2001-181 TOWN OF OUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010181 Date Issued: Tuesday, October 30, 2001
This is to certify that work requested to be done as shown by Permit Number P20010181
has been completed.
Tax Map Number: 523400-290-017-0001-006-000-0000
Location: 42 MASTERS COMMON SOUTH
Owner: TED &KATHLEEN WILSON
Applicant: WILSON, TED &KATHLEEN
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010181 Application Number: A20010181
Tax Map No: 523400-046-000-0007-012-000-0000
Permission is hereby granted to: WILSON. TED &KATHLEEN
For property located at: 11 MASTERS COMMON SOUTH
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. Twe of Construction Value
Owner Address: EILEEN P GRANDE Single Family Dwelling 250,000.00
11 JENNINGS Rd Garage-2 Cars Attached
JEKYLL ISLAND, GA 31527 Fireplace
Total Value 250,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MILES, STEVEN NEW YORK BOARD OF FIRE UNDEI
66 HAMPTON COURT
OUEENSBURY.NY
Plans &Specifications
2001-181 TED &KATHY WILSON
Lot 12, House No. 42 Masters Common South
3913 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$469.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,April 24,2003
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town o sb T esd , ri124,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Co e Enforcement
Building Permit A lication
pp
Town Of Queer sbui l y - Dept. of Community Development, 742 Bay Road, Quee►tsbury, NY 12804 1761-82561
r BUILDING &" CODE .ENFOR"CEMENT
INO
TILjE Requirements prior to issuance""
of this permit: , PERMIT FILE NO. - 1
A permit must be obtained before G
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received "Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use RECREA770N FEE AID$
applicants` spaces on this application
MUST be completed and the signature Q• Pjarning Board Action REVIEWED 13Y.•
of the applicant must appear on the . SPR / Subdivision /Other Balkling truly for
lication form. 7h a 3.. J , Recreation Fee Payment _
Applicant: M /16nes• ."- ram, Owner:
Address: G� o �j� •`� ,Address:
Phone # (,5'18 ) -93 - 9DOR Phone # (j9Y )
Property Location: l��s 'er s (sous vn o�• o�_`��t _ _--- //
n � �r, - Tax Map Number _ AIL,
� zj-4::12 -
Subdivision Name: evx�1C. iC ` Section Block Tot
NATY,Rt OF PROPOSED WORK: ESTIMATED MARKET VALUE OFTHE
New Building. CONSTRUCTION: $ ;2 51D, or-,o
esidenc / commercial
Addition o uilding:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary -Building -
residence / commercial Single Family Dwellin
j,
Residence / Commercial Two Family Dwelling EL'OEEY', ; i:
no change to exterior size Family Dwelling
Office APR 19 200�
Other Work (describe below) Mercantile
Manufacturing 1'0i1PgOr Uj--i~i,�,=t,
Other SGNa CGO
GROSS AREA-.OF PROPOSED STRUCTURE:
Y I ADDITION what will use__-__� _ --- -
�• _:�t•� f r _
of new addition be? c - - -
- 3's
`2 nd s q. f
. eq. ft.�l641
'`Oth er F luu
: f s. . . . . •
(not unfinished cellar ,or base ntj� ACCESSORY BUILDINGS:
.� Detached Garage 1, 2 car
TOTAL FLOOR AREA: v �J SQ. —*"Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE.�9 3 Commercial Storage Building
Other
A /-0 FEET X � FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories: lumber be used? If so, for what?
(habitable space onyly)� - f
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplace and/orrwoo�c.stove (circle all which<a )lies)
to be installed:, Electric . Oil / Wood
ed Hot Air / lo / Other
Person responsible for supervision "of .work a re ards to building
codes is : /`'t; 5 �`1/ 4-,5`
Name Addresss. Phone
Builder: ILf/l s C s --h� �r.:.::. -'9,3 :-.Pack'
Plumber:
Mason:
Electrician::_o Ftwv --
DECLARATION.• Please sign belrnv 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 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, ontractor
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Comoli ar+ce Methods: PART 5 - Acceptable Practice Method -
1&2 Family Dwellings (only)
PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* Design by Component Performance
• Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLiC?VT' S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
-r
1 . Gross Floor Area - ? 46�0 sa_uare f e-ett
2 . `T_'�e of Heat - Electric oil Gas Other
3 . =s building mechanidally cooled? Yes No
4 . Pe_ce ntage of area of windows and doors -- Over 17% Under 17%
5 . R-,J=r,UE S FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
S-O-WN, ON PLANS SUBMITTED:
a . Roof R 3
b . Exterior walls R /
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R /9
Edge of slab on grade (heated building) R A/ft
c. Basement/cellar walls (above grade) R
Basement/cellar walls (below grade) R J/
_ . Heating/cooli ng-ducts-pipir_g inunheated space R 1,9
6 . Service (domestic) hot water heat-i nc device
Co =o—1s to min-,mum efficiency per code 4/ Yes No
T=MPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
A_op_ s sign, De a Phone Nu:-wer
?NSP- =CR' S REMARKS:
Fire liarshal's office 1'own o1'Queensbur.y. 742 B:iy Roml,Queensbur.y, NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid fuel & vented gas appliances
Date A 20 1) 1 Permit No /_1 /
Application is herebJ lrlllCle to the Building& Cade.r Of/ic•< J61-t/W i.tisrrarrc•e ojcr Bliddin g urrd Uie
Permit pursuant to the New York State Fire Prevention and Building Code. 77le applicant or 0101er-
agrees to comply with all applicable laws, ordinances-, i—gulatiou.s, and all conditions that are part u/•
these requirements and also will allow all irrsymetors to enter premises to perfo•nr required insj�ec•tions.
NODE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burnin; Appliance Information
(circle appropriate wards)
Name: Stove: Wood ozilr r ll � gcrs
Fireplace insert
Address: '�:,, � r°f F`i l £�, Fireplace, factory-built: wood dJCis
Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone:. 7Z '
If non-inasonary applicance, please provide
Owner' 1 <: 1 'Qa `. ' w�- `~ Manufacturer Name: .r +¢
=,
Address: ` `� Model Number. �srs, .
f Chimney Information, 1 ' ,
Phone: :�,A l::Y (circle appropriate words) f k
Masonry block brick stone°
Flue the steel,.r.,_size: inches
Exact Address: ,l } et r-a _ +� �, S0, r �
of construction or installation Factory-Built
Manufacturer name: f< *. �; . kjI
Model Number:
Note: Listed By: Number:
Construction /Irtstallcaion must
can ortn to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Torun of Queensbuty
Handouts regarding required_inspections. Double wall / Triple wall / Insulated / Direct renting
Chinlner Liner
C�n�F�x-',s.lep����.�tt— 3`0� ®�P Qxa��az,�b�y, li�►'esrsr Yoram
Fire Marshal Code # S Collected S Re Recc li ed lrgnr lrc.Jnndr'd tnA )4_%,•
' address:
.4 173 3389 (190) Public Safert•
.a 233 3655 (330)Alinor Sales
White(Applicant) Green(Fire Marshal) Yeilow(Bldg. Dept.) Pint:& Goidem-od(Cashier's Dept.)
1 - TOWN OF QUEENSBURY
531 Bay Rd., Queensbury, NY 12804
RESIDENTIAL SOLID FUEL BURNING APPLIANCE CERTIFICATE OF COMPLIANCE
In conformity with the New York State Uniform Fire Prevention and Building Code
Note - Appliances and factory-built chimneys must be listed by nationally-recognized testing agency.
--�—Only one appliancepermitted per flue.
NAME le, V i d 14 DRESS COO 04PHONE
APPLIANCE: MANUFACTURER NDEL `T — GAS)
(circle) STOVE FURNACE tEPL )WqCd Coal Pellet FIREPLACE INSERT
W LL PROTECTION ❑Existing
Clearances per listing (� 1 f
❑ asonry wall only 1' IC�11T l�
❑ Clearances reduced by proper] paced-out material (Describe) r �l
FLOOR PROTECTION 10 wn f
❑ Existing
❑ Masonry floor
'"' Per listing (Describe) 0
�xisting
CHIMNEY CONNECTOR ❑
❑ Proper blued or black steel s�ovepi�pe, min. 24 ga. ❑ Listed factory-built chimney material
❑ Minimum interior length 10 ft., max. two elbows /or engineered system
❑ Crimped ends of pipe point t�war/d appliance /min. 3 sheet metal screws per joint and at appliance
❑ Clearance min. 18 inches or 1per listing
El Clearance reduced by/prope�ly paced-out material (Describe)
f
WALL PENETRATI N /T MBLE ❑ Existin JJ T
❑ Tile /masonry thimble r recognized standard V�'�
` 1 Factory-built thimble per lis ing I
MASONRY CHIMNEY ❑ Existing l0
❑ Footing inspected
Height 2 ft. above ridge or 3 ft. through roof; 2 ft. above any part of roof within 10 ft.
El Air space between clay tile a d inner wall of masonry enclosure, refractory cemented joints
❑ Clearance to combustibles ( " exterior, 2" interior)
FACTORY BUILT CHIMNE ❑ Existing /0
Clearance to combustibles per listing
g
❑ Fire �(if.required) ,
-CI_.Cinrm collar a rnof, �y 7Ijo ®��'��(O,(
❑ T� hnvP rirloa nr 9 ft. through roof; 2 ft. above any part of roof within 10 ft.
FIREPLACE INSERT
Installed per listing /directly connected into flue
❑ Flue gases prevented from mixing with room air l
FACTORY-BUILT FIREPLACE
ppliance clearances, floor protection, hearth per li 'ng
onibustion air provided, Dampers for combusti Miflu per ting
�DATE OF ISSUANCE \ C.A. GRANT, FIRE MARSHAL_
SOLFPERM-11/93
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Depart"�aiq/piy
Town of Queensbury Inspector's Initials Vgzp
742 Bay Road
Queensbury,New York 12804
NAME t PERMIT 9
LOCATION DATE
TYPE OF STRUCTURE
N/A YEy NO CONDAENTS
Chimney Height/"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,balconies,landing 8 in, r more
Interior Handrails stairs both sides 3 or ore 'sers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18'abo grade
Gas Furnace shut-off within 30 feet or wi in h a of site
Oil Furnace shut-off at entrance to furnac ar
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 ore
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/a hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"o 1 s from flo
Final Electrical b
Site Plan/Variance&4uired p
Final Survey Plot Plan �tl�jUc l j
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif Compliance)_
f Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy) $� ��,(� /J n��Q���
��n � f /Tr
FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED PERMIT# L�
NAME WIC50&)
LOCATION _l 7.,,� IMAsT-25 6,4tk • �J
SCHEDULE INSPECTION ON /6
AM PM ANYTIME
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT G
FIRE EXTINGUISHE
FIRE ALARM SYSTEM
FIRE SPRINKLER SYST
FIRE SUPPRESSION SYS EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEATI G UNITS
REQUIRED SIGNAGE
CHIMNEY
WOOD STOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
INSPSURPUB INSPECTOR
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 l A am/pm Depart am/pm
Inspector's Initials
NAME:
PERMIT#
LOCATION: rr.n-,� DATE : �a
TYPE OF STRUC vL^
2
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from ng
for 48 hours following the ,la 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 lace
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I rior R-
Foundation Walls E erior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping i
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
BracingBndging
Joist Hangers
Jack Posts/Main Beam
Infiltration Barrier
Fire Separation 1, our
Penetration Sealed
Fire Wall 2,3,4 hour
Firestoppin
GENERA,INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road F /
Queensbury,NY 12804 Arrive_ m Depa
I spector's Initial
NAME: le L�J L PERMIT# _
LOCATION: DATE: pLOO
TYPE OF STRUCTURE:
RECHECK
es/Ners
N/A YE NO COMMENTS
�ootin f
Monol orm
Reinforcement in Place
The contractor is re ib a for
providing protection om frTezing
for 48 hours follo ' g the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Pqoo
_
Foundation/Damppn:g;2�
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Inte 'or R-
Foundation Walls Exte 'or 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
i
t
'z ,00
GENERAL INSPECTION REPORT v
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arriv >� in Depart m
` Inspector's
- i
NAME: V)-J I C PERMIT
LOCATION: ` DATE
TYPE OF STRU TURE: )
REC CK
NIA YES NO COMMENTS
ootings/Piers �— C>V, 7 0
Monolithic Pour Form
Reinforcement in Place �� �'FA 1JU
The contractor is re nsible or K4� k
providing protection from free ing O
for 48 hours followi g the pl ment r
of the concrete.
Materials for this pu se on site
Foundation/Wallpour
Reinforcement in Plac
Foundation/Dampproo ng
Backfill Approval
Plumbing U der Slab
Plumbing Ven n Plac ie
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Into 'or R-
Foundation Walls E! 'or R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers _
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Deparf-' ` rpm
Inspector's Initials
NAME: to l —e? 'tj PERMIT# d t
LOCATION: DATE : 7 InI
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —�
Monolithic Pour Fon
Reinforcement in Pla e
The contractor is spons'blem for
providing protectio frofreezing
for 48 hours followi g the placement
of the concrete.
Materials for this purpo e o, site
Foundation/Wall pour
Reinforcement in Place
Foundation/Dampproo g
Backfill A rp�oval
Plumbing Under Slab
Plumbing Vent/Vents in lace
Rough Plumbing
2ns
!uliation
g Rough-In
Foundation Walls Interibr R-
Foundation Walls Exteri r R-
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
/Fi
Wall 2, 3,4 hour
stopping
a
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) am/pm
Inspector's Initials
NAME: PERMIT# r
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers —�
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protectio fro eezing
for 48 hours followi g the acement
of the concrete.
Materials for this purpo a on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofm
Backfill Approval
Plumbing Under Slab
Plumbing Vent/ nts in Pl e
Rough Plumbing
ating Roug -,
,nsulation
oundation 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
P etration Sealed
Wall 2, 3,4 hour
Firesto in
i
� V
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community.Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm De pa . Ui� pm
Inspector's Ini als
77
NAME: PERMIT# /�L�`,
LOCATION: ) DATE: �aj- = 1
TYPE OF STRUCTURE:
RECHECK
. N/A YES NO COMMENTS
Footings/Piers �
Monolithic Pour Form
Reinforcement in Place
The contractor is re, ns' le for
providing protection from freezing
for 48 hours following the laceme
of the concrete.
Materials for this purpose on ite
Foundation/Wallpour
Reinforcement in P ce
Foundation/Dampproo ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough P umbing._
Hea g ou Mn=
® ndation Walls Interior -
Foundation Walls Exterior R-
Floors T tl F F Cba MC Q 5
Walls fku,6,)E-
jCeilingl1/�•'4'i' `�
Duct work or piping in L�
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
re Wall 2,3,4 hour
fires opiri
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/A•Z�/pm
Inspector's Initials CJ�LC�
NAME: W l�-r76•��/ PERMIT#0/— ,/ )'/
LOCATION: lnl DATE : 7 Z �'
TYPE OF STRUCTURE:
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsible for
providing protecti fro eezing
for 48 hours follo 'ng the placement
of the concrete.
Materials for this pur se on si e
Foundation/Wall pour
Reinforcement in Plac
Foundation/Dampproo ng
Backfill Approval
Plumbing Under Slab
Plumbing VenlIVz lace
Rough Plumbing
Heating Rough-In �,50L-
Foundation Insulation To Walls InteriorVR-
Foundation Walls ExterioFloors RWalls RCeiling RDuct 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 Depar� pm
Inspector's Initialls��.
NAME: W �� PERMIT# LJ
LOCATION: DATE: 1
TYPE OF STRUCTURE:
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr, m freezin
for 48 hours following a placeme t
of the concrete.
Materials for this purpose n site
Foundation/Wallpour
Reinforcement in Place
Foundation/D pproofing
Backfill Approv
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Hearing Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro YenOAttic Vent
1 'nung
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2,3,hour
Penetration Sealed ire r12, 3 h �= 4AO
- 1 14
r t
GENER.4L INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road Z h
Queensbury,NY 12804 Arrive am/pm Departs � p�
Inspectors Initials
NAME: PERMIT#
LOCATION: f DATE : I
TYPE OF STRUCTURE: _
RECHECK
N/A YES-NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible for
providing protection fr freezin
for 48 hours following a placem nt
of the concrete.
Materials for this purpose o site
Founda 'on/Wallpour
Reinforc ntin Place
Foundation/Dampproofing
Backfill Approval
lumbing Under Slab
lumbin Ven ents-in Place
{ ,Rou .Plumbing - --
'Heating Rough-In
Insulation
Foundation Walls Interior
Foundation Walls Exterior R
Floors R- —
Walls R-
Ceiling R- n C
ct work or piping in VROU�0& A rasp �77 �D`j r. fM I CJ J
unheated spaces R- 5
Pr r Vent_Attic Vent
Wlack Studs/Headers 22
Bracin rid in
� � � g
Joist Hangers
Jack Posts/Main Beam i U
�ir Itlfi}.tratio Baer ��� Ik0
Fire Se tion 1,2,3,hour
Pene ion Sealed
F.
all--2�3,4 hour f
l ppiii
'C,2AJ► ��-
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive = Depart In
Inspector's Initi
NAME: PERMIT# \—
LOCATION: DATE : /
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers A —�
Monolithic Pour Form
Reinforcement in Place
The contractor is resplb
providing protection for 48 hours followinof the concrete.
Materials for this purpo
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling 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
G�
GENERAL MPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&i Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive t m Depart - In
Inspector's Initi
NAME: f f7 " c I� PERMIT#
LOCATION: o n. n% DATE : —
TYPE OF STRUCTURE: ?
RECHECK
N/A Y&A NO COMMENTS
ootin s/Piers ,
Monolithic Pour Form
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
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
,2--3
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: a /
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart p�!--Inspector's Initials
NAME: �Cr[ — L.3 (W�— PERMTT#
LOCATION:_ 9/vv » DATE :
TYPE OF STRUCTURE:
RECHECK
N/ YES NO COMMENTS—
Footings/Piers �
Monolithic Pour Form
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
Fo roofing ,
ackfill A r a U
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
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Iibad psy�--
NAME:Queensbury,NY 12804 Arrive atn/pm Deparn� Inspector's Initi�1.���`'_ i PERMIT# �' `
LOCATION: S DATE:
TYPE OF STRUCTURE:
RECHECK
N/A YES N COMMENTS
ootings/Piers
Monolithic Pour Fon _
Reinforcement in PI ce
The contractor i respon ible for
providing protec 'on fro freezing
for 48 hours foil wing t e placement
of the concrete.
Materials for this p on site
Foundation-1W I u
Reinforcement in PIa e
Foundation/Damppro ng
Backfill Approval
Plumbing Under Slab
Plumbing Vent[Vents in lace
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/Readers
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
Firestoppin
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 ' a Ern
Inspector's Initials
NAME: PERMIT
LOCATIO A DATE
TYPE OF STRUCTURE:
RECHECK
N/A YE NO COMMENTS
ootings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is resslfg
providing protection
for 48 hours followi
of the concrete.
Materials for this purp
Foundation/Wallpour
Reinforcement in Place
Foundation/Dam roofi
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in P ce
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls=r\
R-
Foundation Walls -
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
tv
I`a r s
i4Evr YORK STATE DEPARTMENT
REGION
These plans torAw-, l.4?
are hereby approved p,^
Environmental Cons,
issued this day.
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to �°—
CD
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a c� C8 s _n
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35� �l.9'�N• I 1 -cj F - Chu-4to certify II,tTt till-. 11►r�1►11�rel :•rr
� °`' ¢ t U) rill e , mgr dki-1•Mu( i(w ri;.r ;•.•,;try :,;
m o N C9 16110 fill !;k.'. its 1>... •It ;.... .
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LEGEND