2000-011 TOWN OF QUEENSBURY
i
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: 2000011 Date Issued: Thursday, December 15, 2005
This is to certify that work requested to be done as shown by Permit Number 2000011
has been completed.
Tax Map Number: 523400-309-006-0001-053-000-0000
Location: 39 MALLORY Ave
Owner: KEITH &KATHLEEN SWEET
Applicant: SWEET, KEITH & KATHLEEN
This structure may be occupied as a:
Unknown
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan, --
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code En ceme
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY � �� � COPY •
` 742 Bay Road,Queensbury,NY 128045902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
• BUILDING PERMIT
Permit Number: 2000011 Application Number. 2000011
Tax Map No: 523400-309-006-0001-053-000-0000
Permission is hereby granted to: SWEET,KEITH&KATHLEEN
For property located at: 39 MALLORY Ave
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: KEITH&KATHLEEN SWEET Unknown $20,000.00
26 SOUTH WESTERN Ave Total Value
QUEENSBURY,NY 12804 $20,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
SWEET,KEITH NEW YORK BOARD
Plans &Specifications
BP 2000-011
RESIDENTIAL ADDITION AND ALTERATION/RESIDENTIAL ALTERATION AND ADDITION AS
PER PLOT PLAN SPECIFICATIONSArea Variance No. 17-2000,Approved ZBA 3/22/2000
•
$96.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,March'30,2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Towns Quee. s ury�. h seat
• h 30,2000
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
BuildiñPer,nit Application
•
Town O,f�QlleeiZS17lt1y - Dept. of Contntunity Development, 742 Bay Road, Queensbury, NY 12804 [761-8256J
INOTICE BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance r
( ' of this permit: • PERMIT FILE NO.(9 6W b 1'
. A permit must be obtained before llli����
beginning construction. No inspections i ttij 0 v
will be made until applicant has received n Zoning Board Action PERMIT FEE PAID$ Olt,' "-1
a VALID BUILDING PERMIT: All • . Area /Use RECREATION FE P
applicants' spaces on this application
MUST be completed and.the signature Planning Baird Action REVIEWED BY: G
of the applicant must appear on the SPR / Subdivision /Other
Oiling Inspector
Application form. Thank you. J Recreation Fee Payment I '� -
Applicant: 1`�P,o't'Y 1 (4XPP r,
- Owner: �Pd4-Y...�t,Ue�
. ' Address: 11"1 Wtccifern A"1II Address: O•L° ` eL "l lank-/--ix
Phone # (5I7 ) riqx - ,,523 Phone # (5Lx) 1Ly - 53�
Property Location: J /1/10,11 Ohl (le-41)-Q� -- ��l'� / 95
Tax Map Number /—J
Subdivision Name: Section Block T.ot
NATURE OF PROPOSED WORK: ESTIMATED MARKET V)1LUE OF THE
New Building: CONSTRUCTION: $ 3o 000
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY IN-FORMATION:
1< Alteration to Building: Primary Building -
i - idence / commercial V Single Family Dwelling
Residence ommercial Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: - c
1st Floor sq. ft. "� If ADDITION, what will use
of new �addition be? :.
2nd .Floor o2 sq. ft rya. Second y�-loar add(-hci .
Other Floors sq. ft.
(not unfinished cellar or basement ACCESSORY BUILDINGS:
Detached a rage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. ,
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: t5 IC heavy lueC9h+b)• Will any second-hand or ungraded
' Number of Stories : c lumber be used? If so, for what?
(habitable space only) rl.0
Height (grade to ridge) : 3 ‘6 vfeet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: -( -- Electr c / � / Gas / Wood
' (Forced Hot Air Baseboard / Other
Person respon ible fo supervision of work as regards to building
codes is : er' u e 1'1'\O 1 P cl no -7 9 (P ', -0/ a
q� Name Addresss Phone
Builder: Ke.i4' ,$zee
Plumber: re(447 Gimp
Mason: lCer �
J Electrician: ea—h tveeJ-
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, an AS BUILT PLOT PLAN by
a licensed surveyor; r to e, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
PPor i
p�;3 OO1
/- �=-= ENERGY CODE COMPLIANCE APPLICATION E
- �#�-^
= � TOWN OF QUEENSBURY, WARREN COUNTY
9000 HEATING DEGREE DAYS JAN 1 0 2000
Compliance -Methods: PART 5 - Acceptable Practice Method " �01)
1&2 Family Dwellings (only)
. PART 6* - Thermal Rating - Component Trade Offs
1&2 Family Dwellings; Multi-Family
Dwellings (3 stories or less)
PART 4* = Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT'S NAME: PROPERTY LOCATION:
i-I-h Sweep' •
Mcth Aircue Queens kt r9 •
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - /8a7, — square feet
•
2 . TvDe of Heat - Electric V Oil Gas Other
3 . Is building mechanidally cooled? Yes K No •
4 . Percentage of area of windows and doors Over 17% a Under 17%
5 . R.-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a . Roof R 3g
b . Exterior walls R /?yla
c . Glazed areas R
d. Exterior doors R
e . Floors over unheated spaces R t-
. Edge of slab on grade (heated building) R
c. Basement/cellar walls (above grade) R f
h . Basement/cellar walls (below grade) R / t
_ . Heating/cooling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device
Conforms to minimum efficiency per code PA Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Apo_-cart ' ure Da� Phone Number
INSPECTOR' S REMARKS :
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: b. amlplp Depar am/pm
t Date Inspection request received: Inspector's I ials: O
NAME: �l PERMIT#: j r
LOCATION: rQ DATE:
TYPE OF STRUCTURE:
Comments
Y N N/A
Chimney Ht./"B"Vent/Direct Vent Location G h
Fresh Air Intake
3 inch Plumb Vent through roof minimum 6"
Roof Complete/Exterior Finish Co m fete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Gu d at deck,porches 36 in.or more
terior 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 %a"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above rade
Gas Furnace shut-off within 30 ft. or within line of site
Oil Furnace shut-off at entrance to furnace area
Fumace/Hot Water Heater-operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp, 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: 1 Battery backup:
Carbon Monoxide Detector
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Ba ment stairs closed rise>4 inches
ara a Floor Pitched
'Garage fire roofing/'/4 hour fire door/ oor 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
rawl spaces 18"x 24"access, 1 s .ft,150 s . ft.vents
Buildin No./Address visible from road
Final Electrical
Site Plan /Variance required
Final Survey Plot Plan
As Built Septic System/Sewer Dept. Inspection Sticker
Flood Plain Certification, if required
Okay to issue C/C or C/O Temporary/Permanent
L:\PamWlBuilding&Codes\Inspection FormslRes,Final Inso. form 2.docLast printed 2/12/04
Town of Queensbury Fire Marshal
4a 742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 745-4437
Factory Built Gas Fireplace/Move Inspection Report �
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the inst ctions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the ma ufacturer's
instructions or sp .in 'ous is allowed. -/
permit# ��-d'/P Schedule Inspecti( am pm anytime inspector
Name �- _ Address U '' Rough hl__Fanal�
Appliance Manufacturer Model#
Direct Vent Factory Built Chimney Flue Size . Double Wall Triple Wall Insulated
Yes No N/A Comments
Floor Protection
Clearances to Combustibles (all sides)
Firestop(s) Vertical.Chase
Nall penetrations
Vent Clearances to Combustibles
Vent/Chimney Termination
Chip mey height must be 3 feet above roof
penetration;2 feet above may combustible
construction within 10 feet
Gas Shut Off'Valve
Combustion Air
Hearth Extension:(if any)
Mantel
Height above f/p opening
Witness Operations
Tank Placement{if LP)
Fire Mutahal
White—Binding Dept, _ Yellow G ,t er pink—
Queensbury Building & Code Enforcement - Residential Final Inspection Z �_Zola
Office No.(518)761-8256 Arrive:`36 am/p epart: am/pm 1
Date Inspection request received: Inspector's Initials: 217
„ c
NAME: 6!5!— PERMIT#: ®�® DC J
LOCATION: mme 9 VZ7/4z—, DATE:
TYPE OF STRUCTURE:
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 Complete
1 Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in. or more
Guard at deck,porches 36 in.or more 446
Exterior Finish Co e A11 InteriorlExterior Railins34 in.to 38 in.
Platform at all exterior doors
Interior Handrails stairs 2 or more risers
Enclosed Stairs Sheetrock Underside minimum %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
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
Fumace/Hot Water Heater operating
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Tern 110
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
.Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below grade
Basement stairs closed rise>4 inches
Garage Floor Pitched ��
Garage fireproofing/'/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 Vor
Crawl Spaces 18"x 24"access, 1 s . ft.-150 s . ft.vents
Building No./Addres visi le from road
Final Electrical
Site Plan /Variance re uir
Final Survey Plot Plan jj a /
As Built Septic System/Sewer Dept.Inspection Sticker e6 �j } ArppL
Flood Plain Certification,if required
Okay to issue C/C or C/Q Temporary/Permanent
L:\PamW\Building&Codestlnsnection FormslRes,Final Insm form 2.docLast printed 2/12/04
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/!) Dr rt: pm
742 Bay Road, Queensbury,NY 12804 Inspector's Initials
5
NAME:
r(jT PERMIT#: 0
LOCATION: INSPECT ON: 0 3
TYPE OF STRUCTURE:
Y N NIA CO1V MENTS
Framing "
Jack Studs/Headers -
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
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 lz(w) 16 gauge(8) 16D nails each side
Draft stopping 1,000 sq. ft, floor trusses '211
Anchor Bolts 6 ft. or less on center LLS L 9
Ice-and snow shield 24 inches from wall
F' e separation 1,2, 3 hour
ire wall 2, 3,4 hour
_I*irestoppig. -- -:
-penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side ''/z 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 I below grade
5.0 sf grade
—E..\Siiel-ierningway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003
Framing / Firestoppihg Inspection Report
Office No. (518) 761-8256 Date Inspection request received --7
I
Queensbury Building&Code Enforcement Arrive: am/p�� ,
a 4MIpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials.
o— 0
NAME: C PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Framing Y N N/A COMMENTS
Jack Studs Headers
Bracing Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
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
I V2(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
"o
Firestopping T,ot
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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 grade
k, PC)(,k VC,0tA,—t/Al C0 UV ;444tt-
L:\SueHe-mingway\Btiildin-..Code�.Inspection.FORMS\FramiiigFirestoppjng Inspection Report.doc January 28,2003
v M� 4
GENERAL INSPECTIOJN.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 Depa anz/p
Inspector's Initials `J!z
NAME: GJ I PERMIT# 1 r
LOCATION: DATE.
' {
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible r
providing protection from fr ing
for 48 hours following the acement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
P
Imbing Under Slab
BingVent!Ven inPlaugly Plum
ingi.ir [✓(lC /U'/�-t G- �G`/
Heating Rough In
Insulation
Foundation Walls Interio R-
Foundation Walls Exterio R-
Floors R
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent,Attic Vent
Framing
Jack StudsBeaders
Bracing/Bridging
Joist Hangers
Jack Post&Main Beam
Air Infiltration Barrier
Fire S. tion 1,2,3,hour
Pe tration Sealed
ire_Wal hour
Firesto •ing Nf jt"
� f �
GENERAL INSPECTION NE"
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
Queensbury,NY 12804
742 Bay Road Arrive am/pm Depart P Inspector's Initials
NAME: PERMIT 4 6V
LOCATION: DATE: 1114101
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
Footings/Piers r7t. I
Monolithic Pour Form
Reinforcement in Place7:::�
The contractor is responsible for V
providing protection from freezin
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
JFraming
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
Firestoppi
l j
1
GENERAL 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- ani/pm Depart 1____ai pm
Inspector's Initials,
NAME: PERMIT 4
LOCATION: DATE: 71
TYPE OF STRUCTURE:
RECHECK.
r.
r
NIA 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 f,
of the concrete. , ,
Materials for this purpose on site
Foundation/Wallpour .�
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval .
Pl ing Under Slab
VPlumbing VcntlVents in Place ./V ).
Rough Plumbing ,
Heating Roun '
/_�-FBsulation -
Foundation Walls Interior R- ` 70
4t)
Foundation Walls Exterior R-
Floors R
Walls R � ' �
Ceiling R-
Duct work or piping in f ,
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 dNSPECTIONREPORT
(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 Departf `�apt
Inspector's Initials
NAME: � j6L X2-C-°''( PERMIT# "r
LOCATION: d av Aoc DATE: ALL-
TYPE OF STRUCTURE:
RECHECK
NIA YE NO COMMENTS
Footinglers
1Vlonolitl P r Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezi g
for 48 hours following the plat ent
of the concrete.
Materials for this purpose on si
Foundation/Wallpour.
Reinforcement in Place
Foundation/Dampproofl.
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Pla
Rough Plumbing
Heating Rough-
Insulation
Foundation Walls Interi R
Foundation Walls Exte " r R-
Floors R-
Walls R
Ceiling R-
Duct work or piping i
unheated spaces R
r Vent, Attic Vent
Jack Stud slHeaders �
Bracing/Bridging �.-
y Joist Hangers �"'uz..<.�`i' �/�r
. tc_..
//Jack Posts/Main B am
V'Air Infiltration Barrier C�
Fire Separation 1,2, 3,hour eu
Penetration Sealed
re Wall 2,3,4 hour
VFirestoppinig T- 4/7-10
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Qucensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Qucensbury,NY 12804 Arrive ain/pin Depart/lO n/pm
Inspector's itials
NAME: _ PERMIT#
LOCATION: DATE :- — —
TYPE OF STR CTLW:
RECHECK
N/A YES NO COMMENTS
Footings/Piers ^- --1 I C) C\
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 \NZ,
,
Foundation/Wallpour CA&q
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place , . ...�-
Rough Plumbing
Heating Rough-In
Insulation L)L je "4-&AJ-T'�
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 Scaled
Fire Wall 2, 3,4 hour
Firestopping
Queensbury Building & Code Enforcement - Residential Final Inspection
Office No.(518)761-8256 Arrive: am/pm De t: am/pm
Date Inspection request received: Inspector's Initials: /7-
NAME: G.�C'L''r PERMIT#: ---C I
LOCATION: � �d �, ~, DATE:
TYPE OF STRUCTURE:
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 Complete
Guard 30 in.or more @ stairs,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or more
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 %2"
Gypsum
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or Wall
6 inch clearance to sill plate
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
Low water shut-off boiler
Relief Valves installed/Heat Trap/Water Temp 110 j
Interior privacy/trim/doors/main entrance 36 in.
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors: f
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: / Battery backup:
Carbon Monoxide Detector
Bathroom Fans, if no window
Plumbing fixtures
Foundation insulation F
Floor truss,draft stopping finished basement 1,000 sf
Emergency egress below gradejZ
Basement stairs closed rise>4 inches
Garage Floor Pitched J� ,Q v J Q�
Garage fireproofing/1/4 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 �� /'U
Crawl Spaces 18"x 24"access, I s . ft.-150 s . ft.vents
V
No./Address visible from roadlectrical n /Variance
Final Survey Plot Plan G%
As Built Septic System/Sewer Dept.Inspection Sticker
Flood Plain Certification, if required OK
0to issue C/C or C/ Temporary/Permanent
L:\PamW\Building&Codes\Inspection Forms\Res. Final Insp. form 2.docLast printed 2/12/04
Town of Queensbury Fire Marshal
742 Bay Road
Queensbury,NY 12804
761-8205/761-8206
fax 7454437
F tory Built Gas Fire lag / tove Ins ection ftort
Notice:New York State requires that all UL Listed,factory built appliances be installed according to the instructions and
specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's
instructions or specifications is allowed.
Permit# /0 Schedule Inspection Time� ,' � am pan anytime Inspects 2y
: J� y+- G _ Rough In �/Final
Name C /� JCS Address_ [-c,oa�Y g .^- --
z d -z--
Appliance Manufacturer Model#1
Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated
Yes o N/A Comments
Floor Protection -^ � �
Clearances to Combustibles all sides
Firest0p(s) Vertical Chase
Wall Penetration
Vent Clearances to Combustibles
Vent!Chimney Termination
Chimney height must be 3 feet above roof
penetration;2 feet above any combustible
construction within 10 feet
Gas Shut-Off halve
Combustion Air
Hearth Extension (if any)
Mantel
Height above f/p opening
Witness Operation%"
Tank Placement(if Lip)
White—Building Dept. fellow Cost er Pink—Fire Msnnhal
Framing /Firestopping Inspection Report
Office No. (518)761-8256 Date Inspection request received-
Queensbury Building&Code Enforcement Arrive: am/p pa am/pm
742 Bay Road,Queensbury,NY 12804 Inspector's Initials:
NAME: PERMIT#:
LOCATION: INSPECT ON:
TYPE OF STRUCTURE:
Y N—';N/A COMMENTS
Framing
Jack Studs/Headers
Bracing/Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
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 Y2(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
ire wall.2, 3,--4-hour_-.-,
Fi-
UPS.opping
Penetration sealed
16 inch insulation in cavity min.
Garage Fire Separation
House side V2 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 grade ..............
E-:\-S—u--eHemingway\Building.Codes.Inspection.FORMS\FTamingFirestopping Inspection Report.doc January 28,2003
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