The URL can be used to link to this page

2001-002 TOWN OF QUEENSBURY Iwo742 Bay Road, Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010002 Date Issued: Monday, October 29, 2001 This is to certify that work requested to be done as shown by Permit Number P20010002 has been completed. Tax Map Number: 523400-289-006-0001-030-000-0000 Location: 40 NACY Rd Owner: GREGORY & DEBRA JELLEY Applicant: GREGORY & DEBRA JELLEY This structure may be occupied as a: By Order of Town Board Residential Addition TOWN OF QUEENSBURY (""-sej 415(2.""--- 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: P20010002 Application Number: A20010002 Tax Map No: 523400-044-000-0001-016-000-0000 Permission is hereby granted to: GREGORY &DEBRA JELLEY For property located at: 40 NACY 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: GREGORY&DEBRA JELLEY Residential Addition 75,000.00 160 BLANCHARD Rd Total Value 75,000.00 GANSEVOORT, NY 12831 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2001-002 1784 SQ FT RESIDENTIAL ADDITION AS PER PLOT PLAN SPECIFICATIONS $144.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,March 13,2003 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer Dated at the Town ctil7sbu T esd , arch 13, 2001 SIGNED BY / for the Town of ensb Q11e urY Director of Building &Co e Enforcement wilding Permit Application n Of QueensbuI y - Dept. of Community Development, 742 Bay Road, Queemisbury, NY 12804 /761-8256] ° 1 BUILDING & CODE ENFORCEMENT !NOTICE) Requirements prior to issuance r A permit must be obtained before , of this permit: PERMIT FILE NO.02D0I -60,, beginning construction. No inspections a 9,4. Off'PERMIT FEE PAID$will be made until applicant has received n 8 Board Actiona VALID BUILDING PERMIT. All Area /Use applicants` spaces on this application RECREATION FEE P,I(ID$ _ MUST be completed and.the signature E] Planning Board Action REVIEWED BY.' r r Of the applicant must appear on the SPR / Subdivision /Other Building Inspector j plication form. ,,- ,. ) Recreation Fee Payment Applicant: 7�-o F,, #4,( .7-e-L�c.,- Owner: tf/4q?,.z fy c7. .7E2Getl ' Address: "/O e3u9r`' "'"7 fz 0, 1•'srv#`'> A dress: //e, <r4-'9...C40.1,11— 'Ca_ �s x>A,—/l! Phone # (f7 f ) 2f - -zo,,P Phone # ( ..ri' ) 79, - _ 02 Property Location: ? /V4e RA 61was,"4/4,e-'0,7 Name: >✓d� Tax Map Number _ yy , 1 /4 Section Block T.nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ ?J ' ° ch•' residence / commercial g Addition t wilding: esiden / commercial OCCUPANCY INFORMATION: Altera ion to Building: Pr' ary Building - residence / commercialSingle Family Dwe�.1 jrR !\ /C® Residence / Commercial Two Family Dwel ng no change to exterior size Family Dwelling Office JAAN 0.2 2001 Other Work (describe below) Mercantile Manufacturing TOWN I UEENSBUR" Other— gtJILDING ANO CODE GROSS AREA OF PROPOSED STRUCTURE: 1st Floor If ADDITION, what will use /-3f sq. ft. of new addition be? : 2nd .Floor. . ., '3z sq. ft. ka 762 &-z--' Other Flouts sq. ft. (not unfinished cellar or basement) ACCESSORY BUILDINGS: Detached Garage 1, 2 car TOTAL FLOOR AREA: /-2,9 SQ. FT. Attached Garage 1, 2 car ti/Private Storage Building SIZE OF NEW STRUCTURE-: Commercial Storage Building 6 FEET X �aZ FEET Other Foundation Type: /70(4,a.e?) Will any second-hand or ungraded Number of Stories : • Jr- lumber be used? If so, for what? (habitable space onily) / // s-✓Q Height (grade to rl.dge) : 6 6 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woo stove (circle all_wt.ich applies) to be installed:_ ,Iij4 Electric / .Oil / Gas / Wood Forced Hot Air /jseboara / Other Person responsible for supervision of work as regards to building codes is : t'yiL9.ve.�7 y, .Tez /6,6) ,-1= —/I'AU tio (41-tfcvvAtir'-f ° )79tJ op Name Addresss Phone Builder: Plumber: jr- pinst/C '6'/ 'OS /C-I f�,n 7fe Gv®.a�, - a9.1c' . Mason: Electrician �'rry^--e : DEL 4R41701V. Please sign below after you have cart.:AV read the state:me:Ya. 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 Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: _ / -' __ (owne , owners agent, ar itect, ontrE actor) Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: 'Y'co File Permit No. Tax Map No. y V / / / /6 • Fee Paid Owner's Name: , - � L;. -- H Address: /6 ei J _ c vc,_ 2. INSTALLER'S NAME : /1i? ✓E ,9.O �� "Aft.. 77i/d/ PHONE N I 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 3 x 130 gal/bdrm = ,7 c? 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes— / no V 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 4[071► at what depth at what depth municipal Rolling oam 10�4 feet J/4 feet well Steep slope clay if well; water supply %slope other from any septic-system depth: absorption is ft. other /,i,ce Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 7, 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. Septic Tank: /vuv gallon(min. size 1,000 gal) Tile Field: each trench ft Total System Length: ft. Seepage Pit(s): number of size of each: _ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: 45'L length and/or size Z 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. VLio //0', Signature of responsible person Date r , '1'cvn of (jucenalnrr-_v Sewers and Sewage Disposal Chaplet- - Appendix (: - AIISOIt1''1'ION I"'11;LI) SI:1'A 1tA'I'ION RE(1I.1I I{El11 I';N'I'M -\\____. STREAM 1 1 ...____c_J....N.( .1 ) POND 1 ,-- WELL u1 VAT('II- wr1 111/4-t I_ 1f': _ // 1bu lE 6 �E i 01.st3a'- l k>usL G E Cc::::1\1 ll / / taJVF- 31 I i, / .- c • i if 11V \ 17 __ _ r0.! rNe's X rtr�1as 1101 I f'I n_Lb (------ d 11ji r _�� — __ -. ------ --- ROAD r--``- —f�__ • 7. SIGNATURE &INFORMATION FOR RISYUNSttsL1 rci' " w=va,„•mow, .. E1VEKtii LVllr; APPLICATIONS (9,./(Z) / 66 _Y, -0001111111ii. c-, ENERGY CODE COMPLIANCE APPLICATION '' - TOWN OF QUEENSBURY, WARREN COUNTY • a ' 9000 HEATING DEGREE DAYS Compliance hods : PART 5_ Acceptable Practice Method - q" 1&2 Family Dwellings (only) , L 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: -/� -:6-0- !', J-C'.Z t �C,- 7 �l� dll"7 ce., '.�, 6' cfie'L-�-e.r 43'.s 2 y PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - / 9J `/ 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% t/ Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3, b. Exterior walls R /9 c. Glazed areas R ,33 d. Exterior doors R Z ePd' e. Floors over unheated spaces R /9 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code r/+ Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED Appl . ant' s Signature Dat Phone Number INSPECTOR' S REMARKS : FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: \tflWEPART: la'3. INS' DATE INSPECTION REQUEST RECEIVE• NAME: —,Q = c F Lo LOCATION: p c kc � ) DATE: h i 1 2. PERMIT# '_. ,ir • r• MOBILE HOME MODULAR HOMO FOOTINGS /FOUNDATION BACKFILL I FRAMING N/A YES NO 1. foundation support, pier spacing per manuf. // 2. anchoring per manuf. — -/ 3. water line shut off — — — 4. sewer line support r@ 4 feet — — .- 5. heating crossover (dblewide) off grd. — — — 6. dryer vented outside ..s — — — 7. skirting ventilated 8. hot water relief valve piping outside — / — *49• deck, porches, steps, railing _ I/ — 10. fumace/hot water operating -_1. — 11. garage fire proofing — — 12. door closers — 13. plumbing fixture — — 14. foundation insulation (if appl.) — — 15. smoke detectors — — 16. final electrical — — 17. variance required — — 18. data plate okay — — 19. mobile HUD seal okay — — � rial# l 2.'-4 c6 I Model # � .7� • Manufacturer 't7:9fi & VoME-� Date of Manufacturer 'b OKAY TO ISSUE C/O YES NO Comments: Q 9 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive\0. Depart ;;,�' ',�yt Town of Queensbury Inspector's lni � 742 Bay Road Queensbury,New York 12804 NAME (-;R FG -3 k_ i E_\i ••+• t # -Z.-- LOCATION i� flC. R l--, s ATE 1 C --Z —G I TYPE OF STRUCTURE V—T:E.2 .. N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location .4. Fresh Air Intake J Plumb Vent through roof d Roof Complete V Exterior Finish Com+ ete Interior/Exterior •.' ' :s 30"to 3," / xterior Handrails,bal••nies,Ian•. g 18 in.or more Vi Interior Handrails stairs ►sth sides .or more risers V Grade 2%away from fount.tion V f 8"clearance to sill plate ,f Gas Valve shut-off expos-• -gula.•r 18"above grade Gas Furnace shut-off within 36 f- or within line of site Oil Furnace shut-off at entran - v furnace area Furnace/Hot Water Heater o•- , N.. / Relief Valve(s)installed V Headroom,6 ft.6 in.on sta' • Basement stairs,6 ft.4 i.. *Handrail exterior stairs/both sides m• e than 3 risers Interior privacy/trim/doors/main en• . - 36" Floor Finish / Bathroom/Kitchen watertight �// Interior Handrails Balconies/Landing 18 in. :. more ,/ Railing across window in stairwells ✓ Smoke Detectors: / every level .✓/ every bedroom 1/ outside every bedroom ✓/ inter connected J/ Bathroom fans Plumbing fixtures / ✓ Foundation insulation i V 3/4 hour fire door/door closer / Garage fireproofmg 4 Garage penetrations sealed // Furnace in separate room protected(in garage) Light ventilation per room -✓Safety glazing 18"or less from floor Final Electrical // Site PlanNariance required ! �/ Final Survey Plot Plan ✓ j As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) nuy) ktY RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart am/pm Town of Queensbury Inspector's Initials (,' 742 Bay Road Queensbury,New York 12804 NAME (" PERMIT# LOCATI� K�, DATE () TYPE OF STRUCTURE .11) J / /I I e'(2- /o,I N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Lion Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 36" Exterior Handrails,balconies,Ianding 18 in. . more Interior Handrails stairs both sides 3 or more ri•- s Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regulator 18"above i :de Gas Furnace shut-off within 30 feet or within 1'.:of site Oil Furnace shut-off at entrance to furnace .-- 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 rises 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 3/4 hour fire door/door closer Garage fireproofmg Garage penetrations sealed Furnace in separate room protected(in garage) Light ventilation per room Safety glazing 18"or less from floor F ictil t'a anNrequired Final Survey Plot Plan — �;c F ti-h As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) 0144 G-= rj I RESIDENTIAL FINAL INSPECTION REPORT 8 Office No.(518)761-8256 Date inspection request received: fin Building&Code Enforcement ` Dept.of Community Development Arriveam/ Bepart Town of Queensbury Inspector's Initii / 742 Bay Road ` Queensbu ,New York 12804 NAME PG. —Th .,\6U c � P #c 0 W LOCATION L. c-c DATE - C. I TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney Height/'B"Vent/Direct Vent Location J/ 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 m ✓ Interior Handrails stairs both sides 3 or more ri OEM \Aptwivv`\\1.._ C::� Ev_v�i Grade 2%away from foundation k 8"clearance to sill plateGas Valve shut-off exposed/regulator 18"above ade Gas Furnace shut-off within 30 feet or within line of site ✓ Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Valve(s)installed f c-E i�‘E F i,[rli_:;F CO C;1:�N s)VcA.-`c H..w Headroom,6 ft.6 in.on stairs _ j--N��/ Basement stairs,6 ft.4 in. ,/ Handrail exterior stairs both sides more than 3 risers / ,// pECi� RE i j .` Interior privacy/trim/doors/main entrance 36" ✓ :�111�� Floor Finish ;/r 1U r� i t V Bathroom/Kitchen watertight 1F Interior Handrails Balconies/Landing 18 in.or mor �/ ` �~ 1��J l`�i ;Nt Railing across window in stairwells / / K) - w1 �i�3� 5 Smoke Detectors: �/ every level every bedroom ��`` outside every bedroom .inter connected 1// Bathroom fans ‘./Plumbing fixtures / Foundation insulation / t"IC�+�r_ �� y \ �x ,� 3/a hour fire door/door closer �//// \ "Ait 1 t z-IJ \13 W-1:, Garage fireproofing Garage penetrations sealed ‘7 Furnace in separate room protected(in garage) r Light ventilation per room Safety glazing 18"or less from floor / Final Electrical V VV Site Plan/Variance required _ / Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent CIO(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC Z7? Main Office 176 Doe Run Road-Manheim,PA 17545 O✓� MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL (, Panel Board No Cert. N2 70441 Cut-in Card No ,EC1./ �C DwnerG..RG- ± � Location 4.O }.t*y Installation Consisting of..R...Q.P.t..TI0K/ i)a R i✓t 5 - /a /-1 c G f ..s � y '-Ys Installed By...i„,1 AP,V.1.3 n 0.0.5.,`sz/.c S Lic.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 making inspections at any time, and if its -ules are violated,the Company shall have the right to rev e this certificate. Date...10—/4'0 t INSPECTOa .. .. .... . Member N.F.P.A..LA E.I. 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 Inspector's Initi NAME: PERMIT LOCATION: <� DATE : I TYPE OF STRUCTURE: O Cr RECHECK N/A YES NO COMMENTS Footings/Piers C 1 Monolithic Pour Form Reinfoic,cuient in Place The contractor is responsible for providing protection fr ing for 48 hours following a placement of the concrete. Materials for this purpo on site Foundation/Wallpour Reinforcement in Place k Foundation/Dampproofing Backfill Approval I Plumbing Under Slab , / Plumbing Vent/Ve in P Rough lumbing H ng Rough-In sulation 'o(Z1A.k Foundation Walls Interio R- Foundation Walls Exteri R- Floors ' Walls '- Ceiling •- 'L? ✓ 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 U' v' \ 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 Arrive3 epart at pector's Initi NAMIG— V ec PERMIT# COD— LOCATION: ' DATE: - - f TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is -••nsibl: for providing protection • •m ing for 48 hours followin:the p . • + ent of the concrete. Materials for this purpo on s' - Foundation/Wa 1pour Reinforcement a Place Foundation/D: a •;• •• I Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in 'lace Rough Plumbing H ugh-In L 1 AQ .._ Foundation Walls Inte •r R- Foundation Walls Exte •r R- Floors '- Walls - �� ✓/ Ceiling - 1/ 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 i< AtA 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 Arrivecam Depart :.F ' Inspector's Initi: '�"� NAME: C*i:2iF C_C� �t i ' PERMIT# rfi'• •tioZ LOCATION: 40 PC_`S RC'AD DATE: — — TYPE OF STRUCTURE: P, A. ADC) 0 AUTE RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Fo u Reinforcement in P ace The contractor is respo ble for providing pro - on from -- ing for 48 hours folilo' g the •lacement of the concrete. Materials for this • 0••se on ite Foundation/Wallpou Reinforcement in Pla•- Foundation/Dampp •• • s g Backfill Approval, Plumbing Under Plumbing Vent/Vents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interi•r R- Foundation Walls Exte •r R- Floors Walls - Ceiling •- Duct work or piping in unheated spaces R- proper Vent,Attic Vent Framing Jack Studs/H Bracin ndgi tit ° -kg_ VW-VViczA t� Joist Hangers ?--C-tA \ c A � �^ Jack Posts/Main Beam M(ij Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed pre Wall2,3,4hour Firestopping > 5tf-1L -4707,2-2,\VE o F 4-ku Jvt1/4?__ 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 Arrive31W arr Depart, i/• �,`l'r, Inspector's Initial NAME: GR Ecx, j E`i PERMIT# s i Ii —i► LOCATION: � IRCN Rr)a C) DATE : ;;ij a -0 I TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection 1, freezing for 48 hours followin_ e placement of the concrete. Materials for this purpo site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi Backfill Approval_ Plumbing Under Slab Plumbing VentNents in 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Inte 'or R- Foundation Walls Exte R- Floors R- Walls - Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing E c,v,-i Hr bE J Jack Studs/Headers Bracing/Bridging Joist Hangers /RREiM0vE A 1J D t Jack Posts/Main Beam Y PRb)ECD-N .J tbT 1-VA t.) _112 �,�1 t Air Infiltration Barrier Fire Separation 1,2,3,hour J A►3CAAOe �j["�� ` c Penetration Sealed �� Fire Wall 2,3,4 hour TO C-0 1Z C? Firestopping HO 00 L( ��j 1�'\Pt t tJ C- CKpED, , \\\ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name S(£ ' Location 40 NO,C )- Date - �. ,.;11Permi # a l SOIL TYPE Loam-Clay- Resul is of Perc it ati • Test- (if applicable) Rate- ' inute/Inch TYPE OF SYSTEM: ABSORPTION FIELD Tot.1 Length 1./6 Length of each t ench ) Depth of trenches _ Size of stone tr�l►s11Gi SEEPAGE PITS: N Size - t. x ft. Stone size PIPING: _ S}z� Type Bldg. to Tank pf" ��'� Tank to Dist. Box a P' Dist. Box to Field/P . 454rt 3c- Openings Sealed? 411 10No Partial LOCATION/SEPARATION Foundation to Tank feet Foundation to Absorpt on `7 feet Separation of Pits - feet Conforms as per Plot Plan49 No LOCATION OF SYSTEM ON PROPER (circle • Front - Rea, - Left Side - Right Side Middle Front - Middle Rear COMMENTS: • '(\- \\ SYSTEM USE APPROVED: YE NO Arrived: _t_IL.10 Departed: J F-U Building Inspector uepnri.eu: vi ' v J (11'" Building Inspector GENERAL ZNSPE ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive lit:YZapm Depart Oi: M Inspector's Initia NAME: C--,RE-G ` =_LLE"( PERMIT# '_ *. j —.ntiZ._ LOCATION: 1J i\C`t k2N0 f n DATE : 10 o l TYPE OF STRUCTURE: nF 0 -TI A l_ Pt CDv ` l• E ?- RECHECK I N/A YES NO COMMENTS • Footings/Piers Monolithic Pour Form Reinforcement in Pia*• The contractor is -spo .ible for providing prot. 'on fro freezing for 48 hours folio 'ng - placement of the concrete. Materials for this . ..se .n site Foundation/Wallpou �uifo,'-ment in Plar J�unda ' sam..-r fing V ackfill App. . Plumbing Under Slab Plumbing Vent/Vents i Place Rough Plumbing Heating Rough-In Insulation Foundation Walls I • 'or R- Foundation Walls Ext;rior R- Floors R- Walls 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 O. ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Depa 4 �:� �� 794)-(69E1 Inspector's Init NAME: C-5 R Ea, 3-J�E� PERMIT# 1 • B.►Z- LOCATION: NAC. go A(-) ATE: .— C -a TYPE OF STRUCTURE: Rai) - AOD ATE RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible fo providing protection from fr. - for 48 hours following the pl - t of the concrete. terials for this purpose on si / undation/Wallpour o iV , enforcement in Place 'J -c?AF N C2.- Q- Foundation/Dampproofing _ Backfill Approval \ OCE °V-f-� 31 .l Plumbing Under Slab A ) ��`L- Plumbing Vent/Vents in Place ‘ - "/ 4N2... Rough Plumbing \ Heating Rough-In fAAd!e 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 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 ` �( m Depart pm Inspector's Initial NAME: GeE{--1. PERMIT# . /rr.37 LOCATION: Iv ac_' Q t-1(7 DATE : g 0‘ TYPE OF STRUCTURE: EE1, ' o ) L.iT 2. RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Plac• The contractor is re •$nsible fo providing protectio from freezi g for 48 hours followi g the place ent of the concrete. Materials for this purpo - on site {� Foundation/Wallpour 1 AMPO l�� E y-C MLR C" 0.5 ER Reinforcement in Place Foundation/Dampproofin 1`�' 3 A�[� `T1 Backfill Approval 5 t (;�� 1(op c,.-Ac4_6 �L Plumbing Under Slabs* Plumbing Vent/Vents in Pla - � � E0?--- l0 1 \ Rough Plumbing _ Heating Rough-In Q EL\3 _ T� - A\ i✓>� Insulation g‘) l__ P?0 t a Foundation Walls Interior •- �V:.- L_�� , Foundation Walls Exterior '- S / Floors R- L1 L \ l`-�` E C\ Walls R- �� kF, 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 OWN 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.i Depart Inspector's Initi NAME: uw�\1 PERMIT# �OQL LOCATION: tom-'P V-O'AQ DATE : TYPE OF STRUCTURE: 4 . Pt VD IRV-TMRECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo 'We for providing protection fro freezing for 48 hours following th=placem,nt of the concrete. Materials for this purpose on ite Foundation/Walipour Reinforcement in ' - Foundation/Dampproofing 1/ Backfill Approval �ot\Q. fll (A‘e-6 1 � 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 e j R \ GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request ived: Building&Code Enforcement" -,,,, 742 Bay Road _ - 2� Queensbury,NY 104 U Arrive r anim De art x n p ctor's nitial NAME: 1 PERMIT#' QOZ_- LOCATION 0 1, R C- i c, D TE : ['` - -C1) TYPE OF.STRUCTURE: ? S _ DO C E Q—. RECRECIC N/A YES' NO ` COMMENTS V Footings/Piers -,..P?A OF t`vC V" ,Monolithic Pour Form V Reinforcement in Place t� The contractor is responsible for providing protection from freezing, for 48 hours following the placement''> of the concrete. i Materials for this purpose on site '.. Foundation/Wallpour _ 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 P.- Duct work or piping in unheated spaces / R- Proper Vent, Attic Vents Framing r Jack Studs/Heade Bracing/Bridgin Joist Hangers Jack Posts/Mai Beam Air Infiltration Ba 'er Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping Vti\ 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 antph/Depart , `4 . L' j! Inspector's Initi+ _ NAME: �F► PERMIT# LSe'4 `i�I►Z- LOCATION: ►��1G P�(�C� DATE : ��— .i —0 J TYPE OF STRUCTURE: 1j D D/A LT .e RECHECK / N/A YES NO COMMENTS Footings/Piers [ Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from fr ' g for 48 hours following the ace ent of the concrete. Materials for this purpose o site v Foundation/Wallpour ', (3E. C IL / 6 1 `1TI chWV bNR?brC' AUL— ✓Reinforcement in Place %/ Foundation/Dampproofing � Backfill Approval Plumbing Un Slab Plumbing Ven e in Pla Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterio R- Floors Walls - Ceiling - Duct work or piping in unheated spaces 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 i ii0 q,W GENERAL INSPECTION REPORT ( 518 ) 761-8256 �/ Town of Queensbury ja Dept.of Community Development Date inspection request received: Building&Code Enforcement Sep ' 742 Bay Road Queensbury,NY 12804 Arrive ' ACC n Depart Jl Inspector's Initi NAME: ��`AA /� /� PERMIT# oZ 1 ' 2 f 1 LOCATION: A w� /c�.f' DATE : �//�'/!J/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo • e for providing protection om zing for 48 hours followin the p acement of the concrete. Materials for this on si )eFoundation/Walipour i 4‘)EC( C-ETR► c►:.\- b c'c,-)E 0 Reinforcement in Place ! v �� u— VP-` Foundation/Dampproofng V)U�-=�E--_ T1-�G {� Backfill Approval Plumbing Under Slab 6a% 01.� _ �i� _ ( � Plumbing Ven is i Place rc 1 , Rough Plum ng E.tu� �F {�U �� N1� Heating Rough-In Pt--AC— Lp c t�U L G \ FU P_,. Insulation Foundation Walls Interior R- V.w ' l'L • Foundation Walls Exthrior R- Floors R- Walls R- Ceiling R- Duct work or piping is 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 Arri a ,�` Depa ' '�.► .� Inspector's Initial NAME: Gt 1 4 PERMIT I - LOCATION: r V A q -/i C)A D DATE : '—E-} —O TYPE OF STRUCTURE: Ivy AL PtOn I RECHECK N/A YE,Y N/O COMMENTS Footings/Piers I. �JJ Monolithic Pour Form C1?)\ 1 /" .° Reinforcement in Place 7, C The contractor is responsible for providing protection from i for 48 hours following the pl ent of theconcrete. l � ` _ --cc) Materials for this purpose on si i/ D�� Foundation/VbVpour kA.0 ‘ . �d 1- r Reinforcement in Place Foundation/Dampproofing (t' ` V_E- �'PC 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 I,2, 3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping