98-006 i
BUILDING PERMIT
TOWN OF QUEENSBURY No:
VALUE- $ 25000
TAX" MAP NO.- 24. -2-47..1 WARREN COUNTY,-, NEW YORK
PERMISSION is hereby granted to 'TOP--Dig Muz WORLD GOLF 1330URems+
OWNER of property located at TOp n•Tug weR1,Q, ��+ eo RSE . Street,Road or Ave.
in the Town of.Oueensbury,To Construct or place a RMIB
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
INC::--- =RR#1. —BOX 1390
ry- :ws LAKE-GDORGE.,:> NY:-. 12845
2. CONTRACTOR or BUILDERS Name
EEENEY, ROBERT : t
3. CONTRACTOR or BUILDER'S Address
RR11, BOX,,1390::-"' "
� -LAKE GEORGEi, N C:....:12.845
-
-4. ARCHITECT'S Name _
�.. COMMONWEALTH': ELECTRICAL AGENCY
6. ARCHITECT'S Address
6. TYPE of Construction—(Please indicat 'by X)
RESIDENTIAL...ALTERATIONS-s<._�z,:�
l )Wood Frame ( 1 Masonry ( "1 Steel ( 1
7. PLANS and Specifications
1584a-SQ:'-rT::_._RESIDENTIAL, :INTERIOR ALTERATIONS.-AS,_
B. Proposed Use 1
,RESIDENT-IAL:.INTERtiIOR�ALTE RAT IONS
_64 ,4; Jaguarya"
$ PERMIT FEE PAID —THIS PERMIT EXPIRES wi
(If a longer period is required an application for"an"extension must be made to the Building-and Zoning inspector of the
town of Oueensbury before the expiration date.)
12 January
Dated at the Town of Queensbury this Day.of
SIGNED by for the Town of Queensburyy
8uildirq and Zaning Inspector " "
Building PennitApplication
.L Own Of QueensbIll y - Dept. of Community Development, 742 Usy(toad, Queensbuty, Nl' 12804 1761-3256]
--'° BUILDING & .COVE ENFORCEAIENT'
1�OTICE Requirements prior to issuance
A permit must be obtained before Of this permit: PERMIT FILE NO. `-
beginning constriction. No inspections
will be mnde until applicanl fins received Zoning Board Action 1 ERMI'T TEE PAID$ `� •�
n VALID BUILDING PERMIT. All Aron /Use RECREATION FEE['AID $
applicants' spaces on this npplienlion
MUST be completed nnd•the signature Q Planning hoard Action REVIEWED BY,
of the applicant must nppear on lie ov
SPR / Subdivision I Other Qutlding hupecror•
applicnlion form. m..e�.r,, j lecrealion Fee; Payment �
MQ>
Applicant: C7 (�C� Owner: ' Jd. z �e
Address: G UG�1'lG,��r C �j-ecti-re/UJ.rldress: a C-4 1\4 j .
11110ne # (jl�) (�(�_ao(� 1'honc #
frolserly Locn(ioll: --b.l - - rJ G� v lc�- ----- / r�
;�Ithtllvinlutl Nnnit�l v d TAX Moll Nilmher �--`7
Nuollull Iflnnk 1411
NATURE OF PROPOSED WORKt ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ o? 5, -1--
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building . -
residence / commercial ; Single Fami1 I�F
MM
Residence / Commercial Two Family D el
no change to exterior size Family Dwelling
47 1998
Office JAN Other Work (describe below) Mercantile
Manufacturi gT� p�tg�M®p r
Other gglL®INC���0
GROSS AREA OF PROPOSED STRUCTURE:
lot Floor. . . . . . . . sq. ft . If ADDITION,of new, addition be? :
what will use
2nd .Floor. . . . . . . . Saa sq. ft.
Other Floors . . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: " 1 f �G� SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: ST�1�E Will any second-hand or ungraded
Number of Stories : Z lumber be use 7 If -so, for w :at?
(habitable space only) f — !'Y1 L �-�aX
Height (grade to ridge) : 2- feet TYPE OV HEATING SYSTEM:
Number of fireplaces and/or woo stove (circle all icll appli s)
to be installed: / Electric / Oil / Gas
Forced llot it J aseboard j Other
Person responsible for supervision of wary as egardg to building
codes is : vh -oe 3i1�c�7yic✓� 2�/ uc�nSh �l�t��SS /
N -ire Addresss ilione
Builder: 23 �/avve—
Plumber: Aim 4
Mason:
Electrician• U,4,n v cI s e S'
DE,CLARA770N.• Please sign below afler you have carefrilly 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 Cale, 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 authorised by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy'or [ifi al f Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; aws o scat , sh wing actual location of project on premises.
Signature:
(o ner, own 's aget t, arc lect, con actor)
ENERGY CODE COMPLI ( ..
ANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY ���
9000 HEATING DEGREE DAYS '
J AN u 7 1998
Compliance Methods : PART 5 - Acceptable Practice Method - EeNS8URy
1&2 Family Dwellings (0 1 yy% �p CODE
PART 6* - Thermal Rating - Compon _ ffs
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 - /��% square feet
2 . Type of Heat - Electric Oil Gas Other
3 . Is building mechanically cooled? Yes 2v--- 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 3J,
b. Exterior walls R 1/
C . Glazed areas R WIAA
d. Exterior doors R
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R
g. Basement/cellar walls (above grade) R eaGs�+ l
h. Basement/cellar walls (below grade) R
i . Heating/cooling-ducts-piping in unheated space R
- 6 . Service (domestic) hot water heating device A-i,,,,_ l
Conforms to minimum efficiency per code _ Yes No
TEMPERATURE CO TROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED
Appli n ' s Si n re Da e Phone Number
1 � �7 ���_
INSP CTOR' REM AR S .
n""WN OF QUEENSBItRY
742 Bay Rd., Queensbury, NY 12804
APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS
` Date `! 19 A Permit No.
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 an&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.
Applicant Q. ',,z„ ` rf APPLIANCE (check appropriate boxes)
r �+
Address f' r' 7�, / ❑ STOVE: ❑Wood ❑ Coal ❑ Pellet o Gas
❑ FIREPLACE INSERT
f 6 x2on-2L A t zip Z�-) of ❑ FIREPLACE, FACTORY-BUILT:
❑ Wood ❑ Gas
Phone /,a , FIREPLACE, MASONRY:
Wood ❑ Gas
Owner ❑ FURNACE: ,❑ Wood ❑ Gas ❑ Oil
.... r
Address IF NON-MASONRY APPLIANCE:
,� � ��. �.�� d�; '"
_ Manufacturer:
_ zip ���`� Model:
't Phone 7 j
CHIMNEY (check appropriate boxes)
t *EXACT ADDRESS of proposed construction
'uf .- l MASONRY: ❑ ❑Block Brick 0 Stone
we 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 Wall ❑Triple Wall
REGARDING REQUIRED INSPECTIONS. ❑ Insulated ❑ Direct Venting
❑ Chimney Liner
Cashier's Department Town of Queensbury, New York
Dept: Fire Marshal Amount Collected Amount Refunded
Code Number Title
A 173 3389 (190) Public Safety
A 233 2655 (230) Minor Sales
Fee Collected From or Refunded to:
Address:
Dated: ; ,¢- Town Clerk or Deputy: A� jE
White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. j
714 .f
NOTICE =�
•
SMOKE DETECTORS ARE REQUIRED IN BEDROOMS
!
ADJACENT TO BEDROOMS, AND ON EACH FLOOR LEVEL
- . INCLUDING CELLAR OR BASEMENT. ALL SMOKE �°: :.•,_ - = ; .m, . :3 _,_ : _ 1��� � :'"
DETECTORS SHALL BE INTERCONNECTED ON ALL LEVEL. RFrIalY_ -7
rL
L E-.
;.
cobe
AT CE'
__:..
:
�APER INSULATINMUST�E ;_. .-
: . COVERED RY NON-COMBO
- . .
IBLE BARB
t }-
:
-II
' a _
n
NOTICE
FQW INSULATION MUST BE COVERED
BY A 15 MINUTE THERMAL BA MR!ER_'
i
f
l
; r
RES,U)EIVTIAL FINAL LSMEC77ON REPORT
Office No. (518) 761-8256
Building & Code Enforcment Arrive: InSp:
Dept. of Community Development �)
Town of Queensbury Date Inspection Request Received: p'
742 Bay Road
Queensbury, NY 12804
NAME '/1"f'/�� r'� � PERMIT NO.
LOCATION DATE S
TYPE OF STRUCTURE
Y COMMENTS
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" A
Exterior Handrails, Balconies, Lan g 18 in. or ore
Interior Handrails Stairs Both Sid 3 or More sers
Grade 2% Away From Foundati n
8" Clearance To Sill Plate
Gas Valve Shut-Off ExpoTthSides
lator 18" Above Grade
Gas Furnace Shut-Off wieet or within Line of Site
Oil Furnace Shut-Off at to Furnace Area
Furnace/Hot Water Heating
Relief Valve(s) Installed
Headroom 6 ft. 6 in. On
Basement Stairs 6 ft. 4 in
Handrail Exterior Stairs More Than 3 Risers
Interior Privacy/Trim/Do 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 Req.
Okay to Issue Temp C/O
RESIDENTIAL RX IL INSPECTION REPORT
Office No. (518) 761-8256 y� fq
Building &Code Enforoment Arrive: �� `° Irisp: QfY'
Dept. of Community Development
Town of Queensbury Date Inspection Request Received: f
742 Bay Road
Queensbury, NY 12804
NAME 1 d,L�� /�/� �� c. ;. PERMIT NO. 1
LOCATION DATE
TYPE OF STRUCTURE
YMI I 'COMMOM
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 18 in. more
Interior Handrails Stairs Both Sides 3 or More 'sers Ll
Grade 2% Away From Foundation
8" Clearance To Sill Plate ,
Gas Valve Shut-Off Exposed/Regulator 18" Above ade ✓
Gas Furnace Shut-Off within 30 Feet or within Line f to Vic•
Oil Furnace Shut-Off at Entrance to Furnace Area V, i t `,
Furnace/Hot Water Heater Operating ie r• h
Relief Valve(s) Installed << i c °
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. o more
Railing Across Window in Stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom Fans
Plumbing Fixtures
Foundation Insulation C
3/4 Hour Fire Door/Door Closer
Garage Fireproofing
Garage Penetrations Sealed
Furnace In Separate Room Pro�ted 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 Req.
Okay to Issue Temp C/O
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received:
Building& Code Enforcement
Dept. of Community Development Arrive&�am/pm Depart am//ptn
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury, New York 12804 "V
NAME 1. /�-[ gns�oo
PERMIT#
LOCATION Q13ATE
TYPE OF STRUCTURE e-S
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Completef!'=��
Exterior Finish Complete
Interior/E or Railings 30" 0 36"
Exterior Han ails,balco i s,landing 8 in. or more Le,.�
Interior Handrai stair th sides 3 o more risers
Grade 2%away fr foundation
8"clearance to ' pla
Gas F`1
alve s t-off exposed/regulator 18"above grade
Gas shut-off within 30 feet or within line of site
Oil F ce shut-off at entrance to furnace area
Furna of Water Heater operating
Rel"ef 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
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)
RESIDENTIAL FINAL INSPECTION REPORT
Office No. (518)761-8256 Date inspection request received: I (-1-7 47P
Building& Code Enforcement
Dept. of Community Development Arrive jh am/pm Dept am/pm
Town of Queensbury Inspector's Initials 2/)/
742 Bay Road
Queensbury,New York 12804
PERA/IIT#
LOCATION - C DATE
TYPE OF STRUCTURE
N/A YES NO CONMIENTS
Chimney HeightP'B"Vent/Direct Vent Location
Fresh Air Intake `f
Plumb Vent through roof I'l7�lf�+f
Roof Complete
Exterior Finish Complete C4
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 foun n
8"clearance to sill plate
Gas Valve shut-off exposed/regulato above grade
Gas Furnace shut-off within 30 f r with
Oil Furnace shut-off at entra5npeo furnace area
Furnace/Hot Water Heater ating
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
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)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: (
Building& Code Enforcement
IDept. of Community Development Arrive 3v am/pm Depart am/pm
Town of Queensbury Inspector's Initials j
742 Bay Road
Queensbury,,N New
-York 12804 n r
NAME I)r.1 O �� c> f��C. PERMIT#
LOCATION DATE -7 4-1
TYPE OF STRUCTURE u�' d'L_
N/A ""YES YES NO COMMENTS
Chimney HeightP B"Vent/Direct Vent Location
Fresh Air Intake r� j 1
Plumb Vent through roof .-
Roof Complete
Exterior Finish Complete Meg-
hiterior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in. or more e
Interior Handrails stairs both sides 3 or more risers L
Grade 2%away from foundation
8"clearance to sill plate /
Gas Valve shut-off exposed/regulator 18"aboTlosiie�
ArkI /l�f A� eLA� ce `))
Gas Furnace shut-off within 30 feet or within . Gue-Oil Furnace shut-off at entrance to furnace are f/
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 bath sides more than 3 risers
Interior privacy/trim/doors1main 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 fireproofmg
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 t<o issue permanent C/O(Certif. of Occupancy)
COMMONWEALTH ELECTRICAL INSPECTION SERVIC ,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 g,Lf O 6
MUNICIPAL CERTIFICATE - ELECTRICAL APP OVAL
Panel Board No................... Cert. 59858 Cut-in Card No......... ...............
� �
Owner......... '.�i............. ................ .................................................................
Occupant................................................................................................ .... ..........
o C /F'0 �� �............
Location... ��2 ....../�9T,tJ
InstallationConsistin of.. .F-5ul'.,.�2 T. ���.�....�.7t..77.
. . G �...���� .. .. ..... .ram' �....�u?."0..�J......
..kV• .
o . Zvi
..........................`.................................................................................................................
Installed B /2.../ILfiLY!.t ��.............................. Lic.#.....................................
y............. ....
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 Vinspec ' t any time,and if its
rules are violated,the Company shall have the right to revoke thi e :-7Date.. .'2'7-I ....... INSPECTOR ...... ...... r.............................
Member N.F.P.A.,I.A.E.1.
(GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive a''A am/pm Depart am/pm
Inspector's Initials
NAME: PERMIT 9
LOCATION: DATE : 3
TYPE OF STRU
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement
The contract is sponsible for
providing pr on from freezing
for 48 hou fo wing the placement
of the conc te.
Materials for s purpose on site
Foundatio allpour
Reinforceriient in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heat' g Rough-In
ulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- ?Q
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
BracingBridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
TOWN OF QUEENSBURY
S� FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATIONU
DATE PERMIT #
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYST•
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
V OODSTOVE
,/FIREPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: ❑ OK TO THIS DATE
V j
INSPSLIP.PUB INSPECTORV
TOWN OF QUEENSBURY
5! FIRE MARSHAL
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
1
DATE PERMIT #
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTE
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
INTERIOR FINISHES
STORAGE:
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
CHIMNEY
VYOODSTOVE
[REPLACE - MASONRY
FIREPLACE - FACTORY BUILT
REMARKS: Elr0l<TO THIS DATE
c
iNSPSUP.PUB INSPECTOR
GENERAL INSPECTION REPORT .
Town of Queensbury
Dept. of Community Development- Date inspection re c lest received:
Building& Code Enforcement
742 Bay Road `<
Queensbury,NY 12004 Arriv; " am/pm Depart/b)o m/ m
Inspector's Initials v p
NAME: �o� 0 (?LO PERMIT# A�)-
LOCATION: DATE :
TYPE OF STRUCTURE: 016 MJK8-
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is sponsible for
providing protection om fr 'ng
for 4g hours followin placem t e0A/r1+C,7— f'(I 11d4A-%w6
of the concrete.
Materials�Wallpour
s purpose on 'te l d?t(f�l����TC G �G • U ®� �����
Fours
�enorcement 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
f
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay load f
Queensbury,l` Y 12804 Arrive �v"am/pm Depar��i m/�m�, /
Inspector's Initials \ /�-�
NAME: OR-- PERMIT# �"
LOCATION: vTPwr DATE : VA3 ,578
TYPE OF STRUCTURE: b 1w kt �
RECHECK
N/A YF,S NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection_from freezing
for 48 hours fol owing the placement
of the concrete.
Materials for this pu se on s'
Foundation/Wallpour
Reinforcement in Plac
Foundation/Dampp fing
Backfill Approva
Plumbing Und Slab
Plumbing V t/Vents in Place
Rough PIumbing
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
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�-7)70- -
�
NAME: JERM -nr-*-,l (D
V TI #
LOCATION: DDATE :if
— --
TYPE OF STRUCTURE: C
RECHECK
N/A YES NO COMMENTS
Footings/Piers j
Monolithic Pour Form
Reinforcement in Place
The contractor is reMon'
Bible for �� '6Y
providing protectiofreezin �k'i���/l V
for 48 hours following the lace ent . !/
of the concrete.
Materials for this purpose on si
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-Ii:4
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces. R-
Proper Ve ,Attic Vent
# Ong
Jack Studs/Headers
Bracing/Bridging V
Joist Hangers_ V ,
Jack Posts/Main Beam 1�
Air Infiltration Barrier
Fire Separation 1, 2, 3,10 ur
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement "
742 Bay Road
Queensbury,NY 112804 Arrive_ am/pm Depart am/pm
Inspector's Initials 7ir
1 �
NAME: PERMIT# 0
LOCATION:"r _ DATE :
TYPE OF STRUCTURE:
RECHECK
N/A 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
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab_
P1umb'ng Vent/Vents in Place
Plumbing
Heating Rough-In
Insulation
Foundal ion 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 27 3, 4 hour
Firestopping
(518) 761-8256
TOWN OF QUEENSBURY -�
BUILDING & CODE ENFORCEMENT
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR �A DEPART INTf
REQUEST FOR IN ECTION �RECCEIVE /
NAME -�� �+✓//' C�lvi.�'
LOCATION G�J�G�r:/�"✓�i rC�
DATE PERMIT
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
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 TE
FOUNDATION WALLPOUR I
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING'
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSMEADERS
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-
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement .
742 Bay Road
Queensbury,NY 12804 Arrive-/L�y am/pm Depart am/pm
p Inspector's Initials
NAME: \. 1CJ �I c 4-`J c PERMIT#
LOCATION: DATE :
TYPE OF STRUCTURE: ,� ��2,�
RECHECK
N/A 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
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab_
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundal ion Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro r Vent, Attic Vent
ng
Jack Studs/Headers
Bracing/Bridging
Joist Hangers V A.
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping