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2001-531 TOWN OF QUEENSBURY 742 Ba Road, ueensbu ,NY 12804-5902 518 761-8201 �� Y Q rY � ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010531 Date Issued: Tuesday, June 25, 2002 This is to certify that work requested to be done as shown by Permit Number P20010531 has been completed. Tax Map Number: 523400-289-012-0001-005-007-0000 Location: 46 TEE HILL Rd Owner: BARBARA BARBER Applicant: BARBARA BARBER This structure may be occupied as a: By Order of Town Board Fireplace TOWN OF QUEENSBURY Garage - 2 Cars Attached Single Family Dwelling (- 4P Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 FoN Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010531 Application Number: A20010531 Tax Map No: 523400-289-012-0001-005-007-0000 Permission is hereby granted to: BARBARA BARBER For property located at: TEE HILL 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: BARBARA BARBER Fireplace 81 NOTTINGHAM Dr Garage-2 Cars Attached QUEENSBURY,NY 12804 Single Family Dwelling 130,000.00 Total Value 130,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency SHERWOOD ACRES CONSTRUCTION C 81 NOTTINGHAM Dr OUEENSBURY,NY 12804 Plans & Specifications BP 2001-531 Single Family Dwelling, 2 car attached garage as per plot plan and specifications. Lot 7, House No. 46 Tee Hill Road, Loxley Knoll Subdivision $198.72 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,July 24,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To. n o uee uie7 T d y,July 24,2001 /' SIGNED BY for the Town of Queensbury. Director of Building& Code nforcement 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 No492 "5 No inspection will be made until applicant has received a Fee Paid $ 401114 , 3.J1. i f'61) valid building permit. All applicants' spaces on this Rec. Fee Paid application must be completed and must appear on the Reviewed By: A application form. • r � Applicant: ,S�l-1 Owner: z� lip .:.; tf �� ED Address: �!N r, Ti N g//9 fn D,f Address: / A/ , G A. v i A.) -g o R ymy12,870y Erws Ai YlisrAtiottar` Phone#( ) Phone# cec_s OWN OF _ T BUILDING AND CODE Y Property Location: Lot Number: p / House Number / f'< Subdivision Name:Lc (L.F y Amow LG.. Tax Map Number: g-i ' New Building: resider /commercial Estimated Market Value of Construction: $ 1 2c) e7d u Addition: residence/ commercial If an Addition, what will use of new addition be'? u Alteration: residence/ commercial ❑ No change to exterior size: residence/com'l ❑ Other work(describe Check Occupancylnformation 1' Floor 2nd Floor Other floor Total Below sq.ft. sq.ft sq. ff. Square Feet i4 ( j ingle family dwelling / % 7)67 // '36 ❑ Two family dwelling ❑ Townhouse ❑ Multifamily dwelling #of units ❑ Office ❑ Mercantile ❑ Manufacturing ❑ I car detached garage ❑ 2 car detached garage ❑ 3 car detached garage �� ❑ 1 car attached garage 4e7, ar attached garage (2, cp Car attached garage ( ( l ❑ Storage building- commercial ❑ Storage building- residential ❑ Other Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: elect ri oil / gas/wood /forced hot air/ baseboard/other: Number of Fireplaces to be installe 6jA4ONumber of Woodstoves to be installed A- d List below the'e n(s)responsibl for supervision of work as regards to building codes: Name n Address Phone Number p Builder k)i E L. A( 1?Fe 8/ /L)a°TTY&in/jAvn .> S Plumber �'�}�, pe i—E)c f Of Mason .s� /V Electrician 5>. fi - Declaration: please sign below after you have carefully read the statement: To the best of my knowledge the statements contained in this application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted,and that such work is authorized by the owner. Further, it is understood that I/we shall submit, )rior to a Certill f Occupancy or •tificate of Compliance being issued,as requested by the Zoning Admini, rato •Direct() of Bt'Wing an ' ft u As Built Surver by a licensed surveyor;drawn to scale,showing actual location of c consIruc. ion. Signature: - __ C er,owner's agent,architect,contractor • ' Application for Permit— Septic Disposal System Town of Qilcensbw y 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: Lef Office Use Location of installation: v (L E y KA.)0LLSTh - ��(_��. Tax Map No. 3( �a ,/ S / Tito Permit No. Owner's Name: gi9le ?h I` A En ir U EAECtrai Address: g1 A)o Trri fU C' Hs7 71 0/\ JUL r► 3uE Ai S iui y 0u 1 I;:io V. 2. •.INSTALLER'S NAME : L. Q N OF Q NO p O. I) .7g- 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate ll bedroom s ultiply ll of f 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/bdnn = 1980- 1991 x 130 gal/bdrm = '1991 —present x 110 gal/bdrm = A 0 . Garbage Grinder Installed yes_ / no X Spa or Whirlpool Installed yes / no �C 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) • ToDsxcnul oiLl�tttslto Qrvund Water. _uosttock.or_.linpotvjo s_Mateki.;tl_._DompsticWeter.S(pply 1�lal rrrlu/ at w to ch•/uh of ►vltrtl deh c ll�cr! `Roling') fleet 9 ED feet . r Sleep slope clay if well; water supply _%slope other from any septic-system depth: absorption is fl. other 1 .0 Percolation Te : (To be completed by licensed professional engineer or architect) Rale: /a•- minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by n licensed professional engineer or architect (unless installed in a Planning hoard approved sulxlivision). Add 250 gallons to the sirs of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. . Septic Tank: /OO S gallon (min. size 1,000 gal) Tile Field: each trench l fT. Total System Length: 1 ) fl. Seepage Pit(s): number of size of each: fl. by f1. Size of Stone to be used: II / depth or thlchne.ss �( Bed System Size: x ' Alternative System: length and/or size 6, HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Quoensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failuro to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have rend the regulations with respect to this application and agree to abide by those and all requirements of the Town of Queensbur Sa 'wry Sewage Disposal Ordinance. r 6 9--r' Signature of responsible person Date Fire Marshal's Office Town of Quecnsburv. 742 Bay Road,Qucensbury, NY (518) 761-8205 Application for Fuel Burning Appliances & Chimneys.: applicable to solid fuel & vented gas appliances Date - a� , 20 o RECEIVE Permit No. 0200/ $ 3( Application lication is hereby made to the Building o L 2C 01 I P & Co( �_J%i<•c jot-the issucrlrc•e of a Building and Use Permit pursuant to the New York State Fire Prevelrtt j�� 11 3,,.,, tEllinuRY 771e applicant or(Amer agrees to comply with all applicable laws, ordinance w� RUC are ��(� � 'UlidltrUllS ilia! pal't of these requirements and also will allow all inspector er 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: SH EQ woo 13 ACRE S' Cr)iv S . Stove: wood coal pellet gas CUR r Fireplace insert ' Address: V /U U j1 j/NG NR/.n p Fireplace, factory-built: wood gas Qu E�A)S e v k x N / Fire lace, masonry: _ wood gas ) ,. el'd l Furnace: wood gas oil - Phone: ')g �5Q.,PoD If non-masonary applicance, please provide Owner: Dii-") [ C d RA.t� pAv Manufacturer Name: g/9 D Address: g-j /N u) i//V G /-f/,}/ii 1.D Model Number: F L 2 / /a — 0 9 s?' 91EEA r8,.,27 /1/4-, y / '2�a Chimney Information Phone: ) l'� �f�.5 , (circle appropriate words) v)C L r�l t�Al oi.t. L CD T a 1--/ %/il Masonry block i stone �� Flue tile steel ze: inches Exact Address: TEE. HILL i2 D of construction or installatiorn Factory-Built Manufacturer name: S£(' 1)f? I 1 Model Number: ` Note: Listed By:SL•C L,i? I Tx- Number: Construction /Installation twist conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensblay Handouts regarding required inspections. Double wall Triple wall / Insulated / Direct renting Chimney Liner Cauelher',g 1,epartme ut—Tow z of Qzzeeii bury, Ariewsr York 1 i Fire.tlarshal Code # S Collected S Reliurded eceit•ed Trot rcaiurded to):5-12P w .4 173 3389 (190) Public Safety J —.4 233 2655 (230) Minor Sales [e) ...„,., - /Own. Ti c of Dep...x 44) White(A p „ iicant) • Green(Fire Marshal) I Yellow(Bldg,. Dept.) / Pink&Goldenrod(Cashier's Dept.) 44 Meii �ol-s. - ? !� Kti4/ 31 ➢►1 i` ENERGY CODE COMPLIANCE JPLICATION RCi '� t�� TOWN OF QUEENSBURY, WARREN COUNTY_ V .D ;. �_ 9000 HEATING DEGREE DAYS TOWN JUL 1 6 2n„, uut Compliance Methods : PART 5 - Acceptable Practice Method - 7 .1OFQ!J . w 1&2 Family Dwellings (only) c:,� OINGgN NSBUR}, PART 6* - Thermal Rating - Component Trade Of "'1,OOE 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: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - if )4P square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No) 4 . Percentage of area of windows and doors Over 17% )(Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a . Roof R b. Exterior walls R . ,"7 c . Glazed areas R d. Exterior doors R e . Floors over unheated spaces - R A f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h . Basement/cellar walls (below grade) R t q i . Heating/cooling-ducts-piping in unheated space R /J/9. 6 . Service (domestic) hot water heating devic e Conforms to minimum efficiency per code Yes No TEMPERATURE C NTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED cZtl.c:. ' s i a re Date Phone Number ,o_ _____. t Z2--• — c-3 ( >c? e 5ea INSPECTOR' S REMARKS : e¢—; . " Fire Marshal's Office 'Town of Queensburc. 742 Ray Road,Queensburv, \.1 (518) 761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances ' 1.y t ld 2f `¢Y,, 2 Date 47 — ; 20 to t Per not ot No. Peek)/ Application is hereby made to the Building& Codes O/fiec.'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: £I1 E kn° 0 AC f6y "' Cc)Ai C d Stove: wood coal pellet gas ,,c l- Fireplace insert Address: ,.% Are..4 17.,,ALIC ,y% o. , Fireplace, factory-built: wood gas Q0 k " Ai S^ r3 ct t N Fire lace, masonry: wood gas Phone: `9 `F,)S�. f a., K d r Furnace: wood gas oil If non-masonary applicance, please provide Owner: 0,4,r‘i 1 C C J IA(< eAKe Manufacturer Name: Of) k) 0 Address: ',,, t ,.,.j i t i 6 idol 0 > Model Number: P Lk / 1'r " + ' ~. cr.', ,e F c11at2 `- �` ,� / 2 . f`'v Chimney Information Phone: ) g 9'' t 5 (circle appropriate words) ;i t, Masonry block„� I ck stone { --*-�.....� Flue tile'steel •ze.• inches Exact Address: ! E. }--#!G.4. 12. 0 of construction or installation Factory-Built Manufacturer name: 5 6.0op:' t I '; Model Number: A i-/ t - 6. Note: Listed By: ; .(? ,,,t > t 7 Number: Construction /Installation must conform to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of Queensburj, Handouts regarding required inspections. Double hall / Triple„call / Insulated / Direct venting Chimney Liner Casrh.bersai ZEloepa t tmezit— Tower of Quee72srbury, Nexesr-York j I Fire Marshal Code# / S Collected S Refunded Receired tiro . refunded to): 's.. r e t";'` r ' i adriresti7�..a 173 3389 (190) Public Safest — -- — —.-- — - - - — .-1 233 2655 (230)A4inor Sales , \ V-Y ' ; . 4/Azit O • AZ-41.L — Twst 6 i 02 ` V ul: White(Abiicant) , Green(Fire Marshal) Yellow(Bldg. Dept.) i Pink&Goldenrod(Cashier's Dept.) 11 litr!Y"L RESIDENTIAL FINAL INSPECTION REPORT 1 1 Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart ' Town of Queensbury Inspector's Initials 742 Bay Road Queensbury,New k 12804 // NAME Cr " ' ' PERMIT 4 i- ''3/ LOCATION '1L 7 //,I/ 0i DATE D TYPE OF STRUCTURE N/A YES NO COMMENTS Chimney HeightP'B"Vent/Direct Vent Location T Fresh Air Intake Plumb Vent through roof Roof Complete (-- Exterior Finish Complete Interior/Exterior Railings 30' to 36" Exterior Handrails,balconies, :I•'I: 18 :1.or more Interior Handrails stairs both si,es 3 or m• - risers Grade 2%away from foundation 8"clearance to sill plate Gas Valve shut-off exposed/regula •r 18"abo - grade Gas Furnace shut-off within 30 feet o within r - of site Oil Furnace shut-off at entrance to I: - 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 sers 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 v Iumbing fixtures v Foundation insulation *WO/O tI5 5'4'//a 34a�hour fire door/door closer ✓ a e fireproofing Garage$ penetrations sealed Furnace in separate room protected(in garage) Light ventilation per Safety glazing 18"•or es); qm loor Final Electrical Le 1 tli u--- 1 :/// Site Plan/Variance equ �� Final Survey Plot Plan As Built Septic System layo t required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.CIO(Certif.of Occupancy). Okay to issue permanent CIO(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL of -c3 / Permit No. / Cert.N 79102 Cut-in Card No. Owner —G 'Q c' r e i c-"S c Location r 1 7Z=1=f /LC U ,,o . , L.ELt- l.V Z ' Installation Consisting of.. O / Fr it ?� Ft/not' �-� //�� 0 4 5e7ufetc- Installed By...... �.... /7�' Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin_ s -ctions at any time, and if its rules are violated,the Company shall have the right to rev e this icate. Date 6 —1 �-Z' INSPECTOR. � Member N.F.P.A.,I.A. . TOWN OF QUEENSBURY ..11} i� BUILDING & CODE ENFORCEMENT IiiirAj0 742 BAY ROAD /'� QUEENSBURY NY 12804 (r (518) 761-8256 ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTI REQUEST7, ES RECEIVED: NAME, _ I� _ '_ - --- - 7. LOCATION (Q 1 - ih KO DATE /v PE IT I 69/--61;) TYPE OF STRUCTURE i. 1 FOOTINGS FOUNDATION,' BACKFILL :FRAMING _ ROUGH PLUMBING SEPTIC INSULATIO0 FINAL ELECTRICAL WOODSTOVE OR FIREPLACE / N/A/ YES NO CHIMNEY HEIGHT/ VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/"ILINGS RELIEF VALVES FURNACE/HOT WATER OPL"TING INTERIOR TRIM/PRIVACY kOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FIN ELECTRICAL S E PLAN/VARIANCE REQ. INAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/C / /e41 ch0 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Vy/e 2 Building&Code Enforcement Dept.of Community Development Arrive am/pm Depart r i�am/ n Town of Queensbury Inspector's Initials -P 742 Bay Road Queensbury,New York 12804 NAME -194B R PERMIT# 0l6 d i ,S 31 LOCATION i(a -re e H:// led DATE fp J 111 0'1' TYPE OF STRUCTURE .5 f Q N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ✓ Fresh Air Intake ,/` Plumb Vent through roof i/ Roof Complete ,/' Exterior Finish Complete Interior/Exterior Railings 30"to 36" >7 Exterior Handrails,balconies,landing 18 in.or more I,/Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation 8"clearance to sill plate V. Gas Valve shut-off exposed/regulator 18"above gra" Gas Furnace shut-off within 30 feet or within line of s to / 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 �V Basement stairs,6 ft.4 in. / 47 / Handrail exterior stairs both sides more than 3 risers / Interior privacy/trim/doors/main entrance 36" ./ Floor Finish ✓ Bathroom/Kitchen watertight V Interior Handrails Balconies/Landing 18 in.or more Railing across window in stairwells j Smoke Detectors: every level N Ij every bedroom outside every bedroom >�inter connected Bathroom Plumbing fixtures `J/ 1/64�e -e-i t` TO e'b QjTJ'1'< Foundation insulation `� 34 hour fire door/door closer v Garage fireproofmg V / p Garage penetrations sealed I 1/ I(sk( A-L'--- a_&C 1 f A`'l 0 to 5 Furnace in separate room protected(in garage) 7 Light ventilation per room / Safety glazing 18"or less from floor _ ✓ Final Electrical Site Plan/Variance required Final Survey Plot Plan /lie613-j AFP/Z D tf 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) Office Use GENERAL INSPECTION REPORT Inspector: q,,j/h VIS Town of Queensbury Ready at time: It- Dept. of Community Development Request received: *3(#)--- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE,-J:46 am s ' e :%EP= 'T 3 41D a , Notes: (518) 761-8256 Inspector's Initia J NAME: _ AR-b 40-A- / PERMIT# (-'01 — S LOCATION: 7e f !4 1 / ,` INSPECT ON(date): _ `i/-V / TYPE OF STRUCTURE: RECHECK O N/A YE NO COMMENTS o s otings/Pier " foQGt{ Monolithic Pour Ford` 1 Reinforcement in Pla�e ` •�� The contractor is responsible for providing protection from freezing for 48 hours followingsthe placement of the concrete. Materials for this purpose'con 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 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 L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road ,,��--�� Queensbury, NY 12804 ARRIVE am/pm: DEPART ) seam/pm Notes Arif (518) 761-8256 Inspector's Initials s..3 fe „ mo44� NAME: I PERMIT# ,7 I — "c..D 1 LOCATION: ' 1--k. L — INSPECT ON(date): 3 z_ _el.-, i TYPE OF STRUCTURE: ° RECHECK N/A YES'NO COMMENTS Footings/Piers Monolithic Pour Form v� Reinforcement in Place The contractor is responsible for providing protection from freezing /`r for 48 hours following the placement of the concrete. .- Materials for this purpose on site Foundation/W allpour Reinforcement in Place Foundation/D amppro offing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ugh Plumbing eating Rough-I Insulation a( - , 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 ire Wall 2,3,4 hour irestopping ,,,///JF L:\SueHemingway\Buiiding.Codes-inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: j " Building& Code Enforcement At time: 1�, 1 \ 742 Bay Road �� Queensbury, NY 12804 ARRIVE am/pm: DEPAR n r m/pm N 6e (518) 761-8256 Inspector's Initial NAME: igigOe PERMIT# LOCATION: INSPECT ON(date): 3/ 7/12 666 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsi•le for providing protection from eezins for 48 hours following the a lacem;nt of the concrete. Materials for this'purpose on s e Foundation'Wallpour Reinforcement in Place Foundation/Dampp : g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place ph Plumbing ng Rout•;In /4,fr 4-�,/ tion C <— 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 //1X/ /6/fhestopping 2 VC-4- - L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART 3 ! /pm Notes: (518) 761-8256 Inspector's Initials NAME: AL PERMIT# L — LOCATION: INSPECT ON(date): J j /0 7/ TYPE OF STRUCTURE: III RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place- The contractor is(respon i le for providing protection from keezing for 48 hours following the p Icement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place I. Rough Plumbing !eati!eating Rou In ng Foundation Walls Interidr R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R--543 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 Vire Wall 3,4 r Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queens bury Ready at time: Dept. of Community Development Request received: 1)c)" ` Meet: Building& Code Enforcement �, -2 At time: 742 Bay Road `7 Queensbury, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: 4<je . (518) 761-8256 Inspector's Initials NAME: " - 13e PERMIT# �C° I _ 5 3 -'-g. G INSPECT ON(date): a-- t"' TYPE OF STRUCTURE:_ .-- RECHECK N/4 YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place v The contractor is responsible for providing protection from freezing for 48 hours following the placement / if of the concrete. f ; t Materials for this purpose on site 1 Foundation/Wallpour 1 I Reinforcement in Place Foundation/Dampproofing / Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place / _ nugli um` g. ----- J 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- V Pro er Vent,Attic Vent I .rash Jack Studs/Headers ✓f I ✓Bracing/Bridging l Joist Hangers / Jack Posts/Main Beam D Air Infiltration Barrier ✓ �/ Fire Separation 1,2, 3,hour Penetration Sealed _ ire Wall 2,3,4 hour Fire ? g i• C ULi toL ) 44,C 6>cl° L:\Suefemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc GENERAL INSPECTION REPORT ( 518 ) 761-8256 /7)1)1 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart > pm Inspector's Initi Is NAME: 1 's(" • _ PERMIT# __ 53 LOCATIO • � � �� DATE : - C� TYPE OF S CTURE: RECHECK N/A YE(NO COMMENTS Foot\.- in ers -I \�/ I Monolit r Form Reinforcement in Place The contractor is responsible for providing protection from ft.,- ing for 48 hours following the p :cement of the concrete. Materials for this purpose on s Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pla- - Rough Plumbing Heating Rough-In Insulation Foundation s 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 /&3 e%.ec' 4._ ' TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name604/01/,, _) Location i Date , IRO Permit # o'CrJ/ -S3 i SOIL TYPE. . Loam-Clay- Results of l ercbl ati on Test- (if applicab e) `Rate-Minute/Inch TYPE OF SYST : / ABSORPTION FI LD4 Total Length, A Length of each t ench ,+ 6 Depth of trenc s Size of stone -2_-- SEEPAGE PITS! umber- Size t. x ft. Stone size PIPING: /,Size Type Bldg. to Tank \ T k lZ O 70 Tank to Dist. Box k N b Dist. Box to Fiel . P'_. 0. Openings Sealed? No lartial LOCATION/SEPARATI4 fp / Foundation to Tank l O feet Foundation to Absorp ion _ - feet Separation of Pits eet Conforms as per Plot Plan es No LOCATION OF SYSTEM ON PROPERT • (circle Front - ear - Left Side - Right Side Middle N - Middle Rear COMMENTS: !k-)C-4t- d,stRqTi4+41 '*-- * a 1-(D D(L irn)lL 6R-F rLc S d )� SYSTEM USE APPROVED: YES Arrived: Departed: /IV/ Vg& Building Inspector TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Namee''. .arc_ Location 'ei Date k i .,/4 Permit # o. / SOIL TYPE. Sand- oam-Clay- Results of Percolation Test- (if applicable) Rate-Mi/uiite/Inch TYPE OF SYSTEM: t ABSORPTION FIELD: Total Le gth Len th of each trench Dept of trenches Size 'of stone SEEPAGE PITS: Numbe- " Size - . x ft. Stone size PIPING: S'ze Type Bldg. to Tank r t Y6 Tank to Dist. Box _ Dist. Box to Field/Pit Openings Sealed? Ye' No Partia LOCATION/SEPARATIONS: Foundation to Tank /47 feet Foundation to Absorption ^ feet Separation of Pits feet Conforms as per Plot Plan e No LOCATION OF SYSTEM ON PRO'ERT : (circle Front Re - Left Side - Right Side Middle ront - Middle Rear COMMENTS: �A T(1-& —1 PT n)g C.)//05-ril- e- //tx-c SYSTEM USE APPROVED: YES 411 Arrived: Departed: ►Z5 J Building Inspector _ 13, ;.1 , 14* • eel GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road /� Queensbury,NY 12804 Arrive am/pm Deparl�v - *pm Inspector's itials NAME: PERMIT# .1iS3 i LOCATION: `�T DATE: O)�c)>/ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 I Monolithic Pour Form Reinforcement in Place The contractor is - ••nsible fo providing protection fr i m freezi,g for 48 hours following i\he p • I ent of the concrete. ``� Materials for this purpose Qn site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under •b Plumbing Vent/Ven L ` . Rou lumbing ing '.•ugh-IQ t nsula•.I r&�l� 1 J� F• ndation Walls Interior '- oundation Walls Exterior - `0 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 i.)sww Queensbury,NY 12804 Arrive am/pm Dep a n�/ m Inspector's Initials U "(X eaN\NAME: G�� ` \3;21/ PERMIT# S3 �� LOCATION:N \\ '•• DATE: — lo 1 TYPE OF STRUCTURE: SS '' ) RECHECK N/A YES O COMMENTS ./Footings/Piers ; V Mo'• 'thic Pour Fo orcement in P The contractor is 'ble for providing protecti n freezing for 48 hours folio 'ng a placement of the concrete. Materials for this pu se n site Foundation/Wallpour Reinforcement in Pla Foundat4n/Dam fng Backfill A 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 3- Art4.' T.i:""Z-1----. GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 1'if Building& Code Enforcement 742 Bay Road 1 , i3 Queensbury,NY 12804 Arrive am/pm Dep arn/ Inspector's Initials NAME: A--- PERMIT# ,5?-a/- 53/ LOCATION: DATE: Ilgr _ i TYPE OF STRUC RECHECK N/A YES NO COMMENTS , Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is respons.•le 'I r providing protection fro freez.ng for 48 hours following the plate- it ent of the concrete. Materials for this purpose cn site Foundation/Wallpour 0, R-inforcement in Place /! i/ y� L v ,/ A Q -- . ,..._'1. -_Slab If3f---1- At . 4_9 itp , ____ ---D RA.A It') 06..3 e."-:1 Plumbing Vent/Vents in P e .tingRoul i ; 1 / si 1.: R on 1-i k- �/ CC -,Pc&'r IL, \aP 6 F i 6 F..undation Walls Interio R / - oundation Walls Exteri R- 1 C) Floors - 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 ( 518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart Sr Inspector's Initials () NAME: .t' ��je '' PERMIT# e — 5/ / LOCATION: C- - !-/tt L.<___ - DATE : :'JJ TYPE OF STRU . RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is response.le •r providing protection from i c= .ing for 48 hours following the . .• ment o e concrete. terials for this purpose on ite / (/ oundation/Wallpour / ie Reinforcement in Place Foundation/Dampproofing Back ill Approval Plumbing Under Slab A Plumbing Vent/Ve, i, ' . - Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior - Floors R- .. Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road •PO Queensbury,NY 12804 Arrive am/pm Depart Inspector's Initials Nf-'.— NAME: A �/ p PERMIT# £/� / LOCATION: �C—E /j Z / ) - DATE : if2T d/ TYPE OF STRUCK"' RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour orm Reinforcement i i Place The contracto is respo 'b1e for providing pro 'on fro freezing for 48 hours fol owing the,•lacement of the concrete. Materials for this • ••se on •'te Fo tion/Wallpou enforcement in P . oundation/Dampproo a Backfill Approval Plumbing Under Slab Plumbing Vent/Vents m 'lace Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior '- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT 3 Pin ( 518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road ) Queensbury,NY 12804 Arrive am/pm Depart,/_,awpp Inspector's Initials NAME: c."-&-c- `�•(--CN kA)25/, PERMIT# 5- J LOCATION: L.9 -e 4:7. ti DATE: TYPE OF STRUCTURE: RECHECK N/A YES O COMMENTS tings/Piers-1-- -C\C 1 Monolithic Pour Form U� Reinforcement in Place i --- The contractor is re •• i,,le for providing protection .m ' ing for 48 hours following e pl. ment of the concrete. Materials for this purpose o site Foundation/Wallpour Reinforcement in Place Foundation/DarApproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl. Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior '- Floors R Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping 1111.0"-AN3 A ILI GENERAL INSPECTION REPORT ( 518 )761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: `I Building&Code Enforcement 742 Bay Road f Queensbury,NY 12804 Arrive am/pm Dep l Inspector's Initials NAME: PERMIT# - (-C 3/ LOCATION: 4(p 1�zo {-� I / DATE : Mn.,_ P a-7/2. f TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is respo 1 'ble r providing protection fro 1 freezing for 48 hours following - placement o e concrete. terials for this purpose .' si dinF IF enforcement in Place V Foundation/Dampproofin 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 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping P))1 GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive, 1� D art \— Inspector's Initi NAME: G(;.,.1 CJC\ 4 ✓ PERMIT# 3 1 LOCATION: L.N Te 1 DATE : bl TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Mo': ithic Pour Form orcement in Place The contractor is -'i•• I 'ble •r providing protection •m - ing for 48 hours folio • g the p • -ment of the concrete. Ma ri for this pu ••se on to ✓•undation/Wallpo r 1 u�ALt Reinforcement in P1:ce Foundation/D. I, y."•. g Ba*i11 Approval Plumbing Under S Plumbing Vent/V: is in Place Rough Plumbing Heating Rough-In Insulation Foundation W•lls Interior R- Foundation W 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: X Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrivega (14W‘ Depa /4I'�T 11,111111r; Inspector's Initi: r NAME: l PERMIT# J,1 — LOCATION: DATE: ow,' TYPE OF STRUC 27'2ee2C RECHECK (� ,��22 N/A NO COMMENTS t ootings/Piers I Monolithic Pour Form r r Reinforcement in Place �J The contractor is responsile for providing protection fro freezin for 48 hours following thq place ent of the concrete. / Materials for this purpose o site/ Foundation/Wallpour Reinforcement in Place �� Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in P 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 -Tz 1jeruoob Zttre5 QLon trurtiou Qorporhtiou Builders & Developers 81 Nottingham Drive, Queensbury N.Y. 12804 est. 1970 Daniel R. Barber, Pres. Tel. (518)798-4252 RECEIVEDFax. (518)798-3718 JUL I 2001 661 - c3i o� TOWN OF QUEENSBURY -. BUILDING AND CODE • , - - ' c k---- ":77Z- ,y-ii, — ! i' b 44-- ' L G . oT' U o v 0 O E:e< �._ 2-- 0 0 .; i tea. �� 0, - ‹9 ~-fCg� 0 Q ti / c, .� s F� xelz,- 07. 6 'vS%,E `_ s r7 if O- _/''/\i 02iVF_ o iJoTf : b,JE;1LL .t <I-P TiC 1 25-- ,9 49(r 1_ off' ') LvyLF.y J cLL__, S