S., INC.
4 William Street,Ballston Lake,New York 12019
Phone: (518)399-1848 Fax: (518)399-1913
June 21, 2005
TOWN OF QUEENSBURY BUILDING DEPARTMENT
742 Bay Road
Queensbury,New York 12804
Att'n: Mr. David Hatin
Re: LUZERNE ROAD SELF-STORAGE, QUEENSBURY,NEW YORK
Construction Materials Inspection and Testing Services
Dear Mr. 1Hatin,
Per the request of Mr. Brian O'Connor, O'Connor Construction, Inc.,we are pleased to inform
you that CONSTRUCTION TECHNOLOGY has been retained to provide the construction
materials inspection and testing services required of the upcoming referenced project.
As such, we would like a moment to introduce our organization,
CONSTRUCTION TECHNOLOGY is the construction materials inspection division of
Product Development &Technical Services, Inc. Since our 1984 incorporation in New York
State,we have been devoted to providing the highest standards of on time field inspection,
testing and laboratory support to the construction industry. Our desire is a QC/QA involvement
with projects committed to timely completion while satisfying the quality controls and
assurances necessary to support today's strict design criteria.
All to often materials inspections are viewed as a necessary evil or a requirement to be
overlooked. Many times the laboratory brings this attitude on itself because of less than fully
qualified personnel,tardy response time or uncompromising attitudes of technicians.
Given the opportunity,we are confident we can provide the services that reflect our strong
desire to be an asset to the construction process.
Our facility and field technical force is supported by state of the art test equipment, including
nuclear soil/asphalt density test equipment,automatic soil moisture/density (Proctor)apparatus,
temperature/humidity controlled curing environments for concrete specimens, and all other
necessary equipment to satisfy the requirements of the American Society for Testing and
Materials (ASTM) standards C-1077 and E-329 as they relate to a commercial inspection
agency.
CONSTRUCTION TECHNOLOGY has submitted to outside auditing by having our
personnel, equipment, facility and quality assurance plan evaluated by the Cement and
Concrete Reference Laboratory (CCRL) of the National Standards Institute. A copy of the
CCRL/NSI audit and finding is available upon request.
J�N-21-2005 12 :20 AM CONSTRUCTION TECH. 518 399 1913 P. 03
June 21, 2005
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Re: LUZERNE ROAD SELF-STORAGE, QUEENSBURY,NEW YORK
Construction Materials Inspection and Testing Services
Our staff ranges from consultant Professional Engineers,hydrologists and geologists to field
technicians and materials inspectors with technical backgrounds of educational degrees and/or
substantiated experience in a construction oriented discipline.Field inspectors also possess a
combination of the following certifications:
* Certification at various levels (AET-I through SET-IV)by the National Institute for
Certification in the Engineering Technologies (NICET).
* American Concrete Institute (ACI) Grade I Concrete Inspector.
* American Concrete Institute (ACI) Certified Concrete Construction Special Inspector.
* Troxler Nuclear Gauge Training Program for Radiation Safety Officers and Field Operators.
* J&L Testing, Inc. Certification Program for Sanitary Landfill Inspectors.
* J&L Testing, Inc. Certification Program for Quality Control and Inspection of Geosynthetic
Systems for Use in Solid and Hazardous Waste Disposal Facilities.
In addition to particular qualifications, field inspectors are familiar with all phases of
construction materials testing and inspection including soils, concrete, reinforcement,masonry,
structural steel, fireproofing and roof installation. This generally alleviates the need and
expense of employing more than one inspector on a particular project.
CONSTRUCTION TECHNOLOGY currently has the capabilities to provide inspection and
testing services relating to many construction concerns including but not limited to: subsurface
drilling and investigation, soils placement and compaction, foundation design
recommendations,portland cement concrete,unit masonry, mortars, grouts, bituminous
concrete, structural steel and fireproofing, as well as all associated laboratory services.
In general,all forms of materials testing and inspection services, as they relate to the
construction industry, may be obtained through CONSTRUCTION TECHNOLOGY.
We appreciate your interest in our firm and our line of work.
We look forward to serving the construction materials inspection,testing and laboratory
requirements of the LUZERNE ROAD SELF-STORAGE.
If there are any questions, or when we may be of assistance, please contact this office
immediately.
Respectfully,
CONSTRUCTION TECHNOLOGY
Tom Joslin, S.E.T., (NICET)
Manager Technical Services
CONSTRUCTION TECHNOLOGY
INSPECTION&TESTING DIVISION, P.D.&T.S., INC.
4 William Street, Ballston Lake,New York 12019
Phone: (518)399-1848 Fax: (518)399-1913
CLIENT: O'CONNOR CONSTRUCTION,INC. REPORT NUMBER: 5 :PAGE#: 1
POST OFFICE BOX 377 PREPARATION DATE: 07/07/05
GLENS FALLS,NEW YORK 12801 OUR FILE NUMBER: 866.005
INSPECTOR&TEST SET: DAVE CASAW #5
ATT'N: MR.BRIAN O'CONNOR AMBIENT WEATHER: 70's:OVERCAST
PROJEC WESTSIDE STORAGE FACILITY,GLENS FALLS, NEW YORK OUR FILE LOCATION: 55698
CONCRETE FIELD INSPECTION & COMPRESSION TEST RESULTS
PLACEMENT LOCATION OF LOAD# 1 : SLAB ON GRADE:UNIT#5:WORKING NORTH TO SOUTH
PLACEMENT LOCATION OF LOAD# 2: SLAB ON GRADE:UNIT#5:WORKING NORTH TO SOUTH
PLACEMENT LOCATION OF LOAD# 3: SLAB ON GRADE:UNIT#5:WORKING NORTH TO SOUTH
DELIVERED LOAD NUMBER: 1 2 3
TRUCK NUMBER/TICKET NUMBER: 4562/ 736931 4568 / 736932 4561 / 736940
YARDAGE DELIVERED/SUBTOTAL: 11.00/ 11.00 11.00 / 22.00 11.00 / 33.00
TIME CONC. BATCHED/ARRIVED: 6.15/ 6.28 6.25 / 6.40 6.50 / 7.00
TIME PLACEMENT BEGAN/ENDED: 6.35/ 7.00 6.50 / 7.15 7.05 / 7.35
CONCRETE AGE(HOURS) (SPEC: MAX: 1.50) 0.75 0.83 0.75
SLUMP ON ARRIVAL (INCHES): 5.00 5.00 4.75
WATER ADDED ONSITE(GALLONS):
WATER ADDED AT DISCRETION OF:
SLUMP OF CONCRETE INTO PUMP: IF APPLICABLE:
PLACEMENT SLUMP(INCH) (SPEC: - 5.00) 5.00 5.00 4.75
ENTRAINED AIR (%VOL) (SPEC: 4.00 - 7.00) 5.50
UNIT WEIGHT (PCF) (SPEC: - ) 145.12
CONCRETE TEMP. (F) (SPEC: 45 - 85) 80 80 80
NUMBER OF TEST SPECIMEN CAST: 6
LAB CYLINDER CONTROL NUMBERS 55698- 55703
REMARKS:
UNLESS NOTED ALL TESTING IAW: ASTM: C31, C138, C143, C172, C173, C231, C470, C567, C617, C1064
CONCRETE SUPPLIER: JOINTA-GALUSHA CONCRETE CONCRETE TEST CYLINDER COMPRESSIVE RESULTS PER: ASTM:C39
CONCRETE DESIGN STRENGTH: 4000 P.S.I.@ 28 DAYS UNLESS OTHERWISE NOTED ALL CYLINDERS RECEIVED: 07/08/05
SUPPLIERS MIX FORMULA: PER SUBMITTAL:
CEMENT: LBS. CYLINDER TEST TEST AGE ULTIMATE LOAD UNIT
CEMENT: LBS. NUMBER DATE DAYS & BREAK TYPE P.S.I.
WATER: GAL.
COARSE AGGREGATE#1: LBS. 55698 07/14/05 7 92,350 C 3270
COARSE AGGREGATE#2: LBS. 55699 07/14/05 7 95,100 C 3360
COARSE AGGREGATE#3: LBS. 55700 08/04/05 28
FINE AGGREGATE: LBS. 55701 08/04/05 28
ADMIXTURE#1: OZS. 55702 08/04/05 28
ADMIXTURE#2: OZS. 55703 SPARE
ADMIXTURE#3: OZS.
AIR ENTRAINING AGENT: OZS.
REPORT DISTRIBUTION:
1:FILE 5:
2:SUPPLIER 6:
3: 7:
4: 8:
RESPECTFULLY SUBMITTED,
CONSTRUCTION TECHNOLOGY
TOM JOSLIN,S.E.T. (NICET)
MANAGER TECHNICAL SVCS.
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Commercial Final Inspection Report
Office No.: (518) 761-8256 Date Inspection req t re eiv
Queensbury Building&Code Enforcement Arrive: a pm Depart: C� a
742 Bay Road, Queens ury,NY 12804 Inspector's Initial :
NAME: CD\ PERMIT : L
LOCATION: �1.-{, O � � �vr DATE:
Zatt6 COMMENTS:
Y N NA
Chimney/"B"Vent/Direct Vent Location
Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent V-0/(1
Interior/Exterior Guardrails 42 in.Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" (.QC
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18")Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors
> 10%> 1000 sq. ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation, 2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft.Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in. Beyond
Active Listening System and Signage Assembly Space
Final Electrical
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
Commercial Final Inspection Report ,,�` )�-- b
Office No.: (518) 761-8256 Date Inspection request received: C \^V
Queensbury Building&Code Enforcement Arrive: am/p //��t Depart: am/pm O
742 Bay Road,Queensbury,NY 12804 Inspector's Initials: \-J
NAME: 11)\\(\ \ PERMIT#: / 17
LOCATION: l CJ DATE:
\)e5 COMMENTS:
N NA
Chimney/"B"Vent/Direct Vent L nth
_Plumbing Vent Through Roof 6" Roof Complete `
Exterior Finish Grade Complete IQ' or ivalent I/
Interior/Exterior Guardrails 42 in. Platform/Decks
Interior/Exterior Ballisters 4 in. Spacing Platform/Decks
Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11"
Vestibules For Exit doors>3000 sq. ft.
All Doors 36 in.w/Lever Handles/Panic Hardware, if required
Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv.
Gas Valve Shut-off Exposed&Regulator(18") Above Grade
Floor Bathroom Watertight/Other Floors Okay
Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum
Boiler/Furnace Enclosure 1 hr. or Fire Extinguishing System
Fresh Air Supply for Occupancy/Ventilation Combustion
Low Water Shut Off For Boilers
Gas Furnace Shut Off Within 30 ft.or Within Line Of Site
Oil Furnace Shut Off at Entrance to Furnace Area
Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 'Y2 doors
> 10%> 1000 sq. ft.
3/4 Hour Corridor Doors&Closers
Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire
Dampers/Fire Doors
Ceiling Fire Stopping, 3,000 sq. ft. Wood Frame
Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24"
Smoke Vents Or Fan, if required
Elevator Operation and Signage/Shaft Sealed
Handicapped Bathroom Grab Bars/Sinks/Toilets
Handicapped Bath/Parking Lot Signage
Public Toilet Room Handicapped Accessible
Handicapped Service Counters, 34 in., Checkout 36"
Handicapped Ramp/Handrails Continuous/12 in.Beyond
Active Listening System and Signage Assembly Space Final Electrical N``
G61> F Ali L &6C
Site Plan/Variance required
Final Survey,New Structure/Flood Plain certification,if req.
As-built Septic System Layout Required or On File
Building Number or Tenant Address on Building or Driveway
Water Fountain or Cooler
Building Access All Sides by 20' /Driveable Surface 20' wide
Okay To Issue Temp. or Permanent C/O
Okay To Issue C/C
Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc
lk
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re. .est ed:
Queensbury Building& Code Enforcement Arrive: p epart: ,L\ a 'g
742 Bay Road, Queensbury, NY 12804 Inspector's Initi. s:
NAME: .-3?jklre/ } PERMIT#: Li z a
LOCATION: V Q INSPECT ONE — — 5
TYPE OF STRUCTURE:
Y N NSA COMMENTS
aming
Jack Studs/Headers
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
Headroom 6 ft. 8 in.
Notches/Holes/Bearing Walls
Metal Strapping for Notches Top Plate
1 %z (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 snow shield 24 inches from wall ,
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/z 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:\SueHemingway\Building.Codes.inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Insp cti2n request received:
Queensbury Building &Code Enforcement Arrive: /j am/pm Depart: am/pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: (a _
NAME: PERMIT#: 0.� _ _�
LOCATION: vi try INSPECT ON: — `1
TYPE OF STRUCTURE:
Comments
--- Y i N N/A
Footings 1//
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing ✓ NJF
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/ 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.
I-:\SueHemingway\Building.Codes,Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003
4)0Am
DA_dr,
Foundation Inspection Report
Office No. (518) 761-8256 Date Insp ction request received: -7/(o O 5
Queensbury Building &Code Enforcement Arrive: at 12 am/pm Depart: anv`pm
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: __al
NAME: 1(A-k- PERMIT#: O -"YCL-7
LOCATION: --15 �G( c INSPECT ON: 7/(o/US
TYPE OF STRUCTURE: r�-j�Q
Comments
Y N/A
4 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 Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/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.
I_:\SueHemingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.()
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL U,\
Permit No. Cert. 0 8 9 5 8 3 Cut-in Card No. �/1
Owner
Location cr2 C/Q " it l aa V
Installation Consisting of 5- i 211.6 6- "34 P 40l4/ 6
Installed By B t M' 0 Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of maki pections at any time, and if its
rules are violated,at e Co th pany shall have the right to re a thi ed. iicate.
Date.... �tP—o INSPECTOR