2001-354 ..410.1% TOWN OF QUEENSBURY
742 Ba Road, ueensb ,NY 12804-5902 518 761-8201
T�� Y Q �Y � )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010354 Date Issued: Thursday, December 12, 2002
This is to certify that work requested to be done as shown by Permit Number P20010354
has been completed.
Tax Map Number: 523400-290-017-0001-026-000-0000
Location: 73 MASTERS COMMON SOUTH
Owner: MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage - 2 Cars Attached
Single Family Dwelling 4
1.
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
`o 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
N
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010354 Application Number: A20010354
Tax Map No: 523400-046-000-0007-018-000-0000
Permission is hereby granted to: MICHAELS GROUP LLC THE
For property located at: 73 4 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. Type of Construction Value
Owner Address: MICHAELS GROUP LLC THE Single Family Dwelling 273,000.00
10 BLACKSMITH Dr Garage-2 Cars Attached
MALTA,NY 12020 Fireplace
Total Value 273,000.00
Contractor or Builder's Name/ Address Electrical Inspection Agency
MICHAELS GROUP
10 BLACKSMITH DRIVE DRIVE
MALTA,NY
Plans&Specifications
2001-354 LOT 18 HSE#73
2973 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN
SPECIFICATIONS
$419.16 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday,June 05,2003
(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 ! To of Q n ury• yyesday,June 05,2001
/ '� �
SIGNED BY for the Town of Queensbury.
Director of Building& ode Enforcement
Building Permit Application
Town of Queensbut y - Dept. of Co nniwi/ty Development, 742 Bay Road, Quc'c'n.sln,r y, N)' 12804 /761-8256/
N -O • BUILDING dt . CODE ENFORCEMENT •
OTICE Requirements prior to issuance
A permit must be obtained beforo
of this permit: . PERMIT FILE N Vl
-35L-1
beginning construction. No inspections
will be made until applicant has received n Zonbtg Board Action PERMIT FEE PAID $il(i1,.I 6,
a VAI,,ID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID S
MUST be completed and.the signature E l Planning Board Action REVIEWED BY.. Jec----
of the applicant•must appear on the
SPR / Subdivision / Other Dialing lncrxcror
�ppliention form. . i -I J Recreation Fee Payment
Applicant: 711-4E l'�1lc.6M.(S Coy_ tp. Owner: j�'(-1; E.. -.,
' Address: \t1 .. I,C4�.a'111kAn . ,1 ' 6,l•6,\q, .2-6 Address:
Phone // y(5t,_ ) sac - cc„ \\ Pit nc # ( ) -
Property Loca tion: cC �c Y1nfb'1`(1S ��4:9k ` -
1RR,El c1C. G bk.rin� i) t RI.3DSC I Tax Map Number Li G' / , /( g
Subdivision Name:. �•-
1-4'�`eark6• 1 � t�l l� Section flock Int
NATURE OF PROPOSED WORK: •
�11,a�,�, ESTIMATED MARKET VALUE OF THE
X New Building: CONSTRUCTION: $ 9.,Th1C)Or3
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Build1L r ! \I D . —
residence / commercial . X Single Fam.�� �,:,lkli�g
Residence / Commercial Two Family Dwell
no change to exterior size . Family eill-4.401
Office -
Other Work (describe below) MercantilT0I NOFOUEENBBUR1
Manuf acturra9gPiNG AND CODE_
Other
GROSS AREA OF PROPOSED STRUCTURE: •
let Floor OM. sq. ft . If ADDITION, what will use
of new addition be? :
2nd .Floor (3c6y sq, ft . • Lk
Other Floors sq. ft .
( not unfinished cellar or basement) ACCESSORY BUILDINGS :
• Detached Garage 1 , 2 c )f
TOTAL FLOOR AREA: 9n13 SQ. FT. X Attached Garage 1 , 2 car k
Private Storage Bus. V
SIZE OF NEW STRUCTURE : • Commercial Storage Building
//__ O Other
W� FEET X 5 FEET .
Foundation Type : ?cti.Nccv Will any second-hand or ungraded
' Number of Stories : 9, lumber be used? If so, for what?
(habitable space only) 0
Height (grade to ridge) : 0' feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove ( circle all which a.plies )
to be installed: cY Q, Electric / Oil / CD / Wood
Forced Hot •,.Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes i s : -r,k QR 4iIs2s2tA `-a"ENkv12.
Na e A*dressss Phone
`Builder: W..Mtt s swp_ 10 gl7.c.x. Mt-Nn1 isa ` r\'Zo't� -(-31 l
Pium17er::- (;',-C., YAL>rc�true —
c 9A- ck l \k t.\ 1Z20L0 Atc.pn-2
Mason: 1
Electrician: "c_.. mac, ,1 rt•- Sk. ce.-\,t.�. \2.3C) 371 - 2Z- • .
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 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; wn to scale, sho 'in ac I location of project on premises.
Signature:
(o ner, owner's agent, architect, contractor)
•
Application for Permit— Septic Disposal System •
I owit of Queellsbu,y 742 Bay Road Queensbury,NY 12804 (518) 761-8256
:1, OWNER INFORMATION:
7� II6i 4 6k, /�a Omce use
Location of installation: �/�3��
Tax Map No. / /
Filo Permit No,
tt,A, 11 Foe Paid
Owner's Name: VM\-ckAG�S 6 ge
Address:
2. INSTALLER'S NAME : . PHONE NO.
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate It bedroom(s) and multiply II of
bedrooms with-applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdnn
• 1980— 1991 x 130 ga1/bdrin = •
• 1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes (` /. no •
Spa or Whirlpool Installed yes / no
4, PARCEL INFORMATION: (circle applicable information & indicate measurements) •
IQpQg whx___ QllliatSltc . Q.mmId Wnt.Or. _ Q(i.!QCk..o�:_.itl�uol_v1�.tiS_M.P.4Q�:�.'ll DoIUpsIic_Wat.a!•.$.ippIy
• Flat scout at what depth at what depth municipal
Rolling loam — feet feet well
Steep slope clay if well; wafer supply
%slope other from any septic-system
depth: absorption is fi'.
•
other
Percolation Test: (To be completed by licensed pro fessional engineer or architect)
Rate: minute per inch
5, PROPOSED SYSTEM: For New Construction: AII.individual sewage disposal systems must be designed by h licensed
professional engineer or architect (unless installed in a Planning Board approved sulxlivision). Add 25(1 gallons to the size -
of the septic lank and leach Held for each Garbage(kinder, Spa or Whitllxrol 'i'ub.
Septic Tank:' gallon (min. size 1,000 gal) ,OG /0: 6C- )CR 5.c5 .
Tile Field: each trench fl. Total System Length: fl.
Seepage Pit(s): number of size of each: ___fl. by fl.
Size of Stone to bo used; I1 _ / depth or thickness
Bed System Size: x
Alternative System: • length and/or size . .
6, HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: . gallons .
Note: Alann System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
•
7. SIGNATURE &INFORMATION FOR'RESPONSIBLE PERSON (please read)
For your protection, please note that pursuant to Section 136-29 of the Code of the Town .
of Quoonsbury, 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-arm applicant, shall bo void.
I have road the regulations with respect to this application and agree to abide by those and all
requirements of the Town of Queensbtiry Sanitary Sewage Disposal Ordinance.
ld�
Signature of responsible person Date
f
Fire �17:ushal's Office "Town of Q)ueensburv, 742 Ray Road,Queensbur v; NY
(518) 761-8205
Application for Fuel Burning Appliances &.Chimneys .
applicable to solid fuel & vented gas appliances
Date ' 20 �°`k E
�. - # l.ermit No -.
Application i.r hereby made to the I3ttilding,& Codes Office for the issuance of a Building and Use
- Permit pursuant to the New York State Fire Prevention and Building Code. 77w applicant or owner
agrees io comply with all applicable laws, ordinances regulations, and all conditions that are part of
these requirements and also iuill allow all nlspectoi..7o enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required.
•
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: " , Lz -AnA *„ `�C v • Stove: nvood coal pellet gas -
•
Fireplace.insert
Address: 10 , . j� Fireplace, factory-built: wood ealt
w a•
'v ` . .ti I, p yeN Fireplace; masonry wood gas
Furnace: wood gels oil
• Phone: 8S- ( t .
. ' If non-masonary applicance, please provide
Owner: , :,` Manufacturer Name: UzvA0c•etti C.
---Address-: v� - - --- - --- --. - .'--- Model-Number- _ -- --- - -= - - ---- —
Chimney Information
Phone: (circle appropriate words)
Masonry . block brick stone
Flue rile steep size:- inches
• Exact Address:1'2, •PIN
of construction or installation Factory-Built
. ef-r IS Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction /Installation must -
conform to NYS Fire Prevention & Building Indicate (circle) chimney material:
Code. Consult available Town of Queensbroy •
Handouts regarding required inspections. Double null 1 Triple wall / Insulated / Direct renting
Chinlne1•Liner
j , Ez hf,ex-'oa.1:10e�,p atntezzt—WICPWX111. of Qu4eYa>srbzzx'y, Nexar l'"ooe-ir
Fire ltl(tl'sha!Code# • S Collected S Refirnded Received,fronr (refunded to). l' t;,- ) 6 9 ,r' .titi ?
1 ®y- oo address:
.4 173 3389 (190) Public Safety ---------
.1 233 2655 (230)Minor Sales `"`
a ,,":44.-r o — T w.,. G�L4C,o.7 vy�z
•
3
White(Applicant) 1 Green(Fire Marshal) / . Yellow(Bldg. Dept.) I Pink&Goldenrod(Cashier's Dept.)
--�- -- v - -• -
•
- CONSERVATION èo STRUC: ON CODt` . -. .
•
PART 5 COMPLIANCE FORM
Building Design by Acceptable Practice
MELDING
DDRESS:_I 4S-VerG COCSOS �,„, _ - DATE: M•Asz 1' igen\
• 4 IP,J1/ - COUNTY: -0/4/Z-gEdi
RCHITECT,ENGINEER,OR
ONTRACTOR: THE MI6HAf, G2OOP PHONE: 518-
ERMITAPPLICAN'T: 5ti e PHONE: --
51-k
R Or--I
HEATING DEGREE DAYS (Table 2-1) MAY 3 1 2001
TOWN OF QU ENSE3URY
X 7000—9000
n 5000—6000 BUILDING AND CODE
I. BUILDING DESCRIPTION (Pre-qualifying Conditions)
If the building does not meet all of the following pre-qualifying conditions,
Part 5 of the Energy Code may not be used.
Building is residential with-one or two dwelling units.
❑X Building is Less than 5,000 gross square feet
[ XI Building is three stories or less in height.
•
Ratio of glazing area to gross wall area is equal to or less than 17%_
III. PROJECT TYPE
n New construction [ I Substantial renovation of existing building
❑ Addition to existing building I Exempt(7810.6c) p� NEB; / -,
IV. HEATING SYSTEM TYPE = k
-X
Gas-fired Oil-fired 1 Heat pump I Electric �� h : =
Joint Sealing: 7814_10(i)
Joint location j Sealant Type Specified l Plan/Spec_ Reference
Windows I Polycell I
Doors frames I Weatherstripping
Walls at roof/ceiling
Pol c el 1 1
Walls at floors/found_ Polycell •
Wall panels N/A
Utility entrance Weatherstripping
Penetrations Polycell
Other
Other _ I
Air Infiltration Barrier: 7814.10(j)
Location Required? ! Specified , Plan/Spec_ Reference
. Walls yes[no No-Cedar Siding
/ Other yes/no
Fireplace: 7814.10(k), (m)
Required I Specified Plan/Spec. Reference
Outside combustion - Yes-
air duct with damper
Flue damper with maw 20 cfm, or camper ( 20 c_f
damper and non-combustible doors -
Gas fireplace ignition No
VI. UVAC PERFORMANCE: 7814.11 (Table 5-3)
Equipment I Minimum Performance Specified Performance Plan/Spec_ Reference
Furnace 70% AFUE 90%
Boiler
Heat pump
Central air
conditioner i
tivAAG UUN t taut__ 7814_12
Temperature Control
Required 1 Specified 1 Plan/Spec_ Reference
Thermostat each Yes
dwelling unit .
Shut off at each Yes
terminal unit
Thermostat
Required Specified ! Plan/Spec_ Reference
Minimum range 1 Yes
45T-85°F
Deadband Yes
range >_ 5°
Automatic • Yes
capability
•
VIII. DUCT SYSTEMS: 7814.13
Category Required Provided Plan/Spec.Reference
Duct ? 1"thick N/A in conditioned space
insulation • R-33 in uncondtioned space
Transverse Sealed Yes•
jointsQ.
.
IX. VENTILATION SYSTEMS: 7814.14 •
System Type Required 1 Specified Plan/Spec.Reference
Supply Damper at envelope Y e s •
Exhaust Damper at envelope Y e s
Supply on/off switch .
{ YQS
Exhaust - on/off switch I Y e s
X- P.IPING INSULATION: 7814.15
Piping Type Insulation I Provided Plan/Spec_
Required I Reference
Heating distribution" ( >_ 11" N/A I 1
Service hot water`` >_ 3/<" N/A
`Does not apply to runouts.
"Does not apply to piping with a diameter less than or equal to tea"inch_
XL SERVICE WATER HEATING: 7814.21 (Table 5-4)
Performance Requirements
Water Heaters Minimum Specified 1 Plan/Spec_
Performance Performance Reference Storage EF• > _9 3 —_00132v I > _93 •
Instantaneous N/A
Pool N/A
•
Controls
Category - Required Control Control Provided Plan/Spec_
Reference
System automatic control Yes
System temp_setting range 140 degrees max_
Pool heater IID N/A
•
Pool heater on/off switch N/A
Electric water heaier separate switch N/A
Gas/Oil water heater separate valve Yes
XII. ELECTRICAL POWER: 7814.31
Category 1 :Required I Specified - 1 Plan/Spec_ Reference
Electric meters 1 Ea. dwelling unit ="c=
. i �
•
•
£.'1't i IOR ( T:L,
GPA.CUE cPAXED WALL_ WORKS -EE
R-Value 1 • R-Value
Inaulatad Construction - Framed
Aroa _ _ Cotoon.ant
.� Area
► 1. t
0.6b lllH! ii/� .
tct. Ilir Film 0.68
.�r .45 1/2" Gypsum Bd. ( .45 -
•
- t Wallboard 1 � �
19.00 6,. Fitt ---- ``- 1
Insulation
iii
S 1��
2x6 @ l6" o_c_ 6.87
---- •
SLuda
) �'
II _54 1/2" A,afer�at�od _54 I ( •�
r , Sheathing
•
. _65 V Y•
Sliding :65
,....,,,..___I0 17 Ext, Air F:lm t 0.17
•
21.49 R-Total i 9.36
U R inauiated Fraction* Fracea Fraction<
R-Total lnsulatec R-Iczal Fraceo
U - _85 .15 •
t
21.49 4- 9.36 t .056
•
t Wall Stud Spacing .insulated Fracticn
Framed Fraction
12" O.C_ .63
. 17
16" O.C. .ES
. 15
24" O.C. . 86
.12
•
EASEHEN7/CELLAR KALLS: ftORKSH££-
@ stairwells
R-Value 3 R-Value
with Ext_ • Construction with Int. \
. toast*ation 1 Cowoonents Insulation
0_17 ( t a.» . _ ��4
�•.4 ! Ext. Air Fi1a +�.-
I-41 None I : 44
1 Exterior -riftish l •�<
..• L !!! : • 8" Poured .- -1 (,<
••
.:; _ B1 OGt (Concrete i -1_72_ .- . ,. ,••.: < • •
f �_ ; Core lnsu1ation . •l �4:
uF'.., - 1-1JZ"R-max !{m-' �:
1(3• = Insulation .LO-on -. �.
�'
�4l.4.
•.. ..— NOIle - I1` ���e
tt leik - Interior Finish t 0V
— il
t1.V - -r— 0.68 1 0.68 _II ��
C�♦ ' . . - 1 (nt, /.ir Filet _ -1 •_4".•.
II-Tots 1 I /3
-37
1 •
U - .
.c R-Toth
1 `''
U .� -07/
8
Exposure Above Grade • '
.
II
Depth Below Gracie 48
SASEH£HT/CELLAR vALLS: eORKSH£E-
R-Value R-Val cc
with Ext. •if Ccnctructio 1 with tat.
tnsulatian 1 Cowoonents - Insulation
< . -_-
4. • t �- 0.77 0.17 .1. _- .4-
�.�
142
Ext. Air 1=i lc i , 4
�S• None - -_���<
.� - Exterior Fi ni Sh `. • ��•
::� j i 8.. Poured . . 1 -i V.
'.
. •� _ 5loct (Concrete1 ; . - .L.72 . . _ ••
44
•
�•�<° • -- : Core Insulation - ..4:
•
=��� ! (.f any) • t•o•4•
`1•<. . None r
t ��<_ ` Interior finish � �
•=.�j_- _ - .`lr— 0.68 j cat, Air Filet • 0.6S = i ..�: . `
13-57
R-Tool
• .0 t
1 -
- .c R-Tota l
1 t:
U� - 13 .57 •
.C74
•
8 «
Exposure Above Grade
Depth 8c1oK Gracie 48
OPACUE FRAsi£J ESOP.: RORKSYEET
jl 1 . / � ' • it
i
t R-Value 1
R-Value :
Insulatac 1 Construction Fraoec
I '
Area Cccr_cnents • • Area
0_92*
. •
Ext. Air Film . 0.92*
6" Batt
. .-. . . _. . Insulation ----
__-- 11 7/8" TJI's @ 24" o_cf.
. . .. Joists I . 14:84. ,
i _93 3/4" waferwoo3
. . .. sub-Floor . _.:.9 i
I i
n 1, carpet vinyl I
Pa. _ ._ in. Floor . ??eg1__
I 0.92 0.92
Int. Air Film
21_02 R-Total :16.86. .
U insulated Fraction;* Frawad Fraction**• -
o +
• R-Total Insulated R-Total Frawad
.0 .95 F - .05 -
0
21.02 16.86 "'_048
•
* For vented crawl space, use R 0.17 for ext. air film.
**' Floor Joist Spacing (nsulattd Fraction Franco Fraction {
12" O.C. .87 1 . 13
16" 0.C_ _90 _ 10
i
1 =C"- 0 _C_ al
•
•
ROOF/CEILING ZVENTEDi : 'O+2KSHEE:
iickht
•
i
R-Value R-Value .
Insulated Construction . Fraaed
`• Arca 1
Co.cponents ( .,ree
•
•
• 0_17 i Ext. Air Filc 0.17
. • 30.00 ? 9" Batt ---- 12.00 Overlap - -
Insulation I -
' 2x4 bottom chord
• ---- ; @ 24.E oc 3 4.3 5
Joists -
_45 1/2" Gypsum Bd_ _45 I
• .... Wallboard
0.61 0.61
Int. Air Fil=
•
31_23 17_58
R-Total
•
0Insulated Fraction* Framed Fraction*
r
R-Total :nsulatad R-Total Framed
. u _93 _07
r ` ` - _034
• 31.23 17.58
•' Roof Joist Spacing Insulated Fraction Framed Fraction
12" O.C. .87 .13
•
• 16" O.C. .90 .10
214" O.C. .93 .07
•
•
•
•
9aA
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received: /
Building&Code Enforcement
Dept. of Community Development Arrive am/pm Depart m/$m
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 128 4 /
NAME PERMIT#
LOCATION 73 ' , DATE
TYPE OF STRUCTURE
N/A YES NO 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"
Exterior Handrails,balconies,Ianding 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
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 more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans y��
Plumbing fixtures ✓C/
Foundation insulation 1J�
3/4 hour fire door/door closer UCIIP`"11
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 11(
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)
� f 1.-.
Town of Queensbury
Fire Marshal
's s Office
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE /
Received: Permit# Of- 3S / INSPECTION ON: 1Z !Z O2---
Name: UVI I 010166 5 62/, AM PM ANYTIME
Location: •
APPROVED
N/A YES . NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM .
FIRE SUPPRESSION SYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING
UNITS
CLEARANCE TO ELECTRICAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN •
FINAL
WOOD .
STOVE ROUGH IN •
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL
!REPLACE
• MASONRY ROUGH IN OK THIS DATE / OK FOR CO�� . NOT OK
FINAL
-\,FIREPLACE
FACTORY BUILT ROU c INSPECTED BY
FINAL I .
COM 1 /C• -,ISJ/WORDILETTERS2001/FIREMARSHALINSPECTIONREPOR 11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPART'`ENT COPY
RESIDENTIAL FINAL INSPECTION REPORT 91.1A
Office No. (518)761-8256 Date inspection request received: / /i` 0,.?"-- •
Building&Code Enforcement �9r,
Dept.of Community Development Arrive am/pm Departs -.i n/pm
Town of Queensbury Inspector's Initials 2-
742 Bay Road
Queensbury,New York 128 4 ,.s :cr,,ri lq sr;<
NAME j PERMIT# /- 5
LOCATION '7 1;)12,J 4( 3tr12d7/1 lkir-, DATE
TYPE OF STRUCTURE Th /
N/A YES NO 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" •
•- Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
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 i
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 ,11
(1.
Foundation insulation �f \I'D N ,-
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 °1
As Built Septic System layout required 1
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)
P113
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:. /L I O Z
Building&Code Enforcement
Dept.of Community Development Arrive\,'-a j4 part /41� �
Town of Queensbury ector s Initia s
742 Bay Road
Queensbury,New York 12804
i ?
NAME �� PERMIT# �j 6-1-1
LOCATION 4.3 1414-c ' d -r,„ .sr 1- DATE /Z/ //. I () 7
TYPE OF STRUCTURE c )
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location J/ IN�� � 1`� �_ C t�M 1-5
Fresh Air Intake ,/
Plumb Vent through roof V// V1.--CC
Roof Complete J 1r
Exterior Finish Complete 1// — fi�vb %\��L1p�7 e— .\\)k :
Interior/Exterior Railings 30"to 36" �//
Exterior Handrails,balconies,landing 18 in.or more J/
Interior Handrails stairs both sides 3 or more risers Grade 2%away from foundation ✓/
8"clearance to sill plate ,//
Gas Valve shut-off exposed/regulator 18"above grade /
Gas Furnace shut-off within 30 feet or within line of site J
• Oil Furnace shut-off at entrance to furnace areaFurna G04.t�
Relief Water Heater operating / F .�L v\P �u���
Relief Valve(s)installed �/i
Headroom,6 ft.6 in.on stairs ✓/ � `
Basement stairs,6 ft.4 in. V Handrail exterior stairs both sides more than 3 risers /
Interior privacy/trim/doors/main entrance 36" . •
f%
Floor Finish
Bathroom/Kitchen watertight j
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells d ,
Smoke Detectors: ✓�
every level sly
✓
every bedroom /
outside every bedroom ✓/
inter connected ✓ `
Bathroom fans �/ �\
Plumbing fixtures i/ --,,•\
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing �/j
Garage penetrations sealed ,/
Furnace in separate room protected(in garage) / ✓
Light ventilation per room `!
Safety glazing 18"or less from floor J
Final Electrical
Site Plan/Variance required /
Final Survey Plot Plan a/
As Built Septic System layout required .6 ,S
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)
GENERAL �g Office Use
INSPECTIONREPORT;PORT Inspector:
Town of Queensbury
Ready at time: •
Dept. of Community Development Request received: . Meet: 1
Building& Code Enforcement At time:
742 Bay Road
Queensbu3 NY 12804 ARRIV Notes:
�'� �. � P� ' as �nz
(I( 8) 761-8256 Inspector's Init."- •
NAME: S PERMIT#CMC f `
LOCATION: 7,5 /l 2 6k-013)--) I PTCT ON(date):
TYPE OF STRUCTURE:
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-I
.su
ion ") �S M A
Eoun atioT n Walls Interior R- MINIM
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
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
•
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at timed JD
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road •
Queensbury, NY 12804 ARRIVE am/pm: DEPART '0 am/pm Notes; i_ m„
(518) 761-8256 Inspector's Initials
NAME: 1,C- 0 Q() PERMIT# S
LOCATION:`� 2 5
/ `1�� ����{''�� INSPECT ON(date):
TYPE OF STRUCTURE: c � J
RECHECK
N/A YES NO OMMENTS
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/W allpour
Reinforcement in Place
Foundation/D amppro o fmg
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rou lumbing
non° _ • // -- 6410 6' 'oo i
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Pr er Ven Aftti Veil/
•
wack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier .
Fire Separation 1,2,3,hour
Penetration Sealed
Wall 3,4 hUur .
',4estopping
L:\SueFemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office Use
: EN L INSPECTION REPORT Inspector:
,�oL0(JI- Pf
Town of Queensbury
Ready at time:
Dept. of Community Development Request received: Meet:
Building& Code Enforcement At time:
742 Bay Road 1,
Queensbury, NY 12804 ARRIVE am/pm: DEPART L ' ' am/pm Note`s•
,
(518) 761-8256 Inspector's Initials -Ste'
NAME: PERMIT#
a�
LOCATION: 1� 1G INSPECT ON(date):
TYPE OF STRUCTURE: 5c0
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place 1
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete. r
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
F oundati o n/D amp p ro o fmg
Backfill Approval _
Plumbing Under Slab _
P nnbing Vent/Vents in Place /
Roug�h Pl�umb
I eatin"g�Rough-In (�V Sew 1&p1 lI c K
Insulation - \
Foundation Walls Interior R- (�2 C 4/C C - 4/-(L- � )
Foundation Walls Exterior R-
Floors
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R- —
Pro r Vent,Attic Vent '
arrrrng` Ac -1-R. 55 I v 117�- Iv`G_
Jacic Studs/Haders
Bracing/Bridging ram,
Joist Hangers V ADD \kp t4Coe k[L.5 (_ <<‘N - i 4T
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Pene ation Sealed
F' all 2 ,4 hour ..= /�
irestopping lei k 0-6 V [((l
L:\SueHemingway\uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
0.5/03/2002 01:02 699005S THE MICHAELS GROUP PAGE 01/01
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FIRE MARSHAL
TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
(518) 761-8205
FIRE MARSHAL INSPECTION REPORT� 3 5 t
REQUEST ECEIVED PERMIT# (//r1
NAME iCll2 6,e/-
LOCATION
SCHEDULE INSPECTION ON O
AM PM ANYTIME
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYST:
HOOD INSTALLATION
INTERIOR FINISHES ('
STORAGE:
CLEARANCE TO SPRI KLERS
CLEARANCE TO HEATI UNITS
REQUIRED SIGNAGE
' CHIMNEY `D i2 YTGA)
WOOD STOVE
OEPLACE-MASONRY �
FIREPLACE-FACTORY BUILT (\Co((• la)
G-571C. L)V/ i 36, RAJ
REMARKSpQ c s t 0 tfZ-5 TO THIS DATE
12C—di-%d1 06'i„N'6.7
INSPSLIP.PUB ,INSPECTOR
_ Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury
1 �Qp Ready at time: 1 '30
Dept. of Community Development Request received: Meet:
Building& Code Enforcement / At time:
742 Bay Road
Queensbury, NY 12804 ARRIVE am/pm: DEPART1 P. ' m/pm No
wisiKilli
v
(518) 761-8256 Inspector's Initials
c\(\
NAME: U \A__ GYt4ApPERMIT#_atrs.5J /
LOCATION: INSPECT ON(date): '-71 -.30 —Q(9,
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 ampproofing
Backfill Approval 5
Plumbing Under Slab C�S��-�lC 1� E�i2_ �L�I
Plun b4 g Vent/Vents_in Place
gh I'lum?s -
\\
J earing Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- 13e1._j R JJ _
Duct work or piping in ki,\.N.A.\,,,
unheated spaces R-
Prop ent,Attic Vent /
r . 1—Jac Studs/Headers �b47L,! �f..(76I6 S 1—; — GL4'j,+��Nj,Af 6A-R .
Bracing/Bridging y Ccrwv9u�� -re Uri i /�)e i-4/-G
Joist Hangers V i 5 si•u— 0,gL. (J L AA-n7C,6 2 5 `' 6rt-,2,_
Jack Posts/Main Beam •L,Pr( t v V6 5 To 6A.6e.e �4)0
Air Infiltration Barrier
Fire Separation 1,2, 3,hour Co'►...ea:- it it'M&&'I 104-/LtA/(.7
Penetra ion Sealed 01I t1› - G—y6 . ✓ -,4-1ie l=o Q,qt,,�- 6-') /Q US5
Fir Vi� l Z-;4 our ' 1
F. stopping 4 .P66 7 a 64‹ Grte Ll� Lo tie(' v10 / (OM h
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
4x, 742 BAY ROAD
QUEENSBURY NY 12804
.Y wi
3.t.,."' (518) 761-8256
ARRIVE: DEPART: INSP: ry
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUES RECEIVED:
NAME I� {�/I l�244-e . f.
LOCATION 73// r env1. CO..
DATE /70)2 PERMIT 0 TYPE OF STRUCTURE SO `f�
1 35/
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER _
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION I
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE' �.
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
\,J FINAL SURVEY PLOT PLAN, IF REO "J
OK TO ISSUE C/O OR C/C .
3p/j
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/p
im
\ Inspector's Initials
NAME: cVp.QN C� PERMIT#
LOCATION: DATE: O (
TYPE OF STRUCTURE: _
RECHECK
N/A YES N COMMENTS
ngs/Piers I
Monolithic Pour F F.
Reinforcement in "lace . 6tK• r ] /IIG
The contractor i. respons'sle for
providing prote 'on from '--zing
for 48 hours foll.wing the pl:cement
of the concrete.
Materials for this pu .•se on site
Foundation/W.llpou
Reinforcement'n Pla e
Foundation/D. '.pro.fing
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 '-
Walls 1'-
Ceiling '-
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
J
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 I a p
Inspector's Initials C�
NAME: `N- - -'t_ G e- PERMIT# 0 (1.5-
3 �c(
LOCATION: V� �d� ' DATE : !o dTYPE OF S CTURE:
RECHECK
N/A YE / COMMENTS
ePros/FOn'onlitsh/PliC
ur Form
enforcement in Place
The contractor is re.ponsible or
providing protecti• from fre-•ing
for 48 hours folio ..ng the plac-ment
of the concrete.
Materials for this pu ••se on sit.
Foundation/Wallpou
ReinforcemenQn Pla••
Foundation/Dampproo 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/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 0
742 Bay Road
Queensbury,NY 12804 Arrive am/pm Depari/
Inspector's Initials
NAME: Ms( 1Q ( PERMIT# 4J
y
LOCATION: •� �J Y � ;S ��,� I Aft DATE. 7— —
TYPE OF STRUCTURE: C'r)
RECHECK
N/A YES NO COMMENTS
Footings/Piers �: I
Monolithic Pour Form
Reinforcement in Place
The contractor is respo .ible f.
providing protection fro freezi
for 48 hours following - placem; t
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinfor ement in Place
Fo tion/Dampproofing
ackfill Approv..
Plumbing Under Slab
Plumbing Vent/Vents in Plac-
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
0
0
—i •
. - o o
- 0*. f3 �, \+ \ , o •
k --; 1
•
1 _
"I have seen otrobserved,or believe aw e 2vidence of, - . 1 .
- -
all objects stx�h as houses,wells, es,fences,etc., r 7 ,A . -. : r ___
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