2002-671 TOWN OF QUEENSBURY
4 � ry
742 Bay Road Queensbury,NY 128M902 (518)761.8201
Community Development-Building&Codes (518)761.8256
CE JR.IIL f IFICATE
Peni it Number. P20020671 Date Issued; Monday, December 23,2002
This is to certify that work requested to be done as shown by Permit Number P2Q020671
has been completed.
Tax Map Number. 523400-296-008-0001-034-002-0000
Location: 52 WAVERLY PI
Owner. MICHAELS GROUP LLC THE
Applicant: MICHAELS GROUP LLC THE
This structure may be occupied as a:
By Order of Town Board
Garage-2 Cars Attached TOWN OF QUEENSBURY
Townhouse
Director of Building&Code Enforcement
Building Permit Applicatio».
Town of Queensbury—Dept of Community Development,742 Bay Road, Queensbury,NY
(518)76 1-8256
A permit must be obtained before beginning construction. Permit File No. 1_60 Z'16g 1 1
No inspection will be made until applicant has received-a Fee Paid $ �
valid building permit. All applicants' spaces on this Rec. Vcc Paid
application must be completed and must appear on the Reviewed By: a.,- i:✓
application form.
Applicant: Owner:
Address: `(`� S�r 1-� �[(�i�trs ttzA Address:
-f
Phone#(51�3)FSAq - ci30 Phone#{ ) -
AU, U 8 2002
Property Location: Lot Number: House Number S� / L���,�Ax-��1 �1�� O F e U97C;a,1uSUny
Subdivision Name: 2,t� ` .cE Tax Map NUfllber: age ,yfj=l
New Building: residence /commercial Estimated Market Value of Construction: $
o Addition: residence/ commercial If an,Addition, what will use of new addition be?
❑ Alteration: residence/ commercial
❑ No change to exterior size: residence/coni'l
❑ Other work(describe )
Check OCCupslllcyfnformation 1`i Floor 2"' Floor Other door 'Total
13clow sq. It. sq.ft. sq.U. Square Feet
❑ Single family dwelling
❑ Two family dwelling
X Townhouse 1 SC)
❑ Multifamily dwelling
#of units
❑ Office
o Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ I car attached garage
- 2 car attached garage Z
❑ 3 car attached garage
Storage building-
commercial _
❑ Storage building-
residential
❑ Other
Will any second-band or ungraded lumber be used? If so, for what? 93_•
Type of Heating System: electric/ oil /(2)wood /forced hot air/ baseboard/other:
_Numbcr of Fireplaces o_be_.instaIled< -Q Number_of Woodyin_lies_to_be_installed_-1A..
List below the person(s)responsible for supervision of work as regards to building codes:
Name Address Phone Number
Lui1d`t• �� fi��iGln�ls�C�:. ti3�1,'"=c e._ -+r��
Plumber C ���5'�[]C1�1� 1�5�_ �it _ (ra� '2�� �
Mason. C'. Zi- 93QdF'
DCclaration: please sign below after you have careftilly 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 Toning Ordinance and all outer laws pertaining to the proposed work shall be complied
with, whether specified or noted,alid plat 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 Sarre):by a licensed surveyor;drawn to scale,showing actual
location of all new construction.
SignRtUrC. C� owner,owner's agent,architect,contractor
TOWN OF.QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020671 Application Number: A20020671
Tax Map No: 523400-296-008-0001-034-002-0000
Permission is hereby granted to: MTCTTAF,T,S GROUP T,LC THF.
For property located at: 52 WAVERLY P1
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed .
and approved and in compliance with the NYS'Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: MICHAELS GROUP LLC THE
10 BLACKSMITH Dr Garage-2 Cars Attached
nhouse 168;900.00
MALTA,NY 12020-0000 Total Value 168,900.00
Contractor or Builder's Name/Address Electrical Inspection Agency
MTCHAELS GROUP
ST JTTF, 1
10 BT.ACKSMTTH Dr
MALTA.NY 12020
Plans&Specifications
2002-671
Lot 39 House 52
Construction of 1667 sq. ft.townhouse with 462 sq. ft attached two car garage and 156 sq. ft. deck.
$279.58 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 16,2003
(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 own o uee s u r' a ugust 16,2002 6
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
T0XM OF OUEEN3DURY Fee Paid
BUILDING & CODES DEPARTMENT .
APPLICATION FOR: PORCHES-DECKS- permit #
DOCKS & BOATHOUSES Est. Cost
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CVN3T'RUCT/0N. PLEASE ANSWER ALL OF THE FOLLOWING:
Tile undersigned hereby applies for a Building Permit to do the following work which ill b none in accordance with the description , plans and specifi ti b c � w c
conditions au may be indicated on the permit �« »ns uv
WITH ' ` "" =' '� m' o//�u�/ ly
AUG
P.O. Address �16_
Property Location G�k
Subdivision Name (If applicable)
~~ �- -'' '
PERSON RESPONSIBLE FOR SUPERVISION
�~ F WORK 85 REGARDS TO UUlLD1NG CODES: --
Name'
' Address
Phnne//________
8UlLUING `SPEC}FICAT]ONS/
~ ` Type of work to be done/ Porch Dock Boathouse (Circle one)
Size of Structure' to e u� h '
ilt (squar�--T77�7��ge) /
Foundation Material Nidth Thickness
Depth of Footing, below ----- -----------
Size of Posts or Studs : ^ x _/�[ LonO
Size of Floor Joists/ x �-'-----
-----���- __-d « __u Span
Decking or Flooring Material :
How will Porch or Deck be fastened to building?
If Roof Will Be Installed, Answer Following* Questions :
Size Of Posts or Studs : x x Long
Roof Rafters : _ x Spacing _ Span
Roof Trusses (pre-engineered spacing) : Span
Type of Roof: Sloped Flat Shed Other (Circle one)
Material of Roof:
ZONING INFORMATION:
TNO P
heret d'nwn reasonably to scale and octochcd
indicate all set
~t- � --� '^i�^~ � ' �`'"��/� « / / »ui /u�ngs ' whether existing or pro//osed and
location and =configuration
dimensions from property lines Show location of water l oo» iQ«rat/on of septic disposal a�ea^ ' a cr suPo y and
Size of Property: ft. x ft.
Existing f�building(s) ' Size' -____ ' « ft.
Size ft ----
' -US ' « ft.
-_-~^_--~�~- g-buifdfo� � --'----' -----' -- ----- - - -----~-- ----
/
Front yard ft. - Rear yard ft.
Side yards ft. and ft.-
If on corner, setback from 'side street;
distance from e-7-
f-.
DECLARATION � ��------
To the best of my knowledge and belief the statemenLs contained in this vnylicoL/o n '
of al pr
together n` n �oep7anx undupeuifi�cat�ons submitLed ' ore a �rue and cownle �e s�u �eo`not
�oget
Build "p �e owrk zo be dnne on the described premises and that all provisions of the
shall '-be ,°do�= ,i the o Zo'/ m Ordinance,roinance^ and all other laws pertuin1ng to the nrop e w«r os u x
ovner` e complied with, whether specified or not , and that such work is authol-ized by tile
DATE'
. SIGNATURE
=- ' ' ' --� `� ~ `~ner` � y` ��chi �- ` rK[YlEHED BY CODE ENFORCEMENT OFFICER, DATE SIGNATURE
Application for Permit—Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
_:.................................................................__._...................._.._........_.,.�
7� lJ'"�'�
Location of installation: Office Use ,7
v" G —File Permit No. 2CsoZ= t I
Tax Map No_ �(
(/Owner's Name: Fee Paid
�.._." ... --
Address: /22,1441
2. INSTALLER'S NAME _ N _ e�-
ri�.9
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedro d multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flowf'UG g 3 2o02
.Year of House: No of Be ,toms x Computation = Total Daily FlowOW J OF O:.°�.IN4SE3URy
�13Ul=C-)ft!(l AND 000E
1980 or older x 150 gal/bdrm =
1980—1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm =
Garbage Grinder Installed yes_ / no
Spa or Whirlpool Installed yes_ / no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water SURRly
Flat sand at what depth - at what depth municipal
Rolling loam feet - feet well
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 in oh
5. PROPOSED SYSTEM: F'or New Cons Qn: 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 ft. Total System Length: fl
Seepage Pit(s): number of size of each: fi by fi
Size of Stone to be used: # / depth or thickness feet
Bed System Size: x
Alternative System: Iengih andlor size
6. HOLDING TANK SYSTEM: (if required)
Number oftanks: / 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
St:wers all(I Sew:it;t. I}i,)>n�:LI t:liay�irr
AI�peittli.x Cc
• _ t
• SI�,I';(1ItA"i'It�N Iti:L2t.jliti:[1I1�:N'i';; ..
S t•ftk
P4NA
1••"-3� V•ti=tt_ to trt�rF•Et- � -: ----�'"� �'.•� 'wrt}is•.sw
tk}ur, c�lSrtt; f��-• -
Sc t•t 1G why
s f �ra:.r.., � '�•
� ..+•'�� �.. 1_t)d11{t})rt)11r•t( -: - ' '
t�tyraii,Pt►ca 1
t
7. SIGNATURE`.&,INFORMATIONFOI:R1:SPtii�tatks�.� rn�vs� v.;�„�.,..._.:;'
All 09:16 IDJOWN OF QUEENS13URy rHx:�Ib (LID 440,
FILE No.219 02i09 '00
// Rlehard A.Mlsslta
IG AY 2 �•�Cr¢ Home(1e)lea a127 t
Ej�IDVVMFNT
X%,Jt 1Klchael F. T?avls
742 Bay Raad 4 iQueenRbury,NY 12804 Deputy Highway Superntendent
office Phones om) 764-8214 (618)768-0413
Faxr (548) 745-"66
DRIVEWAY PERMIT CEIV
ELJ
.�ul �5., AUG o 8 2002
DATE: r TOWN OF QUEENS13URY
APPLICANT NAME: THE � Zt E?I1SI.Ot�Jl,3 At�lD CODE
TELEPHONE NO.:
ADDRESS TO BE INSPECTED:
RETURN ADDRESS: lv� --�. 1>
Applicant must show.exact location and width of driveway(s)to be connocted to the highway by
placing;stakes at the spocified location.
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The
following action has been taken:
STEP 1: ( )Preliminary Approval
NEED: ( )Slight Swale
( }Level with the road
( }Deep Swale
Size pipe to be used(if necessary)
Preliminary inspection completed by DATE ._______--
Approval by Highway Suet. Deputy Supt_�
• Upon completion,please resubmit this approved permit for a final approval.
STEP 2: ( }Final Approval
( )Rejected
DATE:
Richard A. Missita,Highway Superintendent
Residential Final Inspection
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: I 7T am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:—,Lee—
NAME: PERMIT#: to
LOCATION: DATE: Q-. cl-i?-2
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 V
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 riserK N
Grade away from foundation 6 in.wil 10 ft. V
Handrail Termination at Newell Post 6r Wall I
8 inch clearance to sill plate
Gas Valve shut-off exposed/regulatoA 18"abqke grade
Gas Furnace shut-off within 30 ft.or vAthin 14e of site
Oil Furnace shut-off at entrance to fumAce a, ea
Fumace/Hot Water Heater operating V
Low water shut-off boiler 7Z
Relief Valve(s)installedInterior privacy/trim/doors/main entra e 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safety g azing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area:
Inter Connected: — / Battery backjup:
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
1/4hour 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 sq.ft.-150 sq.ft.vents
Building No./Addr4ss v6sible fro rp road 01
Final Electrical (--! Vol 10
- TWI * I qj��
Site Plan /Variance VequWed
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)
Okay to issue Permanent C Q(Cert.Of Occupancy)
T OW N O F Q U E E N S B U RY
BUILDING & CODE E N FO RC EME N T
4&a� 742 SAY IZC)AD
QUEENSSunw NY 12804
(518) 761-8256 ,r�►
ARRIVE � DEPART x YNSP � 1�%'��"
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ct'�zE�s,cacr►a. .__.._ a•s+vac.xx»�c.� nsrl;x.>c.xss+c,�
(Yicrtc:l. 111c+tt-A, apt. cc>inplc>x)
DATE 2N`�CT2QN REQL.TEST RECE 2VEL? a
' NAME
1
DATE P E RM i
• TYPE Q F STRUCTURE ��
FQQTSI`IGS BACKFiLL FRANiiNG PLUMBING
S N S U LAT I QN
NlA YES Pd0
CFiiMNEYl " B " VENT/IIEIGIiT
P'LL7MBiN+S VENT/FIXTURES
EX'I'ERIQR l�'ZN2SIi �''��"~,
HEATSSdGlHQT WATER � �~"�
s -
RE L I E F VALVES * ti
FLQQRS � ;
i
INTER=Q R S TA S R S /RAILING S
STOCKROOM ENCLQSURE" = �
F--I R E/DEMISE WALLS P E N S TRAM'=C N
F S i2E DAMPERS
C E i L I NG F T R E S TQ P P I N G
FARE DOt�RS/CLC?SER�
EX x-lr DOOR IiARDWARm
E.XiT STAIRS RAILS
PLATFORM ELEVATOR
H AN D S CAP P E D A C C E S S
HAND=CAPPED BATH S
H AN D S CAP P E D PARK S NG
FINAL E LE CTR S CAL
S S T E P LAN I VA R I AN C E RE Q
AL SURVEY PLOT P LAN 1 i F RE
flK TCl ISSUE C O OR C C
MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 19, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
RECEIVED
DEC 2 3 2002
TOWN OF QUEENSBURY
BUILDING AND CODE
� an D us en
8c
Land
169 Haviland Road
(518) 792-8474
Steves
Surveyors, LLC
Queensbury, New York 128
New York Lie. No. 50135
"N MOM ALIMA7EM OR AODfl10I1 70 A SURVEY
MAP BEARNG A LMZNM LAND 51MVEYOW VEX 15 A
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LAND "VEMS SAID COnMAWN STALL RUN ONLY
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Map of a Survey made for
H. & HOWARD A. RITCHIE
AGEWY MPCA MCFW, %, Town of Queensbury, Warren County, New York
1 12-9-02
NO. DATE
MACNr,"'
r\!��Q ��'
Cj-
SPELLING CORRECTION
DESCRIPTION
liatet 1JLULMBLR 3, 20i
Scale 1'=30'
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MAP REFERENCE:
WAVERLY PLACE SUBDIVISION
DATED AUGUST 24, 2000
LAST REVISED JANUARY 19, 2001
BY VAN DUSEN & STEVES
LAND SURVEYORS, LLC
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Land Surveyors, LLC
169 Haviland Road Queensbury, New York 12804
(518) 792-8474 New York Lie. No. 50135
UNAUTHORIZED ALTERATION ON ADDITION TO A SURVEY
MAP BEARING A LICENSED LAID SURVEYORS SEAL IS A
VIOLATION OF SECTION 72DO, sue -DIVISION Z OF THE
NEW Yam STATE EDUCATION uw.•
roKY COM nroM The ORIGR4L Of ?"IS -ALIK Y
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CO O PREPARED IN LAND SURVEYORS
BY THE NEW YGRK STATE ATHE S RV I �°" ��
LAD SURVEYORS. SAID CERTIFICATIONS SHALL RUN ONLY
TO THE PERSON FOR MOMTHE SURVEY IS PREPARED AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY IUD T� `�'� HEREON. "�
AG AGENCY
DIG I!NOmcINS UST10N
1
Map of a Survey made for
DAMES & ANN MARIE BUTLER
Town of Queensbury, Warren County, New York
1
1Jatel 1JLULMBLK J, ifwef
Scale 1'=30'
S 1
SHEET I OF ,
BUTLER
DWG. NO. WAVERLY-39
1 NO.
DATE
DESCRIPTION
QJ71ce Use
.GENERAL WSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Communio Development Request received, Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE am/pm: DEPAR t 2 am/pm Notes:
(518) 761-8256 Inspector's Initials
(14 PERMIT# -71
NAME: C-,e�p WL-tI,
LOCATION; � f INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK Ar
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 VentlVents in Place
Rough Plumbing;_ --7Z-
Heating R
1�bsulationo7?096MT9—s-
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls it-
Ceiling R-
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent
Framing__
Jack Studs/Headers
Bracing/B�ridgmig—
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.\SueHemitigway\Building.Codes.hispection.FORMS\GENERAL INSPECTION REPORTAOC
Office Use
-GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time::- 0-0
Dept. of Community Development Request received: /J41
Meet:
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbury, NY 12804 ARRIVE a T n In mpDE
(518) 761-8256 Inspector's Initial
-7 1
NAME: rc, PERMIT 9 ?1
LOCATION: (ki DUAce— INSPECT o-NT(date): 0
E,
TYPE OF STRUCTURE:
RECHECK
—*ootings/Piers NIA iYES/0 . 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
Toundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing_
Bar,kfill Approval
Plumbing Under Stab
Plumbing Vent/Vents in Place
Rough Plumbing_
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls it-
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
Firestoppin
L:\SueHemiiigwayTuilding.Codes.Insp.ect on.FORMS\GENERAL INSPECTION REPORTA00
office Use
.GENERAL INSPECTION REPORT Inspector:
Town ofQueensbury Ready at time
Dept. of Community Development Request received. Md, Meet: c,.)kehek-,
Building& Code Enforcement At time:
742 Bay Road Notes:
Queensbu?3,, AT 12804 ARRIVE a
P(518) 761-8256 Inspector's jbitlias W-
: 0/�� -7/
NAME PERMIT#
c2&
LOCATION: INSPECT ON(date): J, -el--
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
Foundatiorl/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing_
H * Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R- ':!2P \>7-'>
o
Duct work or piping in
. unheated spaces R-
Proper Vent,Attic Vent 12 C-C--Z,>
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'Buildiiig.Codes.Inspection.FORMS\GEN'BRAL INSPECTION RFPORT-doc
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: -ithi 16z-- Meet:
t I
Building& Code Enforcement At time:
742 Bay Road -7
Queensbury, NY 12804 ARRIVE amlpm: DEPARTL�amlpm
(518) 761-82M Inspector's Initials P01
rV
NAME: rc, ( a4-e PERMIT# Z-- 6 71
LOCATION: 5-z- ble4iml INSPECT ON(date): ✓ &4 Z_
TYPE OF STRUCTURE: o tAfk rA-jZ'JI.R�
RECHECK
N/A YES i NO COMMENTS
Footings)Fie—rs
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[Wanpout
Reinforcement in Place
Foundation/Darripproofmg_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place 74—
''``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
1, 'ng-''Jack- tudt�eaders
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
i,=Mres t.3 jppp n 71%"
L.\SueHemingway Building.Codes—Tnsp.ection.FORMS\GENERAL INSPECTION REPORTAC)c
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request received: G `j �/ Meet.
Building& Code Enforcement At time:
742 Bay Road "
Queensbury, AT 12804 ARRIVE amlpm: .DEPART amlpm Notes:
(518) 761-8256 Inspector's Initials ��
NAME: ' � ' iI,S' �1 / PERMIT#,,�K./
LOCATION: ' Z pl auN INSPECT ON(date): ff C�Z`
TYPE OF STRUCTURE:
RECHECK
NIA YES NO COMMENTS
Footings/Piers _
Monolithic Pour Foirn
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/W allpour
Reinforcement in Place
Foundation/D amppro ofing
-8ackfill 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.FORMSIGENERAL 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: Z
742 Bay Road
ARRIVE 7-ER amp
Queensburj� AT 12804 ITk a In Notes:
(518) 761-8256 Inspector's bait
f
-NAME: CAAO—1 S (Vrb PERNflT# ;!092 —6 71
LOCATION: 2- W u INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK 0 8 r-b
N/A YE i NO COMMENTS
,- Footings/Piers
J. 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 earn
Air Infiltration Ba ier
Fire Separation ,2,3,hour
Penetration S led
FireWaI12,3,4bour
Firestopping_
L:\SueHemingway\Btiilding.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
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