2004-169 TOWN OF QUEENSBURY
742 Ba Road ueensb NY 12804-5902 518 761-8201
T�� Y ,Q �Y, � )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
- Permit Number: :.-:P20040169 -. Date.Issued: Friday, January 14, 2005
This is to certify that work requested to be done as shown by Permit Number P20040169
has been completed.
Tax Map Number: 523400-308-007-0001-011-000-0000
Location: 3 WOODSHIRE Ct
_Owner: BURNT HILLS; LLC
Applicant: SCHERMERHORN COMM. HOLDINGS, LP
This structure may be occupied as a:
By Order of Town Board
Fireplace _ TOWN OF QUEENSBURY
Garage - 2 Cars Attached i
Single Family Dwelling f "
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
0.0 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040169 Application Number: A20040169
Tax Map No: 523400-308-007-0001-003-000-0000
Permission is hereby granted to: SCHF,RMF,RHORN COMM. HOT,DTNCrS. T,P
For property located at: 616 SHERMAN Ave
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: ERNEST G CENTERBAR
( Fireplace
DOREEN)
616 SHERMAN Ave Garage-2 Cars Attached
Single Family Dwelling
QUEENSBURY, NY 12804 Total Value
Contractor or Builder's Name /Address Electrical Inspection Agency
SCHERMERHORN CONSTRUCTION CO
15F BIRDIE Dr
OTTEENSBTTRY. NY 12804-0000
Plans&Specifications
2004-169 LOT 21
2171 SQ FT SINGLE FAMILY DWELLING
$290.52 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, April 20, 2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,April 20, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Cod or ent
Building Permit Application
Town of Queensbury—Dept of Community.Development,742 Bay Road,Queensbury,NY
•
• (518)761-8256
A permit must be obtained before beginning construction. Permit File No. . 7 P.. '' �'r
No inspection will be made until applicant has received a, Fee Paiddvci o T�, /�
valid building permit. All applicants' spaces on this • Rec.Fee? d �� , i �
application must be completed and must appear on the .; ,,,(_
application Reviewed' y. +��, J- �yEE�vS URY
PP 'rILnIAiarr) <)E
• Applicant: 614r 111 t V Owner: ' 5i4r00.
•
Address: 147 P- I3i itioe •ppve • Address:.:•
Qa 5 Pc H /2 •
-
Phone#( )7$ -66,74 phone#•(;_)
.1
,ram.
Property Location: Lot Number: / House Number /
Subdivision Name: ON d i s iii'Sfirar5 Tax Map Number: IL1/zc..= ai.e
- -
- - -i: : 3 08 .7 -/
de../71ew Building: esidenc)commercial : Estimated Market Value of Construction,$ ""_L, "___'.
o Addition: residence/ commercial , . If an Addition,what will use of new addition be?
a Alteration: residence/ commercial
a No change to exterior size: residence/coral .
•
a Other work(describe ' )
Check Occupancylnformation 1"Floor 2"Floor Other floor Total .
• Below ' sq.ft: sq.ft, .•' sq.ft. Square Feet .
sr
. • Single family dwelling / 3 Awe . 2��1 •,c=
''` o Two family dwelling !1 °?��
'a Townhouse
a Multifamily dwelling '
'' #of units :
a Office , .
U Mercantile
a Manufacturing -
a 1 car detached garage . ' .
• a 2 car detached garage
a 3 ear detached garage ;'I;'
a 1 car attached garage ;' ': 1, • : ,j,
let car attached garage (GD2- ,• ...:1. c 2 �� a�
. 0 3 car attached garage .
• o Storage building-
commercial 3;0,2.:
•
a Storage building-
. ,
residential ••
:. a Other iL�S
, _
::,„...,ik.: .::' . :
;;,:.;'. ;_ What is the proposed height of the structure T..1 : feet 0 inches
Will any second-hand or ungraded lumber be used? If so,for what? `:°-Jy7
Type of Heating System: electric/ oil /01 wood 4:?rced hot au, baseboard/other: 4'
G
`` y,, . Number of,Fireplaces to be installed / ::Number of Woodstoves to be installed • �S
- List below the person(s)responsible for supervision of work as re ands fo buildin code 1,1 S
F4±`a g i1 g s. f ��7y�
Name Address . „ Phone Number 7�"
Builrlor6� CIS/ �S// "G� — :-01b7 ' ' IF PQC
(€6
Plumber 142-3907
Mason • 3►m tre260 ' Igici2
Electrician pbq- p1 146 Zb0— I ,
Declaration: please sign below after you have carefully read the statement '`
To the best of my knowledge the statements autained in this application,together with the plans and specifications
submitted,are a true and complete statemc: :.f t.proposed worm to be done on the described premises and that all
provisions of the Building Code,the Zon:. ..,,mace and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that ,rk is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy crtificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building ar, ! ::.is,ini.is Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all n ons tie, •• ,
./
Signature: �� :- r '
owner,owner's agent,architect,contractor
' I; to,... ,4,7
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
. (518)761-8205
Application for Fuel Burning Appliances & Chimney
applicable to solid fuel & vented-gas appliances 9.....
• . Date (7 1t, , 20 / 1 • Permit No. M__ /e9
Application is hereby made to the Building& Codes Office for the issuance of a Building and Use
Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
.Name: t ritit:-r"%t efbgtvi i t-9lk1._ -rIt.1 Stove: - wood coal pellet
Fireplace insert ,:
Address: 12 - ' Fireplace, factory-buil(tC; wood gas
. tit ; `r-_ ,0/..k./ ,vv 1. `:64 Fireplace, masonry. wood gas
Furnace: •
ow-Od-- rf,427
oil
•
Phone: '$/ 776 - 1 % '
If non-masonary applicance,.please provide -
Owner: '`• )4fi l t - Manufacturer Name: =.t `mt.27,' ri, - l`-` (4 e6.
•
Address: Model Number: V t./ .4.7 t ‘ v'
Chimney Information
Phone: • (circle appropriate words)
•• �, Masonry block brick. stone j ,t
• Flue tile i steel ) size: inches
Exact Address: / ..,}y P//Y '/ `r• /:50/I7/ ~0` - c-
ofcanstructio,:ar installation Factory-Built
�, Manufacturer name: dr1 u'l
°'f;, a: ; i .•-�'�,�... ..�. Model Number: 'y ; 1. - r 6
• Note: Listed By: Number:
Construction I Installation must
.conform t o;NYSFire Prevention &Building Indicate(circle)chimney material:
Code. Consult available Town ofQueensbury Q • Double wall / Triple wall / Insulated / D irf•et venting
Handouts regarding required inspections. P � g
•
• Chimney Liner
` •
CEL�thlr'41 purtmczlt— 'jey of,Qizeesz,erbury-, _Mew Yr®rli:
Y
Fire Marshal Code# $Collected $Refunded Received from (refunded to):;b i "'•'.rz,, ..A bl, ;• •";f7')
�' �L! • - address: .
A /73 3389 (190) Public Safety -.� .
•
A 233 2655 (230)Minor Sales '
DATE.` _.V%- ' r t t` ' t a `� '�f t _---,
O
White(Applicant) / Green(Fire Marshal) / Yellow(Bldg.Dept.) / Pink 8:.Goldenrod(Cashier's Dept.)
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION: ° ea , D
Location of installation: Lor rl5 iz{ !
e�' ?
Tax Map No. / / File Permit No. fib /���4
Owner's Name: '} D ,�,�� Fee Paid `�pi�ini ne r' �c�NSBURY
Address: g-s2 , guaiteetwiii•
2. INSTALLER'S NAME : 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 L}- x 110 gal/bdrm = 440
• Garbage Grinder Installed yes�� no ✓
Spa or Hot Tub Installed yes V / no •
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply
Flat an, at what depth at what depth• icipa�oil',. oam
feet
Steep slope clay ( 1 feet well.
_%slope other 5��0bN� aVCai if well; water supply
depth: from any septic-system
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.
Septic Tank: gallon (min. size 1,000 gal.)
Tile Field: each trench 610 ft. Total System Length: MO
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: /1foI)iF , SW-- length and/or size � .f ' (4�
)
5YSitero
6. HOLDING TANK SYSTEM: (if required)
•
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
•• ........-.-. . ...111u1.01.1.ILVLL uy a 1 VW11 appro yea
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 Queensb 7•• (::initary,Sewage Disposal Ordinance.
t� 4� g
/04
Signature of respo. person Date
APR 0 8 2004
immik ENERGY CODE COMPLIANCE APPLICATIONT or 4
. Y R
�.:: TOWN OF QUEENSBURY, WARREN COUNTUILCII,.; v�g 'SBURY
9000 HEATING DEGREE DAYS
Compliance Methods:Part 5 -Acceptable Practice Method-1&2 Family Dwellings (only)
Part 6*-Thermal Rating—Component trade Offs 1&2 Family Dwelling;
. 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:
z tgeyn 01 C MsT I,orr #ZI
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
• 1. Gross Floor Area • 2I1 ( square feet
•
:._
-:.. -:::...�=-�.�-:.-:;:..:''-T e of heat- - Electric-: - .Oil �-: Gas ... .. Other . � ...-
•
3. Is building mechanical) cooled? es No
•
'y 4.. 'Percentage of area of windows and doors - :Over 1?% o -
g . .. . Under 1'31a
•
' ' 5.' R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R VALUES AS
SHOWN ON PLANS SUBMITTED: -•
-. • . .. a. • - Roof .. _ - - . -
b. Exterior walls R—!q
c. Glazed areas R -Lee -
d. Exterior doors R—3 YAW
e. Floors over unheated spaces R— ,C
f. Edge of slab on grade(heated building) R ---
g. Basement/cellar walls (above grade) R —10
• h. Basement/cellar walls(below grade) R — 10 •
i. Heating/cooling-ducts-piping in unheated space R —
6. Service (domestic)hot water heating device Z.
Conforms to minimum efficiency per code V Yes No
•
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Applicant's Signature Date 1004,
�_QoC},� Phone Number
L
• INSPECTOR'S REMARKS:
1
r '
•
-TOWN OFQUEENSBURY--•. ::
- HIGHWAY Richard A.kissita
� ��� Highway Superintendent
DEPARTMENT v D) Home(518)798-5127
742 Bay Road • Queensbury,NY 12804 APR ® $ 200� Michael E Travis
Deputy
Office Phone: (518) 761-8211 '��®F QUA Highway s Superintendent
tendent
Fax: (518) 745-4466Iv �SP3URY
coDE
•
DRIVEWAY PERMIT
DATE: . 8 Arai- 104-
APPLICANT NAME: GC/V /7/406747&-
TELEPHONE NO.: 6'/8 716 C O74
ADDRESS TO BE INSPECTED: LQf 12/ PA/0 , g 07R T S
RETURN ADDRESS:
•
- -. Applicant must show exact location and width of drive_way(s)to be connected to the highway by
placing stakes at the specified location.
=- - The Superintendent•of Highways of the-Town of Queensbury has reviewed this application::The
following action has•been taken: •• - ••- - - •.••. •
- STEP 1: ()Preliminary Approval - -
-NEED: OSlight swale ~ ------- - -._ _ • -
( )Level with the road
( )Deep swale
•
Size pipe to be used(if necessary)
( )12" ( )15". ( )18" ( )24" ( )36"
Preliminary inspection completed by DATE
Approval by Highway Supt. Deputy Supt •
Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( )Final Approval
• ( )Rejected .
DATE:
Richard A. Missita,Highway Superintendent
,
Queensbury Building & Code Enforcement - Resi.,; tie. inal Inspection
Office No.(518)761-8256 Arrive: a pm i'-dart: 3..rD a pm
Date Inspection request received: Inspector's Initials: _ ' .. /
NAME: f P � IT#: 9-Cts1.f`l
` t
LOCATION: 1 'TE: -1 1, f 2 _0
TYPE OF ST E: i
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location ���11\.
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more cal 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 %"
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 FE h'Ab 1' C i 1 ►A
Safety glazing/Window in stairwells safety glazing -
Interior Smoke Detectors: , a k5 e_�R,� . ,T �,
Every level: / Every Bedroom: ` ��
Outside every bedroom area:Inter Connected: / Battery backup: C� �VL�c c (�5 \ +
Carbon Monoxide Detector l
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/%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
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]
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,IN •`
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICAATE - ELECTRICAL APPROVAL � .
Permit No. Cert. 84888 Cut-in Card No �
Owner la meli 4.272-fxd
Location '-/ W"-v�b} 'S te`�cr G"� �r ,/ Y
Installation Consisting of.? Q/t 44 e 0-6T-6 ) 61/ lijS
I -v G) /4/e-I 217./tort. BR-
Installed By 7610 1' ca.etf, Lie.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak' inspections at any time, and if its
rules are violated,the Company shall have the right t r t ertifi te.
Date 5 ,s---o INSPECTOR
Queensbury Building & Code Enforcement - Residential Final Inspection 1 3
Office No.(518)761-8256 ! Arrive: p 0°4 rt: V- pm
Date Inspection request received: - 111z/0 5 Inspector's Initial • _
NAME: Sc-&) (/✓t't- - 1. AI ' ' IT#: oGYJ " 6
LOCATION: L o j a- ` woo D SA..r e C ►ATE: I U _
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location /,
Fresh Air Intake vi
J
3 inch Plumb Vent through roof minimum 6" v/ X )
Roof Complete/Exterior Finish Complete / \1J'�-SRL� Oi�t . �Ng>``I
Guard 30 in.or more�a�stairs,decks,patios ✓ ` `
Guard at stairwell at 34 in. or more ✓
( u'
Guard at deck,porches 36 in. or more P�e� •
Exterior Finish Complete F✓
Interior/Exterior Railings 34 in.to 38 in. /
Platform at all exterior doors 7 i-�1��117't \ C' v ‘ ��
Interior Handrails stairs 2 or more risers q-- ,_
Enclosed Stairs Sheetrock Underside minimum %2" — �� �vv�
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 14
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 /*/
J
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 /--- > 1 t C, C t- R (- ..P1y 6
Interior Smoke DetOtors: 1
Outside every bedroo
Every level: �/ / Every Broom: to t I e`er' �AFb \a)
area: �/ _
Inter Connected: .1 , / Battery backup: / C:J\�r2 ov�— �v� �
Carbon Monoxide Detector f
Bathroom Fans, if no window ,/
Plumbing fixtures
Foundation insulation ,f /
Floor truss,draft stopping finished basement 1,000 sf / ✓
Emergency egress below grade I/
Basement stairs closed rise>4 inches ✓ii
Garage Floor Pitched V` � F\
Garage fireproofing/'/4 hour fire door/door closer '� � \Jt'C -
Duct work Sealed properly
Gas Logs in Sealed or Glass Enclosure I Ni%X:\*__ .
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 I
Final Electrical
Site Plan /Variance required
finrve
jAsal BuiltSu SepticyPlot SystemPlan9
/
.Ii i�Flood Plain Certification,Sewer if requiredDept. Inspection Sticker
,"kay to issue C/C or C/0 [Temporary/Permanent]
L:\PamW\Building&Codes\Inspection Fortns\Res. Final Insp. form 2.docLast printed 2/12/04
/ K ' , Town of Queensbury Fire Marshal
742 Bay Road IIE-_ 0/ / /
r
Queensbury,NY 12804
1 � » '- 761-8205/761-8206
``^ fax 745-4437
i)/
Factory Built Gas Fireplace/Stove Inspection Report
Notice: New York State requires that all UL Listed,factory built appliances be installed according to the instructio
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufa rer'
i instructions or specifications's allowed.
Permit# lam) f (0 Schedule Inspection f "/V-"0 ime V� �/0 am n,"2nytime :insp
Naln U\P4avELLVILd1\ Address \l ‘ ,o _ Rough In final_
pp � 3 \C- Model# V) � S)
Appliance Man teturer.
Direct Vent • Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides) i
/
Firestop(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
/
Vent/Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off Valve / i,;,, ,1/4t:,�Ti`s\-=,—gip
Combustion Air
Hearth Extension (if any)
. Mantel
Height above f/p opening
Witness Operation
Tank Placement(if LP)
White—Building Dept. Yellow—Customer Pink—Fire Marshal
ci-//
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection reque re ei ~d
Queensbury Building&Code Enforcement Arrive: p r,epart: \:O seem
742 Bay Road, Queensbury,NY 12804 Inspector's Init'als:
NAME: (-N_L,K rx k 'n PERMIT #: z'1 --/6
LOCATION: � s, tJ�x T�c;�„ram cowl* INSPECT ON: / r? --J 1 —
TYPE OF STRUCTURE:
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 'N>�
Water Supply Piping 0
Cooper Commercial �J
D�
,-C oper, CPVC,Pex One and Two-Family JL
\--4nsulation/Residential Check/ Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation ��
If required unheated spaces I,i
Combustion Air Supply for Furnace _
Duct work sealed properly/No duct tape
COMMENTS:
6 (DAv_i--kt*
-9)255V0A9
L:\SueHemingway\Building.Codes.lnspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection r qu t r- - ved: I D A o4
I
Queensbury Building& Code Enforcement Arrive: m/p iepart: MIFF
742 Bay Road, Queensbury, NY 12804 Inspector's Initi s• %
NAME: UN-- }} PERMIT#:
,,
LOCATION: .,�br_c / e�oca1s4 INSPECT ON: 1 CS
G'f/l
TYPE OF STRUCTU • •
vte
-Y 1V N/A
Framing COMMENT
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
Firestoppin
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side 1/4 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 Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection requ- r,'eive•. "C7 6
Queensbury Building& Code Enforcement Arrive: a p ,/ D=•art: D m
742 Bay Road, Queensbury, NY 12804 Inspector's Initia s:
NAME: .57.Gi PERMIT#: C%,3,'�J —/
v�.LOCATION: Ot / f�uY� %-e(2 j' INSPECT ON: /40/7 o ji /�rr3
TYPE OF STRUCTURE: *
Y N /A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging �. \Q \�C) N"171,e-
Joist hangers
Jack Posts/Main Beams �\�� CI7N-\71; Q �
Exterior sheeting nailed properly
12" O.C. � �� h���F w.\2,5s2c \ t
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Headroom 6 ft. 8 in. \Z`t
t•.,\.\17t1s)
Notches/Holes/Bearing Walls 6v--- \—<
Metal Strapping for Notches Top Plate 1?_e_ A\\'717 lot_
1 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center �L-� T.\\,27
i a
Ice and snow shield 24 inches from wall `c---6`-\lo�
Fire separation 1, 2, 3 hour -��CtT � � N?E')Lz-_
fQFire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %z inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
7.
1 aN-- Lk
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: •
Queensbury Building&Code Enforcement Arrive: am/ epart: 2 , / pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: <-!
NAME: PERMIT #: d ((�1
LOCATION: ', m g` � S IAv� Ct `�'INSPECT ON: b
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 Place
,\ g Plumbing/Nail Plates
1 '/z inch min. Drain Size
ashing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
//W
5 PSI or 10 feet above highest
connection for 15 minutes
leanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and 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/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Repoitdoc November 17,2003
Framing / Firestoppirig Inspection Resort �-
Office No. (518) 761-8256 Date'Inspection req -s rece' =::
Queensbury Building&Code Enforcement Arrive: a p If part: a a pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initial.: / (
•
/116 NAME: 41/4C)PC Q(\kgri\, PERMIT#:
LOCATION: Q__-C 1 _ INSPECT ON: 9- -C)L/
TYPE OF STRUCTURE.: •
LT/N/A
r COMMENTS
aming
Jack Studs/Headers ��L b NV 5 'C'�e--vu,- �E
Bracing/Bridging ✓j 1 -v' v5
Joist hangers rAB1
Jack Posts/Main Beams ✓/ i �� ��L �� �1�
Exterior sheeting nailed properly ✓ C-A3tE,L t d -
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 wall 2, 3, 4 hour
Firestopping
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 grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 •
crj
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 .' • - Jed:
�"Date Inspection re e•t r .e
Queensbury Building & Code Enforcement Arrive: a p ►epart:
742 Bay Road, Queensbury, NY 12804 Inspector's Initia's: i
NAME: Cf 1nr�1 cr YZ� PERMIT#:
LOCATION: Vi .() , v.0 INSPECT ON: cc.-, 3- ni
TYPE OF STRUCTURE:\;,i- •
_l ' i Y N IviA COMMENTS
aming \WA,t t e:
Jack Studs/Headers ,� �► Q S \�;`�� �� -®
Bracing/Bridging ;VX2
Joist hangers ✓ ���J�����
Jack Posts/Main Beams — t3,NN.
Exterior sheeting nailed properly
12"O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more °' � i "iJ t);,�
Headroom 6 ft. 8 in. �-i
Notches/Holes/Bearing Walls tOVVNi \7?L0Co 6
Metal Strapping for Notches Top Plate v\`�l '7 -k1j
1 %z (w) 16 gauge (8) 16D nails each side T "NV
�1
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center J
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 % 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.lnspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Ak
Framing / Firestopping Inspection ReportP—/O A
W
Office No. (518) 761-8256 Date Inspection request received: n/,� 4
Queensbury Building& Code Enforcement Arrive: am/ n��,T�epart: am/pm "`GV
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: v G�
NAME: 11"\Q/Y• 'd loY n. PERMIT#: c__
LOCATION: dda. cjj . €: %.c:\rX INSPECT ON: Cj
TYPE OF STRUCTURE: S'`�O rxi A fr(6m r
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 %z (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anch Bolts 6 ft. or less on center
e 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 % 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
'97 -7----.
( 1 \
Ciy;
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection re est r ce'v :
Queensbury Building&Code Enforcement Arrive: a pm Depart: _ a
742 Bay Rd., Queensbury,NY 12804 Inspector's initi ty
/ (o
NAME: ri\p/(1 (r) ,RMIT#:
LOCATION: _ cC 'rYva ,N_. INSPECT ON: -7 .--9--/ •— 0 LI
TYPE OF STRUCTURE: 5cAo—Pike R,Y*
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
tin Drain Daylight ar ///,
oting Drain Stone: >
12 inch width 7/
6 inches above footing J
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under SIab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- ______--
Rough Grade 6 inch drop within 10 ft.
L:\Suefcmingway\Building.Codes.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003
--Zr-.4"-•4) ,t. ,,,6,,,, ,71t1",____ ........_
- :JIV \ ---C-1\-1%t& --
--- , ig:t.
• /0 t
•
Foundation Inspection Report
Office No. (518) 761-8256 Date Ins ection re r c-' -.":
Queensbury Building&Code.Enforcement Arrive: = 'j Depart: —}- an
742 Bay Rd., Queensbury,NY 12804 Inspector's Init .•'"".- c.
NAME: PERMIT#: ��-"C:,
LOCATION: _ ;R-{<���)act i I _ INSPECT ON: 1 —
TYPE OF STRUCTURE:
Comments
•
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
•
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
' Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
r6 inches above footing
�•:- 6 it poly for wet areas under slab
ckfill Approval ��✓�
Plumbing Under Slab De-P0,1 It b N_.-
PVC/Cast/Copper �` RFD‘?--F' RC)4-V-k L_ ___
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHcmingway\Building.Codcs.Inspcction.FORMS\Foundation Inspection Report.doc January 28,2003
0
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection r-•u-: - -:: )a q:00 hz.
Queensbury Building&Code Enforcement Arrive: �a ap d,. Depa t: am/ J
742 Bay Rd., Queensbury,NY 12804 Inspector's In" ial•• „r-
# , ,INAME: RMIT#: A00 ' 169
L I I LOCATION: ., Lst• 'W..111»1A,n. INSPECT ON: qI J9,I
TYPE OF STRUCTURE: S r
Comments
Y N N/A •
otings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement •
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
• Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
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- - `---- LOT #21 .
DRAWING No.
C-1
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