2004-293 T ,
TOWN OF QUEE-NSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. _P2004.0293 . Date Issued: Friday, May 27 2005
This is to certify that work requested to be-done as shown by Permit Number P20040293
has been completed: -�
Tax Map Number. 523400-295-014-0001-024-000-0000
Location: 20 BENNETT Rd
Owner. MARY & TIMOTHY TOWERS
Applicant: _ MARY &TIMOTHY TOWERS
This structure maybe occupied as a:
Residential Addition' By order of Town Board
Residential Alteration TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040293 Application Number: A20040293
Tax Map No: 523400-295-014-0001-024-000-0000
Permission is hereby granted to: MARY& TIMOTHY TOWERS
For property located at: 20 BENNETT 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: MARY& TIMOTHY TOWERS
20 BENNETT Rd Residential Addition $15,000.00
12804 Residential Alteration
QUEENSBURY NY Total Value $15,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2004-293
156 SQ FT RESIDENTIAL ADDITION AND 220.SQ FT RESIDENTIAL ALTERATION
$115.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: ' Tuesday,May 24, 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 th Town Qu sby#y; y, May 24, 2004
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
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.��f"aq3
No inspection will be mado until applicant has received a Fee Paid
valid building permit. All applicants' spaces on this Rec.Fee Paid $
application must be completed and must appear on the Reviewed By:
application form.
4
Applicant:� �" .+ Owner: n�,9� /ir,�iJ7
Address: Address:
h
Phone#( ), Phone# WED
Property Location: Lot Number: / House Number / f --+Kv1
Subdivision Name: Tax Map Number c9- 5- /`t-1'
0 N GF`?UEENSBU",
BUILDING A G
a New Building: residence /commercial 'Estimated Market Value of Construction. $
Addition: residence/ commercial If on,what will use,,of ew addition be?
Alteration: residence/ commercial � -�1�- n
O No change to exterior size: residence/com'l
o Other work(describe
Check OccupancyInformation 1' Floor 2° Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. _Square Feet
p Single AZUy dwelling
o Two family dwelling
a Townhouse
o Multifamily dwelling
#of units
a Office
a Mercantile
o Maaufactutia I ! .
0 1 car detached garage
0 2 car detached garage
0 3 car detached garage
a 1 oar attached garage
a 2 oar attached ge
0 3 car attached garage
a Storage building-
commercial
a Storage building-
residential
a Other
What is the proposed height of the structure—_.�2 feet inches
Will any second-band or ungraded 1=ber be used? If so,for what?
Tpe of Heating System: electric/ oil / gas i wood / orccd hot ai baseboard/other:
Number of Ftrertlaces_to be installed Number of Woodsf ves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
-
- sunder
Plumber
Mason
Electrician
Declamation: please sign below after you have carefully Toad 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 T/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Building and Codes;an As Build Sury by a licensed surveyor;drawn to scale,showing actual
location of all
owner,owner's agent,architect,contractor
ENERGY CODE COMPLIANCE APPLICATION RECEIVED
TOWN OF QUEENSBURY, WARREN COUNTY 0 2004
9000 IDEATING DEGREE DAYS TOWN OF QUEENSgURY
l�UNIVG q_. p COD
Compliance Methods:Part 5 -Acceptable Practice Method—1 8c2 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 LOCA ON:
... `T� or
Lm, t
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area- square feet
c-
2. Type of heat- Electric . Oil Gas Wee'Other
3. Is building mechanically cooled? V yes No
4. Percentage of area of windows and doors Over 17% Under 17%
5. R VALUES FOR INSULATION GIVEN BELOW MUST CORRESPONATO&VALUES AS
SHOWN ON PLANS SUBMITTED: y�
a: Roof Rfi
b. Exterior walls R /q
C. Glazed areas R
d. Exterior doors R
e. Floors over unheated spaces R
f. Edge of slab on grade(heated building) R
g. Basementicellar yWls(above grade) R�
h. Basement/cellar walls(below grade) R 1 I
i. Heatinglcooling-ducts piping in unheated space R
6. Service(domestic)hot water heating device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED
Apr31i Date Phone Number
INSPECTOR'S REMARKS:
Z
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INCd
Main Office 176 Doe Run Road-Manheim,PA 17545 (ICJ/
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No............... .......................Cert. �_
9 0®5 9 Cut-in Card No..............................�).
Owner.............................. ..�.�............. ..... .......�...._.....................
.. . .............................................
Location. � J�L��.................... ................... ...... .....................
Installation Consisting of...`.l.�...�....2.. ,F......... Z ALa...�1.....................
........P. .o�..... ...................................................................................................
........................................................................................................... ...............................................................
Installed By... `...`r�.PB&�4...................................................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 ' pections at any time, and if its
rules are violated,the Company shall have the right t re o e��i.cateDate........�.7::� ................. INSPECTOR
....... ... ..... ......... ........ ......................................................
Member N.F.P.A..I.A.E.I.
�--lam-h--�
Rough Plumbing / Insulat' n Inspection Deport
Office No. (518) 761-8256 Date Inspection reques rec ve 6
Queensbury Building& Code Enforcement Arrive: p part: m/ in
742 Bay Road, Queensbury,NY 12804 Inspector's Ini 'al
NAME: f t ;I PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE: 7-1
Y N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
ent/Vents in Place
Rough Plumbiih Nail Plates
1 /2 inc min. Drain Sipe
Washing Machine Drain 2 inch nun.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
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 properl /No duct toe a,�
COMMENTS:
<2
LASueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
0, 1�_ a,Office No. (518) 761-8256 Date Inspection request ec iv d:
Queensbury Building& Code Enforcement Arrive: p D part: am/ in
742 Bay Road, Queensbury,NY 12804 Inspector's Initial
NAME: PERMIT
LOCATION: �v�t�t� �, C \ INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plum"bin Vent/Vents in Place
o P in il
%: inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Cooper Commercial
Cooper, CPVC,Pex One and Two-Family
sulation/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 toe
COMMENTS: �< ,oA
LASueHemingway\$uilding.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection rest r ed-. p/
Queensbury Building& Code Enforcement Arrive: \ pm pa am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials.
NAME: j GU-)-ei PERMIT #: C(�
LOCATION: > - INSPECT ON:
TYPE OF STRUCTURE:
YY N N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
P"bing Vent/Vents in Place
ou h Plumbin /Nail Plates ��
1 % inch nun. Drain Size V
Washing Machine Drain 2 inch nun.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping A
Cooper Commercial
Cooper, CPVCa ex One and Two-Family
Insulation/Residential heck/ Commercial Check
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed property/No duct tape
COMMENTS:
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003
'i-Qu
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection req st r c ' e
Queensbury Building& Code Enforcement Arrive: a pm art: LAID
742 Bay Road, Queensbury, NY 12804 Inspector's Initia
� > 2
NAME: ��L PERMIT 44
LOCATION: INSPECT ON: ,
TYPE OF STRUCTURE:
ming Y N N/A COMMENTS
PrI
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 %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 12, 3, 4 hour
irestopping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side %2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space/Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
f 1 .`30 , /,;� b�- tnsLpect
/0r/�Rough Plumbing �Insulatio- ion Report
Office No. (518) 761-8256 Date Inspection reque re eive :
Queensbury Building& Code Enforcement Arrive: p part:Z,� a pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initi
NAME: PERMIT #:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2, R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/ Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
1 % inch min. Drain Size
Washing Machine Drain 2 inch min.
Head or Air Supply Test
Drain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout every 100 feet/change of direction
Water Supply Piping
Co er Commercial
?Z'o er, CPVC,Pex One and Two-Family
Sulation/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: � �' s
V
L:\SueHemingway\Building.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc Novem er 103�
Rough Plumbing / Insulation Inspection Rep t
Office No. (518) 761-8256 Date Inspection requ t r ei pep—a
Queensbury Building& Code Enforcement Arrive: am/p rt: �: r m/
742 Bay Road, Queensbury,NY 12804 Inspector's In is
NAME: / f PERMIT #:
LOCATION: INSPECT ON -
TYPE OF STRUCTURE:
Y N , N/A
PVC: R-1,R-2,R-3,R4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Pl bin Vent/Vents in Place
., ou h Plumbing/Nail Plates
1 % inch min. Drain Size
,VVwMikKMachine Drain 2 inch min.
Hea r Air Supply Test
rain and Vents
5 PSI or 10 feet above highest
connection for 15 minutes
Cleanout eve 100 feet/change of direction (Q�
Water Supply Piping
Cooper Commercial
ch r, CPVC,Pex One and Two-Family
Ql&ytion/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:
LASueHemingway\l3uilding.Codes.Inspection.FORM S\Rough Plumbing Insulation Report.doc November 17,2003
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: 5 O 30�7 -
Queensbury Building&c Code Enforcement Arrive: anvpm Depa - � m/pm I
742 Bay Rd,, Queensbury,:NY 12804 Inspector's Initials:,C-
NAME: J _ PERMIT#: �DO�" J
LOCATION: ' _ INSPECT ON: 12 b 0 Q--/T-00
TYPE OF STRUCTURE:
Comments
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 pu_pr ose on site._
Foundation/Wallpour
enforcement 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 milpoly 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.
LASueHeming y\Building.Co spection.FORMSU'oun�I s mion Report.doc January 28,2003 /
10 all_
V �
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection reque t received: 6 _
Queensbury Building&.Code Enforcement Arrive: an-1/pn Depart:p, _ a pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:
NAME: ''V , ` �PERMIT#:
LOCATION: 1/ IlNTSPECT ON:
TYPE OF STRUCTURE:
Comments
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 pu_pr ose on site. _
Foundation/Wallpour
enforcement in Place OF
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
col for wet areas under slab
ackfill'' pproval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:\SucHomingway\Building.Codes.Inspection.FOIZMS\l�oundation Inspection Report.doc .ianuary 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: aip/pnj Depal : am/pm
742 Bay Rd., Queensbury,NY 12804 Inspector's Initi :� r
NAME: �/ a S PERMIT#:
LOCATION: ' INSPECT ON: 4 U
TYPE OF STRUCTURE: a,
Comments
Y N N/A
s
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:\SueIiemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003
Framing / Firestopping Inspection Report
Office No. (518) 761-8256 Date Inspection request received: �� d� ;Q�avv.-
Queensbury Building&Code Enforcement Arrive: am/p epart: j ' J0 am/pm
��r
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: f
NAME: \ L PERMIT#: (}
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs/Headers �rj L ,3 R k1DG(JjC--'
Bracing/Bridging C
Joist hangers � rj�G� LA-6 7
Jack Posts/Main Beams
Exterior sheeting nailed properly `� d 'G
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more PRO V l 12 z2 x 36
Headroom 6 ft. 8 in.
Notches/Holes/Bearing WallsCC«S
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 %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
LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003
7Fe-3
Framing /Firestopping Inspection Report 10
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ epart: ., am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials: "•=
NAME: 001 «G►6 PERMIT#: Z(3
LOCATION: ZU 0, INSPECT ON: Z G
TYPE OF STRUCTURE:
Y N/A COMMENTS
Framing:
�^Jack Studs/Headers
Bracing/Bridging �� elf
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 %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 11/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceilin hvall 2 ��U j�
Windows Habitable Space/Bedrooms / /C
24 in. (H) VE;/l�
20 in. (W)
5.7.sf above/below grade
5.0 sf- "de
}:SueHemingway\Building.Codes.Inspection.FORNIS\Framing Firestopping Inspection Report.doc January 28,2003
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: m/pm a ar• ' �am/pm
Date Inspection request received: � OS Inspector's Initi 1
NAME: j �61A)E�S _ P IT#: 2-00 —07 3
LOCATION: 1SE;m1 n DATE: r
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ stairs,decks,patios I )
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in. or more UT
Exterior Finish Complete V
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 %2" T T—TT u
Gypsum
Grade away from foundation 6 in.with 10 ft. t 1 C
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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Batter backu :
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stop2ing finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 hour fire door/door closer
Duct work Seated 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 s . ft.-150 s .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/O Temporary/Permanent
L:\PamW\BuildinQ&Codes\Inspection Forms\Res. Final Inso. form 2.docLast printed 2/12/04
Queensbury Building & Code EnforcemeZ- R tial 'nal Inspec 'onOffice No.(518)761-8256 Arrive: m art: ��yDate Inspection request received: / v Inspector'
NAME: �M YDE!T
#: -zoo 4
LOCATION: Zp {� �E—n—
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Complete
Guard 30 in.or more @ 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 %Z"
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 Valves installed/Heat Trap/Water Temp 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency a Tess below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/4 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 s . ft.-150 s . 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 Stic
Flood Plain Certification, if required
Okay to issue C/C or C 10 Tem orar+ ermanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp.form 2.docLast printed 2/12/04
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