2001-259 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804=5902 (518)761-8201
Community Development-Building.&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010259 Application Number: A20010259
Tax Map No: 523400-226-016-0001-042-000-0000
Permission is hereby granted to: PETER & DIANE JOHNSON
For property located at: 278 CLEVERDALE 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: PETER& DIANE JOHNSON
1512 NORTH BEECHAM Dr Residential Addition $125,000.00
AMBLER PA 19002 Residential Alteration
Total Value $125,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2001-259 -
617 SQ FT RESIDENTIAL ADDITIONAND 2016 SQ FT RESIDENTIAL ALTERATION AS PER
APPLICATION
$275.20 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,May 16,2004
(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 Trio ueen ry; e esday,May 16,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
ii_..._......... si, 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
y ,,
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010259 Application Number: A20010259
Tax Map No: 523400-013-000-0003-024-000-0000
Permission is hereby granted to: PETER&DIANE JOHNSON
For property located at: 278 CLEVERDALE 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: PETER&DIANE JOHNSON Residential Addition 125,000.00
1512 NORTH BEECHAM Dr Residential Alteration
AMBLER,PA 19002 Total Value 125,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2001-259
617 SQ FT RESIDENTIAL ADDITION AND 2016 SQ FT RESIDENTIAL ALTERATION AS PER
APPLICATION
$275.20 PERMIT FEE PAID -THIS PERMIT EXPIRES: Friday,May 16,2003
(If a longer period is required, an application for an extension must be made to the code Enforcement
Officer
Dated at the Town of ee ury /dline-I .y I A - 6, 2001
SIGNED BY ' \ for the Town of Queensbury.
Director of Building&Code Enforcement
Building Permit Application
j
Town of Queensbul y - Dept. of Community Development, 742 Bay Road, Queensbu►y, NY 12804 /761-8256/
NUTEBUILDING & CODE ENFORCEMENT •
E Requirements prior to issuance
r A permit must be obtained before 1 of this permit: PERMIT FILE N 5
beginning construction. No inspections PERMIT FEE PAID$ AO
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT'. All Ares /Use RECREATION FE.
Dr
applicants' spaces on this application ----•
MUST be completed and.the signature Q Planning Board Action REVIEWED 13 - i'
of the applicant must appear on the _ ___SPR / Subdivision /Other .1 irUdLix Impeder
eplication form. ,p. &y.. J Recreation Fee Payment
Applicant: - 6 evSI-40. , •. ( . Owner: T a C. - 1►'.),60 f0
Address: .r® 56 '• 1 q t16e1�SFatl(21ft �y Address:/Z�® J!/�� AV am//f:7 ,
• /9®®)----
Phone # ( SA) 6* - _a,7 6 Phone # ( 7.ts' ) 64 - 64675-9
•
Property Location: 17e' VE OD, V eatAtG 144.e. I'(37.ty
Subdivision Name:
• Tax Map Number 13 / 3 / 34-
Section Block inn
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ IZC,(paw
residence / commercial
Addition to Building:
40ANAMP/ commercial OCCUPANCY INFORMATION:
yC... Alter=.- on to Building: 7y v/, Primary Building -
res. .ence / commer'i 0) 7 X, Single Family Dwelling
Residence / commer.cial l� Two Family Dwelling
no change to exterior size . Family i e ik-krl ''� � ,
Office
Other Work (describe below) Mercantile MAY 04
Manufacturing 2001
Other TOWN OF
GROSS AREA OF PROPOSED STRUCTURE: �`l��N�fF`
(4T• If ADDITION, what w-f`r—u-s-`a
1st Floor Z71.5 sq. ft . Pao& of new addition be7 :
2nd ,Fl:oor. . ., 1140, sq. ft. looej 11,ePr1A-t�
Other Flours v sq. ft. •
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
�s� Detached Garage 1 , 2 car
TOTAL4FL00R AREA: t;i'7 SQ. FT. Attached
S Garage
car
Tv t 4'f. A zr�► G Private rage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
• 07*t7 FEET X 4-4 FEET Other
Foundation Type: GONcrioTO Will any second-hand or ungraded
' Number of Stories : • 'Zr. lumber be used? If so, for what?
(habitable space oryiy) r2.46Aili14 f ui24tA9 Cri
Height (grade to ridge) : '3t . 5 feet TYPE OF HEATING SYSTEM:
Number of fireplat is and/or woodstove (circle all ._,ich applies)
to be installed:, lid .» Ever. Electric / O i / G W
• Forced Hot it / aseboard / Other
Person responsible for supervision of work as regards to building
codes is : l'erert. G 1Wso0 .,/iry Pm4 120 GAP - WS"
Name Addrgi s 'ri 'M./Builder: ?Grem.,G. .30A aJ +� + �� • &,PSbn37.tr5".
Plumber: n n
Mason: V' 4b k)te gI.2-t art)h7 -lie Pr7 '
Electrician: VG Tea e. 0,04.0sew G 't.-,Z.rS" •
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, arc 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 1/we shall submit prior to a
Certificate of Occupancy.or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed sury . draVvn s ale, showing actual location of project on premises. -
Signature: .
(owner, ner's agent, architeN contractor)
i-
Building Permit Application
Town of Queensbury—Dept of Community Development,742 Bay Road,Queensbury,NY
(518)761-' •
y v
A permit mu beP btained before ginning cons' ctitn. rmit File , i ir ill vp i
No ..r wi be e u '1 pl. has rei eived a ee Paid $
v d i • i . pe it All 1 spaces •• ' s 41 Rec. Fee Paid $` ; '�
a li• • • r ust e m u ppear • th eviewed B A
pp o •- i IP I
Applicant: f. /t.•-- C� //J6 Owner: &�C/Z {i,C Tc,il) ,611
•
Address: /e6 a. 6(7/ Address: 2 f G 1/-lZf. � .��
Phone#(fig) (acq,- / Phone# (57 8 ) - 3 v6-7S--
Email Address: Email Address:dr •
Property Location: Lot Number: / House Number c 7 l 6G��= 4 )7g-'�
Subdivision Name: Tax Map Number:
❑ New Building: residence /commercial Estimated Market Value of Construction: $
❑ Addition: rest ce commercial If an Addition,what will use of new addition be?
❑ Alteration: residenc / commercial
O No change to exterior size: residence/com'l
❑ Other work(describe )
Check Occupancylnformation 15C Floor 2°d Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
❑ Single family dwelling
o Two family dwelling
oii
Townhouse?-*/
1
❑ Multifamily dwelling
#of units • _
. •,,-,t.e.,/ .
o
Office
o Mercantile
a Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
a 2 car attached garage
❑ 3 car attached garage
❑ Storage building-
commercial -
❑ Storage building-
sidential
ther ,/ 1 SQi/4 itP�/�6,,,ee ,i'�.f N .
a,) 6 D' se 09-71e , %t -
What is the proposed hdfght of the structure feet inches
Will any second-hand or ungraded lumber be used? If so,for what?
Type of Heating System: electric ' oil / gas/wood /forced hot ai baseboard other:
•
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Builder /7g787 DIM/So/A) am- /i�r
Plumber eC-/- -
Mason dig 7 lf50n/ . „
Electrician e&-/z)j s412 /'
Declaration: please sign below after you have carefully read the statement: .
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that I/we shall
submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning
Administrator or Director of Buildin and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual
location of all ne onstruction. -
Signature: &A,-e,�/ J ./6 7
owner,owner's agent,architect,contractor
____( l
far ENERGY. CODE APPLICATIONS
c2SI
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS
Compliance Methods : PART 5 - Acceptable Practice Method -
"" 1&2 Family Dwellings onl , ,*.
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
APPLICANT' S NAME : PROPERTY LOCATION:
l�idc« tZo 'h9$1 ; Ar2414 AdiET f0e-
"T Te b z c-.36241Q.Sow741.0V ?&O4z '/o , CGEV&?oacE, ►vy
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE . PRACTICE: 1 €,7O
1 . Gross Floor Area, - square feet
•
2 . Type of Heat - Electric X Oil Gas Other
3 . Is building mechanically cooled? X Yes No .
4 . Percentage of area of windows and doors Over 17% )( Under. 17%
• 5 . . R-VALUES FOR INSULATION -GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 3b d.l 9
b . Exterior walls R 4 I3
c . Glazed areas R - 3.1
d. Exterior doors R 14-
e . Floors over unheated spaces R
f . Edge of slab on grade (heated building) R -t0
g. Basement/cellar walls (above . grade) R
h . Basement/cellar walls (below grade) R
i . Heating/cooling-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 EXCEEDED
• Ape tican ' sSignature Phone Number
( ft, 411
c/i/0/ 4:a '3/7
•
INSPECTOR' S REMARKS :
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: __----_,anVpm De
part:-t: _n
Date Inspection request received: Insp6etor's Initia"Is IOU
NAME: /&'RMIT#: D
LOCATION: \r) 777)—
Un � ATE:
TYPE OF STRUCTURE: P
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 Com fete Pe
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more JK
Guard at deck,porches 36 in.or more 7
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 V2"
Gypsum
Grade away from foundation 6 in. with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate F�z
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 V/
Low water shut-off boiler
Relief Valve(s)installed/
Interior privacy/trim/doors/main entrance 36 in. V/I
Bathroom/Kitchen watertight V I
Safety glazing/Wind in stairwells safety lazin
Interior Smoke Deteyfors:
Every.level: V / Every Bedj0Q....
Outside every bedroom ea:
.--. ly J
Inter Connected: / Battery backup:
Carbon Monoxide Detector A V I
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergenc 'egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/3/4 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 sq.ft-150 sq.ft. vents
Building No./Address visible from road
Final Electrical V/
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification,yPruqq fired
—
Oka y to issue C/C KC/0 1,4"gi3aporary/Permanent
L:\PamW\Building, &CodesUnspection Forms\Res.Final Insm form 2.docLa9t r)rinted 2/12/04
. Rough Plumbing / Insulation Inspection Report `
6Gbitl.(26Pgi
Office No. (518) 761-8256 Date Inspection re. . -st eceived• _
P
Queensbury Building&Code Enforcement Arrive: . p De..r • ► r
742 Bay Road, Queensbury,NY 12804 Inspector's •• als•
QOPtIO
NAME: ' ��' PERMIT#: W__g_LOCATION: 0-I g -C�l�-per e IPA INSPECT ON: --3TYPE OF STRUCTURE: ,Rar l6"-
Y "N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm. 1
Plumbing Vent/Vents in Place 1
.j
Rough Plumbing/Nail Plates •
Head or Air Supply Test f
Drain and Vents �� �`36 /
5 PSI or 10 ft. above highest j \
Connection for 15 minutes % u*v �,p,( Pl
Water Supply Piping • y� W� w `�
Copper Commercial ��� \
opper, CPVC,Pex One&Two Family
sulation/Residential Check/Commercial Check
/ . 0
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation •
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
•
•
•
•
L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003
Framing / Firestopping Inspection Report o
Office No. (518) 761-8256 Date Inspection request received: )
Queensbury Building& Code Enforcement Arrive: am/p? n1Bepart: am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials: c�S"�
NAME: PERMIT#: C__ -d-5
LOCATION: Qrrd Q Q INSPECT ON:
TYPE OF STRUCTURE:
Y N N/A COMMENTS
c.
Jack Studs/Headers
Bracing/Bridging `-
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly y
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 'A (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 74/;r4'LL
Q k 9
Penetration sealed
16 inch insulation in cavity min. 3 b. 1t
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 V (� 5t&--
24 in. (H)
20 in. (W)
5.7 sf above/below grade
5.0 sf grade
L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
•
Rough Plumbing / Insulation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm, Depart: am/pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials:
NAME: \` \ v PERMIT#:
LOCATION: f15pJlc INSPECT
TYPE OF STRUCTURE:
Y N N/A
PVC: R-1,R-2,R-3,R-4 Drain/Vents
Cast Iron, Copper Drain/Vent/Comm.
Plumbing Vent/Vents in Place
Rough Plumbing/Nail Plates
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes
Water Supply Piping
Copper Commercial
Co ,.CPVC,Pex One&Two Family
sulation/Residential Check/Commercial Check / "7
Proper Vent,Attic Vent
Duct/Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct Work Sealed Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
Framing / Firestopping Inspection Report T
Office No. (518) 761-8256 Date Inspection request received: y
Queensbury Building& Code Enforcement Arrive: am/pm DeArt:t. 6� J am/pm
742 Bay Road, Queensbury;NY 12804 Inspector's Initials: ram ,
•
-QA,„
�� ��`1
NAME: e PERMIT#: � C7'�J
• LOCATION: �—) ,-1 es.ra(,LQ� INSPECT ON:
e
TYPE OF STRUCTURE: ( 1\`75�� -^ -.
Y 1_v N/A COMMENTS
�/
Jack Studs/Headers
Bracing/Bridging r'R ,400 !i l a 4 Kv-pe,w%
•
Joist hangers C
Jack Posts/Main Beams p`<<- E T0 C/
Exterior sheeting nailed properly ` DG 6
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
y/Fire� s p g- - /O S I LL ��
e"ne{ation sealed �
16 inch insulation in cavity min. C d� &- 24-gC -=E Ate-. �vC"
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 ade
_
�i L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/p}n�, part: am/pm
742 Bay Road, Queensbury,•NY 12804 Inspector's Initials:,W2-
NAME: Ju,7 �4// 0 ._ 75 7
PERMIT#:
LOCATION: C66-9d O.*E. /& - INSPECT ON: 'L aj
TYPE OF STRUCTURE:
•
Y N N/A 4
PVC: R-1,R-2,R-3,R-4 Drain/Vents 'V
•
Cast Iron, Copper Drain/Vent/Comm. .
P mbing Vent/Vents in Place
Rough Plumbing/Nail Plates /I/
Head or Air Supply Test
Drain and Vents
5 PSI or 10 ft. above highest
Connection for 15 minutes •
Water Supply Piping
Copper Commercial
Copper, CPVC,Pex One&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 Properly
COMMENTS:
L:\PamW\Whiting\Rough Plumbing Insulation Report.doc
•
Office Use
GENERAL INSPECTION REPORT • Inspector:
•
c r` ,
Town of Queensbury Ready at time:
Dept. of Community Development Request-received: � G,v`• Meet: 9 '%"cN
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE': � is E A �; •i a on Notes:
(518) 761-8256 Inspector's Initi is
NAME: r� A S Cry PERMIT# .:2 00/ a
LOCATION: 0 C fr.-1J' 7dt 'L- , INSPECT ON(date): q (1/®)--'
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/D amppro ofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place -
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior R- d
Foundation Walls Exterior R-
Floors R-
Walls R- /
Ceiling R-
Duct work or piping in
unheated spaces R- /
Proper Vent,Attic Vent
n yry t // 1.1
+Framing
Jack Studs/Headers
•
' Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier /
Fire Separation 1,2, 3,hour/
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: : 7I 1132- Meet:
Building& Code Enforcement At time: c'
742 Bay Road
Queensbury, NY 12804 ARRIVE % U ain r I an& Notes:
(518) 761-8256 Inspector's Initia
NAME: fain 441' l PERMIT# 26)0 / - 2 59
LOCATION: :7 C C{ INSPECT ON(date): Ma--t Q/z/61
TYPE OF STRUCTURE: Dee-4—
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/D ampproofmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing —_
Hearing 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 �1` "t Jack Studs/Headers Vi\V"."
Bracing/Bridging
Joist Hangers ✓"_
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed r
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received. 14417i- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE /(, Lbam/pm: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials (4�
NAME: jo C1,11-s-cri PERMIT# U I - 2$^q �'
LOCATION: 2.: A Cit-eA.reAAO-11-Q— INSPECT ON(date): 30/O
TYPE OF STRUCTURE:
•
RECHECK
f N/A YE,VNO COMMENTS
Footings/Piers V /
Monolithic Pour Form %I ec-
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/D ampproofing
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,h&ur
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc
. Office Use
GENERAL INSPECTION REPORT. Inspector:
Town of Queensbufy
Ready at time:
Dept. of Community Development Request received: Meet: 3 �3 V
Building& Code Enforcement At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE) Zvam/•,n P T t7am/pt� Notes:
(518) 761-8256 Inspector's Initia C%
NAME: QQA-9 (-c'u A 1S I PERMIT# )
i
LOCATION: e-3-�7 1 e )0 \--2-C; INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Plac
The contractor is resort ible for
providing protection .om•geezing
for 48 hours following he placement
of the concrete.
Materials for this purpose o, site ,
Foundation/Wallpour
Reinforcement in Place
Foundation/D ampproofing
Backfill Approval
Plumbing Under Slab
Plumbing itfVent`u'in�
Roug Plumbing
He g Rough-In
I sulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- ////
!��?
Ceiling R-
Duct work or piping in Zv
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 .nn nn
Fire Wall 2,3,4 hour C'► D V � �\ \NC' c_�ko.c
Firestopping ./
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
•
Office Use
GENERAL INSPECTION REPORT i\,�,�, Inspector:
} "00-3 30
Town of Queensbury
Ready at time
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road r , 1
Queensbury, NY 12804 ARRIVE am/pm: DEPART' - am/pm Notes i
(518) 761-8256 Inspector's Initials
NAME: 0M PERMIT# 0 i — d------)(1
LOCATION: L2-2 ---► 'NC\ YN(i) INSPECT ON(date): (9—c 3 -C9-
TYPE OF STRUCTURE: , ' ' - /c'� —+l
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protecti from freezing
for 48 hours folio o the placement
of the concrete.
Materials for this p •os- on site
Foundation/Wallpour
Reinforcement in Pla'-
Foundation/D amppro.
Backfill Approval
Plumbing Under Sla.,
P1pbingVent/Vent FinPace
\air�h PluinSing .r fr _
H R ating ough-In "" T_�,`. Mil
Insulation ,4
Foundation Walls tenor R- -f-'
Foundation Wails xterior R Mil
-
Floors R-
Walls
-
Walls R-
Ceiling R-
Duct work or piping'n
unheated spaces R- —,
Proper Vent,Attic Vent ziI- f l-`
-F‘mtrtg Ac.G, � Aci, F
Jac S dsVHeaders 1 6 j(f - .. ^
•
Bracing/Bridging 1
Joist Hangers 1
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping -
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement ..
742 Bay Road .2
si
Queensbury,NY 12804 Arrive am/pm Depart `' / m
Inspector's Initials s (=tom
r
NAME: 9U5OI PERMIT# - 2 5
LOCATION: C�G-ti O4.[�- ter- , DATE : 1 r--,
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers_ I-1
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsible or
providing protection oin free ing
for 48 hours followi g the place\inent
of the concrete.
Materials for this pu se on site
Foundation/Wallpour
Reinforcement in Plac
Foundation/Dampproo n
Backfill Approval
Plumbing Unde ab
Plu ding Vent/Vents ' Place
Ro gh Plumbing
sting Roug In
nsulation /. . 1/4L-
Foundation Walls Ir tenor R-
Foundation Walls E,cterior R-
Floors R-
Walls R 1 / .
-
Ceiling R- _
Duct work or pipin in
unheated spaces R-
Proper Vent, Attic Veit
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 T-m\
( 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 p
Inspector's Initials
NAME: PERMIT# 0 f 59
LOCATION: ,l;�,y) DATE :
TYPE OF STRUCTURE: ( d (\I
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for •
providing protection from freezi g
for 48 hours following the place ent
of the concrete.
Materials for this purpose on site _
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents i Place ,4416k
Rough Plumbing
He1t►g Rough-V sulation (✓�—� ✓ � 6i ouPa-k
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
Bey•Z �:7 _A--�;-rI
<e'` .../-7:-F ;, „. ,4:<:. ,:c.?c, :;kik:
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received: // /S t1 ` "/'
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depart 'L arrypin,
Inspector's Initials`
NAME: -e- U --_. PERMIT# . ei'Ti ±II)
DATE :
TYPE OF STRUCTURE: t
RECHECK
N/A YES NO CO NTS
Footings/Piers I T I
Monolithic Pour Form
Reinforcement in Place
The contractor is res sible f
providing protection fr free ing
for 48 hours following e p1 ment
of the concrete.
Materials for this purpose o site
Foundation/Wal
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
ceumbing Vent/Vents in Place
ough PIumbing I
Heat: ou_. 1_ .
,, ,Insulation ,,„.. tr1, ,L• ✓
ounda' o alrs- terior R-
Foundation Walls Exteri R-
Floors R- /
Walls R-�'
Ceiling R'
-
Duct work or piping in /
/ unheated spaces R-
proper Vent, Att'c Vent
t4 =. JaSt�uds�Headers /
Bracing/Bridgin f&, 1. .17. 44,,,,.... ✓
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sea ed
ire Wall 2,3, 4 our j
c: ll PS O plug , C.'✓ VC RC R
„m
i
/'4-3\-7e(_:-\- -Apt 5:()6 -06
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: A)"1)1 /3 .-0
Building& Code Enforcement
742 Bay Road _
Queensbury,NY 12804 Arrive ,A_Wr Depart J - -
spector's lniti
NAME: �V\S O rA PERMIT#
LOCATION: 7$ • DATE : /(10
TYPE OF STRUCTURE: " e�
RECHECK
/ N/A YES NO COMMENTS
Footings/Piers —I I I
Monolithic Pour Form
Reinforcement in Place
The contractor is re nsi,l- for
providing protection tm fr zing
for 48 hours following e . acement
of the concrete.
Materials for this purpose o site
Foundation!Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backall 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
ding
Jack Studs/Headers ✓ r
Bracing/Bridging ✓_
Joist Hangers ✓
Jack Posts/Main Beam S�JTa L� 6�e
Air Infiltration Barrier u -� p�
Fire Separation 1,2, 3,hour ��ti !ice, _ \
Penetration Sealed �;�� l):',Nth
Fire Wall 2, 3,4 hour V'F i?17 k,.
Firestopping
kATCtiEt
ALL
hlk
GENERAL INSPECTION REPORT
( 518 )761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 1..pp
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive•t. 1.. •II Depart' iffif�4m
Inspector's Initial'
NAME: 'P-e'-k "" `' S t PERMIT#
LOCATION: 1 CA 4?---n • DATE: 2 d(
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
• Monolithic Pour Form
Reinforcement in Place
The contractor is respo ible or
providing protection m zing
for 48 hours followin the p acement
of the concrete.
Materials for this purpo e o site
Foundation/Wallpour
Reinforcement in P9
Foundation/Damoroo g
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents it.Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls I tenor R-
Foundation Walls E erior R-
Floors \`tZ" R-
Walls R-
Ceiling R-
Duct work or piping
unheated spaces R-
oper Atti Ven
An
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
y�4 �
•
GENERAL INSPECTION REPORT 7)12-
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received: 43/3 gob/
Building& Code Enforcement
742 Bay Road �J�
Queensbury,NY 12804 Arrive am/pm Depart Y_ai)n/nn
Inspector's Initials [/
NAME: �f/�jc � • PERMIT#
LOCATION: -7 7 Z°vr '�_ DATE :
TYPE OF STRUCTURE: <�'—,
RECHECK
• N/A YES-NO COMMENTS
Footings/Piers � 1:
Reinforcement in e
The contractor is responsible for
providing protection fro freezing
for 48 hours following e lacement
of the concrete.
Materials for this purpose n site
Foundation/Wallpour
Reinforcement in Place \Foundation/Dampproofing
ackfill Approval
aurobing rider Slab 1 �ycQ � t pJ
`Plu bing eni'tNents in Plac
ugh Plumbing
eating Roug
ation 4 ''�,-&-.
Foundation Walls Interior R-
Foundation Walls xte or R- / •
Floors On)z 2 "-4
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- \ \' 47\k---(,:-\---\ 1
GENERAL INSPECTION REPORT i 14971
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development .Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive nr Depart
Inspector's Init
NAME: h PERMIT
LOCATION: e r( DATE:
TYPE OF STRUCTURE: (7%
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
Reinfo cement in Place
i,�Fo tion/Dampproofing
ackfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
ough Plumbing
iR
Heating Rough-In
Insulation Z" VD A t \ /
Foundation Walls Interior R- it) �/
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 9 6/4
(518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive= ` pm Depart j:(
•: •ctor's Initials
11,
NAME' ' `Y� "Y` I re\ PERMIT#
LOCATI o N: :tea • / J DATE: ` . # (
TYPE OF STRUCTURE:,
RECHECK
N/A YES NO COMMENTS
tings/Piers �, VI
Monolithic Pour Form
Reinforcement in Place
The contractor is re I nsible for
providing protection r om freeing
for 48 hours followi the pla ment
of the concrete.
Materials for this purpo on s•
Foundation/Wallpour
Reinforcement•i' : e
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Plac7
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 Road ��
Queensbury,NY 12804 Arrive ' of Dep '! 1�'"�s�'
Inspector's Initi.i SST/'
NAME: �J� .�` PERMIT •s
LOCATION: �� (3�1Q(�( c 1 DATE : '— - �O )
TYPE OF STRUCTURE:
RECHECK
N/A YE/NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo •'ble for
providing protection fro freezin
for 48 hours following the placem nt
of the concrete.
Materials for this purpose on -ite
Foundation/Wallpour
Reinforcement I 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