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2002-556 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICAIE FOCCUPANCY Permit Number: P20020556 Date Issued: Thursday,June 05,2603 This is to certify that work requested to be done as shown by Permit Number P20020556 has been completed. Tax Map Number: 523400-308-018-0002-039.000-0000 Location: 12 MC.DONALD Dr Owner: GERARD&MARGARET WILSON Applicant: GERARD&MARGARET WILSON This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling Director of Building&UK E rcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 HLE COPY Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20020556 Application Number: A20020556 Tax Map No: 523400-308-018-0002-039-000-0000 Permission is hereby granted to: C'7F,RARD &MARCTARF,T WILSON For property located at: MC DONALD 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. Type of Construction Value Owner Address: GERARD &MARGAR.ET WILSON Garage-2 Cars Attached 42 MASTERS COMMON SOUTH Single Family Dwelling 150,000.00 QUEENSBURY,NY 12804-0000 Total value 150,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency MILES CUSTOM HOMF,S_INC. NY 12804-0000 Plans&Specifications 2002-556 2090 sq. ft. sfd w/2 car attached garage- 12 McDonald Dr-per plat plan and specifications. $317.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,July 08,2003 (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 ueens ry�/Iogr ,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 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. :1_1 0 a.;?- No inspection will be made until appli ha d Fee Paid P Ce valid building permit. All applicants'Rp Ices "9, 14VED Rec. Fee Paid application must be completed and must appear on the Reviewed By: application form. LJUN 2 8 2002 F:Applicant: O IzEt-41Cry-9D co dress: --b,- &lay. Phone# Phone# Property Location: Lot Number: �Q t House Number j,� qt�_-49 0— Subdivision Name: Tax Map Number:309, New Building: residence / ommercial Estimated,Market Value of Construction: $ C3 Addition: ic-sideff�ce/ commercial If an Addition,what will use of new addition be? C3 Alteration: residence/ commercial U No change to exterior size: residence com'l Li Other work(describe Check Occupancylnformation I"Floor 2" Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet Single family dwelling 09V E3 Two family dwelling Q Townhouse 0 Multifamily dwelling #of units C1 Office U Mercantile L3 Manufacturing 1:3 1 car detached garage U 2 car detached garage Li 3-car detached garage U 1 car attached garage 2 car attached garage car attached garage U Storage building- commercial 13 Storage building- residential L3 Other What is the proposed height of the structure _3'0 feet C> inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric/ of gas�/ ood forced hot sir baseboard other: 4 Number of Fireplaces to be installed Number of Woodstoves to be installed List below the person(s)responsible for super-vision of work as regards to building codes: Name Address Phone Number Builder c; A71 7W G 6v Plumber AE? W P_-�L. G.- � .,_ Mason 3e � .r- R-V 63,7 -P/" Electrician 9 113 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 Uwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survey by a licensed surveyor;drawn to scale,showing actual location of all new coWtruction. Signature: owner,owner's agent,architect(-contractor Application for Permit—Septic Disposal System Town of Queensbury 742 Bay Road Queensbury, NY 12804 (518) 761-8256 1. OWNER INFORMATION: :....................---_........................................................ .............. � ')o Office Use OOP Location of installat File Permit N Tax Map No. Fee Pai d ... Owner's Name: /t v, - }�ram. �3 5 c .�. .:..a..... ....._... �. 'yV' Address: _ al .JIJ 'a 8 � / 70. 2. INSTALLER'S NAME [�� $u- L= � �-� PHO1�J �f- � 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 4 bedroom(s) and multiply 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/bdrm = _, x 130 gal/bdrm = 1991 -presen 7 x 110 gal/bdrm = Garbage Grinder Installed yes_ I no Spa or Whirlpool Installed yes, / no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) 0 o ra re . Ground Water Bedrock or I envious Material ater Su 1 Flat sand at what depth. at wha depth municipal olling _ Q -feet feet Steep slope clay if well;water supply %slope other from any septic-system depth: absorption is ft- other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: 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 approved subdivision). 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 ,5 � ft. Total System Length- �~D -t Seepage Pit(s): number of size of each: ft.•by ft- Size of Stone to be used: 9 / depth or thickness c�:>- feet 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: 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 of the Code-of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. L Signature of responsible person Date ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY 9000 BEATING DEGREE DAYS a_W1552 Compliance Methods:Part 5 - Acceptable Practice Method— 1&2 Family Dwellings (onIPF,:-rCjV�D Part 6 - Thermal Rating—Component trade Offs 1&2 Family Dwellingj Multi-Family Dwellings (3 Stories or less) UN 2 8 2002 Part 4*- Design by Component Performance, Commercial BuildffigsL,%.i . op QZ�4_zj� _.Zp��UJL �� Rise Residential OJAI fVS/3UFjy *Requires submission of worksheets APPLI ANTis NAME- PROPERTY LOCAT A42kzblk-.;� X. AS -- PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area- 2 P_square feet 2. Type of heat,- Electric oil Gas Other 3. Is building mechanically cooled?_4/�_yes No 4. Percentage of area of windows and doors—Over 17% ZXUnder 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: RJS' a. Roof R b. Exterior walls C. Glazed areas d. Exterior doors e. Floors over unheated spaces R f. Edge of slab on grade(heated building) R 9- Basement/cellar walls (above grade) R h. BasementJceltar walls (below grade) RItl i. Heating/cooling-ducts-piping in unheated space R 6. Service (domestic)hot water heating device ��Yes No Conforms to minimum efficiency per code TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED Ap=7re Date: Phone Number 610 0 INSPECTOR'S REMARKS: 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 ` " - �• Permit NQz �- � Application is hereby made to the Building& C ��,O face forssuance of a Building and Use Permit pursuant to*the New York State Fire Prevention 17 pl3yll7irW de. The applicant or owner agrees to comply with all applicable laws, ordinirm. jr .nations, an all conditions that are part of these requirements and also will allow all inspegM1''(o.9#r1 r'fre lse c form required inspections. _. j: NOTE to applicant: .Rough-in and Final In"s`p��ons are required. Applicant information Fuel Burning Appliance Information (circle appropriate words) Name: �� Stove: wood coal pellet gas f Fire laces insert Address: ' �// • Fireplace, factory-built:'� wood Firep ace,.m onry: wood gas Furnace: wood gas oil Phone: .�+�� Z;7 7.0 If non-masonary applicance,please provide Owner: �`� ' �-�. {-'"�" wf `"`- Manufacturer Name: Address: .,321 .Model Number: • 01 Chimney Information Phone: f +'_,r! 5� (circle appropriate words) Masonry block brick stone /.� Flue tile steel size: inches Exact Address: �� '�" �• of con ruction or i nstallati Factory-Built 9', ,�;�(70.sa� Manufacturer name: s ►`� Model Number: Note: Listed By: Number: Construction/Installation must con onn to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple wall / l isulated��Direct venting Chimney Liner rC7ar�.�[�-'r�r.L7►�,pr�r•x*#..z.�x�.�u.t--�'v�rau.a►.f+Qsze,�:.za�bxy.N�e�-7�""0.�.� I Fire Marshal Code 4 S Collected $Refunded Receh from(re rnded t _ A 173 3389 (190) Public Safety _ A 233 2655 (230)Mi r Sal DATE: �- White(Applicant) / Green(Tire Marshal) / Yellow(Bldg.Dept.) / Pink&Goldenrod(Cashier's Dept.) Fire Marshall'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 Permit No. A. .A Application is hereby made toy the Building& Codes Office for the issuance of a Building and Use Permit pursuant to the New York State 1-ire 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 alto all inspectors to enter premises'to perfbrtn required inspections. IVI�TE toapplicaut: Rough-in and Final Insplections are required. Applicant Information Fuel Burning Appliance Information (circle appropriate words) Name'1 Stove:, wood coal pellet gas ix �CgZ 6 c ,�.'° ; Fire_2lace, factory wood D Address: Fireplace,.mason'ry: wood gas Furn'ace: woo& gas oil Phone: 3(o If non-masonary applicance, please provide 4 M Manufacturer Name: Owner: Address 1j Lk C CA Q, oil Model Number: : -3-9 �1_ cy, gx_t Chimney Information Phone: ly �- /,s z!r (circle appropriate words) Masonry block brick stone Flue tile steel size: inches o Af Exact Address: d Factory-Built of co7ntruc t tput or instalhitiott Manufacturer,name: J Model Number: Note: Listed By: Number: Construction lInstallation must: con f grin to NYS Fire Prevention &Building Indicate (circle) chimney material: Code. Consult available Town of,Queensbury -e Handouts regarding required inspectiops. Double wall / Triple ival '_2 Direct venting Chimney Liner 4=za� f ZP#_- aXtX2 X aim 10'— im 4--*-_XX M;b XXX-y" 2woe Im V'C ox-Ar $Collectedi $Re -01n(r /tAo Fire Marshal Code# fiufided Receive inded t _re�i address:_ 4 173 3389 (190) Public Safety JA, A 233 2655 (230)Mai,or S a s DATE: White(Applicant) Green(Fire Marshal) Yellow(Bldg.Dept.) I Pink&Goldenrod(Cashier's Dcpt,) Residential FiAal Inspection - .'Office No'. (518)761-8256 Date'Inspection request received: D 3 Queensbury Building&Code Enforcement Arrive: am/ epart: m/pm GrGG 742 Bay Rd.,Queetisbury,NY' 12804. Inspector's.Initials: �.; NAME: Mr, Lei l S MI U�� PERT#: 04:A LOCATION: AIL j "&41e 4> DATE: 4 TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location VA 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 Rail iu s 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 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 Fumace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight - Safetyglazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer • / Gara e fire roofin {C Duct work Sealed properly L l Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24" ccess 1 s .1-150 s . ft.vents Building No./Addres isibl om road YC Final Electrical . Z ,- •-' Site Plan /Variance e uir d Final Survey Plot Plan 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/0(Cert.Of Occupancy) Oka to issue Permanent C 10(Cert. Of Occupancy) L:1SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form .doc edited January 28,2003 742 Ony nc:)nn QUOONouun-y kz y 1.2804 (518) 761-8256 -- n n JR-1 m Az 0 s DEPART : -- — 3:14 s 1p F-XWZLX- rilcDotcal. apt. nmc:- "nMIE 13yk9rj--- -Vylpm PLUMBING VENT/FIXTURES WATILIU=. Ft RELIEF VALVE S lr-C:)4C:)E;LS 3114'WE:nJ[Qn STAIRS RASL=NGS nO CEILING IFXnE: SI]CC:)IPIPXW4C-- EXIT n C>C)n HARDWARE . HANIa CAPPED ACCESS H A JrL l--A nnT -M L"A614 Ell X 4CPkFb.P'M UP PARKING F AL s Ej nN70 y 1>r,CYIV PLAN 31 Fr Itp-71 OK rC3 lLof3ul--- C Q OR LEGEND o I.R.F. IRON ROD FOUND o I.P.F. IRON PIPE FOUND o I.R.S. IRON ROD SET `CL, UTILITY POLE 0000 STONE WALL -x—x x- BARBED WIRE FENCE o POINT W.F.P. WOOD FENCE POST -ohw- OVERHEAD WIRES n/f NOW OR FORMERLY NOTES: 1) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT OF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT WOULD DISCLOSE. 2) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB -DIVISION 2, OF THE NEW YORK STATE EDUCATION LAW. 3) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. MAP REFERENCE: MAP ENTITLED "SOUTHERN EXPOSURE" A SUBDIVISION OF LANDS A SUBDIVISION BY ROBERT E. MCDONALD" PREPARED BY RAYMOND J. BUCKLEY L.S. DATED APRIL 1981 FILED IN THE OFFICE OF THE WARREN COUNTY CLERK � 0 coa o NU > CV W Q CDw z 001. 0 �- Q LZ Z 070 r Z !! 0 cc� o � l RET A. WILSON )NAL ASSOCIATION R ASSIGNS. E INSURANCE COMPANY -PARED FROM AN ACTUAL FIELD 2002. ;ERTIFICATIONS HEREON SHALL BE TY OR PARTIES HEREON NAMED AND TO ADDITIONAL INSTITUTIONS OR THEIR THAN AS MAY BE OR :ON. 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: Permit# INSPECTION ON: Name: r L-5 Oj AM PM ANYTIME Location: \/*--L — 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 ROUGON FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN OK THIS DATE OK FOR CO IdOTOK FINAL "I'll, FIREPLACE c FACTORY BUILT ROUGH 1141 INSPECTED BY -AINAL__ COMDEVICHRISJIWORD/LETTERS20011FIRE MAILS HALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY • Residential Final Inspection /,niAo, C, Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm 742 Bay Rd., Queerisbury,NY 12804 Inspector's Initials: .1 NAME: 11 PERMIT#: LOCATION: 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 Roof Complete Guard 30 in.or more @ stairs,docks,patios Guard at stairwell at 34 in.or more k,,,P< Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. _7Z 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 Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade VZ Gas Furnace shut-off within 30.ft. or within line of site Oil Furnace shut-off at entrance to ftumace area 01 Furnace/Hot Water Heater operating -Low water shut'off boiler Relief Valve(s)installed 01 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: — / Batter_y backup: Bathroom Fans,if no window Carbon Monoxide detector ,Plumbing fixtures V Foundation insulation coke..- /,�v 4- 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 Scaled properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, I sq,ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance re wired >Final Survey Plot Plan 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 CIO(Cert. Of Occupancy) Okay to issue Permanent C 0(Cert. Of Occu ancy L:\SueHen-dn'gway\Building.Codes.Inspection.FORMS\Res.Final Insp..form?d r edited January 28,2003 ion nsp�,Rough Plumbing/Insulation nspec ktion e Office No. (518)761-8256 Date Inspection request eived: Queensbury Building&Code Enforcement Arrive: a e a a pm. 742 Bay Road,Queensbury,NY 12804 Inspector's Initia NAME: PERMIT#: LOCATION: INSPECT ON: TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent/Vents in Place Rough Plumbi�V Nail fLat_eL----_,> Head or Air SuppTy—Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial CopEr,CPVC,Pex One&Two Family. " ation/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.doe Rough Plumbing/ Insulation Inspection Report office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ptn Depart:�/ ' am/pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: 11 PERMIT NAME: LOCATION: INA INSPECT ON: TYPE OF STRUCTURE: DIV Y N N/A PVC: R-1,M,R-3,R4 Drain Vents Cast Iron,Copper Drain Vent Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and'Vents 5 PSI or 10 ft. above highest c =l Connection for 15 minutes Water Supply Piping. Copper Commercial Copper,CPVC,.Pex One&Two Family su atio esft� I�hec ommercial 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 Town of Queensbury Fire Marshal's Office F1 F 7- 742 Bay Road Queensbury, NY 12804 Phone (518)761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request 4-0, SCHEDULE Received: Permit#. 0W INSPECTION ON: Name- AM PM ANYTIME Location: )c� 00AM 1W_)o r,V el APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING I FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM Of, foFj -oil !��J FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS 6" 2, CLEARANCE TO ELECTRICAL_ REQUIRED SIGNAGE �rw EMERGENCY PLAN Y MAXIMUM OCCUPANCY SIGN O)C CHIMNEY MASONRY ROUGH IN FINAL CHIMNEY 00 FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN Fm,(,(nRf o-.; FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGH IN �0: 1(THIS D TE� 10K FOR 0 NOT OK FINAL ,g A FIREPLACE .�Zvqj", FACTORY BUILT ROUGH IN IN ,ICTED BY FINAL COMDEV/CHRiSJAIVORD/LETTERS200I/FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY Framing/ Firestopping Inspection Report Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm. Depart: 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: -35 LOCATION: INSPECT ON: TYPE OF STRU Y ' N N/A RA COMMENTSfiffia Jack Studs 1 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 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 Fir all 2,3,4 hour Ws ire T-o p 0pi n g Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side V2inch 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 TOWN OF QUEEKSBURY BUXUDXNG- &--�CODE ENFORCEMENT 74Z Ba_y Rana JL2004 4CSIS) 7451-82-546 SEP- "IC DISPOSAL SYS-TEN YNSPEC-TION - 11C Name ) Loca-tian -Date P e r-M I -t SOIL -TYPE : Sand- oam-Cl ay- P,tesul -ts of Per-cc:) a-tion Test-- ( 1 -F applicable ) a-te-M I n u t--c--/I n c h -TYPE OV SYSTEM: ABSORPTION FIE D: To-tal Length Length of eac trench -P *t-h o-F -tre ches. zSe o-F sto e - --7- SE PAGE Pr Number- S I z - -Ft x -F-t S -ton S I e PIPI S i z e- Type BI c1g . o, t an k- Tank- Di s-t - Box Dist _ x to - F-f te-I Y d/ open n g S te-a I *--- d I? Yes No Par--tiaT EEC I SEPARA-TXONZ�;� F0 a-tI n to Ta-nk -f=e-e-t Fc> nda-ti to Absor-p -tion T't--et S par-at--io, of:, Pi is e e t- C n-For-ms 0! per PI ofPlan Yes No LOCA-TXOM -TEN ON F r-on t Le-ft Side - Right Side Middle Fy-onl-- MI ddl e Rear C€3 < SYSTEM USE APPROVED = YES A r-r-I-.f c--ct= D c--p a ir-U-e-d --sp I--t"r- aM f II tti ,)�,,4a it Ide ice OA 002 ,. I it . 414, r •.� xs P�� ,, , It + ! k � � r Office Use GENERAL INSPECTION REPORT 0 Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: lymb Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE a T • ; 2 am/ Notes: (518) 761-8256 Inspector's Initi s ' NAME: < S(J\ �kwe Mitt(itt PERMIT 4��— ✓ �(4e LOCATION:/z d bra INSPECT ON(date): 01 2 ry 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 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 BracingBridgimg 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 Queensbuty Ready at time:! f1 Dept. of Community Development Request received: Meet.--14A r-'d Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am/pm: DEPART )j,0 )am/pm Notes: (518) 761-8256 Inspector's Ihitiak� NAMLE: PERMIT# LOCATION: 1 aude/ INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO NIQ COMMENTS *Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for A4 providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R-' Duct work or piping 'in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers. Bracing/Bridging Joist Hangers—Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Building.Codes.hispection.FOPNfS\GENERAL INSPECTION REPORT.doc Office Use GENERAL WSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received. Meet: Building& Code Enforcement At time: 742 Bay Road ARRIVE amlpm: DEPARTaml Notes: Queensbuq, NY 12804 pm (518) 761-8256 Inspector's Initials,�Z�� NAME: PERMIT# -6 LOCATION: ty ONdC oil, INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A i i NO COMMENTS Footings/Piers V Monolithic Pour Form Reinforcement in Place The contractor is responFib—le 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/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\Btiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAGe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request received: ? Meet: Building& Code Enforcement 7 At time: 742 Bay Road Queensbury, NY 12804 ARRIVE a p EP a m Notes: (518) 761-8256 Inspector's Initials 4Z NAME: i I suyv mlihef CAI'cr,vc-cp PERMIT# 260 2- LOCATION: hit &ne2,&;_4j1NSPECT ON(date): TYPE OF STRUCTURE: 4Z cfi, etfo RECHECK ootingsMiers N/A YES NO COMMENTS 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/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:\SucHemiiigway\Bitilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORTAGe Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: Dept. of Community Development Request recei.ved: Meet: Building& Code Enforcement At time: 742 Bay Road Notes. Queensbury, AT 12804 ARRIVE am (518) 761-8256 Inspector's Initia T4 NAME: PERMIT RMIT# LOCATION: 17— OcD u INSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YE NO COMMENTS Footings/Piers .Yonolithic Pour Form I/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 JackStuds/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:\Suel4emingway\Building.Codes.Inspcction.FORMS\GFNERAL INSPECTION REPORT.doc