96-652 7 TIC
Certificate of Occupancy
Town of Queensbury
Warren County, New York
Date April 12 f 2 U U U
This is to certify that work regiiested to be done as shown by Permit No. 96652
has been completed.
This structure may be occupied as a__� SINGLE FAMILY DWELLING W/2-CAR GARAGE
Location 28 STONEHURST DR.
Owner
TAX MAP NO. 5 4 . -7-5 6 By Order"Town Board
TOWN OF Q TEE 7
Director of Building& Code Enforcernent
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE S 195000 No. g 6f,5 2
TAX MAP NO. 54 . -7-56 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PRATT,—E1414ETT br-13EBORAH
OWNER of property located at LOT 56 emGNERH RST DR. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a SINGLE FAMILY LiE u ar 4£—er r z—O-TT GA
A G E
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
PO BOX 4380
2. C NTRACTOR or BUILDER'S Name
rn
nn'
3. CO A to or B I ER5 Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
I )wood Frame I ) Masonry I )Steel S�N)GLE FAMILY DWELLING
7. PLANS and Specifications
No.
2056 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
8, ropose
SINGLE FAMILY DWELLING W/2-CAR GARAGE
$ 292 PERMIT FEE PAID —THIS PERMIT EXPIRES �jnv ,mhur �„? 19 98
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 1 Day of Ne Aria mhg t 19 96
SIGNED BY ✓I/t 1! for the Town of Queensbury
Building a Zoning Inspector
.1 � tau Wing Permit Application
Town Of Queensbury - Dept. of Community Development,-742 Bay Road, Queensbury, NY 12804 [761-8256]
BUILDING c& CODE ENFORCEMENT
NOTICE Requirements prior to issuance 4241
A permit must be obtained before of this permit: PERMIT FILE NO.
beginning construction. No inspections
will be made until applicant has received ElZoning Board Action PERMIT FEE PAID
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION F D$
MUST be completed and the signature [D planning Board Action
of the applicant must appear on the REVIEWED
SPR / Subdivision /Other Building In(pector
application form. n �.,.. Recreation Fee Payment
Applicant: ?t'11"ll S L==t 1-}-I-)"t k7l owner: 1--
Address: t 'Ue- iA E't LA l t. Ifit N Address:
P
Phone # ( �(_-) -s_ ` ? Phone #
I'rolicrly Location: _s„
� �,�y U�t�� 'lax Map Number
Subdivision Name: 1< ! — Section Block Lot
NAVE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
/ New Building: CONSTRUCTION: $ 1�`� ` � Imo+-• (.,c c�1c�
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Pr3j ary Building -
residence / commercial // Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing -
Other
GROSS AREA OF PROPOSED STRUCTURE: QQJ
i C)u�5/ . A O I f ADDITION,'. what will use
1st Floor. . . . . . . E� sq. 3
2nd .Floor. . . . . . . . t" s ft. of new addition be? :
Other Floors . . . sq. ft. Z-�
(not unfinished•cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, car
TOTAL FLOOR AREA: Q. FT. Attached Garage 1, tcar
02 Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
- Other
( FEET X )(L) FEET'
Foundation Type: PCOV!t51--? Will any second-hand or ungraded
Number of Stories: lumber be used? If so, for what?
(habitable space only) C' I
Height (grade to ridge) : — feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle al iich appli s)
to be installed: 1 let / Gas //Zood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Name Addresss Phone
Builder: v,-) V_ C Lis" c'o
Plumber: r�eer
Mason: A,,k,_tsc� Ntt u ��r�►.�<� 4j , t.-12-
Electrician' e /
DECLARATION• Please sign below after ter 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
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:
(owner, owner's agent, architect, contractor)
TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
Date ,19 Permit No.
("S�
APPLICATION IS HEREBY MADE to the Building Dept. 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.
Please fill out additional form if more than one appliance,and/or chimney.
i De."w i5 .
Applicant APPLIANCE (check appropriate boxes)
Address r ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet ❑ Gas
❑ FIREPLACE INSERT
'3 b�/_�Wl 1�.�•��. Zip f /p ` CrfIREPLACE, F TORY-BUILT:
ood ❑ Gas
Phone /z j ❑ FIREPLACE, MASONRY:
❑ Wood ❑ Gas
Owner . "4 ❑ FURNACE: ❑ Wood ❑ Gas ❑ Oil
Address ` Z IF NON-MASONRY APPLIANCE:
Manufacturer:
• �-nJ � -` . Zip Model:
Phone
CHIMNEY (check appropriate boxes)
[*EXACT ADDRESS of proposed construction
❑ MASONRY: ❑ Block ❑ Brick ❑ Stone
f' FLUE: ❑ Tile ❑ Steel
Size: inches
CONSTRUCTION / INSTALLATION MUST ❑ FACTORY-BUILT:
CONFORM TO NYS FIRE PREVENTION & Manufacturer-: Model:
BUILDING CODE. CONSULT AVAILABLE Listed 'By: Number:
TOWN OF QUEENSBURY HANDOUTS ❑ Double Vyall ❑Triple Wall
EGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Received
Code Number Title �''(
A 173 3389 (190) Public Safety
A 233 265.5 (230) Minor Sales
'--�-Eee._Collected From or Refunded to:
Address:
Dated: /; _ 4_. ) -�_ Town Clerk or Deputy:
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept.
Application fol* SEPTIC DISPOSAL PERMIT y0
• st'nMl' ttcc:rlvla)
location of prul,erty fur installation: 5S
1'Ii1tA1l'1'N U A11tI:lt
�l� Z ' �,ti,� � 1�
Owner's Mailing Address:
FEE Mll)
Installer's Namcl 6--j te,em I'Ironc #: C/)
Number of bedrooms (if residential):
f�
Total daily flow (residential -compute (R ISO gat. her bedt-mmi):
Topography: Q II., =f/1"tolling Q Steep Slope 4b of Slope
Soil Nature: Q Sand =,,uoanr =Irclay Q Other /Depth:
Ground Water: at what depth? feet
Bedrock or lntpervious Material: at what depth? feet
Percolation'1'esU ,,.„ Q Not Required Required/Kate min. per inch
Domestie Water Supply: Q Mulricipal Well Q otiler
If domestic water supply is a WI:1..1.: water supply from any septic absorption is feet
PRO POSE1) SYS17iM: '
Scptic tank- InL> gal, (n►himum size: 1.000 gnl.)
'lilt Field: each trench rect. / total system length feet.
Seepage Pit(s): number of / size each: _ ft.z ft.
Size of stone to he used: # �-- / depth or thickness feet.
1I01-DING 'TANK SYS11iM: (if required)
Ntnnbcr of tanks. Size of each: gal.
Alarm system and associated electrical►work to he inspected by a certified agency.
2
For your prorec:tion, please note that pursttant to ,Section 136-29 of the raffle of the Ton•n of
Queensbury, any permit or approval granted which[ is based upon or is granted in reliance upon
any nratrriul miser. fesentation or fctilttre to snake a material fret or circumstance known by or on
behalf of tttt 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 Queettsbttry Sanitary Selvage Disposal Ordinance.
Signature orresponsib'e person: Date:
TOWN OF QUEENSBURY
x APPROV-4
0AWWation
BUILDINCT PERMIT NUMBER
OCT 3 I lw'
W '
1. BASIC/BUILDING PERMIT INFORMATION: A nistrstcr
• A licant/Name & Address Agent/Name & Addres
applicant ageu
H
W
TAX MAP UMBER:
M �
0
2. PROJECT D CRIPTION:
t plan (2 copies)
_ ___ lan 2
------------------------- --------- —
---------------------------------- is oral
3. PROPERTY INFORMATION: U electrical inspection
iveway p
Eggampleted/signed
FEE PAID
Front Yard
Front (if corner)
Side Yard (1) J NEW CONSTRUCTION
Side Yard (2) ADDITION
ALTE
Rear Yard � RATIOltiT
Width MODIFICATION
Depth
❑ SICTN
YES O N/A
PROPERTY IS IN APPROVED SUBDIVISIO
Meets depth, width & square footage requiremen
Preexisting, nonconforming lot with proper setbacks CA� '1
Required road frontage on public road d-'
Has required off-street parking
Permeable area is adequate / e uire To
Building does not exceed maximum height / Max. ft
Required setbacks from stream, lake and/or travel corridor
meets requirement
Buffer zones required ___
--------------------
Is lot in a Flood Plain Zone?
4. Si4 ERMI ATION:
As peg °-^ `on(s) of the❑ Zoning ❑ Sign ❑ Subdivision
W t Ordinance Ordinance Regulations
:r
5. REVIEW REQUIREDrs ZQ1"G BOARD OF APPEALS:
i ACTION ;1�nUmBER RESOLUTION DATE
❑ Use Variance
❑ Area Variance
❑ Sign Variance
❑ Other
Comments:
---------------------------------------------------
-------------------------------------------------------
-------------------------------------------------------------
6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION FILE NUMBER RESOLUTION DATE
❑ an Review
Subdivision
❑ Planned Unit Dev.
❑ Other
Comments:
------------------------------------------------
----------------------------------------------------------
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arriveq am/pm Depart_ pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NAME \ X I PERMIT#
LOCATION DATE —
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightPT"Vent/Direct Vent Loca ' n
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete 1
Interior/Exterior Railings�30"to 36"Exterior Handrails,balcofanding 1 in.ormInterior Handrails stairs bides 3 or ore ri s
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/re above grade
Gas Furnace shut-off within 30 feet or thin line of site
Oil Furnace shut-off at entrance to flan+ area
Furnace/Hot Water Heater operator,
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more 3 risers
Interior privacy/trim/doors/main entrance 6"
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 fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
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 C/O(Certif.of Occupancy)
� i A
RESIDENTIAL FINAL INSPECTION REPORT `
Office No. (518)761-8256 Date inspection request received: 1 %gDOv V ,
Building& Code Enforcement
Dept. of Community Development Arrive am/pm Depart am/pm
Town of Queensbury Inspector's Initials )h
742 Bav Road
Queensbury, New York 12804
NAME �— L i"r''•, PERNIIT#
LOCATION L DATE
cc-
TYPE OF STRUCTURE
N/A YES NO CON54EENTS
Chimney Height/'"Vent/Direct Vent Location � � oleo
Fresh Air Intake
Plumb Vent through roof i•P C "�-� C
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
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
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room i �y� ,� ,.r,ej
Safety glazing 18"or less liom floor �e� ✓
Final Electrical ia,/ > Pmtw 612,,,1—
Site Plan/Variance required
Final Survev Plot Plan
As Built Septic System layout required L 4S UJ rl I` ✓�f�"�"y
Okay to issue C/C (Certif. of Compliance)
Okay to issue temp. C/O(Certif. of Occupancy) A/J I r ^A
Okay to issue permanent C/O(Certif. of Occupancy)
�Gh�vGf c Jrr�cLic >�T Pc�LrJ
4�-
a
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: DOO
Building& Code Enforcement
Dept. of Community Development Arrive W am/pm Depart am/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
PERMIT#
NAME l
LOCATION 29
[ DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP 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,balconie landing 18 in. or mo e
Interior Handrails stairs both s s 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above de
Gas Furnace shut-off within 30 feet or within line o site
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 riser
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
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
Plumbing fixtures
Foundation insulation
3/4 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 fiom floor t ,
Final Electrical �j� �•ze—(/� '
Site Plan/Variance required
Final Survey Plot Plan e v 4 t I's /� ; jC'rr►rR L
As Built Septic System layout required r'
Okav to issue C/C(Certif. of Compliance)
Okav to issue temp. C/O(Certif. of Occupancy) "7"/d 4
Okav_ to issue permanent C/O(Certif. of Occupancy)
a
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive L3(0 am/pm Depart pm
Town of Queensbury Inspector's Initial
742 Bay Road
Queensbury,New York 128
l
NAME -- &Aft PERMIT# l�
LOCATION DATE —
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete lj(S 6 IJ /L6
Interior/Exterior Railings 30"to 36" Gti- S /
Exterior Handrails,balconies,l g 18 in. or more _ p f >
Interior Handrail s both des 3 or more riser G o�`'►��e
Grade 2%away fro tion
8"clearance to sill pl
Gas Valve shut-off xposed/regulator 18"above grade /
Gas Furnace sh -off within 30 feet or within line of site / �� //
Oil Furnace ut-off at entrance to finnace area A jaz tfl._ d ! jleAs
Furnace/Hot Water Heater operating 0
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
3/4 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
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okav to issue C/C(Certif. of Compliance)
Okav to issue temp. C/O(Certif. of Occupancy)
Okay to issue permanent C/O(Certif. of Occupancy)
y_
l�n
TOWN OF QUEEN BURY C)
BUILDING & CODE ENFORCEME
742 BAY ROAD
QUEENSBURY NY 12804 t!/T�
(518) 761-8256 3 `
ARRIVE: of U DEPART: INSP:
FINriL INSPECTION REPORT — RESIDENTIAL �^
DATE IN ION R QUE T RECEIVED: V IJJ
NAME
LOCATION
DATE PERMIT 1
TYPE OF STRUCTURE y AD
FOOTINGS FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING _ SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HE GHT B V N HEIGHT
PLUMBINg VENT
R-OOFING
- - -
EXTERIOR FIN SH
DECKLORCH/STEPS RAI INGS
RELIEF VALVES
FURNACEIHOT WATER OPERATING
INTERIOR TRIMIPRIVACY DOORS
-
FINISH H FLOORS:
---
PATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE RAILINGS
SMOKE DETECTORS
BATHROOM EANS
UMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR LOSER
FINAL ELECTRICAL
SITE PLAN VARIANCE REQ.
FINAL SURVEY PLO PAN
OK TO ISSUE C/O OR CIC
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(! (518) 761-8256
ARRIVE: -k 3u DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION_B-EQUEST RECE ED-
NAME / !�
LOCATION 2 L
DATE PERMIT M
TYPE OF STRUCTURE
FOOTINGS FOUNDATION BACKFILL _ FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
NIA YES NO
CH114NEY HE HT B VENT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
ECK PORC TEPS ILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCEIRAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN VARIANCE RE .
FINAL SURVEY P O PLAN
OK TO ISSU 0 R C C
f
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVEDS L9- j
NAME (< v►�
LOCATION ' l) JA ilil
DATE PERMIT # q : y (0-�5
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-=FTORYB ILT
REMARKS: ❑ OK TO THIS DATE
i
INSPSLIP.PUB C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
CL 742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: VZ•j/o DEPART: INSP:
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUES ECEI D• _
NAME
LOCATION ]{. VIV
DATE _ 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 RAILI GS
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
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C O R C C
c e (//�S tl
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: S G DEPART: INSP:
FINAL INSPECTION REPORT — RESIDENTIAL
DATE INSPECTION RE UESTJRECNAME ` _!P
LOCATION ✓l f`—
DATE _ _ PERMIT N
TYPE OF STRUCTURE
FOOTINGS_ FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _ SEPTIC _ INSULATION
FINAL ELECTRICAL i WOODSTOVE OR FIREPLACE
N A YES NO
CHIMNEY HEIGHT/B VENT/11EIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE HOT WATER OINE ING
INTERIOR TRIM PRIVACY ORS
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
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO
FINAL SURVEY PLOT PLAN
OKTOI ORCC
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TOWN OF QUEENSBURY
5r
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST R INSPECTION RECEIVED� �
NAME rG �L
V G
LOCATION
DATE PERMIT # - C 7 9�-
APPROVED
N/A YES NO
EXITS
AISLE WID S
EXIT SIGNS
EMERGENC LIGHT G
1
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
LAU-
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INSPSLIP.PUB INSPECTOR
(518)761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT r 1
742 BAY RD., QUEENSBURYY NY 12804 r
INSPECTOR'S REPORT: ARR- "3 DEPART ,IN
REQUEST FO INSPECTION RECEIVED:
NAME , 'p
LOCATION
DATE PERMIT / s Z
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A I YES NO
FOOTINGS/PIERS
MONOLITflIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE F R
PROVIDING PROTE TION FROM FREEZ NG
FOR 48 HOURS FOLLONING THE PLACE
MENT OF THE CONCRETE.
MATERIALS R THIS PURPOSE ON SIZE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLU BING UNDER SLAB
F ING:
CK STUDS HEADERS
ARACING/BRIDG G
GIST HANGER
JACK P STS BEAM
AIR INFILTRATION BARRIER
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INSULATION:
FOUNDATION WALLS INTERIOR R-
_FOUNDATION WALLS EXTERIOR R-
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(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT 'r
742 BAY RD., QUEENSBURY NY 12804
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INSPECTOR'S REPORT: ARR DEPART' IN �V
REQUEST FO INSSPE�CT'ION RECEIVED:
NAME
LOCATIONQ
DATE I 7 1'7 PERMIT
TYPE OF STRUCTURE:
RECHECK V/ APPROVED
N/A N
FOOTINGS/PIERS
MONOLITHIC POUR FOBZI
REINFORCEMENT IN PL
THE CONTRACTOR IS ES O(iSIBLE FOR
PROVIDING PROTE ON F FREEZING
FOR 48 HOURS FO mi G E PLACE-
MENT OF THE C CRETE.
MATERIALS FOR THIS PURPOSE ON I E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
P UMBING VENT VENTS IN P ACE
ROUGH PLUMBINGAAL
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
_ CEILING R-
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1 (518) 761-8256
TOWN OF QUEENSBURY =x-�
BUILDING 6 CODE ENFORCEMENT :
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART? INT V�
REQUEST FOR INSPECTION RECEIVED: 44
NAME
LOCATION S n
DATE PERMIT 1
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P E
THE CONTRACTOR RESPON ISLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS OR THIS PURPOSE ON I E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRI GING
JOIST HANGERS
JACK POSTS MAIN BEAM
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/IN ATION:
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FOUNDATION WALLS EXTERIOR R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING'6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 1260044
INSPECTOR'S REPORT: ARR DEPART" INT
REQUEST FO INSPECTION RECEIVED:
NAME
LOCATION /F//C.
DATE I7 PERMIT t L(O-����
TYPE OF 7RUCTURE: I
RECHECK - P OVED
N/A XES N
FOOTINGS/PIERS
MONOLITHIC POUR FORM
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THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
LUMBING UNDER SLAB
FRAMING:
ACK STUDS HEADERS
RACING BRIDGING
JOIST HANGERS
ACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY'
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR DEPART
REQUEST FO QINSP�ECTION RECEIVED:
NAME �/�
LOCATION
DATE , PERMIT f d
TYPE OF STR TORE:
RECHECK A OVF
N/A NO
OOTINGS PIERS
MONOLITHIC POUR FORM
r _
REINFORCEMENT IN PLA
THE CONTRACTOR IS RESPON _yHLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
J CK STUDS HEADERS
CING BR DGING
IST HANGERS
ACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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-
AR l d61A) 6
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARF f_V DEPARr e)j INT V
REQUEST R INSPECTION RECEIVED:
NAME -_.► AR#Tr_
LOCATION j ,�vesr 6�e
DATE "3 PERMIT
TYPE OF SS UCTURE:
RECHECK A OVED
N/A
OOTINGS PI RS YES NO
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
UMBING VENT VENTS IN PLACE
ROUGH PLUMBING N4tjL
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART/�INT
REQUEST FOR I�NSP��ECTION RECEIVED:
NAME
LOCATION
DATE '!j I PERMIT 1
TYPE OF STRU TURF:
RECHECK APPROVED
N/A YES N
FOOTINGS PIERS
r
MONOLITHIC POUR FORM/
REINFORCEMENT IN PL E
THE CONTRACTOR IS SPONS LE FOR
PROVIDING PROTE TI FROM FREEZING
FOR 48 HOURS FOLLO ING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON I E
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
EATING ROUGH- N
INSULATION: -�
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- _
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPAR./R. IN
REQUEST OR IN PECTION RECEIVED: a _
47
NAME (� \
LOCATION
DATE PERMIT A
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A rs NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT I LACE
THE CONTRA R IS RESPO IHLE FOR
PROVIDIN PROTE TION FR FREEZING
FOR 48 HOURS FOLLOWING NE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
$ACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
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BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR ''� DEPART INQRe-
REQUEST F INSPECTION RECEIVED:
NAME RR
LOCATION I� U
DATE :--JSA-7 PERMIT
TYPE OF STRUCTURE: \ l
RECHECK APPROVED _
NIA YES NO
O INGS PIE S
MONOLITt1IC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
/RCJUGH PLUMBING,
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
C IL NG R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
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(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT r
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPARTq;0� INTJX�
REQUEST Fq�q
�IINSPECTION RECEIVED:
NAME
LOCATION
DATE A,17,277s 7 PERMIT i
TYPE OF STRUCTURE:
RECHECK APP ROVED
N/A
YES -NO—
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLAC
THE CONTRACTOR IS RESPORSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR//() DEPART INTT
—Cq
REQUEST FO I SPEC I N RECEIVED: `
�A
NAME r(r
LOCAT O ..!
DATE c;k_ C APEERMIT A _
TYPE OF STRUCTURE:
RECjtECK APPROVED _
N A YES NO
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MONOLITHIC POUR
REINFORCEMENT I LACE _—�-
THE CONTRACT R IS ESPONSIBLE FOR �Q
PROVIDING PROTE TION FROM FREEZING
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MENT 04 THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
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TOWIN OF qUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name
Date Permit # 5�
SOIL TYPE m- -
Resul is of Perc 1 'ion Test-
(if applicable ate-Minute/Inch
TYPE OF SYST :
ABSORPTION FIELD: Total Length Cb
Length of each trend',h 4_ O .Z
Depth of trenches Z'
Size of stone
SEEPAGE PITS: Numbe --
Size - fit, x' /f t.
Stone size PIPING: Size Size Type
Bldg. to Tank
Tank to Dist. Box ui(
Di st. Box to F?e1 d/P1 q lC
A�h-�T—
Openings Seal ed? (ZZ`f No Partial
LOCATION/SEPARATI VMS:
Foundation to Tank LZ� feet
Foundation to Absorption Meet
Separation of Pits feet
Conforms as per Plot Plan Zia
LOCATION OF SYSTEM' OF PROPERTY:
(circl ne)
Front ea - Left Sid - Rj- h:t::Side
Mi d d 1 e F ron - ,wL dd1 e Rea
COMMENTS:
SYSTEM USE APPROVED: 6iDNO
Arrived• T r
Depa
/ Wilding In p ctor
s
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
�
INSPECTOR'S REPORT: AR/L'911
DEPART/ � INT�i
REQUEST' F INSP CT ON RECEIVED: L
ff
NAME 1(Y1 C1(1
LOCATION Q
DATE f (o - �(3 - c PERMIT A t �-
TYPE OF STRUCTURE:fl
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE
THE CONTRACTOR IS RE ONSIHLE FOR
PROVIDING PROTE TION OM FREEZING
FOR 48 HOURS FOLLONI E PLACE-
MENT OF THE CO CRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FO DATION DAMPPROOFING _
RCKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
,, ^ 8) 761-8256
TOWN OF QUEENSBUR
BUILDING 6 CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR '`ti DEPART �`�4�INT
REQUEST FOR INSPECTIO�N RECEIVED: J /
NAME
LOCATION
DATE Iy PERMIT f
TYPE OF S RU TURE:
RECHECK APPROVED
N/A YES NO
TINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN ACE -?�-�
THE CONTRACTOR IS R PONSIHLE FOR
PROVIDING PROTE TION ROM FREEZING
FOR 48 HOURS FOLLOWIN PLACE-
MENT OF THE CON
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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-
tip- Ac 4 6
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPORT: ARR DEPARTNTJ/Ze--
REQUEST F /INSPECTION RECEIVED:
NAME O"A-rj-
LOCAT ION /�-
DATE PERMIT I
TYPE OF STRUCTURE: 5 F,>
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN P CE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
ERIALS FOR THIS PURPOSE ON SITE
7EINFORCEMENT
DATION WALLPOUR
IN PLACE � ' S
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING-VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
(518) 761-8256
TOWN OF QUEENSBURY =x--
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR� DEPART IN4�
REQUEST FOR INSPECTION RECEIVED:
NAME Be4
LOCATION 'S;oA)t-40 S 7-
DATE !� PERMIT/
TYPE OF STRUCTURE: 6 4,\A,C
R HECK APPROVED _
N/A YES NO
FOOTINGS PIERS
MqVOLITlIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
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(518) 761-8256
TOWN OF QUEENSBURY -'
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRI �DEPART"'` INT
REQUEST F R INNSPECTION RECEIVED:
NAME �t L/
LOCATION
DATE I PEERMMIT I
TYPE OF STRUCTURE:
RECHECK ERt
N/A YE NO
OOTINGS PIE
M NOLITfl PO FORM11 //��
REINFORCEMENT IN PLACE ;�(-15-
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 cl
INSPECTOR'S REPORT: ARAM 3&�DEPART INT'�
REQUEST FOR INSPEC REC VED:
NAME
LOCATION / //
DATE PERMIT N "FEZ
TYPE OF STRUCTU E:
RECHECK APPROVED
A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FO
RV
REINFORCEMENT I PLA
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING•
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
AIR INFILTRATION BARRIER
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-
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TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 47
NAME - /� f�7T
LOCATION
DATE PERMIT #
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTI G
FIRE EXTINGUISHERS
AUTO. EXTINGUISHIN SYSTEM
HOOD INSTALLATIO
AUTO. SPRINKLER SY TEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
/FIREPLAC -FACTORY BUILT
REMARKS: OK TO THIS DATE
INSPSLIP.PUB INSPECTOR
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EL WALLS
9.STUD WALLS yi?T1.f ARFA
WALL CONSTRU0T1G1N
FOR Ada R-m R.
; -
i 9y�•.6 Y 6'41".+v �i.t"Wr'i vY.r�$���1s�ii'�Ir� mm
OMRORARFIM
R-TOT&wi STW _ 4 7
R-TOTAr_wi sArr
U atilt, ATH�MAC71CXy
�t.AT®TOTAL �-MAO
,/� OTAL N
U svg R-V,_,a , 9 V '
• �Q
Wes- 22o z
GLAZM
NET WALL
r 'v
i _-
` 3 V - •��,
BNERGY ANALYSIS FOR PART 6
of the NEW YOW STATE DE RGY
CONSERVATION 0ONSTRUCTION CODE
b, W )OWS
8 % GLAD AREA
.2 uv -D4• SM �
ca�pwcTiT�( QuNaT CCU
WPDOW # :_f-: `z°;+-i SF. TOTAL WIDOW # +. SF. TOTAL
o - 8s2 2 6�61 8 1 67-56
�61t)41 -243Z 1 G c) Z-32L(,
- V"[Dg - 305Z 3 71
W041 -2 �5-2 2- 7 04 - -
o S7z 1
2- j -
D Z l2,
GRAND TOTAL i
o, DOORS
. 2, A ug a u„
DOOR SIZE SF. TOTAL- PATIO DOOR SIZE SF. TOTAL
.3 D 5&tTzy, 20.Z5- 20.Z-�5- PV 2- 69 d D
8 G,rc 2 le,56 3 7, /Z
GRAND TOTALia2a-71 GRAND TOTAL .�• �
di. CEMU 10,z-.;-C, 78 ca Fr.
1.TRM Wf iH—Z%MWI G AREA.
ROOF CONSTF WTION R-VA-LE
TOP AR ALM
/ 3 IJSUATION ?v8,6O 9
e
1/0 DMVALL
BOTTOM AR R M
TOTAL W/TRW q, 17
TOTAL W/BATT. ; &7
BOGY ANALYSIS FOR PART 6
Of the MEIN YOW STATE EDGY
CONSERVATION CONSTRUCTION CODE
12. SKYU HTS_ TYPE/SIZE S
`Yo OF ROOF AREA
Uv
TOTAL
e. FLOORS M FT.
1. FLOORS OVER lei-FATED SPACES FOR %R*IvM AREA.
FLOOR OONSTRJCTION R-VALUE
WTERIOR AS FILM 9 Z
CARPET'&PAD /. 2-
SUBFLOOR 7_FLOOR JOUr
M ATION z'90
0
EXTERIOR AR F1LM /�,O'er
R-TOTAL W/JOIST 16 ,
R-TOTAL W/BATT 22,g9
e. FOUN ATION WALLS ( 6•EAR FEET
1. WITH 90 FRAME tea.
WALL CaVTF UOTK)N eRADE R-VALUE
NTERIOR AR ALM
INSULATION
'OONC.BL.(=/POURED
FUFF 3 STRIP
1/2' DRYWALL
R-TOTAL W/FUR
R-TOTAL W/BATT
U + a�
� o
ENERGY ANALYSIS FOR PART 6
of the(NEVI/ YOW STATE ENERGY
CONSERVATION CONSTRUCTION CODE
� SLAB LENGTH
PERW�� INS UA Y BENEATH THE SLAB)
TOTAL OF THERMAL RATING POINTS
TAM FROM EI dER CHAR S 0-1-" OR ME-6-eE
COMPONEIJT T?SAL POHM
NET WALLS
GLAZING V
DOORS
PATIO DOORS _�-
ROOF/CEILING (�
SKYLIGHTS -
FLOORS (�
FOUNDATION WALLS
SLAB
TOTAL `
N SUMMARY:
THE OOMPONENTS OF THIS RESDENTAL BUILD COMPLY WITH THE CUKENT
NEW YORK STATE BAY OONSERVATION CONSTRUCTION OODE.
THE BARDEN&ROBESON OORPORATION
28 COPE3 AND AVE.
HO A3:,N.Y. 13077
(60r1)749-2841 `
rRA%-rt U-VALUE:5 .35
WINDOW 5GHEDUL E: K-VALUE5 2.86
LOCATION TYPE QUANITY R.O. SIZE &LA55 SIZE CLEAR OPENING 5QFT. VENT AREA
5Q.FT.
A WDHI-1852 2 110" X 5'4-5/8" 1-4 X 2-4 3.48 3.46
D WDHI-2432 1 2'6" X 3'4-5/8" 2-0 X 1-4 2.88 2.86
C DH2-2442 1 11-1/2" X 4'4-5/8" 2-0 X 1-10 3.95 7.91
D WDHI-2452 2 2'6" X 5'4-5/6" 2-0 X 2-4 5.03 5.03
E WDH2-2452 1 11-7/6" X 5'4-5/8 2-0 X 2-4 5.03 10.06
F DH2-2846 1 7-1/2" X 4'6-5/8 2-4 X 2-0 4.98 9.96
Ca WDHI-3032 2 37' X 3'4-5/6" 2-8 X 1-4 3.76 3.76
H WDHI-3046 1 32" X 4'8-5/6" 2-8 X 2-0 5.70 5.70
J DH2-3046 3 '3-1/2" X 4'8-5/6" 2-8 X 2-0 5.70 11.41
K WDHI-3052 3 32' X 5'4-5/8" 2-8 X 2-4 6.59 6.59
L WDH2-3052 2 '3-1/2" X 5'4-5/8" 2-8 X 2-4 6.59 13.17
M W KC)1-28 78" X 15-15/16" 31-11/16"X15-23/32" ------------ ------------
DOOR SCH E-D U DE
LOCATION 51ZE QUANITY 'HYPE MATERIAL RATED HINGES
1 6-0 X 7-0 2 OHD METAL
2 3-0 X 6-8 1 SWING METAL '- TYP. (5)2--<aS
3 2-8 X 6-8 2 SWING METAL -- TYP. (3)ZX8s
4 2-8 X 6-8 1 SWING METAL 314 HK SELF-CLOSE (3)Zx85
5 6-0 X 6-8 1 SWING WOOD -- TYP. C2)zXg s
6 1-6 X 6-8 1 SWING WOOD -" TYP. (Z)ZXgS
7 2-0 X 6-8 1 SWING WOOD "" TYP.
i
6 2-6 X 6-8 7 , SWING WOOD -- TYP. (2�ZxSS
9 2-0 X 6-8 1 E5IFOLD WOOD -- TYP. (2)2x8s
10 3-0 X 6-8 1 61FOLD WOOD -- TYP. (2)zx8s
11 4-0 X 6-8 1 ENFOLD WOOD -- TYP. )2X8S
12 6-0 X 6-6 1 ENFOLD WOOD -- TYP. 44<85
13 2-6 X 6-8 1 POCKET WOOD -- TYP.