2002-428 nomminmin—
��'` TOWN OF QUEENSBURY
Bay Road,Queensbury,742 NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20020428 Date Issued: Friday, January 14, 2005
This is to certify that work requested to be done as shown by Permit Number P20020428
has been completed.
Tax Map Number: 523400-297-010-0001-049-000-0000
Location: 641 RIDGE Rd
Owner: DEAN & PAMELA ROMER
Applicant: DEAN & PAMELA ROMER
This structure may be occupied as a:
By Order of Town Board
Garage - 3 Cars Attached TOWN OF QUEENSBURY
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020428 Application Number. A20020428
Tax Map No: 523400-297-010-0001-049-000-0000
Permission is hereby granted to: DEAN & PAMELA ROMER
For property located at: 641 RIDGE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DEAN & PAMELA ROMER Garage-3 Cars Attached
52 QUEENSBURY Ave Single Family Dwelling $225,000.00
QUEENSBURY, NY 12804-0000 Total Value
$225,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans&Specifications
2002-428
2560 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
77)
$397.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, June 03, 2004
(If a longer period is required,an application for an extension must be made to the code Enfonrement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To of Qu nsb /f i d•►; u e 03, 2002
f,YJ
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
il l TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
iJJJ' ��
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020428 Application Number: A20020428
Tax Map No: 523400-297-010-0001-049-000-0000
Permission is hereby granted to: DEAN& PAMET,A ROMER
For property located at: 641 RIDGE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: DEAN & PAMELA ROMER
52 QUEENSBURY Ave Garage-3 Cars Attached
Single Family Dwelling 225,000.00
QUEENSBURY,NY 12804-0000 Total Value 225,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2002-428
2560 SQ FT SINGLE FAMILY DWELLING WITH 3-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$397.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 03,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at n of Q ens ,dry; 1�1 onday,June 03,2002
SIGNED BY I. L t for the Town of Queensbury.
Director of B , '' g& ode Enforcement
4
Building Permit Application
Town of Queensbury—Dept of Cornmunity Development,742 Bay Road,Queensbury,NY
(518)761-8256
A permit must be obtained before beginning cons Permit File No
is e p
No inspection will be made until applicant li� i
valid building permit. All applicants' spaces on this Yee=e Paid 71�e 7—
application must be completed and must appear on thRAY 3 ZWiewed BY:
application form.
ome r rowiv oj=
Applicant: VMA,, 4-5pt, IR,Lr-t ra-&I—
Address: <SA CZ,_t Address:
V
Phone#(W&-j Y Phone#
Property Location: Lot Number: House Number
Subdivision Name:AP-7 +DAIP i d o S'k'%A
LtTax Map Number:A4q7. /d>-J —
"New Building: residence commercial Estimated Market Value of Construction: O'n-0
ca Addition: residence/ commercial If an Addition,what will use of new addition be?
c3 Alteration: residence/ commercial
13 No change to exterior size: residence f com'l
C3 Other work(describe
Cheek Occupanevinformation 1"Floor 2"
Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
Single family dwelling AN60
E3 Two family dwelling
111 b Townhouse
E3 Multifamily dwelling
#of units
U Office
0 Mercantile
U Manufacturing
E3 1 car detached garage
U 2 car detached garage
0 3 car detached garage
U 1 car attached garage
jl L3 2 car attached garage
VC 3 car attached garage
L) Storage building-
commercial
U Storage building-
residential
El Other
What is the proposed height of the structure feet inches
Will any second-hand or ungraded lumber be used? If so, for what? No
Type of Heating System: electric/ oil wood /forced hot air oaseb ther: Rwka-kV-L
Number ofFireplaces to be installed 0 Number of Waadstoves to be installed
List below the person(s)responsible for super-vision of work as regards to building codes:
Name Address Phone Numb.,
Builder —,o,4 sAn iqA 1 2:_i,I i,)
Plumber
Mason �.
Electrician jU1 !�Zpot".,f jD"'g-
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 i
Administrator or Director of Building and Codes,an As B"ilt Survey by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
Signatur—e.--, owner owner's agent,architect,contractor
_ t
TOWN OF QUEENSBURY RECEIVED Fee Paid.
BUILDING & CODES DEPARTMENT Permit #
APPLICATION FOR: PORCHES-DECKS- MAY 2 3 2002
DOCKS & BOATHOUSES Est. Cost
TOWN OF-QUE ENSE3 Ry
A PERMIT MUST- BE OBTAINED BEFORE BEGINNING CONSTRLW1r '�t-1 AN26-90DANSWER ALL OF THE FOLLOWING:
The undersigned- hereby applies for a Building Permit to do the following work whichjwill be
done in accordance with the description, plans and specifications submitted, and susch specia•
conditions as may;'Aie indicated on the .permit. TWO SETS OF STRUCTURAL PLANS S11ALL t3.0 SUBMI-vil
WITH T11IS APPLICATION. —
Owner,of Property: -Di ,-,,
P.O. Address Phone # '793?/Y,Z
Property Lodation 1
' (oy/ �' �o� 5 / If Tax Map # 2`i'7-/6-/-yP
Subdivision iName '(If applicable) > ,-zj1r, 1j�`1� ,,eM St,uI+�
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES:
Name: % :� Address '?9J
�-�-=,' � GJ.K 1. '�,-�G ss� Phone
BUILD-ING SPEC CATIONS: 4
Type of work to be done: Porch' Deck Dock. Boathouse .(Circle one!)
Size of Structure to be built (square 'oo age): �D
Foundation ,Material : :c /� c.tcness
DeptW of Footing, below grade:
Size of Posts or Studs: ' x It " x Long
Size of Floor Joists: x x Span
Decking or -Flooring Material: yrX ID j,
How will Porch or Deck be fastened to building?
If Roof W11,1 Be Installed-, Answer Following Questions:
Size of Posts or Studs: x is Long
Roof Rafters: x _ Spacing Span
Roof Trusses (pre-engineered spacing) : Span--
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, drawn reasonabl,y to scale .tncl attached
hereto, showing ng c ear y anc dTstincTTy aaZ�—Ii�� fi{lticls, whether existing or proposed and
indicate all set. back <timerrs_ions Front property lines. Show location of' waLer supply and
location and� configurat•ion of septic disposal area.
Size of Property: ft, x ft.
Existing building(s): Size, ft. x ft.
Size ft. x ft.
Use of Existing building(s):
reposed structure, stance from property line:
Front yard ft. Rear yard ft.
Slide yards ft. and ft,
If on corner, setback from s die street: ft.
DECLARATION-
To the .best of my knowledge and belief the statements contained in this application,
together with the pl-ans and specifications submitted, are- a true and complete statethent
of all proposed work to be, done on the described 'premises .end that all provisions of the
Building Code, the Zoning Ordinance, and all other laws pertaining- to the proposed oirork
shall be compIied with, whether speciFied or not, that such work is authorized 6 the
owner.
DATE: SIGNATURE
Owner, Owner s Agency, Architect, Contractor
REVIEWED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
r
Office Use
Location of installation:
=C7M
Tax Map No.
F d
Owner's Flame:�,�.ra%k," 4Z1P,*LP^ 0 V-1L r_--VL
Address: S-2 (01A Ob TOWI�N, OF QUEENSsURy
ID
2. INSTALLEJUSNAME PHONE NO. _���
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#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 gaVbdrm =
12&0---19-9-1 x 130 gal/bdrm =
('1991 -present m s-) x 110 gal/bdrin
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To rah SDUNature Ground Water Bedrock or Impervious Material Domestic Water Su
Plat sand at what depth at what depth municipal
�olljng� loam feet feet well
Steep slope clay if well-, water supply
slope other from any septic system
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 ajicen:wd
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons toithe size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub,
Septic Tank: I;RjQa_gallon(min. size 1,000 gal.)
Tile Field: each trench S-0 ft. Total System Length: Q, ft.
Seepage Pit(s): number of size of each: t. by fl
_f
Size of Stone to be used: # depth or thickness feet
Bed System Size: X
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons /TOTAL Capacity:-_gallons
Note: Alarm Systein and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
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 Qu��bbury Sanitary Sewage Disposal Ordinance.
,
Signature bf responsible person Date
2 -11/06/
/ k ENERGY CODE COMPLIANCE APPLICATION
_4111
; � TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS RECE
IVED
MAY 2 26(.3
Compliance Methods : PART 5 - Acceptable Practice Method
1&2 Family Dwellings (only)kONC;°-,
PART 6* - Thermal Rating - Component b$ `'Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
DE A*4 A%Ai\ 4,4„1 evr 6LI VAC,r- R_ LQ6
X- y
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 1640 square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes X No
4 . Percentage of area of windows and doors Over 17% lc Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 38
b. Exterior walls R
c . Glazed areas R
d. Exterior doors R 3 ,0
e. Floors over unheated spaces R
f . Edge of slab on grade (heated building) R tO
g. Basement/cellar walls (above grade) R 13
h. Basement/cellar walls (below grade) R 13
i. Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code X Yes No
TEMPE ONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
pplican igna e Date Phone Number
linits4 r79 -1`-19Z
INSPECTOR' S REMARKS:
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at timer
Dept. of Community Development Request received: ��S Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART 'am/pm Notes:
(518) 761-8256 Inspector's Initial
NAME: & )____ J PERMIT# c70007` 4"
LOCATION: INSPECT ON(date): Q)/,
TYPE OF STRUCTURE: sif
RECHECK
N/Aj 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
xFoundation/W allpour _
Reinforcement in Place
FoundationlDampproofmg_ _
.-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- _
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'Buiiding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Queensbury Building & Code Enforcement - Residential Final Inspection
JOra)Office No.(S l 8)761-8256 Arrive: ��l. �am/pm_ ,Deparr am/pm
Date Inspection request received: Inspector's Initials:
NAME: 'Y� 4 a erne— PERMIT#: 0 Z — L 2
LOCATION: 6,,'/ k '/e/ DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6" -,
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 ft.or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety g.lazing
Interior Smoke Detectors: V/
Every level: / Every Bedr om: —
Outside every bedroom a a: i
Inter Connected: V/ Battery backup: t/
Carbon Monoxide Detector V
V
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade .
Basement stairs closed rise>4 inches
Garage Floor Pitched /,
Garage fireproofing/3/.hour fire door/door closer ✓
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area i
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents Y
Building No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certificatiouired 1/7
Okay to issue C/C orO
Temporary ertnanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Queensbury Building & Code Enforcement - Residential Final Inspection PM
•
Office No.(518)761-8256 Arrive: 3;0 am/pm , Depart: am/pm ( F/ ai......
Date Inspection request received: Inspector's Initials:
' ^ Z •793—/7/2 ,f�f%a'
NAME: i— PERMIT#: �'1—y !�
LOCATION: DATE: i /3 6 TYPE OF STRUCTURE: _ 7')
Comments 0J.e"--
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake t//
3 inch Plumb Vent through roof minimum 6" ✓
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios ✓'
Guard at stairwell at 34 in. or more ✓ ✓-
Guard at deck,porches 36 in. or more
Exterior Finish Complete VI- /
Interior/Exterior Railings 34 in.to 38 in. -
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2" tV
Gypsum ✓
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall ✓
6 inch clearance to sill plate ✓
Gas Valve shut-off exposed/regulator 18"above grade ✓j f
Gas Furnace shut-off within 30 ft.or within line of site ,�
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating ✓
Low water shut-off boiler /
Relief Valve(s)installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
�✓LV'
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing t/
Interior Smoke Detectors:
Every level: / Every Bedroom: / Sn. A✓6c.4ur- A
Outside every bedroom area:
✓ ��'�"^
Inter Connected: / Battery backup: bt i,4 i'.
Carbon Monoxide Detector ! s �/ / L
/ jac rl'
Bathroom Fans, if no window fj ',`' a^•-k �-
Plumbing fixtures
Foundation insulation th'
Floor truss,draft stopping finished basement 1,000 sf ✓�
Emergency egress below grade ✓✓✓
Basement stairs closed rise>4 inches >/
Garage Floor Pitched i✓ /
Garage fireproofing 1%hour fire door/door closer ✓ J Q, I ;-� ��n�f/., Li- /h (�T1,�;5+.._.
Duct work Sealed properly
V.
Gas Logs in Sealed or Glass Enclosure /
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ✓�
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents
Building No./Address visible from road ✓ , N li ,(�„r ../ �:i he—
Final Electrical ✓
Site Plan /Variance required ✓
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required �✓
Okay to issue C/C or C/0[Temporary/Permanent] t✓
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Rtin Road--Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
)ermit No. Cet641 0 7 588 1 Cut-in Card No.
)wner
,ocation.6 41/ /24 p r 7.2,0•
nstallation Consistin of g 5101 /2-ezeP, 7 7 6.4
1kA)6'6- ppywp) poi eg 6 pii-Afs,
0( P + 9.0-01I 11241/0-€9
,
nstalled By 7 rfcg ,Cf • Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
ancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
ntroduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of in inspections at any time, and if its
ules are violated,the Company shall have the right to r.gsk this certif te.
)ate INSPECTOR
Member N.EP.A.,I.A.E.I.
Queensbury Building & Code Enforcement - Residential Final Inspection /�4
Office No.(518)761-8256 Arrive: tip rn D art ICY,ttrerim
Date Inspection request received: Inspector's Initia s:
NAME: 5'‘"--QAt_,� , P,, I�MIT#: �, — `"1
ag
LOCATION: COL( 1 ,) 1 A cZ � ATE: r p, - U�'
TYPE OF STRUCTURE: -4" 'C----,6___
Comments
Y N N/A9-/ o/imi
Chimney Ht./"B"Vent/Direct Vent Location J/
Fresh Air Intake I/
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in. or more @ stairs,decks,patios ✓
Guard at stairwell at 34 in. or more _ I
Guard at deck,porches 36 in.or more
Exterior Finish Complete
Interior/Exterior Railings 34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum '/2"
4111111\111)
Gypsum
Grade away from foundation 6t Y 1
Handrail Termination at Newell Post or Wall ✓ ✓ t
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade /
1---\\--)
Gas Furnace shut-off within 30 ft. or within line of site ✓
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating \,
Low water shut-off boiler `.�
Relief Valve(s)installed/Heat Trap/Water Temp 110 ✓
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight / \
Safety glazing/Window in stairwells safety glazing J
Interior Smoke Detectors: ►JErn TV Ttr,ST J
Every level: i Every Bedroom: \.
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector ✓ ,
Bathroom Fans, if no window i
Plumbing fixtures
Foundation insulation 11
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade ✓Basement stairs closed rise>4 inches
Garage Floor Pitched i
{ Garage fireproofing/'/4 hour fire door/door closer
Duct work Sealed properly �//
Gas Logs in Sealed or Glass Enclosure
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area ✓
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft.vents
Building No./Address visible from road /7/
Final Electrical "/
Site Plan /Variance required
i i
l,Sukyey Plot Plan
s uilt Se tic System Sewer Dept. Inspection Sticker i
Flood am Ce a ion,if required
Okay to issue C/C or C/0[Temporary Permanent) I
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
4141 / c')
Framing / Firestopping Inspection Report -61--e`'
Office No. (518) 761-8256 Date Inspection re. .-s recei ed•
Queensbury Building&Code Enforcement Arrive: .m/p ►,e .rt: ',.LQ a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Ini' al • j
NAME: ,��� PERMIT#:
!
LOCATION: 4/1. I<1 INSPECT ON: C+
TYPE OF STRUCTURE: ! 3L.
511-P : :
Y N N/A COMMENTS
Framing
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 %(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
Fi e separation 1, 2,3 hour
Alariro ,4Ifia, ;,
`estop► r-
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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 ade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report 9/)/ii)
Office No. (518)761-8256 Date Inspection request rec ved:
Queensbury Building&Code Enforcement Arrive:C epar
742 Bay Road, Queensbury,NY 12804 Inspector's Initia
NAME: PERMIT #: Lic:9„
LOCATION: ` INSPECT ON:
lIl
TYPE OF STRUCTURE: ` C
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 '/: inch min.Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
CI 'per,CPVC,Pex One d Two-Family
esi ential Check Commercial Check
Proper Vent, ttic Pent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
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\- a\\AI rY)e
pOffi ` oFramin / Firestopping 1ns ectinRe ort
ce No. (518) 761-8256 Date Insecto qu-. c-' -•:
9)
Queensbury Building&Code Enforcement Arrive: Y7. I ' .art: d are
742 Bay Road, Queensbury,NY 12804 Inspector's Imti
NAME: . s A PERMIT#: t-1 a_K
LOCATION: , l._ ;;� � �� INSPECT ON: /
TYPE OF STRUCTURE:
N N/A COMMENTS
(-\\ raming
Jack /Headers
y
Studs Head r
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 %2(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour
Fire 12, 3,4 hour
irestopping
//
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
. A
c)IY\
Septic Inspection Report
Office No. (518)761-8256 Date Inspection requ-.t r c= All
Queensbury Building&Code Enforcement Arrive: a p P-partMrs
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: �� S-C) , �/1 PE �IT NO.: 0�-
t���
LOCATION: C Q 4 r i fro I c r-) .• 'ECT ON: 1 0 --9—C.J
RECHECK: fiik
Comments and/or diagram
Soil Typ Sanm I C
Type of Water: Municipal Well Water
Waterline separation distance - - ft.
Well separation distance k0U ft. '
Other wells: ft.
Absorption Field: Total length ;. ft.
Length of each trenchft. _
Depth of trenches )1L- 11 ft.
Size of Stone .-"2,--,
Seepage Pits: Number
Size: x
•
Stone Size:
Piping Size Type
Building to tank A r t bC.. it
Tank to Distribution Box �t' -kt C.,
Distribution Box Field/Pit 1A't hV� ' 11
Opening SealedY)(Partial
Location/Separations
Foundation to tank Ili ft.
Foundation to absorption 21,. ft.
Separation of Pits � ft.
Conforms as per Plot Plan Y Y N
Location of System on Property:
Fron Rear Left Si e Right Side
Middle Font Middle Rear
System Use S tus:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:\SueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report fl
Office No. (518) 761-8256 Date Inspection requ- ho-- •
• , - art: 2 r
Queensbury Building& Code Enforcement Arrive:'`.1� • ,�� L,,
742 Bay Road, Queensbury,NY 12804 Inspector's Init.
NAME: YXk'n 'Y PERMIT#: () - )-.?
C::)C•7r :\R(H\ INSPECT ON: — � _
LOCATION: 1A� -\ r �� 0 f
TYPE OF STRUCT&E:
Y N/ N/A COMMENTS
Framing _
Jack Studs/Headers
Bracing/Bridging
Joist hangers /
Jack Posts/Main Beams P\PQ C3't-(...),--11
Exterior sheeting nailed properly \ �� T, @s
12"O.C. l=' CAA
Headroom 6 ft. 8 in. pb(2j
Stairwells 36 in. or more
Headroom 6 ft. 8 in. _ 1
Notches/Holes/Bearing Walls \w
Metal Strapping for Notches Top Plate
1 %2{w} gauge(8) 16D nailsside
Draft stopping 1,000sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center G 2-- R
Ice and snow shield 24 inches from wall
Fire separation 1, 2, 3 hour Fr
Fire wall 2, 3,4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side i/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 '
Rough Plumbing /Insulation Ins ecto Report 422
Office No. (518) 761-8256 Date Inspection req st r ceiv..d•
Queensbury Building&Code Enforcement Arrive: a p D ,_= : am/
742 Bay Road,Queensbury,NY 12804 Inspector's Initial :
NAME:
PERMIT#: —1-0-Xr
LOCATION: 1 INSPECT ON: - /0 O 3
TYPE OF STRUCTURE:
Y N_ N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron,Copper Drain/Vent/Comm.
Plumbin Vent/Vents in Place17/
gh Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents J Ltf.
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping •
Copper Commercial
Copper, CPVC,Pex One &Two Family
Insulation/Residential Check/Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:SueIfemingway'Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
•
1 / Office Use
v
GENERAL INSPECTION REPORJ Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART, £77
:15" am/pm Notes:
(518) 761-8256 Inspector's Initials U 1 --
NAME: Ro6L ta_ _ PERMIT# 2
� Z d LOCATION: A — INSPECT ON(date): l/
TYPE OF STRUCTURE:
RECHECK
• /041 N/A YES CFO COMMENTS
ootin�,s/Piers 7//t�' / � /
Monol '.ur Form /
Reinforcement in Place '3- rrr///
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/W allpour_
Reinforcement in Place
Foundation/Dampproofing
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-
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\SueHemingwaykBuilding.Codes.Inspection.FORMS\\GENERAL 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 1
Queensbury, NY 12804 ARRIVE am/pm: DEPART ' (�
am/pm Notes:
(518) 761-8256 Inspector's Initials`e C
NAME: LyC PERMIT# 0 2- -
LOCATION: j?1 12106 RO . INSPECT ON(date): I 62
TYPE OF STRUCTURE:
RE HECK
N/A YES`NO COMMENTS
Footings/Piers r/
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for s`
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-
Walls R- 1
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
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
Ready at time: r v`
Dept. of Community Development Request received: ( ( 0 r Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPAR :2- am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME: G eta. PERMIT# 2 GO
LOCAT"ION; `1 ' ` 3 " INSPECT ON(date): j 0)--P/"\_
TYPE OF STRUCTURE:
RECHECK
N/A YES,O COMMENTS
ootings/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/W allpour
Reinforcement in Place
Foundation/D ampproofmg
Backfill Approval _
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing___
Heating Rough-In_ __V____ _
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces -
Proper Vent,Attic Vent
Framing_
Jack Studs/Header
BracingBridgin
Joist Hangers
Jack Posts/M in 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
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