2002-752 ,. OWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)'761.8256
t _ ERTIFm �Fs �C� �'ANv
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Permit Number-w,P20020752 . - Date Issued; Friday,January 10,2003
�? SThis isto:tcerty that=wdk requested:tobe done as sliown:by:Bert�rtNumber w P20020752
has been completed.
Tax Map Number; v 523400-290-000-0001-082-005-0000
Location: .. . . 28 STONEHURST Dr
RICHARD&KELLY WATKINS
Applicant: RICHARD&KELLYWATKINS
This structure may be occupied as a:
By Order of Town Board
Fireplace TOWN OF QUEENSBURY
Garage-2 Cars Attached
Single Family Dwelling
A
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020752 Application Number. A20020752
Tax Map No: 523400-290-000-0001-082-005-0000
Permission is hereby granted to:
For property located at: 28 STONEHURST 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: CHARLES WRIGHT Fireplace
23 STONEHURST Dr - Garage-2 Cars Attached
QUEENSBURY,NY 12804-0000 Single Family Dwelling 170,000.00
Total Value 170,000.00
Contractor or Builder's Name Address Electrical Inspection Agency
Plans &Specifications
2002-752 Lot 54,House No. Stonchurst Drive
Copy of deed is in f'ile as owner of property is Richard Watkins
Construction of a 1,904 sq ft single family dwelling with a 484 sq ft two car attached garage and one
fireplace as per plot plan and specifications.
$276.88 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, September 13, 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 To n o Bens Friday, September 13, 2002
SIGNED BY for the Town of Queensbury.
Director of Building A-Code orcement
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.
No inspection will be made until applicant has received a Fee Paid -4 rlei,40 VE
valid building permit. All applicants' spaces on this Rec.Fee Paid/ $ .
application must be completed and must appear on the Reviewed B : �r_t3 3 ZQQ2
application form.
TO 1 OF Q't URY SrP,
Applicant: ,t V �s ' _ Owner: _ i?;;�c1 =EN
Address: ! Address: !(L go G t 1SIO --:-�-
S f 011 Wi
Phone#( ) �?i-oroto Phone#{ ) - _
Email Address: Email Address: I)J&}{i4
Property Location: Lot Number: House Number
Subdivision Name: 6e-c+• 2 Tax Map Number: 2°;O,cO 6-532.5
New Building: esidence /commercial Estimated Market Value of Construction:
❑ Addition: residence/ commercial T�
❑ Alteration: residence/ commercial If an Addition,what will use of new addition be?
❑ No change to exterior size: residence t com'1
❑ Other work(describe )
Check OccupancyInformation I"Floor 2' Floor Other floor Total
Below sq.ft. sq.ft. sq.ft. Square Feet
[t/ Single family dwelling qy2 52 a
❑ Two family dwellin
❑ Townhouse
❑ Multifamily dwelling
#of units -
❑ Office
❑ Mercantile
❑ Manufacturing
❑ 1 car detached garage
❑ 2 car detached garage
❑ 3 car detached garage
❑ 1 car attached garage
yr 2 car attached garage lkg
❑ 3 car attached garage
❑ Storage building- _
commercial
❑ Storage building-
residential
❑ Other
What is the proposed height of the structure ''Zle feet 10 inches
Will any second-hand or ungraded lumber be used? If so,for what? hilA
Type of Heating System: electric/ oil / as/wood forced hot air) baseboard/other:
Number of Fireplaces to be installed Number of Woodstoves to be installed
List below the person(s)responsible for supervision of work as regards to building codes:
- Name - - - -- - - - - - Address —-- -- Phone-Number-
Builder ` %ra-%551 m,
Plumber '
Mason
Electrician
Declaration: please sign below after you have carefully read the statement:
To the best of my knowledge the statements contained in this application,together with the plans and specifications
submitted,are a true and complete statement of all proposed work to be done on the described premises and that all
provisions of the Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied
with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that 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 n cons ction.
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:
Office Use
on: pt rj
Location of installatiL
File Permit No.
Tax Map No. 1'10 / , 1 '912,*
Owner's Name: M&WI WC41AVUA,-1 Fee Paid
..........I.............. ................................... .....................................
!Mir
Address: LIS70
2. INSTALLER"S NAME SEP 0 3
PHONE NO.145 Ott-31
3. RESIDENCE INFORMATION: (circle yearof dwelling; indicate beRbo;n.(s) and multiply# of
bedrooms with applicable gallons per bedroom-fo-equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gal/bdrin
x 130 gal/bdrni
1991 —present x 110 gal/bdim
Garbage Grinder Installed yes_ no
Spa or Whirlpool Installed yes_ J no X
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
Topography Soil Nature Ground Water Bedrock or Impervious Material Domestic Water S!aRj2ly
Flat son at what depth at what depth municipal
Rolling oam feet —feet well
Steep slope clay ifwell; water supply
-6eZo slope other 1 from any septic-system
depth: tj absorption Is jqc 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: 000 gallon(min. size 1,000 gal.)
cl
Tile Field: each trench r79 ft Total System Length:
Seepage Pit(s): number of size of each:
by-ft.
Size of Stone to be used: # I depth or thickness feet-
Bed System Size: x
Alternative System: length andlor size
6. IJI& HOLDING TANK SYSTEM: (if required)
Number oftanks: I Size of each: gallons TOTAL Capacity: gallons
Note:-Alarrfi-Syst6m and associatedelectrical Work must be inspected by a Town approved
electrical inspe6tion agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 13629 ofthe Code ofthe Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
requirements ofthe Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person. Date
-• . _ :'I ctwtt uF {2tiet�tlaltui•v
Lit��vcr� .111(l sewage'Disposal t all:Istit e
Altltc mlix C
Al3St)M""ION PI F,1,1_D
SEP UVI'10N ILI:CZ1_?i1L1;I131+:N'1`;i
POND
�•'"'�• Y'/F=1.t_ ut trnrf'st• y�l ts',a•a
'�• •1
}5Qt3Sr» G t1E Mast" '�llr>tJSE G` ! £
Litt'.11t1mt f/t.+t i '
_ ,ntY..snsrtx�s
F-1 fi.ts�
- -L-
7. SIGNATURE &INFORMATION FOR RbbPVr4bU$t..>~ Y>✓ vt. ,.v.s�..• ••.•,
Fire Marshal's Office Town of Queensbury,742 Bay Road,Queensbury,NY
(518)761-8205
Application for Fuel Burning Appliances & Chimneys
applicable to solid- =wens q gas-appliances
Date �1-, 20 Sofa 0 2002 Permit No. 760, 7S2_
Application is hereby made to the Buf1din Cjgcl f ice.&the issuance of a Building and Use
=t ;:
Permit pursuant to-the New York State Fire PrevefiNo' atzd I�iz ldiii��'Code. 11ze applicant or owner
agrees to comply with all applicable laws, ordtnaizces, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to perform required inspections.
NOTE to applicant: Rough-in and Final Inspections are required,
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: L. �(�te,�ljx�(� Stove: wood coal pellet gas
Fire lace insert
Address: Fireplace, factory-built:; wood ga j` L
LYT2 -
i, Fireplace, masonry: wood gas
Furnace: wood gas oil
Phone. 1q4 -viOto If non-masonyapplince,please provide
Owner• &kro. WCA Manufacturer0.
Address: . 76 Model Numb
v 1
Chimney Information `
Phone: ft Von (circle appropriate words)
Masonry block brick stone
lue the s eel size: inches
Exact Address:
of construction or installation Factory-Built
Manufacturer name:
Model Number:
.Note: Listed By: Number:
Construction 1lnstallation must
con Lorin to NYS Fire Prevention &Building Indicate(circle)chimney material:
Code..Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple 141czll / Insulated / ireet venting;
Chimney Liner
Ct��rbat�.r'�r,Z?�e,,�ar�tzy�arx� t--Z.'o�rntx oaP Q:xre ,�rXazz.rar, .RTie�cz'�ca►arl3:
Fire Marshal Corte# $Collected S Refunded eceivecl fiorn r feurded to):02�� .
address:
A 173 3389 (190) Public Safety
% )
A 233 2655 (230) in r Sales
DATE:
I
White(Applicant) 1 Green(Fire Marshal) l Yellow(Bldg.Dept.) 1 Pink R Goldenrod(Cashier's Dept.)
WINPOW5 AND PATIO POOR5 5HOWN ARE 13ONNEVLI-E DO NOT 5,AI-F OFF BI-UFPRINT5.USE PMEt'51ON
GLAP UNITS.ROUST HEAD P5614T FOR Al�!_FIRST CALCULATE OTHER PME 5 OVErt *HEADER 9ZF FOR ALL.FIRST FLOOR WM)OWS
FLOOR(AND MOST SECOND FLOOR)WINDOWS SP4t_ AI_,I_ rSON5 By LEIM TWO5E 5POWN,
BE 610"ABOVE"FI-Oop NONPMENSIONFP INTERIOR PARTITIONS ARE 3-Y2" 5 TO BE(3)2X&S,NO�2 5flr�WITH(2)316,,
I2X4 CONSTRLrTION). X_P'rONTINJOLS FILLERS,UNLESS OTHERWISE
EXTERIOR RAILING MATERIALS 5PA[_I_BE(EPAR 09 INSTALL FSEPLACE(5)IN AC60ROArLF WITH MT5 NOTED NON)
OTHER DECAY RE515TANT WOOD,OR OF A STNTPETC, B�JLPINC.CODE,LOCAL ORQNANG155,AND WITH WALL BETWEEN POL)5E AND GARAGE MATERIAL THAT 15 MPERVIOL5 TO WATER DAMAGE MAMPArTURERS INSTRUCTIONS 5PAl-L BE(OVEPEP ON THE GARAGE
AWL FRAMING LUMBER 5 NO.2 OR BETTER SPF MEOPAMAL VENTILATION 5 REOUREP IN ALL PWPR AND SIDE WITH 1/2"TYPE"X"SPEETROCr..
LME55 OTHERWISE NOTED 5ATPROOM5 WITHOUT OPERABLE WK)OW5. GARAGE GEJWN6 SHALL BE COVERED
WITH 5/8"TYPE"X"SPEETROOK,
Z-
34'O"
220' RECEIVED
6'0" 8 2002
—
'ALL Vwj ep
BEGIN SE(OND FLOOR FRAMING
LATOUT AT THIS END OF BOLDING SI_P 7379
37
PHI 2114 ZERO- Q)
(�-EARAYE DIRECT-VENT
EPLACE WITH 20"HEARTH
3068 9-CITE
-------- Ly
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I
KITCHEN
\ F 2
FA
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<
-VENT TO ROOF iv
5-rE PETIE(TOR (y-
I 5 2X&5.TTPrAL x 7
4N BEARING WALL -T
2114 LU
�
4068 >7
Q) I
PAIN FROM DRAIN FROM 2666 103 (3/4-HR FfRI? 6 r
5HWR ABOVE .... SHWIR ABOVE (�L_o DOOR A55EMBL
------ ----------- -DOWN
EARINC,WALL 4ff'C.0, DRAIN FROM ------ p - (2)2XI05
WC,A$O (BEE NO ) 6AP-A&E 9 S)
(SLOPE FLOOR SLAB TOWARD N D
(2)2XIO BOXED APE D A IMG OVERHEAD DOOR OFFNt65 N
WITH GAP F 2"DRAIN 2666
FROM 5NWR ABOVEIN PD&_ 3-1/
I I BATH 2 7Ind
17" 2T'
127 3-1/211 3'4-1/2°
AU6.0
IVINC, 3-1/2' - — I gPININ6 JOHN E
UNLEE
ENTRY
PHI 2922
PHI 2922
QH2 2c22 068 9-LITE
1 9'9" PW2 2922
poplGp (3))2XI05,N0-2 STP.WITH(2) ......
QX8 NO.2 5PF RAF R5 3/8"X 7"CONTINJOLS PI-YWI)
AT 16"06 ABOV FLI_ER5
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---------- --------
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4"THICK POURED CONCRETE
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143 SPEF
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WIND32'0" __585
�aw_op O_p�llm SPEGIFIGATIONS 4
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 tVA V 20 0 Permit No.
Application is hereby made to the Building& Codes Officefor the issuance of a Building and Use
Permit pursuant to'the New York State Fire Prevention.and Building Code. Tlle applicant orowner
agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of
these requirements and also will allow all inspectors to enter premises to peilbrin required inspections-
NOTE to applicant: Rough-in and Final Inspections are required.
Applicant Information Fuel Burning Appliance Information
(circle appropriate words)
Name: Stove: wood coal pellet gas
0"-geg,
Address: ire_!I ace
, wood �s�
Ireplace, masonry: wood gas
Furnace: wood gas oil
Phone:
If non-masonary applicance,please provide
Owner: Manufacturer Name:
Address: Model Number:
Chimney Information
Phone: (circle appropriate words)
Masonry block brick stone
Flue tile steel size: inches
Exact Address: (?-l<5713vc;'1*VsT 9A,
of construction or installation Factory-Built
Manufacturer name:
Model Number:
Note: Listed By: Number:
Construction I Installation must
conform to NYS Fire Prevention &Building Indicate(circle) chimney material:
Code. Consult available Town of Queensbury
Handouts regarding required inspections. Double wall / Triple wall 1 Insulated / Direct venting
Chimney Liner
Fire Uar.ihal Code# $Collected $Refunded Received from (refinnied,07" t It
address:_
A 173 3389 (190) Public Safety
A 233 2655 (230)Minor Sales
DATE: 1 -2 V,
'row. 6"O-V D*P��7
White(Applicant) Green(Fire Marshal) Yellow(Bldg. Dept.), fink&Goldenrod(Cashier's Dept.)
Richard A.Aii,,sjtq
HIGHWAY Highway Superintendent
DiaPA.RTMEN T Home(518)798-s127
742 Ray Road * Queensbury,NY 128U M&haef F. Travis
Off-t-ce Phone: (518) 761-8211 SEP 0 -3 2002 Deputy Highway Superintendent
Fax: (518) 745-4466 TOWN OF QlJ�c-EiqSBURY (5*798-0413
DRIVEWAY PERMIT
DATE:
APPLICANT NAME:
TELEPHONE NO.:
ADDRESS TO BE INSPECTED:
r
RETURN ADDRESS: i& FdWVJ6,r yr.
Applicant must show exact location and width of driveway(s)to be connected to the highway by
placing stakes at the specified 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 s-wale
Size pipe to be used(if necessary)
Preliminary inspection completed by DATE
Approval by Highway Supt. 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/prn Depart: sgi�p_m
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: 10.
NAME: 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,decks,patios
Guard at stairwell at 34 in.or more
Guard at deck,porches 36 in.or FaQre
Exterior Finish Complete
Interior/Exterior Railings 34 in. p 38 It.
Platform at all exterior doors
Interior Handrails stairs 2 or more,riserA
Grade away from foundation 6 in.with 10 ft.
Handrail Termination at Newell Post or all
8 inch clearance to sill plate - \ /
Gas Valve shut-off exposed/regulat6r/I 8"above grade
Gas Furnace shut-off within 30 ft.or .'thin line of site
Oil Furnace shut-off at entrance to Wace area
Furnace/Hot Water Heater operatinj
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 glazing
Interior Smoke Detectors:
Every level: / Every Bedroom:
Outside every bedroom area: _
Inter Connected: — / Battery backup:
Bathroom Fans,if no window
Carbon Monoxide detector
PlumbiN fixtures
Foundation insulation
Floor truss,draft stopping fmished basement 1,000 sf
Emergency egress below grade 4&ljo ut S SL
Basement stairs closed rise>4 inches
4hour fire door/door closer
Garage fireproofmg
Duct work Sealed properly
Attic access 30 in.x 2 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 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 Occupancy)
Okay to issue Permanent C 0(Cert.Of Occupancy)
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Departan/pm
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York'12844
NAME 41 _ PERMIT#
LOCATION 7 ,c, OR-5i DATE
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from foundation
8"clearance to sill plate
Gas Valve shut-off exposed/regulator 18"above grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 risers
Interior privacy/trim/doors/main entrance 36"
Floor Finish
Bathroom/Kitchen watertight
Interior Handrails Balconies/Lauding 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
XPF�
Electrical
1an/Variance required
naSurvey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif:of Occupancy)
rIn
_ N 04-10-40 E
10o FT — — -
---------------------------------------- ___
20 FT SETBACK
1000 GAL
SEPTIC TANK131
5-HOLE GONG. ,I
DISBOX
4" OA, RIGD
PVQ DRAIN, _ 20'
SOLD PIPE
4„ PA. R160
PVG DRAIN,
(PERFORATED PIPE
ILo;Q oN
o i P-
o
CC) Y;
N
6'
12" DEEP X 24" WIDE
#2 CRUSHED STONE,
WITH 6-12" SOIL G01/ER
30 -
NOTE: NEW ABSORTION FELD /
IS APPROX. 200 FT FROM /
EXISTING WELL TO SOUTH F
/
/
ab '�
/
/
• WELL, 100 FT FROM
NEAREST EDGE OF
NEW ABSORTION FELD
GRAVEL
DRIVEWAY
E t
NF-,t,
w ALL
/
/
NOTE: NEW WELL 6 APPROX.
140 FT FROM AN EXISTING,
A135OR7ON FELD TO THE NORTN
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NORTN Nmt��,
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DATE:
AU6U5T 9, 2002
DRAWN BY=
JOI4N 6CHUMAKER
SCALE: V = 30'
UNLESS NOTED
I
,y
SWEET
1 OF 1
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 , 5�' / SCHEDULE
Received: Permit# t✓ INSPECTION ON:
Name: AM PM ANYTIME
Location: 'DTUn}e-,gjJ✓zsi 0
APPROVED
N lA YES NO COMMENTS
EXITS
AISLE WIDTHS
EXIT SIGNS--NORMAL
- BATTERY
EMERGENCY LIGKTING
FIRE EXTINGUISIJERS
FIRE ALARM SYSTEM .
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSIOASYSTEM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE
COMPRESSED GAS
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATI
UNITS
CLEARANCE TO ELEOYMCAL
REQUIRED SIGNAGE
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROU HIN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
FINAL
WOOD
STOVE ROUGHIN
FINAL
VENTED GAS
APPLIANCE ROUGH IN
FINAL j
FIREPLACE t-
MASONRY ROUGH IN OK THIS GATE K FOR C NOT OK
FINAL i
FIREPLACE
FACTORY BUILT RO71NALN INSPECTED BY
COMDEVlCHRISJNVORDILETTERS20011FIREMARSHALINSPECTIONREPOR Y�L��W-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
Town of Queensbury
Fire Marshal's Office 604
742 Bay Road
Queensbury, NY 12804
Phone (518)761-8205 Fax(518) 745-4437
Fire Marshal's Inspection Report
Request SCHEDULE 12- ,-5 02-
Received: Permit INSPECTION
Name, Pa-vL 14C q0D AM PM ANYTIME
Location:
APPROVED
N/A YES NO COMMENTS
AISLE WIDTHS Al 'o�, MoJe) o� -�76 Fp V
EXITS
EXIT SIGNS-NORMAL
- BATTERY
EMERGENCY LIGHTING
FIRE EXTINGUISHERS 5FevIA-ed �ka fxM64 - 0 -a
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYSTEM HOOD INSTALLATION Ao tlwAdo,) wood �aiep&y
INTERIOR FINISHES
STORAGE
COMPRESSED GAS OK
CLEARANCE TO SPRINKLERS
CLEARANCE TO HEATING VA
UNITS �&Ira4gj�- �� .
CLEARANCE TO ELECTRICAL_
REQUIRED SIGNAGE /0
EMERGENCY PLAN
MAXIMUM OCCUPANCY SIGN
CHIMNEY
MASONRY ROUGH IN
FINAL
CHIMNEY
FACTORY BUILT ROUGH IN
WOOD FINAL
-STOVE ROUGHIN
FINAL
VENTED GAS 0,A4y>
APPLIANCE ROUGH IN
FIREPLACE FINAL
MASONRY ROUGH IN OK THIS DATE OK FOR CO NOT OK
FINAL
FIREPLACE
FACTORY BUILT ROUGH IN BY
FINAL
COMDEV/CHFUSJIWORDILETTERS20011F IRE MARS HALT NSPECTIONREPORT11022001
YELLOW-OCCUPANT COPY
WHITE-BUILDING DEPARTMENT COPY
30
vf-kf kn �5
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement <
Dept.of Community Development Arrive am/pm Depn
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York 12804
NA,IvIE PERMIT#
LOCATION DATE
TYPE OF STRUCTURE _
N/A YES NO COMMENTS
Chimney HeightP'B"Vent/Direct Vent Location � e� �"l
Fresh Air Intake f
Plumb Vent through roof
Roof Complete
Exterior Finish Complete
Interior/Exterior Railings 30"to 36"
Exterior Handrails,balconies,landing 18 in.or more
Interior Handrails stairs both sides 3 or more risers
Grade 2%away from undation
8"clearance to sill p t
Gas Valve shut-off a os dlregulator 18"above grade
Gas Furnace shut-off 'thin 30 feet or within line of site
Oil Furnace shut-off aj entce to furnace area
FurnacE/Hot Water H teating
Relief Valve(s)install d
Headroom,6 ft.6 in.o sjDasta"
ement stairs,6 ft.4 n.
Handrail exterior stairs o, sides more than 3 risers
11
Interior privacy/trim/doo /main entrance 36"
Floor Finish
Bathroom/Kitchen waterti At
Interior Handrails Balton s/Landing 18 in.or more
Railing across window in s ells
Smoke Detectors:
every level
every bedroom
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4 hour fire door/door closer
Garage fireproofing
Garage penetrations sealed
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
Site Plan/Variance required
Final Survey Plot Plan
As Built Septic System layout required
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif.of Occupancy) XIA
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement
Dept.of Community Development Arrive am/pm Deparf M
Town of Queensbury Inspector's Initials
742 Bay Road
Queensbury,New York*12804
NAME PERMIT# ~-75
LOCATION = ? . DATE i t�
TYPE OF STRUCTURE
N/A YES NO CONSENTS
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
Plumb Vent through roof � �% _ A ._j
Roof Complete �"
Exterior Finish Complete
Xno erior Railings 30"to 36"
✓Exteri H drails,balconies,landing 18 in.or more
Interior a stairs both sides 3 or more risers
Grade 2 o a y, m foundation
8"cl a si1R ate
Gas Valve u-off osed/regulator 18"above grade
Gas Fumac sh t-o 'thin 30 feet or within line of site
Oil Furnaces ut off t nuance to furnace area
Furnace/Hot Water H er operating
Relief Valve(s)�instal
Headroom,6 ft.6 in n stairs
Basement stairs,6 in.
Handrail exterior ' both sides more than 3 risers
Interior priva d rs/in ' entrance 36"
-Floor Finish
Bathroom/Kitchen wat night
Interior Handrails Bal Pies/Landing 18 in.or more
Railing across windo in stairwells
Smoke Detectors:
w every level
every bedroom
outside every bedroom
inter connected/
Bathroom fans
Plumbing fixtures
Foundation insulation
>r 3I4 our fire door/door clo er ^^ /,
age fireproofing f"1 fY'LC j U 'r 13e
Garage penetrations`sealed
Furnace in separate room protected(in garage) X kx ` �
Light ventilation per room
Safety glazing 18"or less from floor
Final Electrical
e Plan/Variance required
mal Survey Plot Plan
As Built Septic System layout required ��
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif.of Occupancy)_
Okay to issue permanent C/O(Certif:of Occupancy)
Residential Final Inspection
Off-ice No. (518) 761-8256 13ate Inspection request rece c
Queensbury Building &c Code Enforcement Arrive: a part: xz--
742 Bay Rd., Queensbury, 1, Y 12804 Inspector's Initial
P '1' e)I-P,--7
LOCATION: C - 1 .--fit_
TYPE OF S-MU(D-f!JRJB: 1!5 R 717)
Comments
a
Chimney Ht. /"13" 'Vent/L)irect Vent Location
Fresh Air Intake
3 inch Plumb Vent through roof
Roof Complete
Guard 30 in. or more C4-b_ 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 t V
Grade away from foundation 6 in. with A0 ft. 'V2
Handrail Termination at Newell Post or all IV/
8 inch clearance to sill plate 147
Gas Valve shut-off exposed/regulator I 8V abolve grade
Gas Furnace shut-off within 30 ft. or withi4 li e of site
Oil Furnace shut-off at entrance to furnace 4Va
Furnace/Hot Water Heater operating x
]Low water shut-off boiler
Relief Valves) installed
Interior privacy/trim/doors/_main entrance l 36 in.
Bathroom/Kitchen watertight
Safety glazing
Window in stairwells safe ty glazing
Interior Smoke 13ete0tors:
Every level: I very B3K4droom:
Outside every bedroom
a vi�
Inter Connected- Battery b ckup: L
Bathroom Fans, if no window L
Carbon Monoxide detector
Plumbing fixtures
Foundation insulation
Floor truss, draft stopping finished baserne4t 1,000 sf
F-mergency egress below grade
Dasement stairs closed rise ::-4 inches
hour fire door/door closer
Garage fireproofing
Duct work Sealed properly
Attic access 30 in. x 2 in. x 30 in- (ht.) In accessible area
Crawl Spaces 18" x 24" access, I sq. ft.-150 sq. ft vents V-x
l3uilding No. I Address -visible from road
Final Electrical
Site Plan / 'Variance required
Final Survey Plot Plan Nde LA-
S
"Zysti-Si-A/ Sewer I:)ept- Inspection Sticker V> 1
Flood Plain Certification, if required
Okay to issue C/C (Cert. Of Compliance)
Okay to issue Temporary C O (Cert. Of Occupancy)
Okay to issue Permanent C 0 (Cert. Of Occupancy) \00F
1 a),
COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC.
Main Office 176 Doe Run Road ofManheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
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The conditions following governed the issuance of this certificate, and any certificate previously issued is
cancelled: -
This certificate only covers the electrical equipment and installation conditions as of date, Upon the
introduction of additional equipment or alterations, application shall be promptly made for inspection,
Inspectors of this Company shall have the privilege of;th
king ' ctions at any time, and if it,
rules are violated, the Company shall have the right to re ' cate
12 Y0 .... -NSP`ECTOR {ff#f#f.f#ff#fe#{rl. il{#Yfl!!#!!il!llie#...u#u fni.}}Iilff H#ff#eiffl#Nifle..efff
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TOWN OF QUEEKSBURY
BUXILDING &--CODE ENFORCEMENT
'742. Ba_y R"act
Quat--raS4?�L�r M2004 e5
IC518�0 sue
SEPTIC DISPOSAL SYSTEM INSPECIFION
Name Q_C--
Location
D a-t -2, Pe rn 1 t
SOIL -Typ Sat L
Resul is a-F Po cal �r A:iort Test-
( i -F applicable ) Rate-Minute/Inch
TYPE OF SYS-FEM=
ABSORPTION FIEUD: Total Length
Length 0-F each tr-a-Kch
Depth o-F -drench155,
Size o-F stone
SEEPAGE PITS Umb,L-- r--
Size- - _Ft _ X. -Ft _
Stone S-1
PIPING : S i �z T_yp 0
B-1 c1g . tank
Tank- D ' st - Box CA
o P 4j
n PIPING :
Ic
Di s-t . Box to Fie_ld/PT _t
Open ngs eal t-_- d ? N-0 pay-t-lal
1E 0 PARAT-I
C IONZ E
F -
Faun at-f a to Tank feet
Faun
aun atio to Ab so rp, zli on feet
__
0 J_ 1:t
S#---p a i- n o-F Pits t Fee
Con-Forms as per Plot Plan Y'���No
LOCATION Ole SYSTEM ON PROPER ' %F.
( circlo one )
F ron t - Pea Le-Ft Si" ight Side
-_
I
Mlddl L-- Front e a I-
COMMEN-TS
SYSTEM USE APPROVED = ES
Ar-r-1%rv-- I--------
337 cm*d =1.11
Of Use
-GENERAL INSPECTION REPORT Inspector:
Town ofQueensbury Ready at time:
Dept. of Community Development Request received: 2, Meet:
Inspector:
Building& Code Enforcement At time:
742 Bay Road 5-, (0
Queensbury, AT 12804 ARRIVE amlpni: DEPART am/pm Notes:
(518) 761-8256 Inspector's Initials
NAME; 4WACtU V` PERMIT# L -7f2
t,
LOCATION: INSPECT ON(date): Zh
TYPE OF STRUCTURE:
RECHECK
N/A 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 on site
'FoundationfWallpour
Reinforcement in Place
Foundation/Dampproofing_
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-f,,,,,,,
Ensula Iti(on
Foundation W11i Interior R-
Foundation Walls Exterior R-
Floors R-
als R-
iling 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-ASueHemingwa3`,Building.Codes.Inspection.FORMSkGENIERAL INSPECTION REPORT-doe
Office Use
.GENERAL INSPE ION REPOR,T, Inspector:
Town of Queensbury Ready at time:.
.Dept. of Community Development Request received. Ith.116 Meet:
Building& Code Enforcement At time:
742 Bay Road
ARRIVE a m In Queensbut3; AT 12804 AR R1 EZ j R amp
Notes:
(518) 761-8256 Inspector's Initi
NAME: 64,1-111 CL PERMIT 75 7
LOCATION. Ma INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YES i NO COMMENTS
Footings/Piers
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for -v�
providing protection from freezing
for 48 hours following the placement
of the concrete. �TO, v
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Darripproofing
Backfill Approval
Plumbing Under Slab
ktn,
lambing 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
raming. . I,-
\b-k e-
Jack Studs/Headers.—t,-,
Bracing/Bridging__
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
jenetration Scaled
ire Wall 2,3,4-hour
irestopping_
L:\SueHemingway\Building.Codes.Inspection.FORMS\GENERAL INSPECTION REPORT.doc
Office use
.GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at timej- A1�1_
Dept. of Community Development Request received.- Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbuq, AT 12804 ARRIVE a- 'R Notes:
Ins
Rea
dy inspector:
Meet:e .
A tt.
un
Notes:
s.
,TD N e .
(518) 761-8256 Inspector's jIniti
19
'L
NAME: at PERMIT# 20OL— Z6
LOCATION: INSPECT ON(date):
TYPE OF STRUCTURE: S
RECHECK �� -'' lJ� -�
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 Plutnbing_
7—
,teating-Rough-IR.
sulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R- I j
Ceiling R- V
Duct work or piping in
. unheated spaces R-
4rop!r Vent,Attic Vent X/
Framing Al/
Jack Studs/Headers 1/ 1
Bracing/Bridgm' g-- k/
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3,hour
Penetration Sealed
�Fire Wall 2,3,4-hour
irestoppmg
L:1SueHemiiigwa5tauilding,Codes.Inspection.FORMS\GENE-RAL INSPECTION REPORT-doe
Office Use
GENERAL INSPECTION REPORT Inspector:
Town of Queensbury Ready at time:
Dept. of Community Development Request receive 4r. : q Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AT 12804 ARRIVE jZQDa Notes:
I _ tp��
REPORT
rec
eive RT
ceive
(518) 761-8256 Inspector's Initi
NAME: i !0T PERMIT
ERMIT 7 IFLZ—
LOCATION: F-D INSPECT ON(date):
TYPE OF STRUCTURE: b 7- CAR (SAF-A6E
RECHECK
N/A YES NO COMMENTS
Footings/Piers-
Monolithic Pour Form N>p
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
theinforcement in Place -<L-/
oundation/Dampproofing X
-4Backfill Approval
Plumbing Under Slab ✓
Plumbing Vent/Vents in Place
Rough Plumbing-_
Heating Ron 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\Building.Codes.Inspection.FORMS\GE,NERAL INSPECTION REPORT.doc
IOffice Use
GENERAL INSPECTION REPORT Inspector: O
To-min of Queensbury Ready at time:
Dept. o Community Development Re uest—received: � ��-
p .�' tJ' .p 9 Meet:
Building& Code Enforcement At time:
742 Bay Road
Queensbury, AY 12804 ARRIVE "" r E ART Notes:
(518) 76178256 Inspector's Initial -
NAME:' PERMIT#
LOCATION: �y �i 5`d �t'( -� INSPECT ON(date):
TYPE OF STRUCTURE:
RECHECK
N/A YE i NO C MM
*ootings/Piers
Monolithic Pour Form /
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement i
of the concrete. tr
Materials for this purpose on site tj
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofmg `
Backfill Approval �!
Plumbing Under Slab '
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In !
Insulation
Foundation Walls Interior R
Foundation Walls Exterior R
Floors R-
Walls R-
Ceiling R-
Duct work or piping mi
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\Bui]ding.Codes.Inspcction.FORMS\GENERAL INSPECTION REPORT.doc