2001-794 �� _ TOWN O F QUEENSBURY
o742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P2OO1O794 Date Issued: Wednesday, April 10, 2002
This is to certify that work requested to be done as shown by Permit Number P2OO10794
has been completed.
Tax Map Number: 523400-290-000-0001-021-002-0000
Location: RIDGE Rd
Owner: HAYES &HAYES A NEW YORK PARTNERSHIP
Applicant: HAYES & HAYES A NEW YORK PARTNERSHIP
This structure may be occupied as a:
By Order of Town Board
Duplex TOWN OF QUEENSBURY
Garage Attached
SITE PLAN ISSUES TO BE COMPLETED BY MAY 31, 2002
,ast
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
FOlig 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010794 Application Number: A20010794
Tax Map No: 523400-290-000-0001-021-002-0000
Permission is hereby granted to: HAYES & HAYES A NEW YORK PARTNERSHIP
For property located at: 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: HAYES & HAYES A NEW YORK P, Duplex 100,000.00
PO BOX 109 Garage Attached
GLENS FALLS,NY 12801-0000 Total Value 100,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
KELLY, STEPHEN COMMONWEALTH ELECTRICAL A(
11 WILLOW RD. PO BOX 706
OUEENSBURY,NY
HAGUE.NY
Plans & Specifications
2001-794 LOT#2 DUPLEX 868A & 868B RIDGE ROAD
2084 SQ FT DUPLEX WITH (2) 1 CAR ATTACHED GARAGES AS PER PLOT PLAN
SPECIFICATIONS
$338.16 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday, October 30,2002
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the o f Qu sb ry; day, October 30,2001
BY for the Town of Queensbury.
SIGNED
Director of Building& Code Enforcement
Building Permit Application
Town of Queensbury—Dept of Community Development, 742 Bay Road, Queensbury,NY
(518)761-8256
A permit must be obtained before beginning construction. Permit File No�'�
No inspection will be made until applicant has received a Fee Paid $
valid building permit. All applicants' spaces on this Rec. Fee Paid $
application must be completed and must appear on the Reviewed By:
application form. VO �
Applicant: /77 //y Owner: / y�-f -//Py�-AJ
Address: /ter5W2iP/1
., G / Address: '6 4� ,4�1.. ( '.rs,,�,i S 7
(f l god � Y y
Phone# (Sac) -2 ;- 7 Q 2.2-- Phone# (go_) 7?t---ICU
t All 1
Property Locatio := � % .,. w,P -:1 House N 4 . `t Z i1 . .. .. 7` _`,: /'
Subdivision Name: Tax Map Number:
t<New Building: residence /commercial Estimated Market Value of Construction: $ Atiieee
❑ Addition: residence/ commercial If an Addition,what will use of new addition be?
a Alteration: residence/ commercial
❑ No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation l Floor 2"Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
❑ Two family dwelling ove- f ,2pkf
❑ Townhouse _
a Multifamily dwelling
#of units , RECEIVED
❑ Office
a Mercantile i OCT 2 4 2001
a Manufacturing
a 1 car detached garage I TOWN OF QUEENSSURY
a 2 car detached garage BUILDING AND CODE
a 3 car detached garage
a I car attached garage y Z1V.t S111‘114‘
❑ _2 car attached garage
❑ 3 car attached garage
a Storage building-
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure /b feet inches
Will any second-hand or ungraded lumber be used? If so, for what? ,A/'d
Type of Heating System: electric/ oilto
/wood /forced hot air/ baseboard/other:
Number of Fireplaces to be installed A 11- Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder ke/11 Ca451, //1,.,/lcc, l2et 7 % 3 3G?-)-
Plumber (r /
Mason If /
1 Electrician /I /
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 Uwe shall
submit,prior to a Certi ate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Dire t r of Building and C des,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all new c truc 'on.
Signature:, A owner,owner's agent,architect,contractor
I
Application for Permit-Septic Disposal System
Town of Oueensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256
1. OWNER INFORMATION:
^ p Office Use
Location of installation: b 6 # 4JS e
File Permit No
Tax Map No.
Fee Paid
Owner's Name: ,4/a1 -es
Address: / i /
2. INSTALLER'S NAME : � S &" 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 gal/bdrm =
1980- 1991 x 130 gal/bdrm =
1991 -present 7/ x 110 gal/bdrm =
Garbage Grinder Installed yes— / no
Spa or Whirlpool Installed yes / no }�
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat sand at what depth at what municipal depth
Rolling oa feet feet
Steep slope clay i well;water supply
X'% slope other from any septic-system
depth: 7 absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: `'; minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. A000
/�/��fSeptic Tank: /2 S�� gallon (min. size 1. gal.)
Tile Field: each trench 'S-1) ft. Total System Length: Z-C6 ft <S c%
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
Bed System Size: z
Alternative System: length and/or size
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person Date
_/fi __� ENERGY CODE COMPLIANCE APPLICATION 7
= TOWN OF QUEENSBURY, WARREN COUNTY `�
9000 HEATING DEGREE DAYS �C/
Compliance Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
• PART 6* - Thermal Rating - Component Trade 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:
S7 ?'I1 Ally eG 47• j �c 7" /60
/ .e. ,9V- rarg v Acia-X
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 0204( square feet
2 . T_-ce of Heat - Electric Oil Gas Other
3 . Is building mechanidally cooled? Yes V No
4 . Percentage of area of windows and doors Over 17% V, Under 17%
5 . R-V_LUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-V L'JES AS
S-Oc•N ON PLANS SUBMITTED:
a . Roof R 3-
b . Exterior wails R /
c . Glazed areas R / 7
d . Exterior doors R
e . Floors over unheated spaces R /p
• Edce of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R
h . Basement/cellar walls (below grade) R
- . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Applicant ' s ca-t ' s ST cnatu-e Date Phone Number
eP' h xibi ` /�,� �J /0/ 010/ 2 9 3 -S0)--z
INS?=C _CR' S REMARKS:
1
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: 4'/�4
Building&Code Enforcement ,
Dept.of Community Development Arrive am/pm Depa ��ap�p
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME /I a¢, CAS LJ 1 PERMIT# v GO/` 7
LOCATION Q �. DATE 7--
TYPE OF STRUCTURE 4411,4
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers 1
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grads
Gas Furnace shut-off within 30 feet or within line ofi
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical i
Site Plan/Variance required l Q Z _84--
Final Survey Plot Plan `—/ 6 C,/ ( / 7/
As Built Septic System layouu`req ed 1/
Okay to issue C/C(Certif.of Compliancy)
Okay to issue temp.C/O(Certif of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart
Town of Queensbury Inspector's Initials i✓
742 Bay Road
Queensbury,New York 12804
NLOC
ATION TION C DATE
TYPE OF STRUCTURE
N/A YES NO COMMENT
4 Chimney Height/"B"Vent/Direct Vent Location E.
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
il Furnace shut-off at entrance to furnace area
�r/�ice/lot Water Heater operating `�'r�='C IeA-'f�dz' — 6l1
Relief Valves)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Landing 18 in_or ore
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom /
inter connected
Bathroom fans r
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closes` ,E�
Garage fireproofing J"�T C_/t-f
✓Garage penetrations sealed �� ) c7 0 Z�
Furnace in separate robin protected(in garage) �~ �` N Z
Light ventilation per room
Safety glazing 18"or less from floor
Fjaal Electrical
vSite Plan/Variance required
oral Survey Plot Plan ti L
As Built Septic System layout required
Okay to issue C/C(Certif of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy))' 6, ti)(
Okay to issue permanent C/O(Certif.of Occupancy)
'r TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
fi o 742 BAY ROAD
/� QUEENSBURY NY 12804
( (518) 761-8256
ARRIVE: DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME: ��
LOCATION T ' I p 6 G
DATE 2- i R O PERMIT N
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES •
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FIN E ECTRICAL
S TE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C r
iurtiti off- ana Lb( tibjt.-1 47
l.1-5
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Departr�/�Im/
Town of Queensbury --"--ins is Initials !rl�/
742 Bay Road
Queensbury,New York 1 804
NAME � � # CD '--- -.? q
LOCATION TE '2- t 5
TYPE OF STRUCTURE /f.
N/A YE/0 COMMENTS
Chimney Height'W Vent/Direct Vent Location
Fresh Air Intake / /1/Plumb Vent droll roof
RoofteiCompleteFinish /f/
Exterior Finish Co�►plete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,iMlconies,landing 18 in.or more / - 4 & Vc12AJ
Interior Handrails stairs both sides 3 or more risers ,/ lN�i� � -t \ `�
Grade 2%away from fou cation �\e ���
8"clearance to sill plate \ /7-
Gas Valve shut-off exposed/r actor 18"above grade Gas Furnace shut-ofwithin 30 f or within line of site
Oil Furnace shut-off at entrance to fuhaace area i /
Furnace/Hot Water Heater operating \ V � p �}
Relief Valve(s)installed l✓�yid C- r �`'�'d g(e
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers j
Interior privacy/trim/doors/main entrance 36" /
Floor Finish /'
Bathroom/Kitchen watertight r
Interior Handrails Balconies/Landing 18 in.or mor •
Railing across window in stairwells
/ /
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected /// ..
Bathroom fans i /
Plumbing fixtures / '/i/
Foundation insulation / 7/
3/4 hour fire door/door closer 1
Garage fireproofing �/ 4— �� ti/��,�2 f- � 1 aA) j
Garage penetrations sealed ` ��
Furnace in separate room protected(i garage) /
Light ventilation per room . iii///
Safety glazing 18" ss or om floor ��
Final Electrical 2-J 0'2.- I
Site Plan/Variance requi
Final SurveyPlot PlanjAs‘
As Built Septic System layout required �� \ ( ����C
Okay to issue C/C(Certif.of Compliance) ir COT,i��� 4 r r L� 4'9-4) /A)
Okay to issue temp.C/O(Certif.of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy) 1/ I Pie iii* 'C 2-
\/
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name r ( / ) . AQ1 ,
P--`0
Location 1, DC0 --
Date II-) 0 fermi t #21±34___
SOIL PE: Sand-Loam-C ay-
Results of Percolatio Test-
(if app icable) Rate inute/Inch
TYPE OF YSTEM:
ABSORPTI$ FIELD: T•tal Length
Length of each tren h
Depth of t -nches
Size of sto -
SEEPAGE PITS. Nu ber-
Size - f f. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. ox
Dist. Box to ield/P1
Openings Seal d? Ye No Partial
LOCATION/SEP RATIONS:
Foundation o Tank feet
Foundation o Absorption , feet
Separation /of Pits feet
Conforms a per Plot Plan es No
LOCATION I F SYSTEM ON PROPERTY:
(circle ope)
Front - Rear - Left Side - Right S'de
Middle Front - Middle Rear
COMMENTS:
C P C__. 0( s
SYSTEM USE APPRO ED: YES NO
Arrived: II
, , 0
Departed: ff ) V
Building Inspector
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv Depart 071,
Inspector's Initi t!�
NAME: I-k,,AAS5 K{N4�,j PERMIT# :.iT, - V
LOCATION: C>(oL [%� RV c'6E. R r PILO DATE : t -I In-67
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I—T
Monolithic Pour F rm
Reinforcement in P.•ce \
The contractor is - ••. ible for
providing protecti• fro freezing
for 48 hours folio g e placement
of the concrete. i
Materials for this pu .•seen site
Foundation/Wallpour /
Reinforcement in Pla
Foundation/Dam•. oofi g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in l'lace
Rough Plumbing
Heating Rough-In /
Insulation Q.) ►• + V C3- V.-....,PcV-/
Foundation Walls Int rior R-
Foundation Walls E -rior 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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive .in Depart
illfrInspector's Initi
/
NAME: PERMIT# 1 --' 9`-1
LOCATION: F ` � DATE : --\ �"
TYPE OF STRUCTURE: \)' ) F'1t-
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection ` : freezing
for 48 hours followi g th: .lacement
of the concrete.
Materials for this pu •..• on ite
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ce
Rough Plumbing
eating Rough-In
Insulation Va(=1/4121k.
Foundation Walls Interior '-
Foundation Walls Exterior
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Depart
t Inspector's Initi ) J-- !�
NAME: J' - L. = /9 1 t 4 a /PERMIT# 7 /
LOCATION: ,., araz �r�i DATE : — '- -CX0-
TYPE OF STRUCTURE: j, p35 �..71
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Fo
Reinforcement in P1 ce
The contractor is -sponsibieifor
providing protecti$n from fr--zing
for 48 hours folio g the p acement
of the concrete.
Materials for this purpo•- $ site
Foundation/Wallpour
Reinforcement in ' .«-
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
mbing Vent/Vents in Place
Rough PI ing \Heati ough-In
Foundation Walls Interior R- ATCL
Foundation Walls Exterior R- 0 .
Floors R-
Walls R- R ._3�� u 1 tC.�AAV
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent q
Framing FL C q j A t 1
Jack Studs/Headers `
Bracing/Bridging p o�
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2, 3,4 hour
Firestopping
GENERAL INSPECTION REPORT . ,
( 518 ) 761-8256 , .,,
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart/ , ) m
Inspector's Initials
NAME: 4 ; PERMIT# o `1q4
LOCATION: V-A pz!`,G Vk r s _ DATE : offl' v 2s-
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 r f
Monolithic Po lc
Reinforceme in Place
The contra or is responsible for
providing p tection'from freezing
for 48 hours ollowing the placement
of the concre .
Materials for this purpose on site
Foundation/Walllgour
Reinforcement in'Place %
Foundation/Dampj rooft ig
Backfill Approval `'
Plumbing Under '�'
Plumbing VenVVent in Place
ugh Plumbing ✓/ t 12A-I-64
Heati Rough-In
Insulation
Foundation Walls Inte .or R-
Foundation Walls Ext r R-
Floors -
Walls -
Ceiling
Duct work or piping in
unheated spaces R- /
/f per Vent,ent,Attic Vent Ah i 4 U
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
jzi 6 Wall 2,3,4 hour
r ./vrri ih j
/ Hl)
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement ` /2 ..
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart pm
Inspector's Initials
NAME: j -,( PERMIT# 0. — 7LOCATION: \-CSCY /e�� - DA ft. : 1 1 02-
TYPE OF STRUC •
RECHECK
N/A YES NO COMMENTS
Footings/Piers 1 F I
Monolithic Pour Form
Reinforcement in Place
The contractor is re•..nsib - for
providing protectio from fr- •ing
for 48 hours followi ;the pla }ment
of the concrete.
Materials for this purpo - on site,;
Foundation/Wallpour lf
Reinforcement in Place 1 _
Foundation/Dampproofin . /
Backfill Approval +
Plumbing Under Slab
P1 bing V ' P1 ce ///:
ng /,•O Pc / *IL_ RA-TO
Hitting Rough-
,19
‘, gsulation 1 -i \ , ---
FoUndion Walls Interio R-
Foundation Walls Exteri R-
Floors -
Walls I,-
Ceiling R- 3j
Duct work or piping in
unheated pa o
ces R-
per Venteate,Attsic 2Vent1/,..-
ik
*tun
Jack Studs/Header ,
Bracing/Bridgin�. rr�Jal e."5
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed /
yrilVd112,3,4hour
resto
1`iptng tr
1,k Nil-
GENERAL INSPECTION REPORT oc,k_
( 518 ) 761-8256
Town of Queensbury4Th
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road '
Queensbury,NY 12804 Arrive am/pm Depart
/.
Inspector's Initials/ �j
NAME: `� PERMIT# ( '7 l t/
LOCATION: 1 �?c DATE : '// -�,ZC.' .��
TYPE OF STRUCTURE: L>-, f f e'
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form
Reinforcement in Place
The contractor is respons .le for ,Cj `(J v L-
providing protection fro i freezing
for 48 hours following th placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour '
Reinforcement in Place
Foundation/Dampproofing /
Backfill Approval
Plumbing Under Slab / t/z i_ VLA A e5
Plum ' g Vent/Vents in Place {ti
eating Rough-In V
Insulation _
Foundation Wa Intw'or R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
K V
Jack Studs/Headers Bracing/Bridging i(Vi D U 1 TJc 1_12 U i'f
(A)Ev
Joist Hangers
Jack Posts/Main Beam
AAir Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fes''e Wall 2,3,4 hour
v/Firestopping V d 4/141(Y
TOYN ')It ?UEENSBURY 944)1
--* BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Location
Date f ___O_, Permit
SOIL TY : Sand-Loa -C :y-
Results of ercolatio -st-
(if applicable) Rate- to/Inch
TYPE OF SYSTEM: 7 �
ABSORPTION FIELD: Tot. Length -` j
Length of each trench
Depth of trenches i
Size of stone _AS
SEEPAGE PITS: Number-
Size - ft. x ft.
Stone size
PIPING: Size ype,/
Bldg. to Tank �^ ' 7O
Tank to Dist. Box 2
Dist. Box to Field/Pit-VW b -C)
Openings Sealed? 1Yes No Partial
LOCATION/SEPARATION •
Foundation to Tank /C) feet
Foundation to Absorption 50 feet
Separation of Pits et
Conforms as per Plot Plan es No �;��
LOCATION OF SYSTEM ON PROPERTY: A' -
" -.le one)
Front Rear - Left Side - Right Side
'•• e Front - Middle Rear
COMMENTS
Mc 46; -Tlv/✓ — , 0R
l C x 04
-K Cc 7-
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: -cr-
Building Inspector
CA 57-
. A
R4 .13
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: l f/j(P/r)J
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive < Depart
Inspector's Initial
NAME: es c PERMIT#
LOCATION: f g DATE : c%
TYPE OF STR CTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re -• •. - for
providing protectio from fr:-•ing
for 48 hours followi g the place ent
of the concrete.
Materials for this purpo - on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbin l -ntNents in Pla
Rou: Plumbin
•ea ing ' .ugh-In
Insulation 2 ' Ft-)
Foundation Walls Interior R- Z ��Tv� ��EV2 - cc
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
'2—, 11N ___(---1--\01 ' '@G)t/ 1
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive = at m Depart
Inspector' C�
it—
p NAME: I. AO PERMIT# 01 I
9
LOCATION: (� `�l Jog ;`' DATE : - C) I
TYPE OF STRUC CC PX
RECHECK
N/A YES NO COMMENTS
Footings/Piers l 1
Monolithic Pour Form
Reinforcement in Place
The contractor is respon ble for
providing protection fro freezing
for 48 hours following th=placement
of the concrete.
Materials for this purpose on •te
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing If
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ace
Ro Plumbing
Ling Rough-In
nsulation (�{��%pa_ Z" Fu Ril* /
Foundation Walls Interior R- D v A L-1.- 0/J UA
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
) 16M
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive(It m Depart o m '„
spector's hut
NAME: 1 k. PERMIT# 771/
LOCATION: ,t1i g DATE : — — O 0 i
TYPE OF STR C U 0I.Q,x
RECHECK
N/A YE/NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Ir
Reinforcement in Place Z— p
The contractor is respo i ible fo
providing pro - 'on fro) fr ing
for 48 hours foil. ;• ,- placement
of the concrete.
Materials for this purpose on.ite ,
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumb' g Vent/Vents in Place
Rou Plumbing
H ing Rough-In
elation
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road ;, , amok.a
Queensbury,NY 12804 Arrive‘I=24 amnii" Depart
Inspector's Initia
NAME: ► ti PERMIT# () 7q
LOCATION: C \C.) DATE : %3—
TYPE OF STRUCTURE: 7<
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Fo
Reinforcement in Plat-
The contractor is re...nsible for
providing protectio from freeing
for 48 hours followi g the placement
of the concrete.
Materials for this pu •..- on sit;
Foundation/Wallpour
Reinforcement i •lace
Foundation/Damppr•
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
H mg Rough-In
I ulation ) 1 ��� i/ i~ '� '�11 'C1C o.: v:Al _
Foundation Walls I erior I
Foundation Walls E erior R-
Floors R-
Walls R- \
Ceiling R-
Duct work or pipi in
unheated spaces R 7.
-
Proper Vent, pic Vent
Framing ((JcZG1-1 'z �? V L �.t�'S l�ikA
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
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169 Haviland Road Queensbury, New York 12804 m s °N®` `moo Town of Queensbury, Warren County, New York 1 12-31-01 BUILDING LOCATION HAYES
(518) 792-8474 New York Lie. No. 50135 NO. DATE DESCRIPTION DWG. NO. 95072-LOT2
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