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2002-557 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development Building&Codes (518)761.8256 E"IFICATE OF-OCCUPANCY Permit Number; P20020557y Date Issued;' Tuesday;August 05,2003 4 3a.Gs;S 3r This is to,tertif that wdtk,iequested to be::done as shown=by>Permi Number z PZ0020557 :µ p has been completed. Tax Map Number: 523400-297-010-0001-040=000.0000 Location, 55 WINCOMA Dr Owner: PETER&CONNIE DE PALO Applicant: PETER'DEPALO This structure may be occupied as a: By Order of Town Boatd Fireplace TOWN OF QUEENSBURY Garage-2 Cars Attached' Single Family Dwelling .-- Dkectorguw&ele telit TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 L) Lzzz Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020557 Application Number: A20020557 Tax Map No: 523400-297-010-0001-040-000-0000 Permission is hereby granted to: PETER DEPAL0 For property located at: VvINCOMA Dr 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. Tempe of Construction Value Owner Address: JOAN REID Fireplace 627 RIDGE Rd Garage-2 Cars Attached QUEENSBURY,NY 12804 Single Family Dwelling 275,000.00 Total Value 275,000.00 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2002-257 Lot 5A, House No,u Wincoma Drive Rolling Ridge Estates, Section 1 Construction of a 3,064 sq. ft. single-family dwelling w/2 car att. garage, and 3 fireplaces as per plot plan& specifications. $430.08 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 29,2003 (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 the Town of u ensbury; Monday,July 29,2002 SIGNED BY for the Town of Queensbury. Director of Building&Cofd�nforent I� Building Permit Application Town of Queensbury-Dept of Community Development,742 Bay Road,Queensbury,NY (518)761-8256 A permit must be obtained before beginning construction. Permit File No.200 ;k- 1 No inspection will be made until applicant has received a Fee Paid $ valid building permit. All applicants' spaces on this Rec.Fee Paid application must be completed and must appear on the Reviewed By: application form. /� Applicant: Q�f'd- ( l F �fo Owner: �W r� C cs.cJr��e 17e 70, Address: �� /P �a �� Address 7c oar fly r�Cy 5 c l Phone#(S� -3 Phone#{_) V>'- Property Location: Lot Number: / House Number iv O% Subdivision Name: (f P Tax Map Number: 77.% '�`� i /Q CO y. ®' New Building: 46esidence commercial Estimated Market Value of Construction: $ r 75 c94f7 ❑ Addition: residence/ commercial If an Addition,what will use of new addition be? ❑ Alteration: residence/ commercial ❑ No change to exterior size: residence/com'1 ❑ Other work{describe } Check OccupancyInformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling gQ;2, 30 6 ❑ Two familydwelling �i7 ❑ Townhouse ❑ Multifamily dwelling #of units o Office ❑ Mercantile --__-- -- _ o-. --Manufacturing. ❑ 1 car detached garage -- ❑ 2 car detached garage ❑ 3 car detached garage ❑ / 1 car attached garage m' 2 car attached garage C �Ja ❑ 3 car attached garage ❑ Storage building- commercial ❑ Storage building- residential �i ❑ Other �j What is the proposed height of the structure feet _inches ✓ Will any second-hand or ungraded lumber be used? If so,for what? AID Type of Heating System: electric/ oil / gas/wood /forced hot air/ baseboard/other: a�'�,J- 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 s- c,_o 4-b E. = Est" �S �` a d-'f 3 Plumber Mason Electrician 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 Administra or D' r of wilding and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all a cons ti n. Signature: owner,owner's agent,architect,contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bav Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: -- Office Use r Location of installation: ZC')7 :5A � � . Fq7 File Permit N J Tax Map No. 16 i Fee Paid Owner's Name: �ee� G: r,5�� to t...._............. ..................... Address: 1rNT- �A �c1;n c 2. INSTALLER'S NAME : �n s : f-- PHONENO.12-2v_3 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s)and multiply# of bedrooms with applicable gallons per bedroom to equal total daily fX Year of House: No of Bedrooms x Computation — Total Daily Flow 1, - 1980 or older x 150 gal/bdrm = IIIJAI 2 ,3 zdG2 1980—19 x 130 gaUbdrm = QF Q,l„� 1991 present L x 110 gal/bdrm = A pv �y Garbage Grinder Installed yes_ / no Spa or Whirlpool Installed yes Ag2 / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) icy 1�11fng h Soil Nature Ground Water Bedrock or I ervcous Material Domestic Water.Su sand at what depth at what depth municipal loam `7`5' feet 1%p z Q. feet well Steep slope c ay if well;water supply _%slope o er from any septic-system depth: absorption is QD other Percolation Test:- (I o be-compteied by Xice:zsed pr f ssion l enngineer or architect) ` Rate: . =3;kj"—"minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board app=m=d-wuhdbds Qu)• Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub. Septic Tank: gallon(min. size 1,000 gal.) Tile Field: each trench Fr Total System Length:_3 Seepage Pit(s): number of size of each: fi by ..- Size of Stone to be used: # / depth or thickness feet Bed System Size: x i Alternative System: "�Y h 1 `,r ; length and/or size 6. HOLDING TANK SYSTEM: (if required) Number oftanks:_ —j�—/ Size of each: '.,-gallons /TOTAL Capacity: i�gallons Note: .Alarm 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 ofthe Code of the Town of Queensbury,any permit or approval granted-which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance. S natu a of responsible person Fire Marshal's Office Towii of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances*& Chimneys applicable to solid fuel & vented gas appliances Date 20 Permit No. 44 Application is hereby made to the Building& Codes Of Building and Use'ficefor the issuance of a Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirenzents and also will allow all inspectors to enter premises to peiftwin required inspections. NOTE to applicant: - Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name: Stove: wood coal pellet gas Fireplace insert Address: 07, Fireplace, factory-built: wood d—m;7 Fireplace, masonry: wood, gas I Furnace: wood gas oil Phone: If non-masonary applicance, please provide Manufacturer Name: Owner: Address: Model Number: Chimney Inform'ation Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches nches Exact Address: �Ijn of consiri�cdon or-in titril, ,'Factory-Built Manufacturer narne. -Model Number: Note: Listed By:_ Number: Construction lInstallation must eon.f Qrjn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Double wall Triple wall / hisulated Handouts regarding required inspections. Direct Ven Ifig Clihimey Liner x� Fire Marshal Code# S Collected S Refi auled Received (re/andedto)l address: A 173 3389 (190) Public Safety A 233 2655 (230)Minor Sales DA TE: EIT-Zr7- White(Applicant) Green(Fire Marshal) i Yellow(Bldg.Dept.) Pink&Goldenrod(Cashier's Dept.) Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 20 C,-� Permit No. jq 0�- � 7 Application is hereby made to the Building&Codes Off ice the issuance of a Building and Use Permit pursuant to the New York State.Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part Of these requirements and also will allow all inspectors to enter preinises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information n (circle appropriate words) Stove: wood coal pellet gas Fireplace insert Address: Fireplace, factory-built: wood ,--'gas,.,.l Fireplace, masonry: wood '-g-di Furnace: wood gas oil Phone: If noti-masonary applicance,please provide Owner: Manufacturer Name: Model Number: Address: Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue tile steel size: inches Exact Address: of construction or installation Factory-Built Manufacturer name:Model Number:. Note: Listed By: Number: Construction lInstallation must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury 4 Handouts regarding required inspections. Double wall Triple wall Insulated / e-Direct veiitiiii- Chityinq Liner Fire Marshal Code 4 5 Collected S R(funded Received fi-om (retimded to): e A 173 3389 (190) Public SaJLty A 233 2655 (230)Mh1or Sales DATE: C; rr White(Applicant) J Green(Fire Marshal) Yellow(Bldg.Dept.) Pink&Goldeiirod(Cashier's Dept.) Fire Marshal's Office Town of Queensbui-y,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys, J applicable to solid fuel & vented gas appliances Date 20 Permit No. 17 6a-S 5 Application is hereby made to the Building&'Codes Office for the issuance of a Building and Use Perinitptirsuant to the New York State Fire Preventio)i and Buildif'19 Code. The applicant or owner agrees.to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to 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) Stove: wood coal pellet gas Name Fireplace insert Address: Fireplace, factory-built: wood 1�v Fireplace, masonry: wood' gas U Furnace: wood gas oil Phone: If non-masonary applicance,please provide 4 Manufacturer Name: /'.1 Owner:Address: Model Number: Chimney Information Phone: (circle appropriate words) 4ilasonry block brick stone Flue tile steel size: inches afconstracdoWtir installation i Factory-Built Manufacturer name: i_Lt.A-At ,"2 Model Number: Note: Listed By. Number: Construction!Installation.must conform to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbug Handouts regarding required inspections. Double wall I Triple iY(Ill Insulated ,Direct venting Chininey Liner Fire?Marshal Code# S Collected S Refunded R&eivedjrl�om (rey�unded to): address: A 1.73 3389 (190) Pul,lic SaJZty A 233 2655 (230)Minor Sales DATE: LWhite(Applicant) T Green(Fire Marshal) Yellow(Bldg.Dept.) 1 Pink&Goldenrod(Cashier's Dept.) ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY1 WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Methft� ,,., 1&2 Family Dwellings (onlpl) PART 6* - Thermal Rating - Component�w4g .0,ffs'sual, 1&2 Family Dwellings;. Multi-Family;V Dwellings (3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLICANT' S NAME: PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 306 ,1 - square feet 2 . Type of Heat - Electric Oil Gas Other 3 . Is building mechanically cooled? Yes No 4 . Percentage of area of windows and doors Over 17% V/Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 3o b . Exterior walls R jcj C . Glazed areas R 3� d. Exterior doors R _/ 0 e. Floors over unheated spaces R 'f9 f . Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below ' grade) R I i . Heating/cooling-ducts-piping in unheated space R A114 6 . Service (domestic) hot water heating device/ Conf orms to. minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 WILL NOT BE EXCEEDED Ap�pRate . %cant, ture Phone Number / Q2* I SPECTOR' S REMARKS : ' Residential Final Inspection :3 Office No. (518)761-8256 Date Inspection reque ece ed- Queensbury Building&Code Enforcement Arrive: pm pa 742 Bay Rd.,Queensbury,N�Yj 12804 Inspector's Initi s: NAME: i�C" ,ILO P #: ' -r-an 7.—_c-59� LOCATION: y5s 4 AT 5� TYPE OF STRUCTURE: Comments_ <�O Y N NIA CJ F� v Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof 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 Grade away from foundation*' Q� Handrail Termination at Newell Post or Wall 8 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 Interior rivac /trim/doors/main entrance 36 in. �3 t--- - Ct�LLF�� Q tip JU Bathroom/Kitchen watertight %q- D O� Ott 1 Safe lazin Window in stairwells safety glazing Interior Smoke Det tors: ry Eve level: / Eve Be om: y' Outside every bedroom ar a: Inter Connected: 1 Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulationIR—Lq Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches '/<hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 2 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s . ft.-150 s .ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan VA As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert. Of Compliance) Okay to issue Temporary C 1 O(Cert. Of Occupancy) Okay to issue Permanent C l 0(Cert. Of Occupancy) Residential Final Inspection g CO O Office No. (518)761-8256 Date Inspectiongreqe,c,ei , Queensbury Building&Code Enforcement .Arrive: art:742 Bay Rd.,Queensbury,NY 12804 Inspector's InitiNAME: � rPA L r, :LOCATION: ,E�L� 1 � C1 1� - ' E TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location tt _ Fresh Air Intake 3 inch Plumb Vent through roof Roof CompleteGuard 30 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 Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Past or Wall 8 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 FurnacelHot Water Heater operating Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwel safety lain Interior Smoke De etors: Every level: NJ / very Be�room: Outside every bedrooea: �// / Inter Connected: / Batter backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency e ess below grade Basement stairs closed rise>4 inches 3/4 hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in,x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 s .ft.-150 s , ft.vents (� Building No./Address trisible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic S stem/Sewer Dept. Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) Okay to issue Temporary C/O(Cert. Of Occupancy) Okay to issue Permanent C/O(Cert. Of Occupancy) L:\SueHemingNvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 Residential Final Inspection Office No. (518) 761-8256 Date Inspection request cei-V Queensbury Building � Code Enforcement .Arrive: a art: am/ ni 742 Bay Pd., Queensbury, T-%TV 12804 Inspector's Initia r. I-TA2vlE: P -r �9Q- S:5 7 LOCATION: cjS E: 'TYPE OF S-raTUC'1-TJRR: Comments V N "NIA, Chimney Ht. CIV—Vent/Direct Ven?'Iocation Fresh Air Ixitake' 3 inch Plumb Vent throw roof Roof 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 Cornplets Interior/Exterior aailings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Grade away from foundation Mandrail Termination at Nowell Post or Wall ---3 6', 8 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 01 Low water shut-offboiler Belief Valve(s) installed Interior privacy/trim/ doors/main entrance 36 in. Bathroom/Kitchen-watertight Safety glazing Window in stairwells safety glazing Interior Smoke L>etectors: Every level: / Every Bedroom: Outside every bedroom area: _ Inter Connected: l Battery backup: Bathroom Fans, if no window Carbon Monoxide detector lop Plumbing fixtures Foundation insulation Floor truss, draft stopping f-mished basement 1,000 sf Ernsr-gency egress below grade C> Basement stairs closed rise::- 4 inches IZ4 hour fire door Z door closer tiara fireproofing N Duct work Sealed properl .Attic access 30 in. x 24 in. x o in. accessible are-a. S., 1 sq. ft.-150 sq. ft. vents Crawl Spaces i 8- x 24" Building 1,,To./Address visibigfrom road Final Electrical Site Plan /Variance required 17 *ZN � Final Survey Plot Plan As -Built Septic System/ Sewer 13ept. Inspection Sticker Flood Plain Certification, if required Okay to issue C/ C (Cert. Of Compliaxice) Okay to issue -Fem orary C/ 0 (Cert- Of Occupancy) Okay to issue Perrnanent C/ 0 (Cert. Of Occupancy) 1-:\SueHen-dngway\13uilding.Codes.Inspection.FC)P-MS\aes.Final Insp. form 2.doc edited January 28,2003 Oro roxx, xronro ►� Nw �, rox ron w� aarza zHwzzzz � x � H HHaza C0 r � c� a� Orx z0 ►c � 0 MHPHxP0 r � g0cw 00 g0xq p r� > a a a q �q g m r m m n m z 0 H y t ro x I ca m M > D) n H 0 r r H .H H I H x z G M H H x z rH a c ro n n n 0 N 0 c z 0 a P H 0 N 1z H z H �M � z' 0 H H m ►� O00 m00 ►� 0 0 0 Z �n � 0 z , N c r ro ro ro 0 0 0 H C p 0 wN z N N �I z ro ro ro H "� '�G ro w 0 x 0 N ro r 0 ►� c m z r t� nr� chaddrNx � � c� � cyH N = r n ►� � � N. > n � N z H m z z c: ►� n w ro x c p r n H z N $ H x n H ro H n n 0 0 N � r � N � N � � r3 0 or � �anaH2Nq r0Na° ►� x 14z nc z 0 z r x x r� 0 r rl 0 r N r w x x z N N ro N H C1 ro G1 H ro t� H H c: r 10 2 m c C z t� r 0 ? H r c ro m a q N 0 E -14 z z H q H H >0 CIO z c H � zpcmc Ozz w N>ftlN OP ro ro N CO �C � H z z y n x t i 1 7 MAP REFERENCE: MAP OF SECTION NO. 1 ROLLING RIDGE ESTATES s DATED: JUNE 28, 1956 FILED: AUGUST 3, 1956 a BY: LESLIE W. COULTER I r i LOT 8 --- GIRD" S74 `06' 00 0 E GIRF 223.28' ! IRF ' I 15' SETBACK in c>ni LOT 5A IPF AREA - 36,776.5$ sq.ft. 0.84 acres !, u W � ssr• � W o - W { U O oVCO N �b(0, 74.60 N ` O\ Z 4 ► N At N LOT 7 1 ` 15' SETBACl i GRF 188.49CIRF N74°50'00'W k HEREBY CERTIFY THAT THIS MAP' WAS PREPARED FROM AN ACTUAL FIELD' SURVEY. THIS CERTIFICATION SHALL RUN ONLY TO THE PERSONS IPF FOR WHOM THE SURVEY WAS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON. LOT 5 CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL N5TMMONS OR SUBSEQUENT OWNERS. CERTIFlED TO, PETER J. CONX J. DEPALO TRUSTCO BAW ,NXT10NAL ASSOCIATION: IT'S 5UC.t�iEVk*5t'A)'ID. 4R ASSIGNS CHfCAG0111'Lf OMPANY � s w r. MATTE E}rlhG 5TEVES./ 5'NYS 50135 -- DATEDi JULY 14. 2003 ; -t) & �- r� a et , a A 'URAU1HW= ALURATION OR ADOMON ,0 A SURVEY & MAP OF A EICEKSED SAND SURVEmts SEAL IS A Map of a Survey made for MOUTONIM Cf SECTION 7200. 9UM9p1 7. B-DOF THE �. NEW VWK STATE EDUCATON LAN!' Scale S t V v e S dar wncf nmia m aacawv.arms a�evcr ' t - SFJLL SfW1 EE-CDNSIDERED TO ME VALID TOR: COPIE'Z 'CER, CODE OF PRACTICE TIE FOR M, PETER J. & C O NNIE J D E PALO S --1 amT ENS SURVEY %WS PREPARED SI ACCORDANCE YRTi ENE Land Surveyors, i J C EY17010 CODE OF PRACTICE FOR MM OFPRO SURVEYORS ADAL LA TEE NEW PORK STATE r;A7TCN OF PRDFESSICNAU w+0 SLRVEYDRS: SAS) CtAmcATDNs SMALL RUI 01LY ' to THE PERSON FOR = ME SURVEY 13 PREPARED, AIO ON NIS KKAVAM L t0 ENE M 7M UST oovERNK AL ANO 2 7-14-03 HOUSE, GARAGE AND DECK LOCATION .... � 169 Haviland Road Queensbu New York 12804 TOVE A'°'EN°"° U%Vm°" "�'m "°�°" "�° Town of Queensbury, Warren County, New York SHEET 1012 1 I �� roneA�roAtiornx iraRc iNsrrtunDN.• 518 792-'8474 1 q-4-02 FOUNDATION LOCATION � ) New York Lic. No. 50135 DEPALo , NO. DATE DESCRIPTION 'DWG. NO. 02188 C718 297.10-1-40/56-4-4 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 176 Doe Run Road * Manheim, PA 11545 MUNICIPAL CERTIFICATE n ELECTRICAL APPROVAL ' Pemit No, N On 8 0 3 2 8 Cut-in Card No#Owner,MMOM tie.lfflfr.ss...u.lftittitittrlitil#ttltllttiitiitilifiiililfrrrlelfeflfrrilfilfirr#r+lIlls.###i,llt.olillfr rrrirlf.rtrl,ii i .ri llsi..f.rlfst.r..ri !//!tt11 f/�1 4t 1 Loca ion iiNlriri#iiiriiiiiiitilii.rl.iri rf Installation On iStin of flff.ilf.f.fooloo ii.fr itrf.l.i.#i ###iiii i iii#I.f!l.ff lff !ff f. flff.lfiiif i.!!lf! lfi ufilffffNl lliiltitinl oflyM1 itiiiil illll oil iltl.ii##toil of i MiiiiiNttlti Neuflf!! rri..rirrilifrfrlilt.rrTf.iir. iiii!.rfairlilrrratitieolitliirrrrt/lrilrrM./rri.#Nilerr..iitliiiiiiNitltiiiiltitiiiiiiNitii#tt••itlii! 1tt1111l }}1�{j''(��j' NItalledy,,,, ,, •. +*' ! i N�ii / ll/itilff#.ittili iii tlilf.i Lice or r..rlifltrrrrNNlriii.rrNNllriirrf.Nrriiiilli The conditions following governed the issuance of this certificate, and any certificate previously issued i;, cancelled: This certificate only covers the electrical equipment and installation conditions as of dater Upon th( introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' spec ions at any time, and if it rules are violated, the Company shall have the right to rev a this c ti ter 1--w/743 tifliilssifHif lfltsslfltilfisiiisFlf lfslsiilflfiif INSPECTOR !ti riilrrrilrf !!self }rtfiHii.rfrftriiNir ifirrlrNrttirtiiirririiHr.ii rflrr Hiiir! Member UAill! I.A.El#1 Foundation Inspection Report Office No. (51)761-8256 Date Inspection r re ed: Queensbury Building&Code Enforcement Arrive: e art: Ins pection r re q ep, 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: NAME: 7_tpt--,>:7 CT 0 LOCATION: SPECT ON: TYPE OF STRUCTURE: Comments leY N N/A %./Footings Piers Monolithic Slab 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 Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under-Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Sueflemingway\Building.Codes.Inspcction.FORMS\Fourkdation Inspection Report.doc January 28,2003 FIF2E MARSHAL TOWN OF C7ftJEENSBUF2Y ClAUEENSBUFR.Y, NY 12804 4EaL (51 S) ?6'1-8205 FIRE MARSHAL INSPECTION RE.POR REQUEST RECEIVED NAME L LOCATION MIT ## SCHEDULE INSPECTION ON 7 -p AM _M APPROVED NIA YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERC3ENCY LIC3HTINC3 FIRE EXTINOUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAC3E: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS . _ REQUIRED SIONAOE CHIMNEY WOOD STOVE FIREPLAC =1 MASONRY FACTORY BLT. ROUGH-IN ' FINAL T REMARKS: C:)K TO THIS DATE INSPSLIP-PUB INSPECTOR Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 1 6�/ Factory Built Gas Fireplace/Stove Inspection Re ort Notice;New York State requires that all UL Listed,factory built appliances be installed according to the instructio and specifications contained in the Installation Manual accompanying the appliance.No devia ` n from the manufac r is instructions or specifications is allowed. Permit# V 0 J Schedule Inspection _ l Time U' am anytime Insp NameL- �IQ Address ( ,n r n. Rough lq�I.Fmal_ 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 �A Wall Penetration Z o 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 �J Gas Shut-Off Valve Combustion Air Hearth Extension if an Mantel Height above f/p opening Witness Operation � Tank Placement(if LP) White—BuNing Dept. Yellow Cat aer Pink—Tire Marshal Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518)745-4437 Fire Marshal's Inspection Report Request SCHEDULE Received: 1 it# v-s��V Perm INSPECTION ON: Name: 7 AM PM ANYT M/E L 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 q10 STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY MASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL Dzb WOOD STOVE ROUGH IN > FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK Tali E NOT OK FINAL FIREPLACE 6;,1�6 FACTORY BUILT 67G!Aiff-, INSFIEC7r BY FINAL COMDEV/CHRISJNVORD/LETTERS200I/FIREM HALIN;SPE;CTIONREPO 11022001 WHITE-BUILDING DEPARTMENT COPY Y LLOW-OCCUPANT COPY '7 Framing [Firestopping Inspection Report Office No:(518)761-8256 Date Inspection request�receive Queensbury Building&Code Enforcement Arrive: a pm Dp a ni . 742 Bay Road, Queensbury; NY 12804 Inspector's Initia NAME: �% PERMIT#PE IT : V a—5 5 f LOCATION: aq INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS ming � ' 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 l2(w)J 6 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 A. or less on center 1 Ice and snow shield 24 inches from wall 4 Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping 1 Penetration sealed 16 inch insulation in cavity min. 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 grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 -;:-? Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request jm� - (5S7 SCHEDULE Received: Permit# INSPECTION ON: c>1 Name: A�"YTIME Location: A 12 iC`i ):e .4 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 ROUGHIN FINAL VENTED GAS -Ipv u- APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THkD fi F R CO NOT OK FINAL L FIREPLACE FACTORY BUILT ROUGH IN FINAL INSPEC BY COMDEV/CHRISJIWORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT 022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 -- Factory Built Gas Fireplace/Stowe Ipection Rem Notice:New Fork State requires that all UL Listed,factory built appliances be installed according to the instruction specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufact er' instructions or specifications is allowed. AIA lr�� / permit# Zi'°ZC�7_-� 5` Schedule Inspection Timeld&—am pm anytime Insp Name � 1- Address 593- i)1 Rough In F' Appliance Manufacturer Model# Direct Vent Factory:wilt Chimney Flue Size ]Rouble Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles(all sides) Firestop(s) Vertical Chase i �i Wall Penetration Vent Clearances to Combustibles Vent/Chimney Termination! `� ov: Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 fctt Gas Shut-Off Value Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept Yellow Cyst er Pink—Fire Marshal Framing/ Firestopping Inspection Report A Office No. (518)761-8256 Date Inspection request received: I i Queensbury Building&Code Enforcement Arrive: ,, .-,t9i�9PM—)Dcpa a 742 Bay Road,Queensbury,NY 12804 Inspector's Initi NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: z Y N N/A �� _FramingCOMMENTS 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 4b Fire separation 1,2,3 hour /Fire wall 2, 3,4 hour -4 Firestopping L\ 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 Framing / Firestoppin Office No. (518)761-8256 Date Inspection r u r cei d: Queensbury Building&Code Enforcement Arrive: in 742 Bay Road, Queensbury,NY 12804 Inspector's Initial 97 N! NAME: PERMIT#: LOCATION: x -r\e- INSPECT ON: 7—(�2-S TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs Headers Bracing Bridging V/ Q, x)Vb-rR\v-6 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. -Notch �Holes/Bearing Walls!!!,e V7 !Metal Strapping for Notches Top Plate 1 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 00 Firestopping o Penetration scaled 16 inch insulation in cavity min. Garage Fire Separation House side V2 inch or 5/8 inch Type X 'F L)C-ct-yB 1E:Vr- Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) R P—P, C 2 i—: 20 in. (W) 5.7 sf above below grade 5.0 sf grade Rough Plumbing/ Insulation Inspection Report �-a Office No. (518)761-8256 Date Inspection request cei e Queensbury Building&Code Enforcement Arrive:t3L;C)--a rt:_4-L)4;`an�� 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: Qa, PERMIT#:- C� _ j� LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Ir 0 Copper Drain/Vent Comm. V/ Plu Ing Vent/Vents in Place gh Plumbin( _ailLl 7— OF 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: Town ofQueensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement 7 At time: 742 Bay Road Queensbuq, NY 12804 ARRIViltM am/ EP am m Notes: (518) 761-8256 Inspector's In' is NAME: PERMIT# ZAO —S LOCATION: 'K-UVV,1-a INSPECT ON(date): 1, /W TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab 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 �4ra, Bracing/Bridgmig— Joist Hangers I k) Jack Posts/Main Beam, C—AA PryIE6 Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed 'K�)CIE6 Fire Wall 2,3,4-hour Firestopping_ L:\SueHemiiigway'@uilding.Codes.Inspection.FORMS\GFNIERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensburj� NY 12804 ARRIVE am/pm: DEPAR7 am/pm Notes: (518) 761-8256 Inspector's Initials-1,A-pt-- NAME: PERMIT# LOCATION: ue, INSPECT ON(date): j 216 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/PierS-- Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fi-om freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing — Heating Rough-In,_ Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in eated spaces R- , e Vent Attic Vent � P pe r Jack Studs[Headers Bracing/Bridgmig— 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: =0 VNIL Town of Queensbury Ready at time: Dept. of Community Development Request received.- Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART tl��V/pna Notes: (518) 761-8256 Inspector's Initialr NAME: VCR-Ea D� -c, PERMIT# LOCATION: -!'&U `31N�C-�HA t—f-'tza=- INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection fi-om freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofmg_ 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- Pyoper Vent,Attly-Vent ranung A/C,t 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 Firestoppig— L:\Sueffemingway\Biiilding.Codes.Inspection.FORMS\GENERAT.INSPECTION REPORT.doc 00, v r v v a 4J� vvv r III Q I S- 4- 4- N W ID N u �a v 4-) WC .� ( V } .. C w m H � � . ` 0 4-) v C t. 1 I w J DI% ~ >MON ) v0 I A, r 0� ro ' �, co U i0 r- I c I U r`C,� � � � 0 1 � .0 �. , , � .. r (I r r w I v 'r. a) 0 U X r>- �" v '"� VI � ^ roro v E ' �'ro O .Y00 A D 1 �� p�p 0 C � 0 0 � 010 M am C (n4JCL v r� (� 0�1� D v r W W"� U .. �,LL cE �' t1. .4 rd v r 0 0 4- av) D N vcc� � +�9-roa4J4J0 r F- � Cr4- u� v � v r,I� vw �wvroc p cnc) cccroDcv0 a c ° � )og04- ❑ o � � ova oxs. s+ Vj A M Q A.D C. 06�"e U' ' 0) p F- A 7 m oc� I D � s.roroN w u HwDrn+� vavcl� a��+� �IC c0a w 4-40CD- NwNO0 -0C, V) vUZu � ro 0 ro D v'r'J� m v v �rw-r4Mr- 0 ,r 0.00 0 v 00 S. D � .� � N Q A I; office Use .GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At tirn7e�:�� 742 Bay Road Queensbury, NY 12804 ARRIVE a pM. D P T a /&otes: (518) 761-8256 Inspector's Ini IS NAME: ERMIT# LOCATION: W/kCaW_CA_ Lej -INSPECT ONT(date): to eIrl 6 7_Tt� TYPE OF STRUCTURE: RECHECK UU-e�_d)A- In`�-F G� N/A YES i NO COMMENTS FootingsiPi�ers � 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/Wallnour 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 Ceiling R- Duct work or piping in . unheated spaces R- P per Vent,Attic Vent R- P IRV Jack Studs/Headers Bracing/Bridgmig- 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:\SueHemiiigway@uildiiig.Codes.Iiispection.FORMS\GENERAL INSPECTION REPORT-doe GENERAL INSPECTION TOR T Office Use Inspector: A � Tomn of Queensbury Ready at time: �Tr_ T Dept. of Community Development Request received: �/2' U N Meet: .Building chi Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART�� am/pm Notes: (518) 761-8256 Inspector's Initials NAME: -U PERMIT# LOCATION: W 1 1�\G Gyv,-,A . INSPECT ON(date): / TYPE OF STRUCTURE: Gn- RECHECK N/A YES Z01 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/Dampproofmg 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/Readers 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. Meet. Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE 'lWainipm: DEPART am/pmNotes: (518) 761-8256 Inspector's Initials NAME: I PERMIT# LOCATION: PECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior Floors s In s Ex Interior R- ter r 'o-P R_ piping s Walls Ceiling R- Duct work or piping unheated spaces R- Proper Vent,Attic V t_ Framing Jack Studs/He/derg Bracing/Bridging Joist Hang Jack �,ain Beam Post /P Air Infil-tra Hang Barrier Fire Sep ation 1,2,3,hour Pene on Sealed Fire all 2,3,4 hour Fifestopping_ L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc t Office Use GENERA INSPECTION REPORT Inspector: V Town of Queensbury Ready at time: .Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRITE�3&am/ AR an(/pm otes: (518) 761-8256 Inspector's Initz NAME: , l Pk S PERMIT# � LOCATION: s J d `Yj 1 SPECT ON(date) ?'c - — TYPE OF STRUCTURE: RECHECK i N/A I YE i NO COMMENTS ootiri slPier Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval " Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging— Joist Hangers Jack Posts/Main Beam Air Infiltration:Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestoppmg L:1SueHemingway\Building.Codes.Inspection.FORMSiGENERAL INSPECTION REPORT.doe OF NptV;,; Al C., cc 066 7*5`Z SSIOXIA TRE- AeE7 ACCeT-rA&Le-.- �. Ff-�-" <a c-- C(2-ALj L- sp A,c e-ki-r. (ALL F-od-r) t,41:2, rJ -76 0 LO /2.) Co-L u H m <,- p E i t4 c-q-E> c ei\-rr P-- 4 S:31 T TO CO-?,J TA-C-T H C-:-- I �o u 4� Vim, A,0`f LA-PO I 1uCr 01 io L A&Ae- LEv eva, 12 22 r Y 1 , . 41 ►r%. 0 0 0 z b 0 N It" C CL Q+ 4 z W v'v � N c C ro y 0) 0 � Au' z z 0 1y n ul� u C E ro I 0 'r CL or. M w w C i S. 0 1 4-) .0 S. �r ,. 4j z V) 0 N w Z � r0 0U 0 ►, a 4J0 0w 4J -P F- C .0 z o 4Jv R " C A � a ro ro a °a .� O In .— 4- *0 , , w C m w °_I r Z �1 � -P r� M C W 4-)CL tJ 41'r > C�1 U. v' 1 0 C 0 z 4• 0 0 0.. ro.0 'r •.•"' Oro r- H U C 0 1 X r—IC a, 0 "4- CIO A. r• a. .01" wroOC� s: +� Q0114JNO , ^, - ). Q Or 0z a " (00 4) 0 roV) 4-) 0w Nwa) raC '4wU ) 0 (- -r u? VICCCro0C (va w 0 r 0 0 4- V11 N 0 X 1,4% 0 0 0 Ow C 1� H 0 4. rw 0 0 IL V) +n LILN 04-w � ►+ -P 0M t � � 4J 0 I N"" 4J 0.0 Q .0 0 Q I 0 -P C� 0 ra (a E W r-- ro le -Pz 0 t�r S 0 U w • a O ro 0 .J 0 W0M4J00L. 00H 4JC� CCro4-< S- C -0 w E U +) H 04- A. (ACA. NwNQ CIC410U000. CU r0 '0 W. V) 0 0 ro 0 0 'r * 0 0 4)or w 'r- ;N ro 'r 0,0 0 0 0 0 o U S. 'r 0 0