98-010 •
;CERTIFICATE, ,OF. OCCUPANCY,'
TOWN :OF:.QUEENSBURY:
WARREN COUNTY, NEW:YORK
Ju1y 1 98
Date ' 19
98010
This is to certify that work requested to be done as shown by Permit ,No. "
has been completed.
RESIDENTIAL ADDITION
This structure may be occupied as a
13 TUSCARORA DRIVE ' .
Location-.. . -
'LIGHTBODY, SAMUEL & • '
Owner
TAX MAP NO. 11 —1-1 .15- By Order Town Board
TOWN OF QUEENSBURY•
" ' (LiD
• Director of Bldg. do Code Enforcement •
BUILDING PERMIT
VALUE $ 19000T0WN OF QUEENSBURY No 98010
TAX MAP NO. 11. —1-1 . 15 WARREN COUNTY; NEW YORK,
PERMISSION is hereby granted to LIGHTBODY, SAMUEL: &
OWNER of property located at 13 TUSCARDRA "DRIVE Street,Road or Ave.
in the Town of Queensbury,To Construct or place a RESIDENTIAL ADDITION
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
JEANNE 1045 THE PARKWAY •
MAMARONECK, NY 10543
2. CONTRACTOR or BUILDERS Name
•
TAKUNDEWIDE MGMT. GRP.
3. CONTRACTOR or BUILDERS Address •
4. ARCHITECT'S Name -
NEW YORK BOARD
5. Af i E X drBUARD OF -FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) RESIDENTIAL ADDITION
Wood Frame ( 1 Masonry I )Steel 1 1
7. PLANS and Specifications
No.
8. Proposed Use "
RESIDENTIAL ADDITION
65 January 15 0
$ PERMIT FEE PAID —THIS PERMIT EXPIRES.. 19
(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.)
15 January 98
Dated at the Town of Queensbury this Day.of . . .19
SIGNED BY for the Town of Queensbury
Building and Z ning Inspector _ .
Application for SEPTIC DISPOSAL PERMIT
own of Community
J ECE V Q Dept.
of Community Development J E� Permit No.
Building &Codes Office -
742 Bay Road JAN 0.91998 Fee Paid
Queensbury, NY 12804
TOWN OF QUEENBBURY
BUILDING AND CODE
Location of property for installation: ,' Tusc,9jL og y nit, C_cE zo
Property Owner's Name: Al/2 mg..s S,¢,01 L 61-)773
Property Owner's Mailing Address: /oyr T�,e /��.e/t�i�y 1`17r3n7 2v.).cK,,Jy host«
Installer's Name: GJ/L<- Ml9sor) olsac- Phone # ?'V 6'TS /.,01.-7
'T�3i XceAP 1/ai_ AIM%1/jG4-5/she/ar CLi ocge
Number of bedrooms (if residential): x--.3 Total daily flow: -�
(residential - compu e @ 150 gal./bdrm.)
Topography: X flat, rolling, steep slope % of slope
Soil Nature: sand, loam, X clay, other /depth:
Ground water: at what depth?> 7 feet / Bedrock or Impervious Material: at what depth?7 7 feet
Percolation test: not required, )C required [rate 6 min. per,inch
Domestic water supply: municipal, well, X other C'oMMKnl/1-7 -55's9:6r4
If domestic water supply is a WELL, water supply from any septic absorption is feet.
PROPOSED SYSTEM
Septic tank: /000 gallon (minimum size: 1,000 gal.)
Tile field: each trenc10 6b feet / Total system length: - o feet
Seepage pit(s): number of — / size each: ft. by ft.
Size of stone to be used: # / depth or thickness feet
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: — gallons
(Alarm system and associated electrical work to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or
approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: .��� Date: d.Pp,<_ 2-0� 19,7
Bnge� ri Application
•
L 01'V11 of Qh'�C11Shlll y - Urpt. r f Community Development, 712 Bony Road, Queensbiny, NY 12804 /761-8256f
BUILU1INC &F -CUUC'-E-N•F0RCEMENT
NOTION
Requirements prior to issuance ; r 6��
of this permit:
PERMIT FILE NO.
A permit must be.obtained before __�,•. --
ill being made
ion. No inspections g Bo c l 11 I�EE PAID$ ��
Will be made until applicant has received - I-1 .Zoning Board Act/otl
a VALID BUILDING PERMIT.rAll Ann I Use"
JAN 0 9 MREATION FEE PAID$
applicants' spaces on this application •-
MUST be completed and•the signature El Planning Board atom • (�i
of the applicant must appear on the OF CIIEESRf3WCU I11:
SPR / Subdivision I Hier BUILDING kND CODE Budding !ns(kcwr
_Ipptication form. In.,,*),,,. Recreation Fee Pnymcnt
Applicant: /f/a1,9wj_ . 4A-5 vr) 1 b•4• TAXH,JPecd'oFOwuer: pig ir,2s SIC cry'-) c.1".i�-r-geO y
ir) i`!•r 6tP. , /J�
• Address: ,a09c e S J G c,/f✓612,v,9 i-5 rtIY Address: /O 5/5' THE d',9xX )/95.,
. • it-S 7.e M 14 In"9Fec I 4 cep'/ N y' /b-SI
Phone # (,CIS ) 6Sb- �573 • Phone # ( 9/y_) 9y - Zc, -2-7
Property Location: /. 7-1(S cr9r2.ViQQQ Piz'VF c c4.-t/F/za2/9L-y Al /zg 7-4 n'Iii MOP Nimiher al_... /.! 1.--4E�r tiMiiimi Niltiltsl KK>vo�.®'a� ..„ „�„____
Neulhnt lhltiok I tll
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF TILE
New Building: CONSTRUCTION: $ /?0 o o. •
residence / commercial
/K Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence / commercial )C Single Family Dwelling
• Residence . / Commercial Two Family Dwelling
ff no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: l •
• �1c5 �d •
If ADDITION, what will use
1st Floor sq. fL • of new addiL- ••on be
dt,
2nd .Floor -��f sq. ft. ep rn L
Other Floors sq. ft. .t�Eside.)cE '4
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: * 5 /7t SQ. FT. Attached Garage 1, 2 car
Private Storage Building •
SIZE OF NEW STRUCTURE: Commercial Storage Building
•T. FEET , rr Other
/7X • .3 v FEET
Foundation Type: CoJc. . Four rnoc./C .E'acP .i/9 , Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) ® .
Height (grade to ridge) : 1- feet TYPE O0, IIEATING SYSTEM:
Number of fireplaces and/or woodsL-ove ..11 which appli-s)
-
to be installed: v Oil / Gas ^ood
• once Hot Air / =. .se oar Other
Person responsible for supervision of work as regards to building �M Tp,crc,79EcJ19E
codes is : A)/E-I-i'rl ..1,4.... ,box Ts cLcJ61?-fl094-E. t Y 4s4-9s73.
Name hddresss Phone are..eHP, ,rr3c-
Builder: s•yr7f •
Plumber: 5eFt-r'')
Mason: - '
Electrician: -,gs��
DECLARATION: Please sign below after you have caiefrdly 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 underskxxl that I/we 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: -11/4---
(owner, owner's agent, architect, contractor) -
/ . p,ri)
RESIDENTIAL FINAL INSPECTION REPORT (e/a OR
Office No. (518)761-8256 Date inspection request received:c/ 9,/
Building& Code Enforcement eam/pm
ri'
Dept. of Community Development Arrive, Depart,, ,i
Town of Queensbury Inspector's Initials -', -_
742 Bay Road
Queen§beery,New York 12804
NAME 4,1 3416aI✓, ) Lam0 ei,r' _;A_ArA e., 'ERMTT# g 0 /, 0
LOCATION /') `' %OSC a,gedez,,9 /)p., DATE •
TYPE OF STRUCTURE 40-.c,4,i i;a.1, Arcl,?i
N/AA YES NO COMMENTS •
Chimney Hei t"B"Vent/Direct eat Location
' j. ,:///i/v
P�
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more / •
Interior Handrails stairs both sides 3 or more sets �/
Grade 2%away from foundation .
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above ,.:de . - ,
Gas Furnace shut-off within 30 feet or within line o ite
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater-operating f
Relief Valve(s)installed /
Headroom,6 ft. 6 in. on stairs \/
Basement stairs,6 ft_4 in. . 1 /
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
7
inter connected /
Bathroom fans
Plumbing fixtures r
ti
Foundation insulation
3/4 hour fire door/door closer t7
Garage fireproofmg
Garage penetrations sealed _ l�
Furnace ins separate roomprotected(in garage)
eP i "
Light ventilation per room /
Safety glazing 18"or less from floor-
Final Electrical
Vill
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required . C../
Okay to issue C/C(Certif.of Compliance) ft �L,�U(,� Of -RAJA.
(r
Okay to issue temp. C/O(Certif. of Occupancy) k4 6
Okay to issue permanent C/O(Certif. of Occupancy) - G6-C.
, �, TOWN OP ( UEENSBURY /1)0/11
ILDING1& CODE ENFORCEMENT
i BI
"\ 742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL SY SPECTION
/ .
Name (.-_- ' c>2. /-14)Location 1de
grdr4 I1/i
Date /j i Permit # 9a �i A/)
SOIL TYP : S:nd-loam-Clay-
Resul is of..Percol .ti on Test- 1
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: ' otal Length 275i
Length of each tre ch ++.... t AD l eiCil
Depth of trenches - t��`
Size of stone 7
SEEPAGE PITS: Numbe
Size - ft. x ft.
Stone size
PIPING: S ze Type
Bldg. to Tank /-l``5CA. (--i'�
Tank to Dist. Box f,1`L
Dist. Box to Field/Pit t,`( C._
Openings Sealed? es�• NoPartial
LOCATION/SEPARATION
Foundation to Tank i feet
Foundation to Absorpt on 1j feet
Separation of Pits feet
Conforms as per Pi o ► Plan 'a No
LOCATION OF SYSTEM 1 PROPE' :
(circle o e
Front �I•e -t Side - -Ri . t Side
Middle Front - Middle Rear
COMMENTS:
15 r !v- C- C 'gt713T-
SYSTEM USE APPROVED: E NO
Arrived:
Departed: !/'
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1
GENERAL INSPECTION REPORT OVXA-o-hvp\_Q__,
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive HCam/pm Depart am/pm
Inspector's Initials Mji-
Q q --6 0
NAME: ,,�;� � '�.il? � PERMIT#
LOCATION: 1 (u e vas DATE :
TYPE OF STRUCTURE: ��41",v\
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form - h
7.
Reinforcement in Place /tiSv , G ! tunarze, 14oret,'
The contractor is nsible for ropt
providing protection o fr zing U'�
for 48 hours followin e placement
of the concrete.
Materials for this pu se si
Foundation/Wallpo
Reinforcement i lace 1
Foundation/D pproofing
Backfill royal
Plumbing Under Slab
Plumbing Vent/Vents in Place
Roug Plumbing
H ing Rou
— In
---- ns-ulation A\%- rVi
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
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 am/pm Depart' am/pp
Inspector's Initials <1 l
NAME: Ze_,f4,00 __ PERMIT# 78`oi /
LOCATION: 1 us64 o(2/4- Oa , DATE : �`2
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing 41
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-
oper Vent, Attic Vent
raining //
Jack.Studs/Headers
///t7
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 i/P,4k\
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrival- -p am/pm Depart9 a pm
Inspector's Initials
NAME: ( PERMIT# C)
LOCATION: V")) 0 cpcl C.2c c•\ o\ S,r� „ DATE : -
TYPE OF STRUCTURE: P c, 6> -ds,.
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
7 ng Rough-In
ation_
Foundation Walls Interior R-
Foundation Walls Exterior R •
-
Floors R-
Walls R- ?" / Re?' /,�Uir_ Yle..0 6\0 &OfPO 06—A) I
Ceiling R- 19 i/
Duct work or piping in c N�
unheated spaces R-
Proper Vent, Attic Vent CA-LL MA
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 ay Road
Queensbury,NY 12804 Arrive am/pm Depart(a7 a pm
'Inspector's Initials ' —L-----
NAME: L bw 0n PERMIT#' " 01,
LOCATION: DATE :
TYPE OF STRUCTURE:
RECHECK
•
N/A YES NO COMMENTS
Footings/Piers I -
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
/1/11
GENERAL INSPECTION REPORT
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 ix"ij °�"- Arrive 1im/pm Depart I a m
b • .� Inspector's Initials
0,L1624-
-co
NAME: (1� - / lPERMIT# r
LOCATION: I 'i r ' 'v -L v° q 1
TYPE OF STRUCTURE: 4/ /it-,‘ VPjA--,' eA
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for1,j)
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
-r'ough Plumbing •
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundat.ion Walls Exterior R- -
Floors R •
-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
raming
Jack Studs/Headers V Bracing/Bridging
rJC�4.1 tAy- e _ (rJ� OF
Joist Hangers Kgi F
Jack Posts/Main Beam
-ir Infiltration Barrier S r���-- t'titNCvC-RS .A 5 /U Q
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 Departli
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Inspector's Initials
NAME: 1-160i4*Opt? In
PERMIT# 8-0)'(
10
LOCATION: DATE : 1 f
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
4lumbing Vent/Vents in Place
ough Plumbing /7/
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
4111
(518) 761-8256
TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT %•
742 BAY RD., QUEENSBURY NY 12804 ., ;'
INSPECTOR'S REPORT:, ARR//_ DEPART+/v,1 Nip
REQUEST FOR INSPECTION RE VED:
NAME C \` rli.-0•(s��, F. ( •f X.5 1'-)'
�
LOCATION / 3 T C�5C°�, �� /\ � ,
DATE (),- '. ' C�6L / PERMIT N —OM
TYPE OF STRUCTURE: •'
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS n`
jMONOLITHIC POUR FORM 1
REINFORCEMENT IN PLACE \ _ _.
THE CONTRACTOR IS RES ONSIBi,E F R
PROVIDING PROTE TION F OM F EEZ NG
FOR 48 HOURS FOLLOWING E LA E-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE 0 SITE
FOUNDATION/WALLPOUR _ _
REINFORCEMENT IN PLACE _i
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE' 'V
UGH PLUMBING
MBING UNDER SLAB
F ilk: 2 f/11 -
JACK STUDS/HEADERS
BRACING/BRIDGING .
JOIST HANGERS
JACK POSTS/MAIN BEAM _
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- -
FLOORS R- _
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- _
(518) 761-8256
'x
u f.
TOWN OF •QUEENSBURY ,,.
BUILDING & CODE ENFORCEMENT q
t ,. .."
742 BAY RD., QUEENSBURY NY 12804. " ^i.4"
`s
INSPECTOR'S REPORT: ARRi`zJ DEPART( r INT .i
REQUEST FO INSPECTION RECEIVED:
NAME �1(,f{r ab1Qc
LOCATION DATE �l3/qg PERMIT A 7C3
-oio
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 FR ZI
FOR 48 HOURS FOLLOWING THE PLC -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON' SITE,_
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING -
BACKFILL APPROVAL
JP(Je{l`l�$A NG��E��VENTS IN PLA E _
R6FJG-./JH''C PL B NU() 4 t_ fC �'-5
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING -
JOIST HANGERS -
JACK POSTS/MAIN BEAM
1IR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
•
742 BAY RD., QUEENSBURY NY 12804 ;a. ;:•,;_•
INSPECTOR'S REPORT:, ARR DEPART/1d IN'I^'
REQUEST FOR INSPECTION RECEIVED:
NAME I/6o-40W
LOCATION // U.36.4R 6104. Poe.
DATE 2f 3/96 PERMIT A 1 dlo
TYPE OF STRUCTURE:
RECHECK APPROVED
•
N/A YES NO
FOOTINGS/PIERS
JMONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP'NS BLFI FOR
PROVIDING PROTE TION FR RE,EZING
FOR 48 HOURS FOLLOWING T P ACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR __
REINFORCEMENT IN PLACE _
F UNDATION DAMPPROOFING _
ACKFILL APPROVAL
LUMBING VENT V IN PLACE
ROUGH PLUMBING 4t1 \414.—
PLUMBING UNDER SLAB
FRAMING:
. JACK STUDS/HEADERS
• BRACING/BRIDGING
JOIST HANGERS _
JACK POSTS/MAIN BEAM _.
AIR INFILTRATION BARRIER
HEATING ROUGH-IN _
INSULATION: _
FOUNDATION WALLS INTERIOR R- _. __•
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY - s,'
BUILDING 6 CODE ENFORCEMENT r,
742 BAY RD., QUEENSBURY NY 12804 .-7 ;
INSPECTOR'S REPORT: ARR 9' DEPART INT .-
REQUEST FOR INSPECTION RECEIVED:
NAME < J�I'�1'',2`/q 6,,,,, „1,
rA
LOCATION /J / fc4!'Ci r-
DATE /"---4i ,40 PERMIT A /f
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT SIN 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 / .. .__
f
FOUNDATION/DAMPPROOFING ,Y _
A
BACKFILL APPROVAL ‘/
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING / k _
PLUMBING UNDER SLAB/!ff 1\
FRAMING: ,(
JACK STUDS/HEADERS 11
BRACING/,BRIDGING 1 _
JOIST HANGERS 1
JACK P STS%MAIN BEAM %
AIR INFILTRATION BARRIER h1
HEATING ROUGH—IN _
INSULATION: N
FOUNDATION WALLS INTERIOR R— ga'`• _
FOUNDATION WALLS EXTERIOR R— _ _
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN
UNHEATED SPACES R—
•
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•
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 Bay. Road' '
Queensbury NY 12804 '
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ' r I'/0e.e.i Lf�L
Location /3 T "cc). v
Date ' C g Permit # C U.-0 I c
SOIL TYPE: Sand-Loam-Clay- r
Results of Percolation Test-
(if applicable) Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length '
Length of each trench
Depth of trenches 4
Size of stone
SEEPAGE PITS: Numb- -
. Size - ; t. 1 ft.
Stone size 1 0 -
PIPING: 1' Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Fiel •/`it '
Openings Sealed? ' No Partial
LOCATION/SEPARAT ONS:
Foundation to T.nk feet
Foundation to A.sorption _ feet
Separation of Pits feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY: .
(circle one)
Front - Rear .- Left Side Right Side
Middle Front - Middle Rear
COMMENTS: •
qC . ��-
SYSTEM USE APPROVED:' ' YES0 NO
Arrived: //W.✓°
Departed:
Building Inspector
SUMMARY OF TOTAL THERMAL RATING
If the Total Thermal Rating is zero (0) or greater, the. proposed
design for the building envelope complies with the Energy Code.
•
THERMAL TABLE
AREA U-VALUE RATING USED
•
A. ROOF/CEILING R 1 40s4.i 0. c44.7.
.19 071
B. NET WALLS R13 ; ��� . O.O �o �- "� -1E
Z21.3. 5(pa SFr �d4� 49- IE
C. GLAZING
. . • • Windows I'22 0.30 - 2&.. Co - 1E
Pet io boors . 0. 3Gv — 7 & -LE
Skylights • N/A 0. 25 . r,.i/�- j J/,A,
D l . FLOORS i sT goo .600 st,Pr- O. O•sa •-1-- 4•
2 w° RZT Toe. sa I`r' , 0.047 ' — - Co•-2.E
D2. BASEMENT/CELLAR WALLS -
Wall Perimeter 12.49 Feet
Exposure Above Grade . t. o Feet
Wall U-Value
Depth of Wall U-Value
Below Grade . 1v,/,4 Inches .
D3. SLAB INSULATION
Slab Perimeter . t\t/A• Feet
Insulation R-Value
E. INFILTRATION CONTROL .
Conditioned Floor Area V,4 Sq. Ft.
•
F. SOUTH FACING GLAZING •
South Glass/Total Glass • . 20510 Percent
G1 . Area/Gross Wall Area IV d/a Percent
Conditioned Floor Area N1/,d, Sq: Ft. - ' . ' .
9).8 /6I' TOTAL THERMAL RATING . 4- 2 • •
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