inspection slips COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.ep
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. No 7 587 1 Cut-in Card No.
Owner re- 8 frsso et tz-5
Location /3y cAtie,920 A- ei
Installation Consisting of SrVI red/ 6tje Arr-4 4/6 teSi
PhD 7 •14.4) S--/71-61e-6r A)6 .90,..v.i0 driAltair
Installed By P011, E•C/ Lic.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 ma - inspections at any time, and if its
rules are violated,the Company shall have the right t r ke t ificat
Date LYO Y INSPECTOR / 41
Member N.F.P.A.,I.A.E.I.
c.›..c sef-Vi\c.4
) 3
.
Septic Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building& Code Enforcement Arrive: a � /Depart: Z im/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials
NAME: , PERMIT NO.: 04—T — iO3 D
LOCATION: r INSPECT ON: —
RECHECK:
Comments and/or diagram
Soil Type: / :. • Clay
Type of Water: unicipal Well Water
Waterline separa '. - .' ance ft.
Well separation distance ft. rkt)k)Li 1) - (OUC
Other wells: ft. \
Absorption Field: Total length 1, ft.
Len:th of each trench ''
Death of trenches
Size of Stone n!F k L jr0
Seepage Pits: Number
Size:
Stone Size:
Piping Size r� Type Pds iit- LC
Building to tank ry Lb E 1
Tank to Distribqtrioil Box ` it it 1,...6
Distribution Boxield/Pit it it b T L&'l f _
A- F CC
Opening Sealed Y N/Partial
/Separations R7—kc- -
LocationLG bA(ific-CC,b 63C)<:-1
Foundation to tank b ft.
Foundation to absorption ifb ft.
Separation of Pits ft
Conforms as per Plot Plan I _Y N Lj V o n AC V gA-TC MS- 60 f c.r
Location of System on Property:
Front Rear Left Side Right Side
Middle Front Middle Rear 6,Q..._ pc-cKc..‹.(<
System Use Status:
pproved
artial 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
4c ` I ^_ Town of Queensbury
` WI
Fire Marshal's Office . 1, (2,..,
742 Bay Road
Queensbury, NY 12804 J%
Phone (518) 761-8205 Fax (518) 745-4437 /
Fire Marshal's Inspection Report
Request `y is)
SCHEDULE
Received: Permit# C _-ILL)` ( L-' INSPECTION ON: (G-7 -C) t
Name: 1 k - �� Li - / EM PM ANYTIME
Location: ) - ,1 it ) CjccDL
_ - _
PPROVED _ __
_ --�N IA YES NO - COMMENTS
EXITS - — — _---
AISLE WIDTHS
EXIT SIGNS-NORMAL_
- BATTERY
-gikh-
1 EMERGENCY LIGHTING
_FIRE EXTINGUISHERS �, \2'
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM --FIRE SUPPRESSION SYSTEM _-�
HOOD INSTALLATION
!
INTERIOR FINISHES
STORAGE - -'_ - --- - T
I COMPRESSED GAS _
1 CLEARANCE TO SPRINKLERS Y
CLEARANCE TO HEATING I
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
-MAXIMUM OCCUPANCY SIGN ` J
CHIMNEY -
MASONRY ROUGH IN _
___
FINAL
CHIMNEY- -- -
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
,FINAL ��A�T� I���
VENTED GAS _ '�� -1-
APPLIANCE _ ROUGH IN I 1 _ 1_U�,P - \o t n n�
FIREPLACE
- - — FINAL _ `1 �I/ `` �\ 1��t t`f---
MASONRY ROUGH IN
- OK TH OK/0 NOT OK
FINAL L
FIREPLACE
FACTORY BUILT ROUGH IN1 A
T_ IN CT
-.-- - - --FINAL f -- _______
COMUEVICHRISJ/WORD/LETTERS2001/FIREM SHALINSPECTIONREPORT11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
'ueensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 0I Arrive: a. 'p D
Date Inspection request received: 1 101OL j'3c� Inspector's Initia : AI Allr
NAME: DB n _SOC111IV� fATE:
4 IT� i.AOO —O3 d—
LOCATION: 1-t5 11,�� on - 1;.0 p ,
I
TYPE OF STRUCTU E: 5 F)
Comments
Y/ N N/A
Chimney Ht./"B"Vent/Direct Vent Location V
Fresh Air Intake ✓
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete /
Guard 30 in. or more L stairs,decks,patios ✓Vi
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 V
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 glazing ✓
Interior Smoke Dete rs: /
Every level: 1 Every Bedrpom: ✓ i
Outside every bedroom a/ea: ,/Inter Connected: 4/ / Battery backup: �
Carbon Monoxide Detector
Bathroom Fans,if no window ✓/
Plumbing fixtures ✓/
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf ✓/
Emergency egress below grade / J
Basement stairs closed rise>4 inches ///
Garage Floor Pitched t/
Garage fireproofing/'/4 hour fire door/door closer ✓/
Duct work Sealed proper V/
Gas Logs in Sealed or las Enclosure Q ivt2Q►7 €t2Q-- t F4 L
Attic access 30 in.x 22 in.x 30 in. t' essible area
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents �/ f
Building No./Address visible from road ✓
Final Electrical f
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]
L:\PamW\Buildini;&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Z \ ‘L -
ueensbu Building & Code Enforcement - Residential FFii�n�allnns ectian
• Queensbury P
Office No.(518)761-8256 Arrive: m/ De
n
Date Inspection request received: I frIo*
Inspector's Init .
NAME: Q� f I RMIT#: "0
LOCATION: \` ��� -44 I I 134DATE: '00~ Oi40 art_
OF STRU UR _S FT
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location _ % ... C c) - �o
Fresh Air Intake Fo
�\
3 inch Plumb Vent through roof minimum 6" � 1 tilyv\.1.-1-PCT‘fl
Roof Complete/Exterior Finish Complete /
Guard 30 in.or more @ stairs,decks,patios ✓ -- \.1_h-j'1\-t-� Q �`O6\lid
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in. or more 44 MS- 1 1.X7
Exterior Finish Complete ,V ..._ 9A-24X_�
Interior/Exterior Railings 34 in.to 38 in. ` 1 1J �5 �-
Platform at all exterior doors Y elEAtA •Rp �-�t�
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum ''/2" ,! b�y
Gypsum ��t 1.�P\\Lb
Grade away from foundation 6 in. with 10 ft. / 1 yam,It \ V\41• ��
Handrail Termination at Newell Post or Wall Y ������ • �� ��
6 inch clearance to sill plate ‘ � .1�1
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 J /
Low water shut-off boiler l
,/
Relief Valve(s)installed/Heat Trap/Water Temp 110 J Interior privacy/trim/doors/main entrance 36 in. /
Bathroom/Kitchen watertight ✓/
Safety glazing/Window in stairwells safety glazing
Interior Smoke De ctors: J
Every level: / Every Be oom: I
Outside every bedroom ea:
' Inter Connected: I / Battery backup:
' Arbon Monoxide Detector _
Bathroom Fans, if no window ix'
Plumbing fixtures
Foundation insulation j
- j
Floor truss, draft stopping finished basement 1,000 sf
Emergency egress below grade j
Basement stairs closed rise>4 inches
Garage Floor Pitched 2/ .,
Garage fireproofing/3/4 hour fire door/door closer
1 Duct work Sealed properly I 1 i/�
Gas Logs in Sealed or Glass Enclosure tf � � �
Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area J / D A��
Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq. ft. vents J j . Z v-i ,
Building No./Address visible from road I
Final Electrical /// \��- ( -- f
Site Plan /Variance required
Final Survey Plot PlanVI✓�
As Built Septic System/Sewer Dept. Inspection Sticker %�
Flood Plain Certification, if required
Okay to issue C/C or C/0 [Temporary/Permanent] IP
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Rough Plumbing / Insulation Inspection Report 4/1)()6,1
Office No. (518) 761-8256 Date Inspection request r ' ed. /v
Queensbury Building& Code Enforcement Arrive: pm art: '
742 Bay Road, Queensbury,NY 12804 Inspector's In als•
NAME: -� 1� - PERMIT #:
LOCATION: 3 LI 4 A )p\ A CX INSPECT ON: - /o— p y
TYPE OF STRUCTURE: S �
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
ooper,CPVC, Pex One and Two-Family
nsulation/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/No duct tape
COMMENTS:
tdkc RD
..3(NMT4'
otAl
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003�� cM-k
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request r-►-ive .
Queensbury Building&Code Enforcement Arrive: . art: am/
742 Bay Road, Queensbury,NY 12804 Inspector's Initia . . 1 - °/YVV\
NAME: � C- t PERMIT #: 0 q -0j)
LOCATION: )3 4 CIA; o\CA {- INSPECT ON: 5 -1 — nl�
TYPE OF STRUCTURE: .S
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 'A 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
C per,CPVC,Pex One and Two-Family
nsulation/Residential Check/Commercial Check \ s-v 2_)J
Proper Vent,Attic Vent f
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/No duct tape
COMMENTS: by__ \ILC-61— —
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
alkallp,3311_ . Town of Queensbury iFire Marshal's Office
742 Bay Road ---�
Queensbury, NY 12804 4\7\/-
Phone (518) 761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request q SCHEDULE
•
Received: Permit# (/ o3 INSPECTION ON: ,� 0 q
Name: L �} � �)� 4(5:4141) PM ANYTIME
Location: ) D) l� { � ,L r ,�'v
APPROVED
N/A YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM — G \-II f\bE. c-'_D n) vP
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES 4 E TO c Lc E To
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS ( 1D i`..1,v jb--" 3\ 5 `` 13 4
CLEARANCE TO HEATING
UNITS CLEARANCE TO ELECTRICAL Q Qt_ 2t1
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGH IN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
FIREPLACE
MASONRY ROUGH IN OK T AT OR CO ( NOTOK>
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN Y
INSP • D B
FINAL
COMDEVICHRISJIWORD/LETTERS2001/FIRE SHALINSPECTIONREP• ' 11022001
WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY
Town of Queensbury Fire Marshal
w ,� 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Wood Burning Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance. No deviation from the manufacturer's
instructions r s ifications is allowed.
Permit# C9C0 ( 1)Q Schedule Inspection 5 7 C Time 3 l 0 am pm anytime Inspector -5 5/'��'►
� I /t I
Name c.t `t" F .A j`5 noif 6ddress r L c 1 f'jrl iiit C i cC(e Rough In Final
Appliance Manufacturer LQ'Jn)o X Model#
g
Masonry Chimney Factory Built Chimney Flue Size6 Double Wall) Triple Wall Insulated_,_
Yes No N/A \ Comments
Floor Protection X -- )n 3 f c it i t LI cledor c'. /it cadet -
Clearances to Combustibles (all sides) v I 'i5 ,( VI 6� (�i t�I i `'leterat e
X � �
SafetyStripInstallation fir 1 nl 1 A4,titzliqc1--- Mq 5f Le-Pj51111
(fireplaces aces only) X
,por
FiTtire
Firestop(s) Vertical Chase X t Y nk i
Wan Penetration 14 tO 'U e
Chimney Clearances to Combustibles I t Aide
% - CUAII3 C o y
Chimney Termination
IeC IAA J0 � heih-1-
,
3f troof2 feet above penetration; feet above X .
any combustible construction within 10 feet
Combustion Air
X tomb. A'J( 414,1ita -1-L1 £A 4 "
y
Hearth Extension tilt eA 4-0 f e to r,J - / o 4-datiQ ye-[
Mantel(height above f/p opening) X ` Ai (tiiiiN^ 04-dVxr
ed
Fireplace Doors/Screen (required) X
A.k4 �L1 re'�10
White—Building Dept. Yellow—Customer Pink—Fire Marshal
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection re,.•e• receiv;.
Queensbury Building&Code Enforcement Arrive: .m/p c D; a- : '
742 Bay Road,Queensbury,NY 12804 Inspector's Initi. •
NAME: � (�, 100. Li 1 E- PERMIT#:
LOCATION: \ \ ‘rl\�C QF � C,\�1�� INSPECT ON: 5 —�
TYPE OF STRUCTURE:
Y N/A COMMENTS
gaming T 4 S t�
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 V2(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 ''/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
Framing / Firestopping Inspection Report 3
iP))
Office No. (518) 761-8256 Date Inspection re. •esi rec ve
Queensbury Building&Code Enforcement Arrive: p r e rt: ZN am/,
742 Bay Road, Queensbury,NY 12804 Inspector's Init.% •
NAME: \ . PERMIT #: _ (.3.?
LOCATION: + 1L�tOitOr7Al����. r INSPECT ON: 0
TYPE OF STRUCTURE:
Y N /A COMMENTS
raming
Jack Studs/Headers 2_- ,A‘Q
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams ✓ ` V-V tAPC13
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 V2 (w) 16 gauge(8) 16D nails each side f
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 '/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