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2002-548 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 C ERTI F I CATE OF OCCUPANCY Permit Number: P20020548 Date Issued: 'Thursday,July 03,2003 This is to certify that work°requested to be done as shown by Permit Number P20020548 has been completed. Tax Map Number: 523400-289.008-0001-016.000-0000 Location: 35 YORKSHIRE Dr Owner: SHERWOOD ACRES CONSTRUCTION CORP. Applicant: DANIEL R BARBER This structure may be occupied as a: By Order of Town Board Garage-2 Cars Attached TOWN OF QUEENSBURY Single Family Dwelling I a; de Director of Building&Code Enlorcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5402 (518)761-8201 FILE COP Community Development-Building&Codes (518)761-8256 BUILDING PERMIT . Permit Number-.. P20020548 Application Number: A2Q020548 Tax Map No: 523400-289-008-0001-016-000-0000 'Permission is hereby granted to: BARRY&JAC(7URLTNF LASHTNSKY For property located-at: 35 YORKSHIRE 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: BARRY& JACQUELINE LASHIN 49 YORKSHIRE Dr Garage-2 Cars Attached Single Family Dwelling 170,000.00 QUEENSBURY,NY 12$04-0000 'total Value 170,000.00 Contractor or Builder's Name j Address Electrical Inspection Agency DANTEL BARBF,R NY 12804-0000 "Plans&Specifications 2002-548 911 Address! 35 Yorkshire Drive(Sherwood Acres Subd.) Construction of a.1,319 sq. ft. single family dwelling wlatt. 2 car garage as per plot plan and specifications. $158.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,July 12,2003 ' (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 eetis clay tfior 02 7SIGNED BY 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..90o A- iq,,? No inspection will be made until applicant has received a Fee*Paid valid building permit. All applicants' spaces on this Rec. Fee Paid/V�4..... application must be completed and must appear on the application form. Reviewed B11�w Applicant: Owner: _9ECENED Address: Address: Phone Phone JUN 2 7 Email Address: Email Address: TOWN OF Property Location: Lot Number: S House Number Subdivision Name: �'/�L�`/?4eilok9 Tax Map Niimber: SJr-<_-7-�-e,,K � 5�, oe, ;k New Building: <residence commercial Estimated Market Value of Construction: $ 1-7c'71 2-D cl Addition: residence/ commercial If an Addition,what will use of new addition be? C3 Alteration: residence/ corrimercial., Ll No change to exterior size: residence coni!l o Other work(describe Check OccupancyInforination 1"Floor 2""Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Fee 1—31 Icy Single family dwelling 0 Two family dwelling 0 Townhouse 0 Multifamily dwelling #of units t 13 Office U Mercantile El Manufacturing C3 1 car detached garage 13 2 car detached garage 0 3 car detached garage 13 1 car attached garage 0 2 car attached garage 11Z 7 0 3 car attached garage 0 Storage building- commercial 0 Storage building- residential' 0 Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so, for what? Type of Heating System: electric kjaV/ gas/wood /Cfor..d,�hot ai baseboard t othet: 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: ,c-Name Address Phone Number Builder &P 7 Plumber Mason ElectricianY 0/Z Z!F. Zi 6 0 5 Declaration: please sigh 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 construction. c. Signature: ��wner,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: ............................................................................................................................._..... Office Use Location of installation: 6-601P ffC�G�s Tax Map No. / / File Permit NOA - J 1, a `? Fee Paid Owner's Name: \ e� _-. .. Address: t /td© !7-Xlye- f ( 2. INSTALLER'S NAME PHONE 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 9 bedroom(s) and multiply# of bedrooms with applicable gallons per bedroom to equal totaZlctcrilflQw)=�S SB6 t�Y Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gaVbdrm = 1980— 1991 x 130 gal/bdrm = 1991 —present 3 x 110 gal/bdrm = -57 .j C� Garbage Grinder Installed yes— / no__-- Spa or Whirlpool Installed yes. Z no 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water Supply Flat san at what depth at what depth municipal ("Rollin loam feet feet well Steep slope clay ifwell; water supply %slope other from any septic-system depth: absorption is�� ft. other Percolation Test: (To be completed by licensed professional engineer or architeco 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.) f � � Tile Field: each trench--�,.ft. Total System Length: ft. -Seepage Pit(s): number of size ofeach: �ft. by ft. Size of Stone to be used: # 'Z--- / depth ti or thickness f 2 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. Signature of responsible person Date 'tmVil of (Ille drnslrtrryr .ur)tl sewnite Disposal (:lr:r p(e r- Aylrrrrdix C AIVIORI"I'IUN FIF,IA) SEPARATION RE QU I RE'INI ENTS IL • -zk3trr cltsz•tz'� �-.�. 1 wrl tx_t.,, K p C�fj}/1j\J ntY.xxzrt,�z i f't fi.l?J 7. SIGNATURE &INFORMATION FOR KESYUNSitsLn C>✓swvi� �,.�a�„....-;.. ' r ENERGY CODE COMPLIANCE APPLICATION AM TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS OT Compliance Methods:Part 5 -Acceptable Practice Method— 1&2 Family Dwellings Part 6*- Thermal Rating—Component trade Offs 1&2 FamilyPA4A_._-PAfED Multi-Family Dwellings (3 Stories or less) Part 4*- Design by Component Performance,,Commercial BuildigJsU-fii 2 7 2002 Rise Residential TOWN OF QUEE�4squRv *Requires submission of worksheets -D�11(7-? _CO QE NAME: X PROPERTY LOCATION: PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: /-:F/C/ I P I Gross Floor Area- 7," -square feet 6re, 0 2. Type of heat- Electric oil . —Gas Other view 3. Is building mechanically cooled? yes No 4. Percentage of area of windows and doors Over 17% Under 17% 5. R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: a. Roof R 9k- b. Exterior walls R_Z_5 C. Glazed areas R 3,,0 -d. Exterior doors R e. Floors over unheated spaces R f Edge of slab on grade (heated building) Rom 9. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R�� i. Heating/cooling-ducts-piping in unheated space R 6. Service (domestic)hot water heating device 9 4 Conforms to minimum efficiency per code Yes No TEMPERATURE CONTROL MAXIMUM SETTING 140—WILL NOT BE EXEEDED A licant's Signalure Date Phone Number INSPECTOR'S RE-MARKS: Residential Final Inspection ANAW 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: CIM NAME: NAW Vfii PERMIT#: LOCATION: 1 DATE: TYPE OF STRUCTURE: —4PPO Comments Y N NIA 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 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 Furnace/Hot Water Heater operating -Low water shut-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety lazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom. Outside every bedroom area: Inter Connected: I Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency eEess below grade Basement stairs closed rise>4 inches 3/4houi fire door/door closer Garage,.fire proofina Duct work Sealed pE2perly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq, ft.vents Building No./Address visible from road Final Electrical 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(Cert. Of Compliance) Okay to issue Temporary C/0(Cert.Of Occiipanc�,--H Okay to issue Permanent C/0(Cert, Of OccupancY) L:\SueHerringway\BLiilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 70 IRON PAS FOND Obi N N Y 4 W 3 c�sEv wELL • 3 LOT 26 NOW OR FORMERLY JOHN G. & GEORGENE V. ANDERSON 2 69JI278 /1 CONCRET DAMW 44hoS Sep E NOW OR FORMERLY LORI F. BRIMON 8661252 �FOC�CF- �C��S LOT 25 0.60 ACRES± 1=11.69 - S70NE �DECK STEPS J 29. 7' 1.5 STORY FRAME HOUSE (UNDER CONSTRUCTION) Q /35 YORKSHIRE DRIVE GA&AGE r O U Pq?OH DECK M 1 ma ME. l PED. Ao M BURIED 1000 GAL. SEP71C TANK DRILLED WELL • I I I APPROXIAMTE I LEACH R aD I AREA I IRON R7O FOUND PIPE ftWND LOT 2 NOW OR FORMERLY BARRY & JACOUELINE R. LASHINSKY 1185136 Rp 0 ^ r p�� 1 U) i r a } o r o r O o 3 g O Oo d O �>- 2 O O i k Og i t O ELEC. SEW" MANHOLE ELEC. AMMOLE METAL GIPPED IRON . ROD SET CAPPED IRON S 80' 12' 10' W 125. 00' — — ROD sE7 YORKSH/RE DRIVE FolyJ4V42 Jam. ALFRED E. & MARY ELLEN KRISTENSEN TO SHERWOOD ACRES CONSTRUCTION CORPORATION DID. MAY 30, 2002 RCD. JUNE 10, 2002 LIBER. 1269, PAGE 209 I,!r-Ir "MAP OF SHERWOOD ACRES, MADE BY COULTER & McCORMACK, LICENSED LAND SURVEYORS, GLENS FALLS, NEW YORK, DATED MARCH 31, 1971 AND FILED IN THE WARREN COUNTY CLERK'S OFFICE ON AUGUST 17, 1971. W MP R£1 EM NM SECTION. 289. 08, BLOCK 1, PARCEL: 16 0-122 R ELECTRICAL INSPECTIONO�NIONwEA�T� SERVICE, INC Main Office 176 Doc Run Road - Manheim, PA 17545r MUNICIPAL CERTIFICATE w ELECTRICAL APPROVAL j o, ! . 7r/��/ NO Cut-in Card NotPermit it#NN►iNi!// !#Ht#1F!#tllt !{ 1141{ 8 0 2 7 8 Owner � 1•fif.fr.f#N.t#1itIN.N.#N.t.rfff#fff#fffrffnrNti+/ftrr#r##r.#rn#rNtMlNtff#rtitlHtrt.tiff.ffi.faffufNfefffrrfrrr#1t#l111###r#f.q##NN#.r�#t!1#!♦ Hfrf Location,lu, t}} /#//N##/N/Nit##/t#N#t #ttt###/t/Niiii#iitililli#} i}Niiiti}1ii###t}}uit{1#t}t}#IItilNiiNitlftt##tilt NtNlN//#/!#{tit! #/#/N{/!#/ttt # # ``JJ11 s {h1 �i1�111 1ii}1 fInalation stl �o�Isistin o #f##1#fff.#rf .rt/i#1#tttll#ftttN/t#Nia#H tftlltfi{iftttiti# f#ii/iNriNN#N #frrtr#. Nt#riiff ff# ff/t7.i/Nrl• ttu•fffl t Nr f..�#t N #rNiri rtf#IrtNrtl t YH1#tNrN )110IM& r t 11 N.1.1....rf.ff.off 104MO 11 #!R@O@# /###N/i!!!lttNtfl "Mal It # tilt INN} ! #�!r � Q !"f 411)6 • 1.#.♦► till}} r N N..itt i#ti iiNtiflt#t}#.tt#t't+flit#i#.lt.ff#tf.ffMitifff ffffrfff rffr.f NftNtt t# ti #rfftlr##!IN/#t1#ft r!i fr rr r.###t##i#1.it{ #t{ { Installed By Not rffrff.#! 1 The conditions following governed the issuance of this certircate, and any certificate previously issued i cancelled; - This certificate only covers the electrical equipment and installation conditions as of date. Upon th introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of makin }� spections at any time, and if if rules are violated, the Company shill have the right r e his if to at*trr ttt#NNt#ttttllltNf##ttt##tNt{iNtt#{NINt INSPECTOR r NI#/IIHIINI{41 ##tNlt}flit}!#ttf.t••t••••+f.t/##NNNr alit#}}#t too Nttt##N.Nt# Mpmhpr N.F P A.. I.A.E.I. 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# r---. INSPECTION ON: 7/3 Name: AM PM ANYTIME Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY ASONRY ROUGHIN FINAL CHIMNEY FACTORY BUILT RO H IN FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGHIN FINAL FIREPLACE M SONRY ROUGHIN OK THIS DAT OK FOR CO NOT OK FINAL FIREPLACE FACTORY BUILT ROU IN INSPECTED BY FINAL COMDEV/CHRISJNYORD/LETTERS2001JFIRE MARS HALINS PECTIONREPORT11022001 WHITE--BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY i I Residential Final Inspection 1 2� .'Office No. (518)761-8256 Date Inspection request received: < Queensbury Building&Code Enforcement Arrive: am/ rr� ,Depart: - amtpm 742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials: l� 1� NAME: ,jr'R PEIMMIT#: Z — �T LOCATION: DATE: T 3 03 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,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 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 Valve s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety lain Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: 1 Batter 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 K hour fire door I 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 *AsBuilt o./Address visible from road rical . Variance re uired / Plot Plan tic 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) ,J Okay to issue Permanent C/0(Cert. Of Occu anc FAJAt L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doe edited January 28,2003 LC ' Residential Final Inspection .'Office No. (518)761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive. received- am/ m e art: �am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: DATE: TYPE OF STRLT1'� Comments Y N N/A Chimne Ht./"B"Vent/Direct Vent Location Fresh Air Intake t 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,porcheg 36 in.or more Exterior Finish Com fete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Gradegway 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 Furnace/Hot Water Heater operating Low.water shut'-off boiler Relief Valves installed 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: r- Inter Connected: 1 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 3/4 hour-fire door/door closer' Garage,fireproofing Duct work Sealed properly ��L 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 visible from road ,1"' � � Final Electrical . `) Site Plan /Variance required L �� Final SurveyPlot Plan 7 v 16 t,,;; U 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/O(Cert. Of Occiz anc Okay to issue Permanent C/O(Cert. Of Occu anc L:1SueHemingwaySuilding.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003 Town of dueensbury Fire Marshal's Office 742 Bay Road Queensbuty, W 12804 Phone(518)761-8205 Fax(518) 745-4437] Fire Marshal's Inspection Report Request !�q 07_2 (y SCHEDULE Received: C73 Permit# INSPECTION ON: PM ANYTIME Name: AM Location: APPROVED N/A YES NO COMMENTS EXITS AISLE WIDTHS EXIT SIGNS-NORMAL - BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SYSTEM HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSEDGAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS CLEARANCE TO ELECTRICAL REQUIRED SIGNAGE EMERGENCY PLAN MAXIMUM OCCUPANCY SIGN CHIMNEY -MASONRY ROUGHIN INAL CHIMNEY If FACTORY BUILT 1104H IN I I/ FINAL WOOD STOVE ROUGHIN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY ROUGHIN OK THIS DATE OK FOR CO OCT OK FIREPLACE FINAL f e-.,l FACTORY BUILT RO H IN INSPECTED BY JFINAL COMDEV/CHF;USJ/WORDILETTERS20011FIREMARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY YELLOW-OCCUPANT COPY i Town of Queensbury Fire Marshal 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 FactoKy wilt Gas Fireplace/Stove I nsvection Regort Notice:New Stork State requires that all lL 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# 'L o a T S`'10 Schedule Inspection 7-0 1 1C)3 Time 0ampm anytim InspectoV3 Name - P C7 rL D 11 G\-f Address T a S- IS fc^/il-S 1 t re &ugh In ✓Final Appliance Manufacturer Model# Direct Vent Factory wilt Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection. Clearances to Combustibles (all sides) Firestop(s) Vertical Chase Wall Penetration Vent Clearances to Combustibles Vlf Vent/Chimney Termination Chimney height mast be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off'Valve Combustion Air Hearth Extension (if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) White—Building Dept. Yenosv tbst er Pink—Fire 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 o Peffnit# SCHEDULE Received: n INSPECTION ON: Name:x P 4AM PM ANYTIME, Location: 7,S GA-�a,,J) 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 FINISHER STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS 67 A CLEARANCE TO ELECTRICAL t) REQUIRED SIGNAGE IL- EMERGENCY PLAN 7(l MAXIMUM OCCUPANCY SIGN 77�, c IMNEY SONRY RQUGH IN FINAL CHIMNEY FACTORY BUILT ROUGH IN FINAL WOOD STOVE ROUGH IN FINAL VENTED GAS APPLIANCE ROUGH IN FINAL FIREPLACE MASONRY , ROUGH IN O NOT OK K THIS DATE OK FINAL FIREPLACE FACTORY BUILT \4OUCH IN INSPECTED BY FINAL COMDEVICHRISJIWORD&ETTERS2001/FIRE MARS HALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY A YELLOW-OCCUPANT COPY Foundation Inspection Report Office No, (5 18)761-825 6 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: -am/pm Depart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's 1nitials:( U NAME: )< Yj PERMIT LOCATION: , INSPECT ON: TYPE OF STRUCTURE: Orr -s Comments Y 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 of for wet areas under slab Backfill Approval Plumbing Under Slab PVC/ st/Copper ndatij2sulatiokInterior/Exterior R Rough Grhde 6 inch drop within 10 ft. L:\SueHemingway\Building.Codes,Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Rough Plumbing i Insulation Inspection Report Office No. (518)761-8256 Date Inspection request received: 1/G-3 Queensbury Building&Code Enforcement Arrive: am/pm Depart: t a pm 742 Bay Road, Queensbuiy,NY 12804 Inspector's Initials: - NAME: "Al L1'L-- . PERMIT LOCATION: S (/ INSPECT ON: TYPE OF STRUCTURE: IT N N/A 1 PVC: R-1,R-2,R-3,R-4 Drain/Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates J l 3 Head or Air Supply Test -Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial C +V �ne&Two Family _ su afro. ential 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 aMMENTS. -L.1SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: 4A-143 Queensbury Building&Code Enforcement Arrive: am/pn, Depa adpm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: 7- S 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 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 -frr-e—s—topp-"�!� �enetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side 1/2 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:\SLIeHemin-.Way\Buildin-..Codes.iiispectioft.FORMS\Framing Firestoppin.-Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report 'Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/pm epart. am/pm I 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT#: LOCATION: TT, V INSPECT ON: TYPE OF STRUCTURE- Y N N/A COMMENTS ­V 4 0 Mck 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 e wall 2, 3, 4 h p_uL Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side Y2 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 LAS ue Hemingway\Bu i Idin g-Codes.Inspection.FORM S\F rarning Firestopping Inspection Rcport.doe January 28,2003 Rough Plumbing/ Insulation Inspection Report Zj , Office No. (518)761-8256 Date Inspection request received;A' „ Queensbury Building&Code Enforcement Arrive: am/p� oart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: ?6�c)— NAME: PERMIT#: LOCATION: 'Z� ��'yCS k I re -I*)(-- INSPECT ON: TYPE OF STRUCTURE: j)SF7 +,7 Y N N/A PVC: R-1,R-2,R-3,R4 Drain 1 Vents Cast Iron,Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial CPVC,Pex One&Two Fam `sulatton I ^ s i Checkomme al Check 1 m r ,' t .sJs , _, y 1 Proper Vent, Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct Work Sealed Properly COMMENTS: L:\Pamwiwhiting\Rough Plumbing Insulation Report.doc Rough Plumbing / Insulation Inspection Repz'Q/ Office No. (518)761-8256 Date Inspection request receive Queensbury Building&Code Enforcement Arrive -A -pb an, p� 742 Bay Road,Queensbury,NY 12804 Inspector's Initial . NAME: PERMIT#: LOCATION: �5uwlzi INSPECT ON: /7-�r4l-- 3 TYPE OF STRUCTURE: 6a. 14-�s sp Y N. N/A Ste PVC: R-1,R-2,R-3,R-4 Drain Vents Cast Iron,Copper Drain/Vent Comm. Plumbing Vent/Vents in Place Rough Plumbing/Nail Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft.above highest Connection for 15 minutes Water Supply Piping Copper Commercial r CPVC,Pex One&Two Family <-�&�ulatin/' esider1fial Check Commercial Check a t3 k-� I tJ - Proper Vent,Attic Vent oc' Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Fw� Duct Work Sealed Property COMMIENTS: LAParnW\Whiting\Rough Plumbing Insulation Report.doe Framing 1 Firestopping Inspection Report Office No. (518) 761-8256 Date'Inspection request received: Queensbury Building&Code Enforcement Arrive: am/ D rt: - am/pm 742 Bay Road, Queensbury,NY 12804 . Inspector's Initials: NAME:_ PERMIT#: l LOCATION: INSPECT ON: TYPE OF STRUCK Y -N N/A COMM S 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 %2 (w) 16 gauge(8) 16D nails each side , Draft stopping 1,000 sq:ft. floor trusses Anchor Bolts 6 ft. or less on center Ice"and snow shield 24 inches from wall Fire separation 1, 2,3 hour Fir wall 2, 3,4 hour Firestopping 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 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/prp D part: _amlpm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials:--j " NAME: PERMIT#: D l LOCATION: INSPECT ON: Q —as TYPE OF STRUCTURE: Y N N/A COMMENTS rramin"g ` _ / +� r "hack Studs/Headers �l/ 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 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4iour ix talc-Tn 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:1SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No.'(518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: �am/pm Depart: Z am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: 2-. NAME: GI 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 Plumbing/Nall Plates Head or Air Supply Test Drain and Vents 5 PSI or 10 ft. above highest Connection for 15 minutes Water Supply Piping Copper Commercial 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 ®ff�ce Use .GENERAL INSPECTIONREPORT Inspector: Town of Queensbury Ready at time:: Dept. of Community Development ,Request received: l2 . 62 Meet: Building& Code Enforcement �,, At time: 742 Bay.Road Queensbui3, NY 12804 ARRIVE am/pm: DEPART�, L rnlpm Notes (518) 761-82M Inspector's Initials NAME: cam— PERMIT#_2 1� LOCATION: 5y +�'f/&83 INSPECT ON(date): TYPE OF STRUCTURE: ),Px_,�- 4411 t l✓ ` RECHECK r. � NIA YE O COMMENTS o Monoli orm 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 Fouridation/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/Headers Bracing/Bridging f Joist Hangers // Jack Posts l -aft 13earn // �"'" 1I.ar�ier� t. ���✓/ �---"'��� � a-...,_..... . tion 1,2,3,hour I `r .Penetration Sealed Fire Nall 2,3,4-hour Firestopping L:\SueHemingwaytBuilding.Codes.inspection.FORMS GENERAL INSPECTION REPORT.doe Office Use F 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, AT 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# J LOCATION; 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 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- /J k Studs/Headers racing/Bridgig- Joist Hanger Jack Posts/Main Beani AirA r 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 REPORTAOC � � V L1 4-) Q) Q) N , �. 4- 4- . ro �» a 4J 0) 4J N,� Nwo AO0 II/QW MON � ro 1- C � �� ro v � 4j (ALL 0 w ,r r 't- r c if w QJ cu u W W Z, �, V I I t S. 4J I" Q to01 a v Z a I Z 4 QJ �" t!J L! r �'" ..l i i lo t G q o z w,c U ' L. 0 � �4 I + r 0 0. � Ut-wkUcN �� � �Q00� � 0. v � H cn atrFw ro a) 0 C � o (0 0 ,�, �. � � � r H it V) L. 0 N It to 4-) Q) U)© Cr 4- U� 4J �H v f. r vi � cGcoo cQ � w w O r{/� 4- 0 0. N X A a U O Z S. V I w W Q) rd Q) �1. � W 0 C)� 00. Q) C m CnI +J C '0 `ty w > L. V) E U - N 04-10CaNWN01 .0r. 0 a) � 0 ro 0 ro Q) r? M Q) 4) �rW -" � Hr- roe►- aO 0 0 10 - , 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 am/pm: DEPART Z, � am/pm Notes: (518) 761-8256 Inspector's Initials NAME: PERMIT# _Z- LOCATION: INSPECT ON(date): 2-- 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/W allpour_ 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 racingBridging /AirjInfiltration oist Hangers ck Posts/Main Beata Barrier Fire Separation 1,2,3,hour« Penetration Sealed Fire Wall 2,3,4 hour Firestopping _ L:\SueHemingwayt 3uilding.Codes.Inspection.FORMSIGENERAL INSPECTION REPORT-doe �1 1 r ro 4J4J4-) 0 v l y 'r 0 Q1 N Z U O E"' 0 � z w c .� W m K �\� I�- � V ' a � CO ~ I (n � W � ) S» I S ilk O b M `�' (0c .c o 1 N it -P o E r0 oU 0� oin 0 roro o Ne 1.6 Ui Oj EV) C p s. 0 x W,c U0.Llo a, a .rpW ~ Uc0 x 4-) 0 o04- a�NroviW ro so. tV) -P � o �o� �W � 'r 0'r V) 9 4- �1�, Q X \ 0 0 0 0 R; S, W a� LLM 0 ^ri `u'1 �111 N 0 4�.y.'n ��+A+ 4a 0 C4 0» 4W 4J 4N 0 I p, � r• L� 4J-C < 0 4 CI- V'0 ro �wr 0z '+ 0 0 0 W or � W t� 0! +r W .IN" T"� �+ C 4r.0 r. �W 0 0 a) 0 0 R Q 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, IVY 12804 ARRIVE:)J!�,qj j�pni -PART' aml�pm Notes: 7P (518) 761-8256 Inspector's Initik, it NAME: PERMIT# LOCATION: 55 dd4-S INSPECT ON(date): V— -- 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 fio this ose on site Wit. T =�= Reinforcement in Place Founda in proofing lurn g rider Slab Plumbing Vent/Vents in Place Rough Plumbing­ Hrleattin Rough-In oundation Walls Interior R- Foundation Walls Exterior R- V Floors R- Walls R- Ceiling R- Duct work or piping In unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers BracingfBridging_-7/--- Joist Hangers,_ Jack Posts/Main B zn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L-.\SueHemingway\13uilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doe Use U Office 6 Se GENERAL INSPECTION REPORY Inspector: 7 Town of Queensbuiy Ready at time: Dept of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE am . D A Tjc�,E.am 6-Y Notes: (518) 761-8256 Inspector's Initia s NAME: PERMIT#c�eD.1 LOCATION: ��IINSPECT ON(date): TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS E 0 s/Piers "P'er ic,in P r Fa Is n rigs/Piers is responsible for oli c ur Forq� e e e in Al , HE responsible providing protection from freezing for 48 hours following the placement o e concrete. atena f the for this purpose on site A F undation/Wallpour Reinforcement in Place Foundation/Dampproofing_ Backfill Approval Plumbing Under Slah- 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.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: -5-3 0 Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, AT 12804 ARRIVE b,��Q a 9RT N s: Read y t time: rA -7/ N s (518) 761-8256 bispector's Initia s NAME: 6&r 61cr PERMIT# 622-3 LOCATION: ct�' r- W INSPECT ON(date): TYPE OF STRUCTURE: D 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/Dampproofm Backfill Approval Plumbing Under Slab ve, 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 Scaled Fire Wall 2,3,4 hour Firestopping_ L:\SueHemiiigway\Building.Codes,lnspcction.FORMS\GENERAT,INSPECTION RFPORT.doc Office Use GENERAL INSPECTION REPO I RT Inspector: Town of Queensbuiy Ready at tiine:q—p� Dept. of Community Development Request received: Building& Code Enforcement Meet: time: 742 Bay Road At Queensbuty, NY 12804 ARRIVE am/pm: DEPART am/pm Notes: (518) 76 1-8256 Inspector's Initials NAME: _teaPERMIT#-- LOCATION: 5 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 from freezing for 48 hours following the placement of the concrete. NAaterials for this purpose on site undation/Wallpour Reinforcement in Place 41, 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/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 Firestoppm* g--- L:\Sueffemingway\Buildirig.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbuty Ready at time: Dept. of Community Development Request received., YAY1 6 2- Meet.AS POA Building& Code Enforcement At time: 742 Bay Road ARRIVE pin Queensbury, NY 12804 anilpm: DEPARTL4' am,X NO amot (518) 761-8256 Inspector's Initials C."i- NAME: b ' ) I&AW PERMIT# Z aa-6 LOCATION: 3 S Glov lts , -b r INSPECT ON(date): U TYPE OF STRUCTURE: RECHECK N/A YES NO COMMEh,...'s '.'M8-!"1jithTc our Form. Owl 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 undation/Dampproofiy Baufll Ap Plum a 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 Bearn Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L:\SueHemingway\Bttilding.Codes.Inspection.FORMS\GF,NERAT,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 Queensbuty, AT 12804 ARRIVE amIpm; DEPARTIP:-!`�ilpm Notes: (518) 761-8256 Inspector's NAME: PERMIT# . OZI-- LOCATION: Y o RX� r-�tZ — INSPECT ON(date): 5 0 I TYPE OF STRUCTURE: RECHECK N/A COMMENTS ,Footings/Piers V 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 Firestopping_ L:\SucHei,ningway\Btiilding.Codes.Iiispection.FORMS\GF,NERAL INSPECTION RFPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: 11:30 Dept. of Community Development Request received: Meet: Inspector:Office f f I ecto sp Ready at time: M et. e . _t time: Building& Code Enforcement At time: 742 Bay Road F Queensbury, NY 12804 ARRIVE amlpm: DEPART amlpm Notes: (518) 761-8256 Inspector's Initials� NAME: PERMIT# LOCATION: INSPECT ON(date): A,A- 19 TYPE OF STRUCTURE: RECHECK,fg N/A YES NO COMMENTS ootings/Piers Monolithic Pour Form Reinforcement in Place llii The cotractor is responsible for providing protection from freezing for 48 hours following the placement of ther concrete. otrialis purpose on site ,�t 0= d I PcZ__ V- Reinf6rdement 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 BracinglBridgi 1119- 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-\SueHemingway\Building-Codes.Inspection.FORMS\GENERAI,INSPECTION REPORTAOC Office Use GENERAL INSPECTION REPORT Inspector: Ready at time: Town of Queensbury Dept. of Community Development Request received: Meet: Building& Code Enforcement 4V At time: 742 Bay Road Queensbury, AT 12804 ARRIVE am/pm: DEPART b ImIpm Notes: (518) 761-8256 Inspector's Initials NAME: L PERMIT It LOCATION: -2>7 INSPECT ON(date): TYPE OF STRUCTURE: 5EQ RECHECK N/A i YES O COMMENTS ootings/Piei., Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/D amppro ofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing-_ Heating Ron -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 Scaled Fire Wall 2,3,4 hour Firestopping_ L:\SucHemingway\Building.Codes.Inspection.FORMS\GENERAI,INSPECTION REPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at time: •c3� Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 tIRRIYE `1;�Y� a m Notes: (518) 761-8256 Inspector's InitiaNAME: I LOCATION: INSPECT ON(date): ?S TYPE OF STRUCTURE: s F D RECHECK N/Ai YE 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/Dampproofmg Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Beating 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 BracingBridgmg Joist Bangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Seated Fire Wall 2,3,4 hour Firestopping L:4SueHemingway1Building.Codes.Inspcction.FORMS\GENERAI,INSPECTION R.EPORT.doe Office Use GENERAL, Ile1NSPECTION DEPORT Inspector: To-Ain of Queensbury Ready at time: Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road Queensbury, NY 12804 ARRIVE)j;:tD-arPERMIT T,"a Fm Notes: (518) 761-8256 Inspector's InitiaNAME: Qn [ l.TS�irnrcLt LOCATION: INSPECT ON(date): -1 je TYPE OF STRUCTURE: RECHECK } NIA_YES i 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 it _ .,Voundation/Wallpour �Z 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/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION RBPORT.doc Office Use GENERAL INSPECTION REPORT Inspector: Town of Queensbury Ready at Dept. of Community Development Request received: Meet: Building& Code Enforcement At time: 742 Bay Road otes: Queensbury, A 12804 ARRIVE In M, p�/i_ (518) 761-8256 Inspector's Initi M(At NAME: t,s 16�-jw PERMIT# INSPECT ON(date):LOCATION: TYPE OF STRUCTURE: RECHECK N/A YES/iNO 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 FoundationiDampproofing_ Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plurnbing___ 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 paration 1,2,3,hot Penetration Sealed Fire Wall 2,3,4 hour Firestopping_ L-\SueHemingway\Btiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc NOW OR FORMERLY LORI F. BRITTON 8661252 IRON PIPE FOUND L A 01 C4 N 0 CASED *nL LOT 26 NOW OR FORMERLY JOHN G. & GFORGEME V. ANDERSON 6931278 cocci? cotci?m Aw RAAWS.. PIED. 0 C4aLE--- x PfDS- =PF0 I set. oil r, ROD FOLM s�� PAN roum 38n NOIS 0 q, 01 las 8 s.p aq, pains w 7leuosjed WeBelp au} U Vol Ps p aq b 0AE4 I leql juasaidai osle , ownoop sl uo umoqs o,olg sg3ug, seall,sllam sesno ins o;afqo lie '10 OOU@P!AG MeS I GAellaq JO 'POAJ9SqO JO Aeq 1, LOT 24 l000� NOW OR FORMERLY B4RRY & JACQUEUNE R. LASHINSKY 1185138 10 N o ro C 37 i� -71 RY LAW I CAPPED A'?M 125.00' POST RW SfT -X-X =- X X--x-x X-xX-X-.- i6w S 8T12*10" W x 7- --